scholarly journals Recruitment Best Practice for Organizations: Realistic Job Preview vs. Best Foot Forward

2020 ◽  
Keyword(s):  
Nursing Students ◽  
Long Term Care ◽  
Control Group ◽  
Post Intervention ◽  
Term Care ◽  
Realistic Job Preview ◽  
Significant Difference ◽  
And Control ◽  
Care Nursing

Introduction: It is forecasted that in the near future, the United States will not have enough long-term care (LTC) nurses qualified or interested in the LTC arena to sustain the healthcare delivery system. The overall effectiveness of any health care delivery system hinges on a sustainable nursing workforce, which is the largest health professional group. Globally, a significant segment of the nursing workforce is nearing retirement age. Methods: Using pre- and post-intervention recruitment strategy surveys detailing the Realistic job preview (RJP), the Best-Foot-Forward, and a control brochure, this study investigated senior nursing students’ image and perception of long-term care nursing compared to their image and perception of other areas in nursing. The effects of prior experience with or exposure to LTC on students’ intention to apply for a position in LTC were examined in 221 senior year students earning the Bachelor of Science in nursing degree from three California universities. Results: The first hypothesis stated that pre-intervention students’ intent to apply for a position in LTC upon graduation would be significantly and positively associated with their pre-intervention image of LTC. A Pearson correlation coefficient between pre-intervention intent to apply and pre-intervention image was statistically significant, r = -.368, n = 221, p < .001, supporting the first hypothesis. Hypothesis 2: Post-intervention RJP students would have a significantly more positive perception of LTC nursing than BFF or control-group students. There would be no significant difference in the RJP, BFF and control group students’ pre-intervention image of LTC nursing. Hypothesis 2 was not significant. Hypothesis 3: Post-intervention RJP students would have a significantly stronger intent to apply for jobs in LTC nursing than BFF or control-group students. There would be no significant difference in RJP, BFF, and control group students’ pre-intervention intent to apply for a position in LTC nursing. Hypothesis 3 was not significant. Hypothesis 4: Senior nursing students’ pre-intervention intent to apply for a position in LTC upon graduation would be significantly and positively associated with prior experience in or exposure to LTC. Hypothesis 4 was not significant. Conclusions: To enhance LTC nursing image and to improve students’ perceptions of this line of nursing may be accomplished, in part, through program curriculum, including internships in LTC, offering multiple dedicated courses in LTC, and increasing the emphasis on LTC during nursing programs. Realistic job preview technique shows significant positive result over the Best-Foot-Forward technique. Keywords: Recruitment methods, realistic job preview, long-term care, nursing, LTC experience

scholarly journals PENGARUH EDUKASI PERAWATAN JANGKA PANJANG PADA LANSIA DENGAN PENGETAHUAN KADER KESEHATAN DI AREA KOMUNITAS

2019 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Thomas Erjinyuare Aquino Amigo ◽  
Cornelia Dede Yoshima Nekada
Keyword(s):  
Long Term Care ◽  
Hypothesis Test ◽  
The Elderly ◽  
Statistical Hypothesis ◽  
Control Group ◽  
Term Care ◽  
Care Education ◽  
Significant Difference ◽  
The Impact

