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Psychogeriatric Inventory of Disconcerting Symptoms and Syndromes (PGI-DSS): validity and reliability of a new brief scale compared to the Neuropsychiatric Inventory for Nursing Homes (NPI-NH)

Psychogeriatric Inventory of Disconcerting Symptoms and Syndromes (PGI-DSS): validity and reliability of a new brief scale compared to the Neuropsychiatric Inventory for Nursing Homes (NPI-NH)

harmoniously with older adults, without being dis- tressed by their “disconcerting” symptoms. Limitations Because of the context of a signi ficant burden in French hospitals and in French nursing homes, and in the absence of any grants, the study was designed to minimize the additional workload that might have resulted from the implementation of the study. Thus, information on patient characteristics has been reduced to a minimum. As a result, our study has obvious limitations due to the absence of any inclusion and exclusion criteria. Other limitations are due to the absence of a cognitive assessment and any medical or psychological diagnosis. Therefore, the study population, distributed across French territory, was highly heterogeneous.
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Geriatric study in Europe on health effects of air quality in nursing homes (GERIE study) profile: objectives, study protocol and descriptive data.

Geriatric study in Europe on health effects of air quality in nursing homes (GERIE study) profile: objectives, study protocol and descriptive data.

Isabella Annesi-Maesano 1,2* , Dan Norback 3 , Jan Zielinski 4 , Alfred Bernard 5 , Cristina Gratziou 6 , Torben Sigsgaard 7 , Piersante Sestini 8 , Giovanni Viegi 9,10 and on behalf of the GERIE Study Abstract Background: Indoor air pollution (IAP) constitutes a major global public health problem requiring increasing efforts in research and policymaking that may have special significance for elderly that are likely to spend most of their day indoors and appear to be particularly susceptible to adverse effects of chemical pollutants and bio-contaminants. Yet, evidence existing on the effects of IAP in elderly is scanty. The Geriatric study in Europe on health effects of air quality in nursing homes (GERIE) study aimed to assess health effects of major indoor air pollutants and thermal conditions in elderly (> 70 years) living stably in nursing homes (NH) across Europe. Respiratory effects were particularly considered as airways and lung constitute the first target of air pollutants.
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Incidence and economical effects of pneumonia in the older population living in French nursing homes: design and methods of the INCUR study.

Incidence and economical effects of pneumonia in the older population living in French nursing homes: design and methods of the INCUR study.

Pneumonia From a clinical standpoint of view, it is difficult to obtain a clear and definitive diagnosis of pneumonia in the nursing homes population beacause of the multitude of comorbidities (e.g., heart failure, chronic obstructive pul- monary disease, pulmonary fibrosis) often altering the manifestation of the respiratory infection. For example, cough is often absent (even in more than 50% of the cases), pulmonary crackles are rare, and the only reliable criterion remains the increased respiratory rate. Such difficulties combined with the limited access to comple- mentary biological or imaging exams lead to unreliable estimates for the diagnosis of pneumonia in the nursing homes setting. To improve the diagnostic definition of pneumonia, the Observatoire du Risque Infectieux en Gériatrie (ORIG) [38] recently published specific criteria refining those previously proposed by McGeer and col- leagues [39]. The ORIG criteria described by Rothan-
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Happier Elderly Residents. The positive impact of physical activity on objective and subjective health condition of elderly people in nursing homes. Evidence from a multi-site randomized controlled trial

Happier Elderly Residents. The positive impact of physical activity on objective and subjective health condition of elderly people in nursing homes. Evidence from a multi-site randomized controlled trial

4 Discussion Unlike previous programs, this intervention is a comprehensive program of adapted physical activity for nursing home residents. It is intended for all residents, regardless of their physical and cognitive abilities; and is adapted to each resident’s condition, as the latter receive a combination of different exercises according to their physical and cognitive abilities. For this purpose, residents are assessed individually and classified into four subgroups; with each subgroup receiving a specific physical activity program. This intervention differs from previously tested physical activity programs that either consisted of a single exercise program, proposed to all participants; or offered physical exercises combined with other preventive measures in so-called multifactorial programs. The program exerts a sizeable impact on the subjective quality of life and objective outcomes of residents, whether they suffer from cognitive or mobility limitations or not. Run in 32 nursing homes located in four different countries, it thus adds generality to previous empirical evidence in favor of adapted physical activity for the elderly.
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Polypharmacy and potentially inappropriate medications: a cross-sectional analysis among 451 nursing homes in France

