New Directions | January 2022 |
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A Message From the President |
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Welcome to the New Year! I always feel reinvigorated and ready to move forward with family and work obligations from a slightly different (translate more positive) perspective. Hereâs to 2022!
I want to continue with Ashton Applewhiteâs book, This Chair Rocks. Chapter 6 is about the workplace. This chapter just might make your temperature elevate because it confronts ageism in the workplace head on despite secrets being told out of earshot. Ageism leads to the misperception that older adults are a burden to society by choice. Nothing could be further from the truth.
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Coronavirus and Older Adults |
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COVID-19 Mortality Tied to Neurologic Manifestations in Older Adults |
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Up to one-third of COVID-19 patients experienced at least 1 neurologic manifestation, and about 2% experienced stroke, according to a systematic review and meta-analysis published in Neurology.
Studies have showed COVID-19 impacts the central nervous, peripheral nervous and musculoskeletal systems of patients, and cases involving neurologic symptoms are increasing, according to the researchers. They sought to determine the manifestationsâ association with COVID-19 severity and mortality.
They searched for observational studies published in 2020 in PubMed, EMBASE, MEDLINE, Google Scholar, Cochrane Library, and ClinicalTrials.gov that reported at least 1 new onset neurologic manifestation due to confirmed and probable cases of COVID-19. They assessed the studiesâ risk of bias utilizing the Joanna Briggs Institute (JBI) tool and controlled the false discovery rate (FDR) with the Benjamini-Hochberg procedure.
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As U.S. Nears 800,000 Virus Deaths, 1 of Every 100 Older Americans Has Perished |
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As the coronavirus pandemic approaches the end of a second year, the United States stands on the cusp of surpassing 800,000 deaths from the virus, and no group has suffered more than older Americans. All along, older people have been known to be more vulnerable, but the scale of loss is only now coming into full view.
Seventy-five percent of people who have died of the virus in the United States â or about 600,000 of the nearly 800,000 who have perished so far â have been 65 or older. One in 100 older Americans has died from the virus. For people younger than 65, that ratio is closer to 1 in 1,400.
The heightened risk for older people has dominated life for many, partly as friends and family try to protect them. âYou get kind of forgotten,â said Pat Hayashi, 65, of San Francisco. âIn the pandemic, the isolation and the loneliness got worse. We lost our freedom and we lost our services.â
Since vaccines first became available a year ago, older Americans have been vaccinated at a much higher rate than younger age groups and yet the brutal toll on them has persisted. The share of younger people among all virus deaths in the United States increased this year, but, in the last two months, the portion of older people has risen once again, according to data from the Centers for Disease Control and Prevention. More than 1,200 people in the United States are dying from Covid-19 each day, most of them 65 or older.
In both sharp and subtle ways, the pandemic has amplified an existing divide between older and younger Americans.
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Distinguished Educator Spotlight |
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Hospital Associated Disability |
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Barbara King PhD, RN, APRN-BC, FAAN
Associate Professor
University of Wisconsin - Madison
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Hospital associated disability (HAD), defined as a loss of functional independence (ability to perform activities of daily living or walk across a small room) (Covinsky, Pierluissi, Johnston, 2011), occurs in more than 50% of older adults admitted for acute care (Covinsky, Palmer, Fortinsky, et al, 2003). HAD in older persons is associated with significant negative outcomes including increased length of stay, new nursing home admission, falls both during and after discharge, delirium, and mortality (Brown, Friedkin, Inouye, 2004; Gill, Allore, Gahbauer, Murphy, 2010; Zisburg, Shadmi, Gur-Yaish, Tonkikh, Sinoff, 2015). Older adults who are frail, cognitively impaired or have a slow gait speed are at higher risk of developing a HAD (Covinsky et al 2011). Often healthcare providers believe that older persons will simply regain their function once they are discharged, but the reality is that 50% of older adults are still disabled one year post discharge, are unable to live independently, and require increase caregiver support (Brown, Allman, Sawyer, Ritchie, Roseman, 2009; Covinsky et al 2011). |
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Check Out This Great Read! |
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In hospitals, it's standard for nurses to work a 12-hour shift. But research shows that may not be such a good idea for patients â or nurses.
