Copyright (c) 2013 University of Iowa All rights reserved. http://ir.uiowa.edu/nursing_pubs Recent documents in College of Nursing Publications en-us Tue, 21 May 2013 17:03:52 PDT 3600 http://ir.uiowa.edu/nursing_pubs/1910 http://ir.uiowa.edu/nursing_pubs/1910 Mon, 15 Apr 2013 11:33:12 PDT Kirsten M. Hanrahan http://ir.uiowa.edu/nursing_pubs/1908 http://ir.uiowa.edu/nursing_pubs/1908 Mon, 15 Apr 2013 11:33:11 PDT A hospital-based Continuity of Care program for children with special health care needs is described. A family-centered team approach provides care coordination and a medical home. The program has grown during the past 10 years to include inpatients and outpatients from multiple services and outreach clinics. Improved outcomes, including decreased length of stay, decreased cost, and high family satisfaction, are demonstrated by participants in the program. Pediatric nurse practitioners play an important role in the medical home, collaborating with primary care providers, hospital-based specialists, community services, and social workers to provide services to children with special health care needs.

]]> J. M. Petitgout et al. http://ir.uiowa.edu/nursing_pubs/1909 http://ir.uiowa.edu/nursing_pubs/1909 Mon, 15 Apr 2013 11:33:11 PDT Kirsten M. Hanrahan et al. http://ir.uiowa.edu/nursing_pubs/1907 http://ir.uiowa.edu/nursing_pubs/1907 Wed, 23 Jan 2013 14:02:57 PST Elena Perkhounkova et al. http://ir.uiowa.edu/nursing_pubs/1906 http://ir.uiowa.edu/nursing_pubs/1906 Wed, 23 Jan 2013 14:02:56 PST Elena Perkhounkova et al. http://ir.uiowa.edu/nursing_pubs/1905 http://ir.uiowa.edu/nursing_pubs/1905 Wed, 23 Jan 2013 14:02:55 PST Elena Perkhounkova et al. http://ir.uiowa.edu/nursing_pubs/1904 http://ir.uiowa.edu/nursing_pubs/1904 Tue, 15 Jan 2013 11:00:18 PST Kristine N. Williams et al. http://ir.uiowa.edu/nursing_pubs/1903 http://ir.uiowa.edu/nursing_pubs/1903 Tue, 15 Jan 2013 11:00:17 PST Purpose: Opportunities for social interaction are lacking within today's nursing homes and staff frequently communicate messages of dependence, incompetence, and control to residents. This study evaluated a brief educational program designed to increase staff awareness of intergenerational speech modifications such as elderspeak and strategies to enhance communication. Design and Methods: A communication-training program was provided to Certified Nursing Assistants (CNAs; n = 20) in five nursing homes. Audio recordings of staff interacting with residents before and after training were transcribed, coded, and compared on features of elderspeak. Results: After the training, CNAs reduced their use of elderspeak including terms of endearment, inappropriate collective pronouns, and shortened sentence length. In addition, the emotional tone of staff speech with residents was rated as less controlling and more respectful after the training while caring qualities were maintained. Speech rate did not change significantly. Implications: Teaching CNAs to reduce elderspeak holds promise as an approach to improving the social environment in nursing homes.

]]> Kristine N. Williams et al. http://ir.uiowa.edu/nursing_pubs/1902 http://ir.uiowa.edu/nursing_pubs/1902 Tue, 15 Jan 2013 11:00:16 PST Reductions in language complexity normally occur in older adults because of decreased working memory and rate of language processing. Comparative measures can reveal whether linguistic change is due to normal aging or dementia. Linguistic analysis of a series of letters of King James, 1566–1625, investigate whether he exhibited a normative or atypical pattern of change. Fifty-seven letters from the years 1604 to 1624 were analyzed. Data modeling reveals a quadratic pattern of decline in written language complexity with increased diversity of vocabulary corresponding to historical reports of illness around 1618–1619. This investigation demonstrates how language analysis can provide valuable insight to normal and pathological cognitive changes of aging as well as to the understanding of historical figures.

]]> Kristine N. Williams et al. http://ir.uiowa.edu/nursing_pubs/1901 http://ir.uiowa.edu/nursing_pubs/1901 Tue, 15 Jan 2013 11:00:15 PST A project that aimed to partner nursing students and faculty with community agencies in order to develop and implement clinical outcome studies took place at the University of Kansas School of Nursing between March 1999 and August 2000. A number of outcome studies targeting the specific needs of each of the community agencies were developed through the project. Faculty developed expertise in teaching clinical outcomes as a result of the project. Moreover, students became competent members of a health care outcome team, and staff in clinical agencies were educated about the outcome process and implemented outcome studies designed to benefit their agency and ultimately improve patient care. Project activities demonstrate how collaboration to pursue outcome studies can be adapted to a variety of nursing courses involving graduate and undergraduate students and offer nurse educators and community agencies a model they may adopt in their own settings.

