scholarly journals Do Daytime Activity, Mood and Unit Tumult Predict Nighttime Sleep Quality of Long-Term Care Residents?

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 22
Author(s):  
Murad H. Taani ◽  
Christine R. Kovach
Keyword(s):  
Sleep Quality ◽  
Long Term Care ◽  
Activity Level ◽  
Comorbid Illness ◽  
Negative Consequences ◽  
Term Care ◽  
Convenience Sample ◽  
Study Objective ◽  
Daytime Activity

Based on the premise that stressors can have a cumulative effect on people with dementia throughout the day that contributes to negative consequences later in the day, we examined if daytime activity, unit tumult, and mood were associated with sleep quality. A convenience sample of 53 long-term care (LTC) residents participated in this correlational study. Objective sleep quality was measured using actigraphy, and comorbid illness and level of dementia were control variables. Half of the sample had a sleep efficiency that was less than 80% and was awake for more than 90 min at night. Comorbid illness, negative mood at bedtime, and daytime activity level accounted for 26.1% of the variance in total sleep minutes. Census changes and the use of temporary agency staff were associated with poor sleep. Findings suggest daytime activity, mood at bedtime, and unit tumult should be considered when designing and testing interventions to improve sleep quality.

scholarly journals Do Daytime Activity, Mood at Bedtime and Unit Tumult Predict Nighttime Sleep Quality of Long-Term Care Residents?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 882-883
Author(s):  
Murad Taani ◽  
Christine Kovach
Keyword(s):  
Sleep Quality ◽  
Long Term Care ◽  
Sleep Efficiency ◽  
Activity Level ◽  
Comorbid Illness ◽  
Staffing Level ◽  
Term Care ◽  
Daytime Activity

Abstract Sleep quality declines in old age and is particularly poor for long-term care (LTC) residents with dementia. Compromised sleep quality is associated with severe cognitive and neuropsychiatric symptoms, agitation, aggressiveness, and poor quality of life. Based on the premise that stressors can have a cumulative effect on people with dementia throughout the day that contributes to negative consequences later in the day, we examined if daytime activity, mood, and unit tumult were associated with sleep quality. A convenience sample of 53 LTC residents with dementia participated in this correlational study. Objective sleep quality and activity variables were measured using Actigraphy, and mood was measured by the Observed Emotion Rating Scale. Unit tumult was defined as events in the residents living area that are deviations from the typical day (i.e., census changes, being cared for by a certified nursing assistant from a temporary staffing agency, and lower than usual staffing level). Comorbid illness and level of dementia were control variables. Half of the sample had a sleep efficiency that was less than .85 and were awake for more than 90 minutes at night. Comorbid illness, negative mood at bedtime, and daytime activity level accounted for 26.1% of the variance in total sleep minutes. Census changes and the use of temporary agency staff were associated with poor total sleep time and sleep efficiency. Findings suggest that daytime activity, mood at bedtime, and unit tumult should be considered when designing and testing interventions to improve sleep quality among LTC residents with dementia.

scholarly journals #MoreThanAVisitor: Families as “Essential” Care Partners During COVID-19

2020 ◽  
Author(s):  
Candace L Kemp
Keyword(s):  
Family Involvement ◽  
Long Term Care ◽  
Research Policy ◽  
Well Being ◽  
Direct Care ◽  
Negative Consequences ◽  
Public Health Response ◽  
Term Care ◽  
Care Partners

Abstract The public health response to the current Coronavirus pandemic in long-term care communities, including assisted living, encompasses prohibiting visitors. This ban, which includes family members, has been criticized for being unfair, unhealthy, and unsafe. Against this backdrop, I examine the roles family play in residents’ daily lives and care routines. I argue that classifying family as “visitors” rather than essential care partners overlooks their critical contributions and stems from taken-for-granted assumption about gender, families, and care work, and I demonstrate why families are more than visitors. Policies that ban family visits also reflect a narrow understanding of health that focuses on mitigating infection risk, but neglects overall health and well-being. This policy further stems from a limited comprehension of care relations. Research shows that banning family visits has negative consequences for residents, but also families themselves, and direct care workers. I argue that identifying ways to better understand and support family involvement is essential and demonstrate the utility of the Convoys of Care model for guiding the reconceptualization of family in long-term care research, policy, and practice during and beyond the pandemic.

