COVID-19 Caregiving Strategies, Quality of Life, and Stress Among Faith Community Nurses and Faith Leaders in Appalachia

Smothers, Angel; Morrissey, Elizabeth R.; Melnick, Helen; Beaver, Molly; Wang, Kesheng; Piamjariyakul, Ubolrat

doi:10.1097/cnj.0000000000001017

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…56 Families could also benefit from volunteer home care interventions such as faith-based nursing home visits. 57 Also, the positive evaluations of the telephone focus group interaction in this study indicated that such discussions might be used to combat caregiver loneliness. It is also important to ensure caregivers have access to national online or telephone information resources.…”

Section: Implications For Practicementioning

confidence: 74%

Family Caregiving of Patients With Heart Failure and Vascular Dementia in Rural Appalachia: A Mixed-Methods Study

Piamjariyakul,

Wang,

Smith

et al. 2024

West J Nurs Res

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Introduction: Vascular dementia and heart failure (HF) are common co-existing conditions among adult populations. Each condition requires extensive home caregiving from family caregivers, especially those in rural Appalachia. This study aimed to assess caregivers’ burden and their physical and mental health status, as well as explore their experiences and needs. Methods: This study used an exploratory mixed-methods design combining quantitative and qualitative research (N = 20 caregivers). We collected data using questionnaires, short-answered interviews, and focus group discussions. The multivariable generalized linear model (GLiM) was used to analyze quantitative data; content analysis was used for qualitative data. Results: The average age of family caregivers was 64.95 years. The generalized linear model showed that the caregiving burden was associated with caregivers’ depression/anxiety ( r = 0.68, P < .001) and their number of dementia caregiving years ( r = 0.54, P < .05). Caregivers’ poor physical health status was associated with better preparedness for HF and dementia home caregiving ( r = 0.52, P < .05) and male caregivers ( r = −0.46, P < .01). Caregivers’ mental health status was associated with depression/anxiety ( r = −0.80, P < .001). The qualitative data identified key caregiving themes: emotional impact and physical demands of caregiving, lack of help in rural areas, dealing with multiple disease progression, and relationship changes with their loved ones. Conclusion: Caregiving burden was associated with caregivers’ home care responsibilities and the need for support. Nurse-led home caregiving preparedness interventions tailored for family caregivers of patients with HF and dementia in rural areas are recommended.

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Section: Implications For Practicementioning

confidence: 74%

Family Caregiving of Patients With Heart Failure and Vascular Dementia in Rural Appalachia: A Mixed-Methods Study

Piamjariyakul,

Wang,

Smith

et al. 2024

West J Nurs Res

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“…Also, enrolled participants identified other possible homes to visit. A key in recruitment was the guidance of the WVU School of Nursing Associate Dean for Community Engagement, based on her previous clinical care in rural areas and her county activities, such as her faith-based nursing program [ 42 , 43 ].…”

Section: Methodsmentioning

confidence: 99%

Developing, implementing, and evaluating the visiting Neighbors’ program in rural Appalachia: A quality improvement protocol

Piamjariyakul,

McKenrick,

Smothers

et al. 2024

PLoS ONE

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Introduction Older adults living alone in rural areas frequently experience health declines, social isolation, and limited access to services. To address these challenges, our medical academic university supported a quality improvement project for developing and evaluating the Visiting Neighbors program in two rural Appalachian counties. Our Visiting Neighbors program trained local volunteers to visit and guide rural older adults in healthy activities. These age-appropriate activities (Mingle, Manage, and Move– 3M’s) were designed to improve the functional health of older adults. The program includes four in-home visits and four follow-up telephone calls across three months. Purpose The purpose of this paper was to describe the 3M’s Visiting Neighbors protocol steps guiding the quality improvement procedures relating to program development, implementation, and evaluation. Methods and materials This Visiting Neighbors study used a single-group exploratory quality improvement design. This program was tested using quality improvement standards, including collecting participant questionnaires and visit observations. Results Older adults (> 65 years) living alone (N = 30) participants were female (79%) with a mean age of 82.96 (SD = 7.87) years. Volunteer visitor participants (N = 10) were older adult females. Two volunteer visitors implemented each visit, guided by the 3M’s activities manual. All visits were verified as being consistently delivered (fidelity). Enrollment and retention data found the program was feasible to conduct. The older adult participants’ total program helpfulness ratings (1 to 5) were high (M = 51.27, SD = 3.77). All volunteer visitor’s program helpfulness ratings were also high (M = 51.78, SD = 3.73). Discussion The Visiting Neighbors program consistently engaged older Appalachian adults living alone in the 3M’s activities. The feasibility and fidelity of the 3M’s home visits were verified. The quality improvement processes included engaging the expert advisory committee and rural county stakeholders to ensure the quality of the program development, implementation, and evaluation.

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“…Hebert and colleagues (2009) recommended that to better prepare family caregivers for palliative care, nurses must provide them with specific information tailored to their home care needs and continue communication for caregivers to seek and process the information. Also, integrating spiritual wellbeing support is a culturally appropriate intervention to help these patients and family caregivers in rural Appalachia manage health challenges (Mixer et al, 2023;Smothers et al, 2023).…”

Section: Implications For Nursing Practicementioning

confidence: 99%

Spiritual Well-Being in Appalachian Family Caregivers

Piamjariyakul,

Young,

Shafique

et al. 2024

OJRNHC

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COVID-19 Caregiving Strategies, Quality of Life, and Stress Among Faith Community Nurses and Faith Leaders in Appalachia

Cited by 3 publications

References 22 publications

Family Caregiving of Patients With Heart Failure and Vascular Dementia in Rural Appalachia: A Mixed-Methods Study

Family Caregiving of Patients With Heart Failure and Vascular Dementia in Rural Appalachia: A Mixed-Methods Study

Developing, implementing, and evaluating the visiting Neighbors’ program in rural Appalachia: A quality improvement protocol

Spiritual Well-Being in Appalachian Family Caregivers

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