The elderly population which increases rapidly along with the downgrading of various systems generate impacts on the health condition of the elderly, thus, long-term care is required. The long-term care requires health cadres or caregivers who support the health workers, however, health cadres or caregivers need to conceive a decent knowledge regarding long-term care on the elderly. According to this phenomenon, therefore, the researchers were interested to conduct a study concerning the impact of the long-term care education for elderly on the knowledge of health cadres. This research aimed to discover the impact of long-term care education for elderly on the knowledge of health cadres in Pokoh Hamlet, Wedomartani, Ngemplak, Sleman, Yogyakarta Special Region. The research was performed through a quasi-experimental method with nonequivalent control group pre and posttest design. The knowledge of the respondent was measured before the education regarding long-term care is provided, then, the respondents were educated, and the knowledge of cadre about long-term care was measured at end of the meeting. Respondents involved in this research were individuals who follow the education and cadres or local people who nurse the elderly. The knowledge of cadres was measured through the questionnaire of long-term care. The statistical hypothesis test was performed on the obtained data through Wilcoxon’s test. A total sampling was used as the sampling technique in this research which resulted in 16 respondents as the sample. The results of this research indicated that the median score of the knowledge of health cadres was 39.5 before the intervention and 45 after the intervention with 0.000 of p-value, there was a significant difference of knowledge between before and after the long-term care education was given on health cadres. The conclusion is that there was a significant difference between the long-term care education with the knowledge of health cadres. Health cadres are expected to be able of performing screening on elderly who require long-term care and also capable of performing long-term care on the elderly which focused on the fulfillment of basic needs. 

scholarly journals EVALUATION OF ART ON THE BRAIN, A HEALTH APP FOR OLDER ADULTS, IN LONG-TERM CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S808-S808
Author(s):  
Elizabeth P Howard ◽  
Tammy Retalic ◽  
Jessica Rogan
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Well Being ◽  
Personal Relationships ◽  
Post Intervention ◽  
Term Care ◽  
Significant Difference ◽  
The Brain ◽  
Health And Well Being

Abstract ArtOn the Brain is a mobile application that incorporates art history education, play and socialization for older adults. This pilot project examined its health and social impact among long term care residents. A convenience sample of 48 residents, 60+ years, with borderline intact to moderate cognitive impairment were recruited. Residents with mild or better cognitive status used the app individually on a tablet while the remaining participated in therapist-led group sessions. One-hour intervention occurred twice weekly. Primary outcomes, health and well-being, were measured with 5Q-5D-5L and Warwick-Edinburgh Mental Well-being tools at baseline and after 6 weeks. Secondary outcomes were mood, cognition, function and overall satisfaction with activity options and personal relationships. Pre-post paired t-test analyses of data from EQ-5D-5L and Warwick tools did not show a significant difference. There were no notable declines with cognitive performance, functional ability and depression post-intervention. Four activity options and three personal relationship items had statistically significant improvements post-intervention. Activity options addressed engagement in enjoyable activities on weekends and evenings, and opportunity to, spend time with other like-minded residents and explore new skills, interests. Personal relationships items included engagement in activities helpful to others and having people to do things with. ArtOn the Brain is a novel application suitable for long term care residents. While 6 week intervention did not show improvement in overall health and well-being, there were significant improvements with residents’ reported engagement in activity options and improvement of personal relationships. Longitudinal evaluations are needed to examine changes in health status and well-being.

scholarly journals The efficacy of exergaming in people with major neurocognitive disorder residing in long-term care facilities: a pilot randomized controlled trial

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nathalie Swinnen ◽  
Mathieu Vandenbulcke ◽  
Eling D. de Bruin ◽  
Riekje Akkerman ◽  
Brendon Stubbs ◽  
...  
Keyword(s):  
Reaction Time ◽  
Long Term Care ◽  
Controlled Trial ◽  
Control Group ◽  
Post Intervention ◽  
Term Care ◽  
Care Facilities ◽  
Pilot Randomized Controlled Trial

