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Birtley NM, Phillips L. The business and practice of psychiatric advanced practice nursing in long term care. Arch Psychiatr Nurs 2020; 34:288-296. [PMID: 33032748 DOI: 10.1016/j.apnu.2020.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 03/03/2020] [Accepted: 07/02/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Nancy M Birtley
- Sinclair School of Nursing, University of Missouri-Columbia, Columbia, MO, United States of America; Nancy M. Birtley, LLC, Psychiatric Consultation Services, St. Louis, MO, United States of America.
| | - Lorraine Phillips
- School of Nursing, College of Health Sciences, University of Delaware, Newark, DE, Unites States of America
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Jamin G, Luyten T, Delsing R, Braun S. The process of co-creating the interface for VENSTER, an interactive artwork for nursing home residents with dementia. Disabil Rehabil Assist Technol 2017; 13:809-818. [PMID: 29037109 DOI: 10.1080/17483107.2017.1385102] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
INTRODUCTION Interactive art installations might engage nursing home residents with dementia. The main aim of this article was to describe the challenging design process of an interactive artwork for nursing home residents, in co-creation with all stakeholders and to share the used methods and lessons learned. This process is illustrated by the design of the interface of VENSTER as a case. METHODS Nursing home residents from the psychogeriatric ward, informal caregivers, client representatives, health care professionals and members of the management team were involved in the design process, which consisted of three phases: (1) identify requirements, (2) develop a prototype and (3) conduct usability tests. Several methods were used (e.g. guided co-creation sessions, "Wizard of Oz"). Each phase generated "lessons learned", which were used as the departure point of the next phase. RESULTS Participants hardly paid attention to the installation and interface. There, however, seemed to be an untapped potential for creating an immersive experience by focussing more on the content itself as an interface (e.g. creating specific scenes with cues for interaction, scenes based on existing knowledge or prior experiences). "Fifteen lessons learned" which can potentially assist the design of an interactive artwork for nursing home residents suffering from dementia were derived from the design process. CONCLUSIONS This description provides tools and best practices for stakeholders to make (better) informed choices during the creation of interactive artworks. It also illustrates how co-design can make the difference between designing a pleasurable experience and a meaningful one. Implications for rehabilitation Co-design with all stakeholders can make the difference between designing a pleasurable experience and a meaningful one. There seems to be an untapped potential for creating an immersive experience by focussing more on the content itself as an interface (e.g. creating specific scenes with cues for interaction, scenes based on existing knowledge or prior experiences). Content as an interface proved to be a crucial part of the overall user experience. The case-study provides tools and best practices (15 "lessons learned") for stakeholders to make (better) informed choices during the creation of interactive artworks.
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Affiliation(s)
- Gaston Jamin
- a Maastricht Academy of Media, Design and Technology, Arts Faculty Maastricht , Zuyd University of Applied Sciences , Heerlen , The Netherlands.,b Expertise Centre for Innovative Care and Technology (EIZT) , Research Program "Stimulating Healthy Active Lifestyle" , Heerlen , The Netherlands
| | - Tom Luyten
- a Maastricht Academy of Media, Design and Technology, Arts Faculty Maastricht , Zuyd University of Applied Sciences , Heerlen , The Netherlands.,c Research Centre for Technology in Care , Zuyd University of Applied Sciences , Heerlen , The Netherlands.,f Department of Health Services Research, CAPHRI, School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences , Maastricht University , Maastricht , The Netherlands
| | - Rob Delsing
- a Maastricht Academy of Media, Design and Technology, Arts Faculty Maastricht , Zuyd University of Applied Sciences , Heerlen , The Netherlands.,d Faculty of Arts , Research Centre for Technology Driven Art , Zuyd University of Applied Sciences , Maastricht , The Netherlands
| | - Susy Braun
- b Expertise Centre for Innovative Care and Technology (EIZT) , Research Program "Stimulating Healthy Active Lifestyle" , Heerlen , The Netherlands.,e Faculty of Health , Research Centre for Nutrition, Lifestyle and Exercise , Zuyd University of Applied Sciences , Heerlen , The Netherlands.,f Department of Health Services Research, CAPHRI, School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences , Maastricht University , Maastricht , The Netherlands
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Luyten T, Braun S, Jamin G, van Hooren S, de Witte L. How nursing home residents with dementia respond to the interactive art installation 'VENSTER': a pilot study. Disabil Rehabil Assist Technol 2017; 13:87-94. [PMID: 28287047 DOI: 10.1080/17483107.2017.1290701] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The goal of this study was (1) to determine whether and how nursing home residents with dementia respond to the interactive art installation in general and (2) to identify whether responses change when the content type and, therefore, the nature of the interaction with the artwork changes. The interactive art installation 'VENSTER' evokes responses in nursing home residents with dementia, illustrating the potential of interactive artworks in the nursing home environment. Frequently observed responses were naming, recognizing or asking questions about depicted content and how the installation worked, physically gesturing towards or tapping on the screen and tapping or singing along to the music. It seemed content matters a lot. When VENSTER is to be used in routine care, the choice of a type of content is critical to the intended experience/usage in practice. In this study, recognition seemed to trigger memory and (in most cases) a verbal reaction, while indistinctness led to asking for more information. When (initially) coached by a care provider, residents actively engaged physically with the screen. Responses differed between content types, which makes it important to further explore different types of content and content as an interface to provide meaningful experiences for nursing home residents. Implications for rehabilitation VENSTER can facilitate different types of responses ranging from verbal reactions to active physical engagement. The choice of a type of content is critical to the intended experience/usage in practice. Activating content seems suitable for use as a meaningful experience during the spare time in between existing activities or therapy. Sessions with interactive content are short (avg. 30 mins) and intense and can therefore potentially be used as an activating therapy, activity or exercise. In order to actively engage residents with dementia, the role of the care provider seems very important.
