Nurses’ certainty and pain outcomes of nursing home residents with dementia: the mediating effect of pain assessment

2019 ◽  
Vol 9 (6) ◽  
pp. 559-567
Author(s):  
Mohammad Rababa ◽  
Sami Al-Rawashdeh
Keyword(s):  
Nursing Home ◽  
Patient Outcomes ◽  
Pain Assessment ◽  
Nursing Home Residents ◽  
Mediating Effect ◽  
Self Report ◽  
Convenience Sample ◽  
Correlational Design ◽  
Pain Outcomes ◽  
Severity Of Dementia

Aim: This study aims to examine the associations of pain assessment scope, nurses’ certainty, patient outcomes, and cognitive and verbal characteristics of nursing home (NH) residents. Methods: This study used a descriptive correlational design and a convenience sample of 78 NH residents with dementia. Results: There are significant associations between the severity of dementia and the ability to self report symptoms in NH residents and nurses’ certainty of pain. Also, pain assessment scope does not mediate the relationship between nurses’ certainty and patient outcomes. Conclusion: Pain assessment in NH residents with dementia is very challenging for nurses due to multiple complex factors. Improved understanding of pain assessment in those residents and how it relates to certainty of pain and patient outcomes are crucial.

scholarly journals Responding to Varying Levels of Certainty about Pain in People with Dementia after Initial Pain Assessment

2019 ◽  
Vol 9 (2) ◽  
pp. 271-280
Author(s):  
Mohammad Rababa ◽  
Mohammed Aldalaykeh
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Patient Outcomes ◽  
Pain Assessment ◽  
Nursing Home Residents ◽  
Related Factors ◽  
Convenience Sample ◽  
Correlational Design ◽  
People With Dementia ◽  
The Relationship

Introduction: Pain is still inadequately treated in people with dementia (PWD) due to the complexity of assessing it. Pain assessment in PWD is still challenging because of patient-related or nurse-related factors. The patient-related factors have been studied extensively. However, the nurse-related factors, e.g., nurses’ certainty regarding suspected pain in PWD, have been given little attention by researchers. Purpose: This study aims to investigate how the degree of nurses’ certainty is compromised after pain assessment and how this affects levels of pain and agitation in PWD. Method: A descriptive, correlational design was used, and a convenience sample of 104 nursing home residents with dementia were recruited. Results: This study found that nurses’ certainty after the pain assessment mediates the relationship between the type of pain assessment and patient outcomes when the nurses had a high initial certainty. When nurses had a low initial certainty, their certainty after the assessment and the type of assessment predicted the levels of pain and agitation in PWD. Conclusion: Understanding how nurses’ certainty can be compromising after pain assessment and how this relates to pain management in PWD is crucial.

The use of analgesics and associated factors among nursing home residents

2022 ◽  
Author(s):  
Mohammad Rababa ◽  
Audai A Hayajneh ◽  
Sami Al-Rawashdeh ◽  
Nahedh Alawneh
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Associated Factors ◽  
Nursing Home Residents ◽  
Evidence Based ◽  
Convenience Sample ◽  
Correlational Design ◽  
Study Results ◽  
Anticholinergic Burden ◽  
Analgesic Use

Aim: This study examined the use of analgesics and associated factors among nursing home residents (NHRs). Materials & methods: A descriptive correlational design and a convenience sample of 209 NHRs receiving analgesics was used in this study. Results: Higher use of analgesics was noted among NHRs without cognitive impairment (p < 0.001), those with higher anticholinergic burden scores (p = 0.002) and those with a higher average number of oral pills taken daily (p = 0.045). Conclusion: These findings contribute to a better understanding of the prevalence and associated factors of analgesic use, which will inform the development and application of evidence-based pain practice and guidelines in nursing homes in Jordan and beyond.

Measurement of Social Engagement of Nursing Home Residents During an Exercise Program

2021 ◽  
pp. 1-9
Author(s):  
Jean Neils-Strunjas ◽  
K. Jason Crandall ◽  
Brian Weiler ◽  
Annika Gabbard ◽  
Caroline Wood ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Social Engagement ◽  
Nursing Home Residents ◽  
Exercise Program ◽  
Self Report ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Bivariate Correlation ◽  
Test Retest Reliability