Abstract Background It is currently unknown whether exergaming is efficacious in people with major neurocognitive disorder (MNCD) residing in long-term care facilities. This pilot randomized controlled trial (RCT) explored the efficacy of a stepping exergame program on gait speed, balance, mobility, reaction time, cognitive and neuropsychiatric outcomes, quality of life, and daily life functioning in people with MNCD residing in long-term care facilities. Methods Participants were randomly assigned to 8 weeks, three times weekly, 15 min of exergaming versus watching preferred music videos. The exergame device consisted of a pressure-sensitive step training platform on which participants performed stepping movements to play the games. The device automatically adapted the training level to the participants’ capabilities. The Short Physical Performance Battery (SPPB), step reaction time test (SRTT), Montréal Cognitive Assessment (MoCA), Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia (CSDD), Dementia Quality of Life (DQoL), and Katz Activities of Daily Living (Katz ADL) were assessed at baseline and post-intervention. A Quade’s non-parametric ANCOVA controlling for baseline values with post hoc Bonferroni correction (p < 0.00625) was used to analyze pre- and post-differences between the groups. Partial eta-squared (η2p) effect sizes were calculated. Results Forty-five of 55 randomized inpatients with mild to moderate MNCD (Mini-Mental State Examination score = 17.2 ± 4.5; aged 70–91; 35 women) completed the study. The exergame group (n = 23) demonstrated improvements in gait speed (p < 0.001, η2p = 0.41), total SPPB (p < 0.001, η2p = 0.64), SRTT (p<0.001, η2p = 0.51), MoCA (p<0.001, η2p = 0.38), and reductions in CSDD (p<0.001, η2p = 0.43) compared to the control group (n = 22). There were no differences in NPI (p = 0.165, η2p = 0.05), DQoL (p = 0.012, η2p = 0.16), and ADL (p = 0.008, η2p = 0.16) post-intervention scores between the experimental and control group, albeit DQol and ADL measures showed large effect sizes in the exergame group. The mean attendance rate was 82.9% in the exergame group and 73.7% in the music control group. There were no study-related adverse events reported by the participants, nor observed by the research team. Conclusions The findings of this pilot RCT suggest that an individually adapted exergame training improves lower extremity functioning, cognitive functioning and step reaction time and symptoms of depression in inpatients with MNCD residing in long-term care facilities. Trial registration ClinicalTrials.gov, NCT04436302

scholarly journals The Influence of Race and Gender on Staff-Resident Interactions in Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 185-185
Author(s):  
Rachel McPherson ◽  
Barbara Resnick ◽  
Elizabeth Galik
Keyword(s):  
Racial Differences ◽  
Long Term Care ◽  
Analysis Of Covariance ◽  
Positive Interactions ◽  
Term Care ◽  
Race And Gender ◽  
Significant Difference ◽  
And Gender

Abstract Communication and interactions are an integral part of care in long-term care settings. Resident variables, such as race and gender, shape communication and interaction between staff and residents. The Quality of Interactions Schedule (QuIS) was developed to measure the quality of verbal and nonverbal interactions among nursing staff and older adults initially for those in acute care and later used as well in a variety of long term care settings. A quantified measurement of the quality of interactions between residents and staff was created to quantify the QuIS. The purpose of this study was to describe the gender and racial differences in scored quality of interactions. Data for the present study was based on baseline data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD) implementation study. A total of 535 residents from 55 settings were included in the analyses. An analysis of covariance was conducted to determine a difference in QuIS scores between males and females while controlling for age. The second model tested for differences in QuIS scores between blacks and whites while controlling for age and gender. There was not a statistically significant difference in QuIS scores between male and female residents. There was a significant difference in QuIS scores between those who were black versus white, such that those who were black received more positive interactions from staff than those who were white. Future work should focus on a deeper examination of resident factors and staff factors that may influence these interactions.

scholarly journals 2044. An Assessment and Feedback Model Bringing Antimicrobial Stewardship Program Expertise to Long-Term Care Facilities

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S687-S687
Author(s):  
Philip Chung ◽  
Kate Tyner ◽  
Scott Bergman ◽  
Teresa Micheels ◽  
Mark E Rupp ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Rank Test ◽  
Post Intervention ◽  
Term Care ◽  
Clostridioides Difficile ◽  
Stewardship Program ◽  
Days Of Therapy ◽  
Care Facilities