]]> Kristine N. Williams et al. http://ir.uiowa.edu/nursing_pubs/1900 http://ir.uiowa.edu/nursing_pubs/1900 Tue, 15 Jan 2013 11:00:13 PST The high cost of medication is a barrier to patient compliance. Nurse practitioners can access patient assistance programs to assist low-income clients to obtain medications, empowering them to take action to improve their health. At Health Care Access, a primary care clinic serving low-income, uninsured persons, approximately $150,000 worth of medications were obtained through patient assistance programs in 1997, compared to the total clinic budget of $189,000. Processes for obtaining prescription drugs vary between pharmaceutical companies. An understanding of these types of programs provides nurse practitioners access to these resources for their clients.

]]> Kristine N. Williams http://ir.uiowa.edu/nursing_pubs/1899 http://ir.uiowa.edu/nursing_pubs/1899 Tue, 15 Jan 2013 11:00:11 PST As the primary caregivers for the millions afflicted with Alzheimer's disease, family members have been the focus of research for the past two decades. Differences in care patterns and deleterious effects of care provision have been clearly established. However, similar demands and hardships associated with care-giving result in different consequences for different families. A greater understanding of the care-giving context and its determinants will enhance knowledge of the differential impacts of care-giving. The most critical determinant of care-giving context is the role relationship between the caregiver and the care recipient. Future research must address role relationship as the primary determinant of what care is provided by whom , and in what manner . This will enhance the understanding of specific caregiver outcomes and lead to optimal targeting of interventions. Future research must also focus on the interface between the family and other social institutions. Evidence calls into question the equity, quality, and capacity of the current system of care, which assumes that family care is best. It will be important for future studies to explore alternate options for long-term care policy. Families and patients will also benefit from studies that assess strategies to ensure an adequate labor pool of qualified formal caregivers

]]> R Montgomery et al. http://ir.uiowa.edu/nursing_pubs/1898 http://ir.uiowa.edu/nursing_pubs/1898 Fri, 14 Dec 2012 09:02:17 PST Kristine N. Williams http://ir.uiowa.edu/nursing_pubs/1897 http://ir.uiowa.edu/nursing_pubs/1897 Fri, 14 Dec 2012 09:02:14 PST Kristine N. Williams http://ir.uiowa.edu/nursing_pubs/1896 http://ir.uiowa.edu/nursing_pubs/1896 Fri, 14 Dec 2012 09:02:13 PST Kristine N. Williams et al. http://ir.uiowa.edu/nursing_pubs/1895 http://ir.uiowa.edu/nursing_pubs/1895 Fri, 14 Dec 2012 09:02:12 PST Kristine N. Williams http://ir.uiowa.edu/nursing_pubs/1894 http://ir.uiowa.edu/nursing_pubs/1894 Tue, 20 Nov 2012 14:59:59 PST Kristine N. Williams http://ir.uiowa.edu/nursing_pubs/1893 http://ir.uiowa.edu/nursing_pubs/1893 Tue, 20 Nov 2012 14:59:58 PST Kristine N. Williams http://ir.uiowa.edu/nursing_pubs/1892 http://ir.uiowa.edu/nursing_pubs/1892 Tue, 20 Nov 2012 14:25:17 PST Resistiveness to care (RTC) by persons with dementia significantly adds to subjective and objective burden for caregivers and may be triggered by environmental factors, including communication. This case study evaluated behavioral responses of a nursing home resident with dementia to nursing staff use of elderspeak communication (infantilizing speech). Four videotaped staff-resident interactions that were previously recorded were coded for staff elderspeak communication and resident RTC. Total elderspeak scores (M = 29.5, SD = 25.74) and RTC scores (M = 8.75, SD = 13.79) were correlated r = 0.93, p = .03. This preliminary single-subject observational study suggests a relationship between staff elderspeak communication and RTC in a nursing home resident with dementia that warrants further investigation. Limitations include the use of a convenient case study sample with inability to control time of day, medications, different care activities, staff characteristics, and other factors. Knowledge about communication in dementia care may inform nursing care practices to overcome behavioral symptoms such as RTC and improve quality of life for individuals with dementia and working conditions for nursing staff.

]]> Jacqueline Cunningham et al. http://ir.uiowa.edu/nursing_pubs/1891 http://ir.uiowa.edu/nursing_pubs/1891 Tue, 20 Nov 2012 14:03:59 PST Kristine N. Williams