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  • 1
    Online Resource
    Online Resource
    The feasibility of implementing education on older person care to practice on medical units: Nurses’ perceptions and the influence of practice context
    Wiley ; 2019
    In:  International Journal of Older People Nursing Vol. 14, No. 4 ( 2019-12)
    Details
    In: International Journal of Older People Nursing, Wiley, Vol. 14, No. 4 ( 2019-12)
    Abstract: As part of a larger primary study on evidence‐informed practice with hospitalised older people, we aimed to (a) examine nursing staffs’ perceptions of the interactive geriatric educational intervention and to explore how perceptions of their work context may influence their ability to enact the evidence‐informed assessment and care approaches discussed during the educational sessions and (b) compare differences in perceptions of context between RNs, LPNs and HCAs. Method A survey‐based evaluation that used both closed and open‐ended questions was conducted as part of an interactive educational intervention on cognitive impairment and managing responsive behaviours. Data were gathered on participants’ perceptions of the education intervention and organisational context. Results Findings from this study suggest when education is tailored to nurses’ articulated educational needs, it is well received; however, barriers to implementation exist. Assessment of the context by using a standardised survey tool to get the nursing staffs’ perceptions of organisational context revealed strengths in leadership support and day‐to‐day interactions with other nurses and healthcare professionals, but potential barriers related to lack of facilitation to transfer new knowledge into practice existed. Conclusion Providing evidence‐based education related to care of older patients and evaluating nursing staffs’ perceptions of the education and their context has laid the groundwork for a long‐term relationship with the managers and nursing staff on the participating medical units. Further investigation about how best to incorporate the facilitator role into the medical units to support evidence‐based practices with older patients is warranted.  Implications for practice While nurses are receptive to new knowledge, the unpredictable workload of acute care creates challenges to implementing this new knowledge. Assessment of contextual factors that influence evidence‐informed practice facilitates planning for implementation of new knowledge and support practice change.
    Type of Medium: Online Resource
    ISSN: 1748-3735 , 1748-3743
    URL: Issue
    URL: Article
    DOI: 10.1111/opn.v14.4
    DOI: 10.1111/opn.12265
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 2242164-6
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  • 2
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    Online Resource
    Improving student nurses’ perspectives towards older people with an e‐learning activity: A quasi‐experimental pre‐post design
    Wiley ; 2022
    In:  International Journal of Older People Nursing Vol. 17, No. 2 ( 2022-03)
    Details
    In: International Journal of Older People Nursing, Wiley, Vol. 17, No. 2 ( 2022-03)
    Abstract: Despite older people being the largest demographic accessing health care, nurses often lack knowledge about how to work with them and may hold ageist perceptions towards them. Previous research has identified the gaps in their education program and offered suggestions on what and how to fill those gaps in education related to older people. E‐learning activities to fill these gaps were developed. Objective The aim of this study was to determine if nursing students’ perceptions about older people could be improved through an e‐learning activity focused on communication and understanding older people. Methods A quasi‐experimental pre‐post design was used to test whether the understanding and communication with older people e‐learning activity improved student nurses’ perceptions about older people. A feedback survey was also analyzed using descriptive statistics to understand students’ perceptions of the learning activity. Results There was a statistically significant decrease in participant's negative perceptions towards older people after completing the e‐learning activity. Participants enjoyed the activity and believed that it improved their knowledge of older people, their confidence in working with older people, and their perceptions about older people. Conclusions The strength of the e‐learning activity in this study is that the educator need not be an expert in order to use the activity in their course. In this way, knowledge about older people is facilitated despite the dearth of nurse educators with gerontological expertise. More research to test this activity in other universities is needed. Implications for Practice Improved understanding and communicating with older people could improve person‐centered‐care. The flexible delivery of this learning activity could facilitate practicing nurses understanding and communication strategies if offered to them.