Abstract Background Long-term care facilities (LTCF) often struggle with implementation of antimicrobial stewardship programs (ASP) that meet all CDC core elements (CE). The CDC recommends partnership with infectious diseases (ID)/ASP experts to guide ASP implementation. The Nebraska Antimicrobial Stewardship Assessment and Promotion Program (ASAP) is an initiative funded by NE DHHS via a CDC grant to assist healthcare facilities with ASP implementation. Methods ASAP performed on-site baseline evaluation of ASP in 5 LTCF (42–293 beds) in the spring of 2017 using a 64-item questionnaire based on CDC CE. After interviewing ASP members, ASAP provided prioritized facility-specific recommendations for ASP implementation. LTCF were periodically contacted in the next 12 months to provide implementation support and evaluate progress. The number of CE met, recommendations implemented, antibiotic starts (AS) and days of therapy (DOT)/1000 resident-days (RD), and incidence of facility-onset Clostridioides difficile infections (FO-CDI) were compared 6 to 12 months before and after on-site visits. Paired t-test and Wilcoxon signed rank test were used for statistical analyses. Results Multidisciplinary ASP existed in all 5 facilities at baseline with medical directors (n = 2) or directors of nursing (n = 3) designated as team leads. Median CE implemented increased from 3 at baseline to 6 at the end of follow-up (P = 0.06). No LTCF had all 7 CE at baseline. By the end of one year, 2 facilities implemented all 7 CE with the remaining implementing 6 CE. LTCF not meeting all CE were only deficient in reporting ASP metrics to providers and staff. Among the 38 recommendations provided by ASAP, 82% were partially or fully implemented. Mean AS/1000 RD reduced by 19% from 10.1 at baseline to 8.2 post-intervention (P = 0.37) and DOT/1000 RD decreased by 21% from 91.7 to 72.5 (P = 0.20). The average incidence of FO-CDI decreased by 75% from 0.53 to 0.13 cases/10,000 RD (P = 0.25). Conclusion Assessment of LTCF ASP along with feedback for improvement by ID/ASP experts resulted in more programs meeting all 7 CE. Favorable reductions in antimicrobial use and CDI rates were also observed. Moving forward, the availability of these services should be expanded to all LTCFs struggling with ASP implementation. Disclosures All authors: No reported disclosures.

scholarly journals What is the impact of methotrexate on liver in patients with juvenile idiopathic arthritis? Results of liver SWE performed in a single centre

2021 ◽  
Author(s):  
Vildan Güngörer ◽  
Mehmet Öztürk ◽  
Mustafa Yasir Özlü ◽  
Şükrü Arslan
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Shear Wave Elastography ◽  
Term Therapy ◽  
Control Group ◽  
Significant Difference ◽  
Group 2 ◽  
Long Term Therapy ◽  
And Control ◽  
The Impact

ABSTRACT Objectives Long-term therapy with low-dose methotrexate (MTX) is widely used in treatment of rheumatic diseases, in children. The purpose of this study was to evaluate liver elasticity in patients with juvenile idiopathic arthritis (JIA) who received MTX and compare the results with control group. Methods Liver elasticity was evaluated with shear wave elastography (SWE) technique in 25 patients aged 3–17 years who were followed up with JIA and received MTX and compared with 25 healthy controls of the same age and weight. Factors that had an effect on liver elasticity were examined. Results The mean SWE value of patients was 2.64 ± 2.13 m/s and 24.10 ± 18.50 kPa, whereas 1.83 ± 0.16 m/s and 10.09 ± 1.83 kPa in control group. There was a significant difference in liver elasticity in the patient and control groups. When the patients were evaluated as Group 1 (&lt; 1000 mg) and Group 2 (≥ 1000 mg) according to the cumulative MTX dose, no significant difference was obtained. There was positive correlation between liver elasticity and weekly MTX dose and age. Conclusions Our study revealed that liver elasticity significantly decreased in patients who received MTX when compared with the control group. The elastography technique will be understood better over time and used safely in many areas.

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