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Artículo en Inglés | MEDLINE | ID: mdl-30995886


Less is known about how caregivers prepare (or not) for the death of a family member with dementia. This study's purpose was to explore how caregivers handle these dementia deaths, including identification of barriers and facilitators to preparing caregivers for the death of an elder family member dying with dementia. This qualitative, descriptive study employed a purposive sampling strategy in which the principal investigator interviewed 36 caregivers of family members age 65 and older who died from a dementia-related diagnosis. Directed content analysis was used to analyze the data. Four primary themes were identified as barriers: (1) hindrances to information; (2) barriers to hospice; (3) ineffective attempts to comfort; and (4) the nature of death with dementia. Six themes were identified as facilitators: (1) religious/spiritual beliefs; (2) caregiver initiative; (3) prior experience; (4) bearing witness to decline; (5) professionals alerting caregiver (of what to expect of impending death); and (6) culture and legacy of family caregiving. The results support an increased role of social work in addressing caregivers' awareness of impending death and helping prepare them for the death of an elder with dementia.

BMJ Open Qual ; 7(4): e000417, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30515469


Background: One in three people over the age of 65 fall every year, with 1/3 sustaining at least moderate injury. Falls risk reduction requires an interprofessional health team approach. The literature is lacking in effective models to teach students how to work collaboratively in interprofessional teams for geriatric falls prevention. The purpose of this paper is to describe the development, administration and outcome measures of an education programme to teach principles of interprofessional care for older adults in the context of falls prevention. Methods: Students from three academic institutions representing 12 health disciplines took part in the education programme over 18 months (n=237). A mixed method one-group pretest and post-test experimental design was implemented to measure the impact of a multistep education model on progression in interprofessional collaboration competencies and satisfaction. Results: Paired t-tests of pre-education to posteducation measures of Interprofessional Socialization and Valuing Scale scores (n=136) demonstrated statistically significant increase in subscales and total scores (p<0.001). Qualitative satisfaction results were strongly positive. Discussion: Results of this study indicate that active interprofessional education can result in positive student attitude regarding interprofessional team-based care, and satisfaction with learning. Lessons learnt in a rapid cycle plan-do-study-act approach are shared to guide replication efforts for other educators. Conclusion: Effective models to teach falls prevention interventions and interprofessional practice are not yet established. This education model is easily replicable and can be used to teach interprofessional teamwork competency skills in falls and other geriatric syndromes.

J Nurses Prof Dev ; 34(4): 219-225, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29975316


The central research questions of this study sought to understand the experiences of nursing students participating in an interprofessional simulation experience. This study used a nonrandom, purposive sample of 75 nursing students from one Midwestern university. Conventional content analysis was used to analyze the data. Five primary themes emerged from the data: (a) benefits of interprofessional collaboration, (b) communication, (c) "real-life" learning, (d) increased self-confidence, and (e) intraprofessional collaboration. The results of this study reveal the value of participation in interprofessional simulation activities and emphasize the need for continued development and implementation of such activity into nursing education.

Conducta Cooperativa , Relaciones Interprofesionales , Aprendizaje , Entrenamiento Simulado/métodos , Estudiantes de Enfermería/psicología , Comunicación , Estudios Transversales , Humanos , Investigación en Educación de Enfermería , Investigación Cualitativa