    Type of Medium: Online Resource
    ISSN: 1748-3735 , 1748-3743
    URL: Issue
    URL: Article
    DOI: 10.1111/opn.v17.2
    DOI: 10.1111/opn.12425
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2242164-6
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  • 3
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    Online Resource
    Registered nurses’ reflections on their educational preparation to work with older people
    Wiley ; 2021
    In:  International Journal of Older People Nursing Vol. 16, No. 2 ( 2021-03)
    Details
    In: International Journal of Older People Nursing, Wiley, Vol. 16, No. 2 ( 2021-03)
    Abstract: Negative perceptions about working with older people within nursing contribute to the deficit of educators with expertise to teach student nurses, and nurses graduating ill‐equipped to work with the ageing population. The perceptions of nurses who have recently graduated from a nursing programme can provide insights into what they wished they knew about working with older people before they graduated. Methods A qualitative descriptive study design examined recently graduated registered nurses’ reflections on their education preparation to work with older people. Content and thematic analysis was used to develop the themes of first impressions and preparation to work with older people. Results Key findings were that nurses did not recognise the importance of learning about older people until they had graduated. Only then did they realise that the ageing population was so complex and prevalent. They perceived a lack of education particularly related to working with older people with dementia and their behaviours, as well as learning how to communicate to an older population. Participants perceived that as students, it was up to them to fit in learning about working with older people without the support of faculty. Conclusions Faculty need to be supported in learning how to best incorporate content about older people into their curriculum. This could include the development of learning activities that dispel negative stereotypes about ageing and facilitates interest in older people, as this is the population, students are most likely to work with when they graduate. Implications for practice Nurses in practice may require education on working with people with dementia as it is a deficit in nursing programmes.
    Type of Medium: Online Resource
    ISSN: 1748-3735 , 1748-3743
    URL: Issue
    URL: Article
    DOI: 10.1111/opn.v16.2
    DOI: 10.1111/opn.12363
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2242164-6
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  • 4
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    Constructing definitions of safety risks while nurses care for hospitalised older people: Secondary analysis of qualitative data
    Wiley ; 2017
    In:  International Journal of Older People Nursing Vol. 12, No. 3 ( 2017-09)
    Details
    In: International Journal of Older People Nursing, Wiley, Vol. 12, No. 3 ( 2017-09)
    Abstract: The aim of this secondary qualitative descriptive analysis was to examine how nurses construct a definition of older peoples' safety risks and provide care while working within organisational contexts that are focused on diminishing patient risks. Background Numbers of older patients are increasing in acute hospital contexts—contexts that place their focus on patient safety. Nurses need to manage tensions between older peoples' risks, evidence‐informed practice decisions, limited resources and organisational emphases on patient falls. To date, their practice dilemmas have not been well examined. Design A secondary qualitative descriptive analysis was conducted using data that were collected between June 2010 and May 2011 to examine nursing practice with hospitalised older people. Methods All field notes and transcribed data were reviewed to generate themes representing 18 Registered Nurses' perceptions about safe care for hospitalised older people. The first author generated categories that described how nurses construct definitions of safety risks for older people. All authors engaged in an iterative analytic process that resulted in themes capturing nurses' efforts to provide care in limited resource environments while considering older peoples' safety risks. Results Nurses constructed definitions of patient safety risks in the context of institutional directives. Nurses provided care using available resources as efficiently as possible and accessing co‐worker support. They also minimised the importance of older people's functional abilities by setting priorities for medically delegated tasks and immobilising their patients to reduce their risks. Conclusions Nurses' definitions of patient risk, which were shaped by impoverished institutional resources and nurses' lack of valuing of functional abilities, contributed to suboptimal care for older adults. Nurses' definitions of risk as physical injury reduced their attention to patients' functional abilities, which nurses reported suffered declines as a result. Implications for practice Leaders need to examine how organisational emphases on particular areas of patient safety and resource constraints contribute to suboptimal care of older people. Nurses understanding of patient risk must incorporate older patients' functional abilities.
