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Biomedical subjects

Barbara Resnick

Publications and source records attributed to Barbara Resnick.

At least 55 records · Page 3Linked to original sources

Making a difference: nursing assistants' perspectives of restorative care nursing.

This article explores the experiences of nursing assistants who participated in the Res-Care Pilot Intervention. A qualitative study used a focus group methodology. An interview guide was used and data from focus groups were audiotaped and transcribed verbatim. A purposive sample of 13 nursing assistants participated in the focus groups. A total of 35 different codes were identified, and these were reduced to the following four themes: resident barriers to restorative care, facility or system barriers to restorative care, nursing assistant strategies, and system facilitators of restorative care. The study supports and adds to previous work that suggests that in order to successfully implement changes in care in nursing home settings the following issues should be addressed: real or perceived workload issues, poor communication with nursing, insufficient knowledge or education, lack of appropriate supplies, and insufficient administrative support. The findings may be used to revise the Res-Care Pilot Intervention and direct future implementation of programs in nursing home settings.

Attitude of Health Personnel↗

Encouraging exercise in older adults with congestive heart failure.

Congestive heart failure (CHF) is a chronic medical problem commonly found in older adults. Management of CHF ideally should combine lifestyle modifications and medication management. Exercise prescriptions and encouraging patients with CHF to exercise can have a significant impact on management of symptoms as well as exacerbation of further disease. The recommended exercise program should ideally incorporate 10 to 15 minutes of warm-up with exercise durations of 20 to 30 minutes and a cool-down period generally repeating the warm up exercises. Exercise should be done at least 3 to 5 days per week and should include a combination of aerobic and resistance exercise. The HEART approach provides a useful guide to help motivate older adults with CHF to exercise regularly. In so doing, older adults with CHF will be helped to improve and maintain cardiac status, decrease the symptoms of CHF, and improve overall quality of life.

Aged↗

Testing of the Res-Care Pilot Intervention: Impact on nursing assistants.

The purpose of this study was to test the feasibility and effectiveness of a two-tiered motivational intervention--the Res-Care Pilot Intervention--on willingness of nursing assistants to participate in the Res-Care Intervention, the impact of the intervention on nursing assistants' self-efficacy, and outcome expectations related to restorative care, knowledge of restorative care, restorative care behaviors, and job satisfaction. A sample of 13 nursing assistants with an average age of 47.3 +/- 8.9 (range 29-56) years, the majority of whom were women (93%) and African American (77%), consented to participate in the study. There was a statistically significant increase in outcome expectations related to restorative care activities (F = 8.9, P <.05), a nonsignificant trend toward increased knowledge of restorative care (F = 1.4, P > .05) and documented time doing restorative care activities (F = -.56, P > .05), and no difference in self-efficacy expectations (F = .58, P > .05) or job satisfaction (F = .48, P > .05). The findings provide useful information for future research in restorative care.

Activities of Daily Living↗

Health promotion practices of older adults: model testing.

The purpose of this study was to describe the primary and secondary health promotion activities of a group of older adults living independently in a continuing care retirement community. Primary and secondary health promotion activities were described and compared among the young old (ages 65-80), the old (ages 81-85), and the old-old (ages 86-101). Model testing of the factors that influence participation in health-promoting activities was also completed. This descriptive study included 206 of 210 residents who participated in a single face-to-face interview. The majority of the participants were female (79%), white (99%), and cognitively intact. Those in the old-old age group were less likely than the old and young-old groups to have: (1) their stools checked for occult blood; (2) their skin checked for lesions; or (3) a recent mammogram, Pap test, or prostate exam. Model testing found that age, chronic illnesses, degree of physical and mental health, and cognitive status directly or indirectly influenced older adults' participation in primary and secondary health behaviors.

Activities of Daily Living↗

Restorative care nursing activities: pilot testing self-efficacy and outcome expectation measures.

Implementing restorative care programs often involves changing the behavior of individuals who work in long-term care settings. The theory of self-efficacy has been used to facilitate such change. The purpose of this study was to test two new measures, the Self-efficacy for Restorative Care Nursing Activities and the Outcome Expectancy for Restorative Care Activities. The study included a sample of 27 nursing assistants; testing was done at baseline and repeated 2 weeks later. Developing reliable and valid measures of self-efficacy and outcome expectations for nursing assistants' performance of restorative care activities is useful to help establish weaknesses in the expectations of nursing assistants and allow for the development and testing of interventions to strengthen self-efficacy and outcome expectations related to restorative care activities and thereby improve adherence among nursing assistants.

Aged↗