Self-Management Predicts Lower Post-Traumatic Symptoms and Greater Post-Traumatic Growth among Older Adults in Residential Care Homes in the Wake of the COVID-19 Pandemic

Ziv, Ido; Caspi, Dafna; Cojocaru, Daniela

doi:10.3390/su151310280

Cited by 3 publications

(1 citation statement)

References 48 publications

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“…Research suggests that the readiness of emergency medical services to respond to pandemics, as well as routine situations, is significantly influenced by leadership quality and organizational structure [45,46,54]. Hence, the emphasis on management and leadership in the scholarly literature [70][71][72][73] highlights the importance of investigating the impact of COVID-19 on IPC unit managers within Israeli hospitals.…”

Section: Effective Leadership During the Covid-19 Pandemicmentioning

confidence: 99%

Navigating a Pandemic: Leadership Dynamics and Challenges within Infection Prevention and Control Units in Israel

Chen,

Cojocaru

2023

Healthcare

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This study investigates the impact of the coronavirus disease 2019 (COVID-19) pandemic on leadership within infection prevention and control (IPC) units across public hospitals in Israel. Through qualitative interviews with ten IPC managers from nine hospitals, equivalent to 30% of the country’s acute care facilities, the research uncovers significant changes in managerial approaches due to the health crisis. The results reveal four main themes: (1) Enhanced managerial autonomy and leadership skills, with a noted rise in self-efficacy against the pandemic’s backdrop; (2) Shifted perceptions of IPC units by upper management, recognizing their strategic value while identifying the need for a more profound understanding of IPC operations; (3) The increased emphasis on adaptability and rapid decision-making for effective crisis management; (4) The dual effect on job satisfaction and well-being, where greater commitment coincides with risks of burnout. The study underscores the essential nature of effective IPC leadership during emergencies, highlighting the need for clear communication, prompt action, and empathetic leadership. The conclusions point to the necessity for continuous research into IPC leadership, promoting strategic advancements in management to bolster IPC units against future health threats.

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Section: Effective Leadership During the Covid-19 Pandemicmentioning

confidence: 99%

Navigating a Pandemic: Leadership Dynamics and Challenges within Infection Prevention and Control Units in Israel

Chen,

Cojocaru

2023

Healthcare

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Perceived social support, self-management, perceived stress, and post-traumatic growth in older patients following stroke: Chain mediation analysis

Chen,

Che

2024

Medicine

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Stroke is a potentially traumatic event that can lead to both positive changes associated with post-traumatic growth (PTG) and enduring mental distress. This study aimed to investigate the association between perceived stress and PTG among older postsurvivors, as well as to explore the potential mediating role of perceived social support and self-management in this relationship. A cross-sectional study was conducted to recruit 354 older poststroke survivors from 2 tertiary hospitals in Shenyang, China, between January 2022 and October 2023. Various multidimensional scales were utilized to measure perceived stress, perceived social support, self-management, and PTG. Structural equation modeling was employed by Amos 24.0 to analyze the mediating pathways. The average score of PTG was 50.54 ± 22.69 among older poststroke patients. Pearson analysis revealed significant associations between perceived stress, perceived social support, self-management, and PTG (all P < .01). The mediation model showed that perceived stress could both direct influence PTG (Effect = −0.196, 95% CI = [−0.259, −0.129]), and indirectly impact PTG through perceived social support (Effect = −0.096, 95% CI = [−0.157, −0.044]), through self-management (Effect = −0.033, 95% CI = [−0.064, −0.012]), and sequentially through perceived social support and self-management (Effect = −0.007, 95% CI = [−0.017, −0.002]), accounting for 58.9%, 28.8%, 9.9%, and 2.1% of the total effect, respectively. These findings confirmed the mediating roles of perceived social support and self-management between perceived stress and PTG among older poststroke survivors. This provides valuable insights into developing targeted social intervention programs to improve stroke management among older survivors.

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Self-management Elucidates How Practicing Physical Exercises Influences the Health Related Quality of Life of Independently Dwelling Older Adults

Ziv,

Caspi,

CoJocaru

2024

INQUIRY

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According to active aging theory, self-management plays a pivotal role for well-being of older adults as they navigate the aging process. The current quasi-experimental study, employing a between-within design, examines the impact of guided group physical training on changes in self-management and its subsequent effect on quality of life among a sample of independently living old adults. We assessed balance, strength, mobility, self-management, and quality of life were among 149 older adults (123 females, 26 males), mean age = 77.21. Half of the participants then began a 6 months of chair exercise training, consisting of one session per week. However, the training program was interrupted after 22 sessions due to the outbreak of the Covid-19 pandemic. Subsequently, participants were re-evaluated following the initial lockdown announcement but before its implementation. Show first, that practicing physical exercises, among the intervention group, led to increases in the three measured physiological abilities—balance, strength and movement—as well self-management and physical and mental quality of life. Second, the physiological abilities, were fully indirectly associated through self-management with physical and mental quality of life. The present findings provide a clear understanding of the role of self-management as a psychological outcome of reflected physical activity, as well as a mediator for health related quality of life. Further, self-management abilities among older adults can be regarded as a protective factor against adverse psychological outcomes at times of trauma.

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Self-Management Predicts Lower Post-Traumatic Symptoms and Greater Post-Traumatic Growth among Older Adults in Residential Care Homes in the Wake of the COVID-19 Pandemic

Cited by 3 publications

References 48 publications

Navigating a Pandemic: Leadership Dynamics and Challenges within Infection Prevention and Control Units in Israel

Navigating a Pandemic: Leadership Dynamics and Challenges within Infection Prevention and Control Units in Israel

Perceived social support, self-management, perceived stress, and post-traumatic growth in older patients following stroke: Chain mediation analysis

Self-management Elucidates How Practicing Physical Exercises Influences the Health Related Quality of Life of Independently Dwelling Older Adults

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