    Type of Medium: Online Resource
    ISSN: 1748-3735 , 1748-3743
    URL: Issue
    URL: Article
    DOI: 10.1111/opn.2017.12.issue-3
    DOI: 10.1111/opn.12148
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2242164-6
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  • 5
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    Online Resource
    How nurses restore and maintain mobility in hospitalised older people: An integrative literature review
    Wiley ; 2018
    In:  International Journal of Older People Nursing Vol. 13, No. 3 ( 2018-09)
    Details
    In: International Journal of Older People Nursing, Wiley, Vol. 13, No. 3 ( 2018-09)
    Abstract: The aim of this integrative review of the literature was to evaluate and summarise current research about how nurses maintain and improve hospitalised older peoples' mobility levels. Background Older persons make up the majority of healthcare recipients, and they are at risk to experience significant decline in their mobility once hospitalised. This can result in longer hospitalisations or nursing home admissions. Currently, it is not well understood how nurses maintain and restore mobility of hospitalised older persons. Design An integrative literature review using key concepts related to hospitalised older people, mobility and nursing care was conducted. Whittemore and Khalf's five‐stage methodological framework for integrative reviews was utilised. Methods Two reviewers screened 1640 resources from four computerised databases published in English during 2000–2017. Reviewers used the Mixed Methods Appraisal Tool ( MMAT ) and CASP quality appraisal tools to assess the thirteen included articles. Results The findings of this review reveal that little is known about how frequently nurses are mobilising, that many nurses perceive mobilising older patients to be physiotherapy's responsibility and that education about mobilisation can improve nurses' willingness to mobilise people. Conclusion By investing in education and training programmes targeted for nurses, nurses can feel empowered in their ability to mobilise patients and are encouraged to take ownership of their patient's functional needs. In order to facilitate mobility, adequate staffing levels are necessary for transferring and ambulation, mobility assistive devices such as walkers and canes and environments with adequate space to mobilise. More research is needed to better understand and overcome barriers that nurses face in mobilised older people in acute care. Implications for practice The nursing team can work together to prioritise mobilisation to assist in restoring and maintaining the function of hospitalised older people. Educators could review their mobility programmes to increase graduate nurses' confidence and self‐efficacy in mobility assessments and thus prepare graduate nurses for the realities of practice.
    Type of Medium: Online Resource
    ISSN: 1748-3735 , 1748-3743
    URL: Issue
    URL: Article
    DOI: 10.1111/opn.2018.13.issue-3
    DOI: 10.1111/opn.12200
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2242164-6
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  • 6
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    Online Resource
    Ethical challenges in accessing participants at a research site
    RCN Publishing Ltd. ; 2020
    In:  Nurse Researcher Vol. 28, No. 1 ( 2020-03-18), p. 37-41
    Details
    In: Nurse Researcher, RCN Publishing Ltd., Vol. 28, No. 1 ( 2020-03-18), p. 37-41
    Type of Medium: Online Resource
    ISSN: 1351-5578 , 2047-8992
    URL: Article
    DOI: 10.7748/nr.2020.e1665
    Language: English
    Publisher: RCN Publishing Ltd.
    Publication Date: 2020
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  • 7
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    Online Resource
    Older Persons and Nursing Staff’s Perspectives on Continence Care in Rehabilitation : A Qualitative Study
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Rehabilitation Nursing Vol. 46, No. 6 ( 2021-11), p. 305-314
    Details
    In: Rehabilitation Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 46, No. 6 ( 2021-11), p. 305-314
    Abstract: The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff. Design This is a qualitative descriptive study. Methods Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives. Findings Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested. Conclusions Continence care approaches that engage older persons during rehabilitation are needed. Clinical Relevance Restoration of continence through patient-centered care is core to older person rehabilitation.
    Type of Medium: Online Resource
    ISSN: 0278-4807
    URL: Article
    DOI: 10.1097/RNJ.0000000000000313
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
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  • 8
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    Online Resource
    How can we combat ageism in society and healthcare?