Polypharmacy and potentially inappropriate medications: a cross-sectional analysis among 451 nursing homes in France

Strengths and limitations of the study The main strength of this study is the size of the study population, covering 6.6% of the total number of places in nursing homes in France [52]. All the nursing homes using the pill dispenser Mono28® were included in this study. This is hence a real life evaluation of the quality of drug therapy, as opposed to studies in samples of nursing homes willing to participate where a selection bias can be expected. Nevertheless, the included nursing homes were not representative of French nursing homes in terms of legal status. Indeed, the proportion of private-for-profit nursing homes was higher in our study sample compared to national statistics (58% versus 43%) and the proportion of public nursing homes was lower (12% versus 26%). The mean capacity of the included nursing homes was comparable to national statistics (85 places versus 83 places).
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en fr Potentially inappropriate drug prescribing in nursing homes Prescription médicamenteuse potentiellement inappropriée dans les établissements d'hébergement pour personnes âgées dépendantes (EHPAD)

Les classes médicamenteuses les plus impliquées dans ces événements intercurrents sont les médicaments les plus prescrits : les médicaments cardiovasculaires (antiagré[r]

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Seasonal influenza vaccination coverage and its determinants among nursing homes personnel in western France

Seasonal influenza vaccination coverage and its determinants among nursing homes personnel in western France

study took place on March 22nd 2016 and was per- formed as a collaboration between the French School of Public Health and Santé Publique France, in association with the regional health authority of Brittany. We per- formed a two-step randomized sampling, by randomly selecting NHs, then participants among the NHs. A sample size of 640 participants was computed based on an IV coverage estimation of 35%, an acceptance rate of 80%, an alpha risk of 5%, a study power of 80%, and a clustering effect. We randomly selected 40 NHs among the 137 NHs located in Ille-et-Vilaine and secondly, 16 NH workers were randomly chosen from each nursing home. Only permanent staff present at the time of the survey between 9 am and 7 pm were included, whereas temporary staff, interns, and liberal practitioners were excluded. No distinction between full time or part time workers was undertaken. In our study, NH workers in- cluded HCW such as physicians, nurses or pharmacists, administrative staff as well as facility and logistic staff. In order to reduce refusals, a letter introducing the survey was sent two weeks before the survey to the selected NHs.
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Influenza-like illness outbreaks in nursing homes in Corsica, France, 2014–2015: epidemiological and molecular characterization

Influenza-like illness outbreaks in nursing homes in Corsica, France, 2014–2015: epidemiological and molecular characterization

Methods Nursing home recruitment and surveillance period NHs in Corsica were invited to participate in an ongoing daily epidemiological and microbiological surveillance for ILI among residents and health care workers (HCWs) including from September to December 2014. Partici- pation was voluntary and unrestricted. Participating NHs were asked to provide data on the number and per- centage of residents, and if possible, of staff vaccinated against influenza. During the 2014–2015 season, a strong influenza epidemic in metropolitan France occurred from week 3/2015 (12–18 January, 2015) to week 11/2015 (9–15 March, 2015) and peaked during week 6/2015 (2–8 February, 2015) (Fig.  1 a) (van der Werf 2015 ), which was predominantly the result of infection by A(H3N2). Naso- pharyngeal swabs were also collected by general practi- tioners (GPs) of the Corsican Sentinelles Network in a randomized sample of patients presenting with ILI (Min- odier et al. 2014 ) (Fig.  1 a).
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Clostridium difficile infection in elderly nursing home residents.

Clostridium difficile infection in elderly nursing home residents.