Purpose The purpose of this article was to describe the validity and reliability of the Fun and Social Engagement Evaluation (FUSE) developed to evaluate and measure social engagement displayed by nursing home residents during Bingocize. The FUSE combines health care worker observation and a resident self-report measure to produce a score that represents a resident's total engagement. Method To describe validity, trained health care workers who implement Bingocize were surveyed about the items on the FUSE. Visual inspection of bar graphs of responses to survey questions were used to determine content validity. To assess reliability of the FUSE, nursing home residents were evaluated by trained research assistants. Test–retest reliability of the participant scores 1 week apart was determined with the bivariate correlation (Pearson product–moment correlation coefficient). Results For validity, the majority of survey respondents indicated that the behaviors were representative of nursing home residents during Bingocize. For reliability, there was moderate–strong test–retest reliability over 1 week ( r = .60). Interrater reliability between two raters observing eight participants across two sessions was significant, κ = .68 (95% CI [.504,.848]), p < .0001. Conclusion Results offer evidence that the FUSE is a valid and reliable method for determining social engagement during Bingocize.

scholarly journals Seeking Challenges, Individual Adaptability and Career Growth in the Relationship between Workload and Contextual Performance: A Two-Wave Study

2019 ◽  
Vol 11 (2) ◽  
pp. 422 ◽  
Author(s):  
Emanuela Ingusci ◽  
Paola Spagnoli ◽  
Margherita Zito ◽  
Lara Colombo ◽  
Claudio Cortese
Keyword(s):  
Sustainable Development ◽  
Process Analysis ◽  
Job Demands ◽  
Contextual Performance ◽  
Mediating Effect ◽  
Self Report ◽  
Convenience Sample ◽  
Career Growth ◽  
And Performance ◽  
The Relationship

Based on the theoretical approach of the psychology of sustainability and sustainable development and on the theoretical Job Demands-Resources model, this contribution aims to explore the mediating effect of seeking challenges on the relationship between workload and contextual performance and the moderating effects of individual adaptability and organizational career growth in this process. The study involved a convenience sample from different occupational sectors. Data from 178 employees were collected with a self-report questionnaire administered at times T1 and T2 (six months later) and then analyzed through conditional process analysis. Challenging job demands (T1) fully mediated the relationship between workload (T1) and contextual performance (T2); furthermore, individual adaptability (T1) moderated the relationship between workload (T1) and challenging job demands (T1), and organizational career growth (T2) moderated the relationship between challenging job demands (T1) and contextual performance (T2). The results imply that seeking challenges can represent an effective approach to promote sustainable development through improvement of performance at work, maintaining its sustainability over time. The present study is innovative because in the new framework of the psychology of sustainability and sustainable development is able to link workload, seeking challenges, career growth and performance in a two-wave study that not only has theoretical implications for organizations but also operative and practical spillovers.

Use of the Certified Nursing Assistant Pain Assessment Tool (CPAT) in Nursing Home Residents With Dementia

2007 ◽  
Vol 22 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Frank A. Cervo ◽  
Robert P. Raggi ◽  
Lory E. Bright-Long ◽  
William K. Wright ◽  
Ginette Rows ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Nursing Home Residents ◽  
Nursing Assistant ◽  
Certified Nursing Assistant

scholarly journals Self-Compassion Moderates the Mediating Effect of Self-Criticism in the Link Between Childhood Maltreatment and Psychopathology

2021 ◽  
pp. 088626052110629
Author(s):  
Dana Lassri ◽  
Ateret Gewirtz-Meydan
Keyword(s):  
Childhood Maltreatment ◽  
Significant Interaction ◽  
Psychological Symptoms ◽  
Mediating Effect ◽  
Self Report ◽  
Integrative Model ◽  
Convenience Sample ◽  
Self Blame ◽  
Self Compassion ◽  
Low Levels

Childhood maltreatment (CM) has been associated with psychological symptoms (i.e., psychopathology) among clinical and nonclinical samples. The mechanisms underlying this link have been understudied, especially among well-functioning adults. Arguably, exposure to CM may be translated into negative and critical self-appraisals and self-blame, reflected in high self-criticism. CM may also result in difficulty in extending kindness towards oneself, that is, low self-compassion. These characteristics are linked with elevated psychopathology. Nevertheless, no study has yet tested the extent to which self-criticism and self-compassion may serve as independent mechanisms linking CM and psychopathology and whether in this context self-compassion buffers the link between self-criticism and psychopathology. Here, we tested an integrative model in which the relation between CM and psychopathology was mediated by self-compassion and self-criticism, and the path between self-criticism and psychopathology was moderated by self-compassion. A convenience sample of 914 individuals completed online self-report questionnaires. Results indicated that CM was related to psychopathology through the mediation of self-compassion and self-criticism, with a significant interaction between self-criticism and self-compassion. Showing a moderated-mediational effect, the link between self-criticism and psychopathology was weaker under high than under low levels of self-compassion. Our findings highlight the importance of self-compassion, a robust resilience factor related to reduced psychopathology and moderating the link between self-criticism, a potent transdiagnostic risk factor, and psychopathology in the context of CM. These results thus provide empirical evidence for the relevance of compassion and mindfulness in counseling settings, particularly with CM survivors, who are at greater risk for psychopathology.

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