    Sci-Comm Consulting Ltd ; 2023
    In:  Futurum Careers
    Details
    In: Futurum Careers, Sci-Comm Consulting Ltd
    Type of Medium: Online Resource
    URL: Journal
    URL: Article
    DOI: 10.33424/1
    DOI: 10.33424/FUTURUM427
    Language: Unknown
    Publisher: Sci-Comm Consulting Ltd
    Publication Date: 2023
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  • 9
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    Online Resource
    Nurses as Boundary Actors in Sustainable Health Care: A Discussion Paper
    York University Libraries ; 2021
    In:  Witness: The Canadian Journal of Critical Nursing Discourse Vol. 3, No. 2 ( 2021-12-18), p. 36-46
    Details
    In: Witness: The Canadian Journal of Critical Nursing Discourse, York University Libraries, Vol. 3, No. 2 ( 2021-12-18), p. 36-46
    Abstract: The devastating global health impacts of climate change are becoming more apparent and more frequent. Health care systems are increasingly burdened by the response to these impacts. Paradoxically, as they respond to the negative health effects of climate change, these same resource intense health care systems are contributing to further climate change. Organizations and academics have issued a call to action for health care workers to mitigate climate change and promote environmental sustainability. Nurses are an integral part of health care systems but have been delayed in answering this call. In this paper we argue that nurses are particularly well suited to mitigating climate change in health care systems because their existing role is central to patient care, and as a result they interface with other health care providers and have developed proficiency in articulation work.
    Type of Medium: Online Resource
    ISSN: 2291-5796
    URL: Article
    DOI: 10.25071/2291-5796.105
    Language: Unknown
    Publisher: York University Libraries
    Publication Date: 2021
    detail.hit.zdb_id: 3032269-8
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  • 10
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    Online Resource
    Nursing teams caring for hospitalised older adults
    Wiley ; 2015
    In:  Journal of Clinical Nursing Vol. 24, No. 21-22 ( 2015-11), p. 3177-3185
    Details
    In: Journal of Clinical Nursing, Wiley, Vol. 24, No. 21-22 ( 2015-11), p. 3177-3185
    Abstract: To offer an explanation of how registered nurses’ are providing care to hospitalised older adults in nursing teams comprised of a variety of roles and educational levels. Background Around the globe economic pressures, nursing shortages and increased patient acuity have resulted in tasks being shifted to healthcare workers with less education and fewer qualifications than registered nurses. In acute care hospitals, this often means reducing the number of registered nurses and adding licensed practical nurses and care aides (also referred to as unregulated healthcare workers) to the nursing care team. The implications of these changes are not well understood especially in the context of hospitalised older adults, who are complex and the most common care recipients. Design Thematic analysis of data that were collected in a previous grounded theory study to provide an opportunity in‐depth analysis of how nurses provided care to hospitalised older adults within nursing teams. Methods Data collected in western Canada on two hospital units in two different health authorities were analysed in relation to how nursing teams provide care. Hand coding and thematic analysis were employed. Results The themes of scrutinised skill mix and working together highlighted how the established nursing value of reciprocity is challenging to enact in teams with a variety of scopes of practice. The value of reciprocity both aided and hindered the nursing team in engaging in team behaviours to effectively manage patient care. Conclusion Educators and leaders could assist the nursing care team in re‐thinking how they engage in teamwork by providing education about roles and communication techniques to support teams and ultimately improve nursing care. Relevance to clinical practice The value of reciprocity within nursing teams needs to be re‐examined within the context of team members with varying abilities to reciprocate in kind.
    Type of Medium: Online Resource
    ISSN: 0962-1067 , 1365-2702
    URL: Issue
    URL: Article
    DOI: 10.1111/jocn.2015.24.issue-21pt22
    DOI: 10.1111/jocn.12961
    Language: English
    Publisher: Wiley
    Publication Date: 2015
    detail.hit.zdb_id: 2006661-2
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