3. Occurrence of C. difficile in nursing homes across different countries A relatively low number of studies have estimated the preva- lence of C. dif ficile in nursing homes and other long-term care fa- cilities for the elderly. High isolation frequencies have been described in most of the studies conducted in USA, with up to 46% of residents testing positive for C. dif ficile. In contrast, in Canada, Europe, UK, Ireland or Australia the reported rates are much lower, varying between 0.8% and 10% ( Table 1 ). However, it is necessary to note that sample size, age, or methodologies are not standardised among the available studies, making meaningful comparison of the results dif ficult. Seasonal differences should be also considered: a
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Semi-Distributed Demand Response Solutions for Smart Homes

Semi-Distributed Demand Response Solutions for Smart Homes

between a minimum value P ` V h and a maximum value P b V h (see equation (1c)).
 While being optimal with respect to the utilities (by design), this allocation, called 𝐺𝑀, has two major drawbacks. First, it requires computing the solution of a complex problem, which may raise scalability issues. Second, information har- vesting may cause privacy issues that can affect the acceptance of the control scheme by users. Thus, it may be preferable to store information locally at homes with local intelligence. This leads to the following scheme.
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Adaptive monitoring system for e-health smart homes

Adaptive monitoring system for e-health smart homes

These evaluations consider computing process which is related to the number activities that are monitored by the system, the detection of abnormal situations, dependency level, energy an[r]

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Formaldehyde measurements in Canadian homes using passive dosimeters

Formaldehyde measurements in Canadian homes using passive dosimeters

following: the collection medium, or media, including desiccant layers or a liquid-coated matrix; the primary container with nipples to allow collected air to flow through openings or [r]

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Nursing students' perceptions of community pediatric experiences.

Nursing students' perceptions of community pediatric experiences.

Student perceptions of nursing in community settings are an important element in the level of student satisfaction and ultimately their learning in pediatric clinical settings. In order [r]

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How to reduce noise transmission between homes (apartments)

How to reduce noise transmission between homes (apartments)

How to reduce noise transmission between homes (apartments) Warnock, A. C. C. https://publications-cnrc.canada.ca/fra/droits L’accès à ce site Web et l’utilisation de son contenu sont assujettis aux conditions présentées dans le site LISEZ CES CONDITIONS ATTENTIVEMENT AVANT D’UTILISER CE SITE WEB.

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Teaching strategies in a nursing laboratory setting

Teaching strategies in a nursing laboratory setting

It was hypothesized that (1) students who received knowledge about a specific nursing concept and practice, such as medical asepsis, through a PBL approach would perform at least as well[r]

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View of Du nursing au care : le genre d'une profession

View of Du nursing au care : le genre d'une profession

Si les deux modèles partagent la même vision du nursing inspirée de la charité chrétienne et du dévouement féminin, les processus qui mènent à la reconnaissance des soins infirmiers comme profession, différent radicalement. Pour les anglo-protestants, l’alliance contractée avec les élites médicales garantit en quelque sorte l’adoption du modèle professionnel par l’ensemble du mouvement philanthropique. Au contraire, ce modèle est rejeté et redouté par les élites franco-catholiques. Soucieuses de maintenir leur autonomie à l’égard des médecins en particulier, mais néanmoins enfermées dans un carcan hiérarchique et autoritaire, ces congrégations adoptent le modèle holiste où elles peuvent contrôler l’accès à la profession en se dotant d’organismes internes de représentation (syndicats et associations professionnelles sous leur contrôle direct et en conflit constant entre eux). Le manque de cohésion de ce modèle (plus ou moins laïcisé selon que l’on se trouve à Montréal ou à Québec, et selon les congrégations) et l’appui de certaines élites éclairées à la réforme (accusées par le clergé d’être vendues aux anglo-protestants) fera vaciller le modèle franco- catholique qui succombera sous les coups de boutoir de l’universalité de la réforme inspirée par Nightingale-Fenwick et véhiculée par les sociétés anglo-protestantes.[3,17] La volonté d’établir une éducation formelle dans des institutions séparées des associations charitables, la mise en place d’associations professionnelles autonomes (avec leurs revues et comités de déontologie indépendants) et la légalisation de la profession par l’enregistrement constituent les trois étapes majeures de cette professionnalisation des soins infirmiers. À Montréal même, les pionnières obtiennent l’appui des médecins et des grands hôpitaux anglo-protestants. Face à elles, les institutions hospitalières catholiques apparaissent crispées sur leurs privilèges, fermées aux laïques et hostiles aux pouvoirs concurrents (des médecins, des administrations publiques, des associations, etc.). Ainsi, contrairement à ce qu’on en a dit, ce n’est pas par opposition à la science ou à la médecine, qui ont toute latitude pour se développer dans les Hotel-Dieu par exemple, que le modèle franco- catholique perd du terrain, mais dans son opposition initiale à la déconfessionnalisation du care et donc à sa professionnalisation. Même à l’hôpital Notre-Dame, où les Sœurs Grises tentent d’accompagner le processus de professionnalisation et d’en tirer profit (en devenant elles- mêmes des infirmières graduées des grandes écoles de
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Determining the need for nursing home beds