scholarly journals Sleep Among Long-Term Care Residents in China: A Narrative Review of Literature

2016 ◽  
Vol 27 (1) ◽  
pp. 35-60 ◽  
Author(s):  
Junxin Li ◽  
Binbin Yang ◽  
Miranda Varrasse ◽  
Kun Li
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbances ◽  
Long Term Care ◽  
Light Therapy ◽  
Future Research ◽  
Poor Sleep ◽  
Sleep Research ◽  
Cross Sectional ◽  
Term Care

The objective of this study is to synthesize and evaluate the current body of sleep research among long-term care (LTC) residents in China and provide insights for future research. Systematic searches identified 15 studies that examined sleep in LTC residents in China. Sleep disturbances and poor sleep quality were prevalent in Chinese LTC residents. Eight cross-sectional studies reported that demographics, comorbidities, lifestyle, and environment were associated with sleep quality in Chinese LTC residents. Seven intervention studies, including exercise, traditional Chinese medicine, light therapy, and behavioral interventions resulted in improved sleep quality. Only subjective sleep measures were used in all 15 studies. Some methodological issues were identified in studies, especially those conducted in Mainland China. Sleep research in LTC residents in China is still at the beginning stages. Future studies should consider more rigorous designs and objective sleep measures, and develop target interventions based on factors associated with sleep disturbances.

scholarly journals An Art Intervention to Promote Comfort with Veterans in Long Term Care: From Not Significant (Ns) To Significance

2019 ◽  
pp. 1-4
Author(s):  
Walsh Sandra ◽  
Garcia Stephanie ◽  
Flowers Monica ◽  
Olenick Maria ◽  
Parchment Yvonne
Keyword(s):  
Social Connectedness ◽  
Long Term Care ◽  
Term Care ◽  
Study Objective ◽  
Post Test ◽  
Quasi Experimental ◽  
Art Intervention ◽  
Art Activities ◽  
Comfort Theory

Objectives: The study objective was to promote hospitalized veterans’ comfort through an art intervention (AI). Kolcaba’s comfort theory guided the study. Sample and setting: Researchers recruited residents from a Community Living Center (CLC) at Miami Veterans Administration Healthcare System (MVAHS). Nurse researchers and recreational therapists collaborated to deliver the AI. Methods and variables: A quasi-experimental pre-post-test design tested the AI on veteran comfort, depression, and social connectedness. Results: Over six-months, staff identified 81 residents as appropriate to recruit for the study. Fifty-one males and 10 females (ages 26-95) agreed (75% response rate). Due to data collection challenges, residents’ cognition, time constraints, disabilities, and respondent burden, only 18 sets of usable pre-post data were available for analysis (ns results). Implications for nursing: The AI was “significant” to many other participants (n = 160) who were unable or unwilling to complete the research instruments. The most popular AI activity, the monoprint, has been “adopted” by recreational therapists and suggested to enhance communication with oncology patients. Kolcaba’s comfort theory will continue to be promoted during art activities on CLC I and II with extension of art activities to the bedside of CLC III Hospice residents. Keywords: Veterans, Art, Intervention, Comfort, Long Term Care

scholarly journals Insomnia, Benzodiazepine Use, and Falls among Residents in Long-term Care Facilities

2019 ◽  
Vol 16 (23) ◽  
pp. 4623 ◽  
Author(s):  
Jiang ◽  
Xia ◽  
Wang ◽  
Zhou ◽  
Jiang ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Long Term Care ◽  
Term Care ◽  
Injurious Falls ◽  
Increased Risk ◽  
Care Facilities ◽  
Benzodiazepine Use ◽  
Risk Of Falls ◽  
One Year

