Commentary on Bridging the Science‐Practice Gap in Aging, Dementia, and Mental Health: Nursing Home Culture Change As an Exemplar

Sturdevant, Diana

doi:10.1111/jgs.15344

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…To that end, the promotion of the NH Culture Change Movement to improve quality of life for residents through reimagining NHs as resident-centered environments should include support from NH owners, extensive education and training, and funding for innovations and quality research. 23 Our understanding of the experience of transitioning to a NH remains limited and further research needs to focus on care coordination and transition to post-acute care. Such research could inform policy changes that prioritize resident-centered PC over financial decisions and explore realistic support for appropriate discharges.…”

Section: Discussionmentioning

confidence: 99%

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Transitioning to Life in a Nursing Home: The Potential Role of Palliative Care

et al. 2020

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Background and Objectives: Transitioning to a nursing home (NH) is a major life event for 1.4 million NH residents in the United States. Most post-acute NH admissions plan for rehabilitation and discharge home, but with nearly 70% of NH residents being palliative care (PC) eligible, many evolve into long-term placements secondary to poor health and associated decline in function and/or cognition. This article describes the perceptions of NH PC-eligible residents and families transitioning to life in a NH. Methods: Residents at 3 NHs in Northern California (N = 228) were screened for PC eligibility. A convenience sample of PC-eligible residents and their family members (n = 28) participated in qualitative interviews that explored the experience of living as a NH resident with serious illness. Data were analyzed using grounded theory methodology. Results: Our study provides insights into the experiences of transitioning to a NH from the perspectives of PC-eligible residents and their families. These data describe how PC-eligible residents and their families experienced disempowerment as they perceived being left out of decisions to go to a NH, loss of autonomy once at the NH, dealt with the realization that they would not be going home, and described perceived barriers to going home. Discussion and Implications: The inclusive and person-centered model of care that PC provides naturally empowers residents and family members. Adequate provision of PC services, together with changes in policy related to NH culture and benefit management, could improve the experience of transitioning to a nursing home.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Transitioning to Life in a Nursing Home: The Potential Role of Palliative Care

et al. 2020

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“…An important outcome was the April 2018 supplemental issue of the Journal of the American Geriatrics Society (Stephens, Evans, Bradway, & Buckwalter, 2018) that includes four interprofessional white papers and accompanying brief commentaries encompassing science (Massimo, Kales, & Kolanowski, 2018;Gilmore-Bykovski, 2018;Manning & Steffans, 2018;Wright, 2018), practice (Callahan, et al, 2018;Sturdevant, 2018), education and training (Farrell, et al, 2018;Harris, 2018) and policy (Cacchione, Pike, Spaeth-Rublee, & Pincus, 2018). The invitational Think Tank included conference speakers and selected attendees (experts, stakeholders, emerging leaders/scholars in the field) who were asked to focus on three themes: Building the Science, Training Current & Future Generations, and Designing Practice Models.…”

Section: Progress In Advancing Gpn Leadership In Workforce Planning and Policy-makingmentioning

confidence: 99%

Advances in geropsychiatric nursing: A decade in review

Stephens

Massimo

Harris

et al. 2020

Archives of Psychiatric Nursing

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This article provides a brief overview of the early development of geropsychiatric nursing (GPN) as background for examining its advancement subsequent to the 2010 Future of Nursing (FON) Report. The FON's education, practice and leadership recommendations form the three pillars that have supported geropsychiatric nursing's continuing evolution, framed within a practice and policy perspective. Lessons learned are relevant to developing the next phase of FON recommendations. The importance of overcoming challenges faced by the field of GPN is supported by the aging global population, the directions of nursing as a discipline, and the clear necessity of an intra-and inter-professional approach to mental health and aging.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…They describe methods designed to facilitate diffusion in the setting of complex adaptive systems, social networks, and dynamic macro environments, all currently under evaluation. Sturdevant's accompanying commentary applies Rogers’ Diffusion of Innovations model to the nursing home culture change movement to examine and demonstrate concerns related to its lack of widespread diffusion. The final white paper, by Farrell, Luptak, Supiano, Pacala, and DeLisser, reimagines the interprofessional training and education required to meet future workforce needs to care for this growing population of older adults with dementia and mental health concerns.…”

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confidence: 99%