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Affiliation(s)
- Tom Luyten
- a Research Centre for Technology in Care at Zuyd University of Applied Sciences , Heerlen , The Netherlands.,b School of Public Health and Primary Care at Maastricht University , Maastricht , The Netherlands.,c Maastricht Academy of Media, Design and Technology , Maastricht , The Netherlands.,d Centre of Expertise for Innovative Care and Technology (EIZT) at Zuyd University of Applied Sciences , Heerlen , The Netherlands
| | - Susy Braun
- b School of Public Health and Primary Care at Maastricht University , Maastricht , The Netherlands.,c Maastricht Academy of Media, Design and Technology , Maastricht , The Netherlands.,e Research Centre for Autonomy and Participation at Zuyd University of Applied Sciences , Heerlen , The Netherlands
| | - Gaston Jamin
- c Maastricht Academy of Media, Design and Technology , Maastricht , The Netherlands.,d Centre of Expertise for Innovative Care and Technology (EIZT) at Zuyd University of Applied Sciences , Heerlen , The Netherlands
| | - Susan van Hooren
- f KenVak, Research Centre for Arts Therapies at Zuyd University of Applied Sciences , Heerlen , The Netherlands.,g Faculty of Healthcare, Zuyd University of Applied Sciences , Heerlen , The Netherlands.,h Faculty of Psychology and Educational Sciences, Open University , Heerlen , The Netherlands
| | - Luc de Witte
- a Research Centre for Technology in Care at Zuyd University of Applied Sciences , Heerlen , The Netherlands.,d Centre of Expertise for Innovative Care and Technology (EIZT) at Zuyd University of Applied Sciences , Heerlen , The Netherlands
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Sorrell JM. Postoperative cognitive dysfunction in older adults: a call for nursing involvement. J Psychosoc Nurs Ment Health Serv 2014; 52:17-20. [PMID: 25375388 DOI: 10.3928/02793695-20141021-03] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
As the population continues to age and new medical developments make surgery at advanced ages increasingly possible, it is important to consider how older adults tolerate surgery and anesthesia. Considerable evidence shows that older adults have a higher risk of developing postoperative cognitive dysfunction (POCD), which leads to transient and sometimes long-term cognitive changes that may affect quality of life. Because little is known about how to prevent or treat POCD, it is important that nurses identify ways in which they can intervene to help patients who experience this disorder.
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Braun SM, Kleynen M, Bleijlevens MHC, Moser A, Beurskens AJ, Lexis MA. “Interactive surfaces” technology as a potential tool to stimulate physical activity in psychogeriatric nursing home residents. Disabil Rehabil Assist Technol 2014; 10:486-492. [DOI: 10.3109/17483107.2014.904449] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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The effect of healing touch on the pain and mobility of persons with osteoarthritis: a feasibility study. Geriatr Nurs 2013; 34:314-22. [PMID: 23835011 DOI: 10.1016/j.gerinurse.2013.05.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2012] [Revised: 04/05/2013] [Accepted: 05/11/2013] [Indexed: 12/16/2022]
Abstract
The aims of this pilot study were to investigate the effects of Healing Touch (HT) on the pain level, joint function, mobility, and depression in persons with osteoarthritis (OA) of the knee joint(s). A randomized controlled trial using a repeated measures design was used. Cognitively intact persons (institutionalized and community) with a diagnosis of OA of the knee joint(s) received either HT sessions three times per week for 6 weeks (n = 12) or weekly friendly visits (FV) (n = 7). The HT sessions were delivered by a team of two nurses certified as HT practitioners and the FV was conducted by a nurse. All subjects continued to receive their standard care including the methods they had been using to relieve their joint pain. The two groups were similar regarding demographic variables, number of knees affected, co-morbidities, pain medications used and outcome variables at baseline. Two pain outcome measures (intensity and life interference) produced significant interaction effects. Two joint outcome measures (extension and extensor lag) also produced significant interaction effects. Furthermore, the HT group demonstrated significant improvements in 9 of the 12 outcome variables (75%) while no significant improvements occurred in the FV group. The HT group exhibited sustained effects (3 weeks post treatments) in three outcome variables. The reduction in joint pain and improvement in joint function suggest that biofield therapies could be effective non-pharmacological adjuncts to treatment of OA.
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