Background: Falls are leading cause of injury among older people, especially for those living in long-term care facilities (LTCFs). Very few studies have assessed the effect of sleep quality and hypnotics use on falls, especially in Chinese LTCFs. The study aimed to examine the association between sleep quality, hypnotics use, and falls in institutionalized older people. Methods: We recruited 605 residents from 25 LTCFs in central Shanghai and conducted a baseline survey for sleep quality and hypnotics use, as well as a one-year follow-up survey for falls and injurious falls. Logistic regression models were applied in univariate and multivariate analysis. Results: Among the 605 participants (70.41% women, mean age 84.33 ± 6.90 years), the one-year incidence of falls and injurious falls was 21.82% and 15.21%, respectively. Insomnia (19.83%) and hypnotics use (14.21%) were prevalent. After adjusting for potential confounders, we found that insomnia was significantly associated with an increased risk of falls (adjusted risk ratio (RR): 1.787, 95% CI, 1.106–2.877) and the use of benzodiazepines significantly increased the risk of injurious falls (RR: 3.128, 95% CI, 1.541–6.350). Conclusion: In elderly LTCF residents, both insomnia and benzodiazepine use are associated with an increased risk of falls and injuries. Adopting non-pharmacological approaches to improve sleep quality, taking safer hypnotics, or strengthening supervision on benzodiazepine users may be useful in fall prevention.

Virtual Reality Experience In Long Term Care Resident Older Adults With Dementia: A Case Series

2020 ◽  
Author(s):  
Munira Sultana ◽  
Karen Campbell ◽  
Morgan Jennings ◽  
Manuel Montero-Odasso ◽  
Joseph. B. Orange ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Long Term Care ◽  
Case Series ◽  
Adherence Rate ◽  
Observation System ◽  
Measuring Instruments ◽  
Global Rating ◽  
Term Care ◽  
Convenience Sample

Abstract BACKGROUND: Behavioural and psychological symptoms of dementia (BPSD) worsens as dementia progresses, intensifies caregiver distress and consequent institutionalization. We wanted to evaluate feasibility of Virtual Reality (VR) as non-pharmacologic intervention for BPSD in a Long-Term Care (LTC) home. METHODS: A single site (Henley Place at London, Ontario) case series with a convenience sample (24 older adult residents with moderate to severe dementia). Intervention was 30 minutes of VR experience with Broomx©, five days a week for two weeks. BPSD was measured with Cornell Scale for Depression in Dementia (CSDD), Cohen-Mansfield Agitation Inventory (CMAI) scale, Dementia Observation System (DOS) scale, and proportion of night-time sleep. We validated selected tools with Global Rating of Change (GRC) scale. RESULTS: Implementing VR experience was possible at Henley Place (recruitment rate=40%, the adherence rate=21%, and the attrition=0%) and participants could tolerate it. No emergency transfers or one-to-one staff use were recorded during the intervention period. BPSD measuring instruments also were sensitive to change. CONCLUSION: VR experience can be implemented in a LTC home. TRIAL REGISTRATION: The study was not registered as clinical trial. We obtained ethics approval from ADVARRA Canada Ethics Board before recruiting participants for the study.

The Inter-Rater Reliability of the Observation Instrument for Assessing Pain in Elderly With Dementia: An Investigation in the Long-Term Care Setting

2017 ◽  
Vol 25 (3) ◽  
pp. E173-E184 ◽  
Author(s):  
Gerhard Mueller ◽  
Petra Schumacher ◽  
Elisabeth Holzer ◽  
Martin Pallauf ◽  
Eva Schulc
Keyword(s):  
Care Setting ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional ◽  
Term Care ◽  
Convenience Sample ◽  
Rater Reliability ◽  
Observation Instrument

Background and Purpose: The Observation Instrument for Assessing Pain in Elderly With Dementia (BISAD) was developed in Germany. The instrument demonstrated high interrater reliability values for the original French version. So far, there are no results to that effect in the Austrian long-term care setting available. The objective of this study was to investigate agreement and inter-rater reliability of BISAD in residents with dementia. Methods: A quantitative multicenter-descriptive cross-sectional design with a convenience sample of 71 residents. Results: Analysis of all eight items demonstrated fair to moderate concordance. Absolute agreement of the total value was 25.32%. Subtotals of the observation before mobilization was 52.11%, and during mobilization 32.39%. Conclusion: The reliability analysis shows that the items are less reliable. Currently, BISAD does not make a reliable contribution to clinical decision making in the tested setting.