Determining the need for nursing home beds

Intermediate nursing care homes, Level III homes, provide health related care and services to patients who do not require the degree of care and treatment which a hosp[r]

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A Survey on Health Monitoring Systems for Health Smart Homes

A Survey on Health Monitoring Systems for Health Smart Homes

HMSs promote human safety in healthcare for the var- ious stakeholders including the elderly, caregivers, emer- gency personnel, etc. This factor is of paramount impor- tance in healthcare and remains a concern. It has been studied in a number of surveys such as [197], [198], and [200]. The authors in [200] provide five major recommen- dations when considering safety factors: build capacity among caregivers to understand the HFE, integrate HFE into medical technologies, increase the number of human factors and ergonomic practitioners in healthcare institu- tions, expand investments in improvement efforts informed by HFE, and support interdisciplinary research. For sub- jects, these factors are perceived as the most useful of HMS systems and are usually the main causes of subjects leaving their homes and moving to care facilities. HMSs are ex- pected to continually provide care services, like emergency help and accident detection, especially when caregivers are away. HMSs should ensure the safety of subjects and care- givers in various settings and prevent violence and abuse from any source including from subjects with mental dis- orders. HMS could may rely on existing tools, ranging from simple presence sensors to video surveillance systems with advanced functionalities such as movement pattern tracking and recognition, real-time alerts, etc. Biometric sensors can also be used for detecting the signs of stress and aggression especially in healthcare institutions.
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View of Prison Nursing: The Knowledge/Power Connection

View of Prison Nursing: The Knowledge/Power Connection

who practice in an oppressive institution or who are less than confi dent in their own positions may fi nd challenging. The concept of governmentality has been used in the literature to examine nursing as a health profession[15] and in understanding the position of nursing in the correctional forensic psychiatric setting[16,17]). Irving de- fi nes governmentality as “the way in which the conduct of government operates through the establishment of the moral obligation to self-govern”.[13 p406] She compares this to the notion of sovereign power in which obedience is based on “fear of the consequences of disobedience”.[13 p406] However, Holmes and Gastaldo suggest that the notion of governmentality can be viewed as a tripartite, complex system of power relations between sovereign power, disciplinary power and government, where sovereign power is exercised through repression and domination; disciplinary power through surveillance, punishment and rewards; and government power, which is rooted in the dominant discourse of moral obligation to self-govern.[15] This complex power relation needs to be unravelled when examining the notion of emotional labour of prison nurses as they encounter all three forms of power in their daily practice, affecting their internal feelings, their practice, their relationship with patients and other members of the multidisciplinary team, and their position within the institution and the systems in which they work.
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Wedges and Webs: Rockefeller Nursing Fellowships 1920-1940

Wedges and Webs: Rockefeller Nursing Fellowships 1920-1940

The wedge strategy apparently ruled out the project to bring in trained leaders from the outside, which was part of Crowell and Embree’s initial 1923 Program for aid in nurse training in Europe. But some were already on location (for instance in Poland), while Crowell and assistants (who turned out to be American, Canadian, English or French) were always available for counsel and advice, and spent a lot of time in organizing schools, wards and dispensaries all across Europe. In Asia, it was also chiefly missionary nurses, North American nurses or nationals with previous training or work experience in the United States who were offered fellowships to return to Japan, Siam or the Philippines in order to teach and supervise work in schools, hospitals and dispensaries. In the four Asian countries where fellowships were offered between 1920 and 1940, a clear distinction was made: fellows from the countries in question were trained as instructors or for second tier supervision but very seldom for general supervision. For instance, while six third-year Siamese nursing students were offered fellowships to the Philippines to be trained as ward supervisors and instructors, it was the American nurse Vera Hickox who received a fellowship to England and Denmark, to be trained as a director of the midwifery school in Bangkok. The wedge was not always of the same wood as the tree it was meant to splint, and a combination of foreign and native fellows was used to develop the nursing activities of the Foundation.
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