Barriers to linking research and policy: the case of long-term care in low and middle income countries

2015 ◽  
Vol 12 (2) ◽  
pp. 62-67 ◽  
Author(s):  
Peter Lloyd-Sherlock
Keyword(s):  
Long Term Care ◽  
Problem Definition ◽  
Negative Consequences ◽  
Term Care ◽  
Middle Income ◽  
Policy Makers ◽  
Middle Income Countries ◽  
Research And Policy ◽  
Low And Middle Income

Abstract This paper sets out a number of issues related to the translation of research into evidence and policy for long-term care (LTC) in low and middle income countries (LMICs). First, it assesses the role research can play in problem definition, including establishing the scale of long-term care demand in LMICs and identifying potential negative consequences of policy inaction. Second, it assesses the role that research can play in identifying and evaluating solutions to the problem, in the form of suitable policies and interventions. Lastly, it assesses mutual accessibility between researchers and policy-makers, paying particular attention to institutional and organisational structures. Applying this framework, the paper demonstrates that the capacity for research to influence long-term care policy is very limited. The paper calls for the establishment of an adequately resourced global institutional hub to support research in this area and to promote knowledge-sharing between academics and policy-makers.

Certified Nursing Assistants’ Perceived Workplace Violence in Long-Term Care Facilities: A Qualitative Analysis

2021 ◽  
pp. 216507992098615
Author(s):  
Chunhong Xiao ◽  
Vicki Winstead ◽  
Corteza Townsend ◽  
Rita A. Jablonski
Keyword(s):  
Workplace Violence ◽  
Administrative Support ◽  
Long Term Care ◽  
Physical Violence ◽  
Structured Interview ◽  
Nursing Assistants ◽  
Certified Nursing Assistants ◽  
Negative Consequences ◽  
Term Care

Background: Certified nursing assistants (CNAs) provide 80% to 90% of direct care and are 23 times more likely to experience aggressive behavior from residents in long-term care (LTC) facilities than in other health care settings. The purpose of this study was to describe CNAs’ perceptions of workplace violence while working in LTC facilities. Methods: Ten CNAs were recruited from five LTC facilities through snowball sampling. A semi-structured interview was conducted with CNAs currently working in LTC facilities in Alabama. Question domains included (a) demographics, (b) residents’ behavior, (c) behavior of residents with dementia, (d) experiences of verbal or physical violence from residents, (e) quality of care delivered, (f) coping strategies, (g) administrative support, and (h) training for dementia-related care challenges. The resulting transcripts were thematically analyzed. Findings: CNAs described workplace violence as part of the job. They expressed a lack of administrative support as inadequate communication and a dismissal of violence against them. They regularly experienced racially charged abuse, but the perception of abuse was moderated by the presence or absence of dementia. They described a lack of training and direction to recognize and de-escalate workplace violence. Conclusions/Application to Practice: Workplace violence from residents residing in LTC facilities is an occupational health risk for CNAs. LTC facilities need a multisystem approach to reduce episodes of resident-on-CNA violence. This approach should include comprehensive training to recognize triggers of violent behavior, especially when working with individuals with dementia, as well as administrative support, and mental health resources to address the cumulative and negative consequences of racism.

scholarly journals Long-Term Care Nurses’ Intent to Stay, Job Characteristics, and Organizational Justice : A Structural Equation Model

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 85-85
Author(s):  
Lin Wang ◽  
Miao Miao ◽  
Xiaoping Yu
Keyword(s):  
Organizational Justice ◽  
Structural Equation ◽  
Long Term Care ◽  
Intent To Stay ◽  
Job Characteristics ◽  
Equation Modeling ◽  
Intention To Stay ◽  
Term Care ◽  
Convenience Sample

Abstract Background：Gratifying the elderly health-care demands and promoting high-quality of nursing services are based on the effort of long-term care(LTC) nurses. However, the high turnover rate of LTC nurses has become very serious in China. What remains unclear is whether the organizational justice and job characteristics affect the LTC nurses’ intention to stay. Objective: The aim was to investigate intention to stay among LTC nurses in relation to organizational justice and job characteristics. Method: A cross-sectional study was conducted with a convenience sample of 545 LTC nurses. Data collection was performed between July and November 2019. Data were analyzed using structural equation modeling. Results: Most of LTC nurses reported to stay in nursing or current work place, however they still had strong desire to leave if there were other job opportunities. Organizational justice and job characteristics were significant predictors of LTC nurses intent to stay. LTC nurses job characteristics partially mediates the relationship between organizational justice and intent to stay. Conclusion: This would suggest the importance of administrators/ managers understanding how to promote organizational justice, foster a justice climate and increase LTC nurses’ perceived job characteristics. The organizational justice culture programs should be develop as LTC nurses retention strategy.

Sign in / Sign up

Export Citation Format

Share Document