From COVID surges to staffing challenges, it's no surprise many nurses are saying they're burned out right now. But a foremost researcher in the field of nursing points to a another reason - the 12-hour shift. Stacey Vanek Smith and Adrian Ma from our daily economics podcast The Indicator take a look at the unintended consequences of this industry standard.
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Call for Papers Deadline Extended |
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Online Conference
The Healing Power of Storytelling
March 3rd & 4th 2022
The International Center for Life Story Innovations and Practice would like to invite you to present your life story research, innovations, and best practices using the form below. We welcome proposals in a variety of inspirational and interactive formats that match the online format of the conference such as interactive paper presentations, roundtable discussions, or short poster presentations to be discussed later in breakout rooms. We favor contributions that promote the understanding of different life story approaches (E.g., reminiscence, life review, guided autobiography) and contribute to the advancement of life story research, education, and practice.
The presentation can be an individual contribution (e.g., a paper or a poster) or a joint contribution (e.g., a workshop or roundtable). Individual contributions will be grouped together according to topics or life story approaches, joint contributions will fill one slot. Each slot will be 60 minutes.
Learn more about our Center:
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Scholarship Opportunities |
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Graduate Gerontology Healthcare Certificate |
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PhD Scholarships $150,000 University of Oklahoma Health Sciences Center |
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The Reynolds Center of Geriatric Excellence, Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center announces $150,000 PhD Scholarships for full-time PhD study in Nursing, with a focus in adult and older adult healthcare. The Scholarship offers up to three years of support with a value of $50,000 per year for tuition and fees, conference travel and a monthly living stipend. The PhD Program is online providing strong individual mentorship with visits to campus for intensives. For more information, visit the following website:
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Tenured Associate or Full Professor 2021-22 |
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The School of Nursing at the University of California, Los Angeles (UCLA) seeks applications for full-time, tenured Associate Professor or Full Professor faculty position. An Endowed or Term Chair is available.
We seek a senior nurse scholar/leader, with a funded program of research, focused on clinical or population science (e.g., a program focused on social determinants of health which can contribute to national health policy discussion). Preferred areas of scholarship include palliative care, psych-mental health or aging. Advanced practice preparation is important, but not essential.
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Candidates must meet the academic and scholarly credentials to qualify for a tenured appointment at UCLA at either the Associate or Full Professor rank, including an earned PhD in Nursing Science, a defined program of research, and evidence of teaching and service excellence. Rank and salary will be commensurate with background and experience. The anticipated start date is July 1, 2022 |
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Assistant Dean for the
Gerontology Interdisciplinary Program
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The University of Utah, College of Nursing is seeking a qualified gerontologist for an administrative faculty appointment as an Assistant Dean for the Gerontology Interdisciplinary Program (GIP). This position will combine leadership, teaching, and scholarship in the Gerontology Interdisciplinary Program. The College of Nursingâs GIP includes an interdisciplinary MS program with a baccalaureate minor and graduate and baccalaureate certificate options. |
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Special Interest Group for International Engagement and Development (SIG-IED) UpDate
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The Special Interest Group for International Engagement and Development (SIG-IED) has some good news to share. First, we now have two new Chair and Co-Chair â Dr Sherry Dahlke and Dr Martina Roes â to lead us forward driving international collaboration. Second, our Group has grown.
In the past year, we have successfully recruited new members at the 2020 and 2021 Leadership Conference and through new members' referrals. Presently we have 34 members (increased from 17) on our contact list, who come from 10 different countries/cities (increased from 6), namely Australia, Canada, Germany, Hong Kong SAR, Italy, South Korea, Taiwan, Thailand, Turkey, and the United States.
Presently, we are discussing a more flexible meeting schedule to accommodate international members from different time zones. Third, we have had our first faculty exchange program (Virtual) between the University of Alberta and the Hong Kong Polytechnic University.
An exciting development of this yearâs SIG-IED is that members have started discussing collaborations to draft manuscripts of common interests to the members.
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Family Caregivers Need a RAISE |
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A new op-ed in Route Fifty highlights ways to help the 53 million family caregivers living in the United States.
The 26 recommendations were sent to Congress to improve support for family caregivers through commonsense solutions like paid leave and workplace protections.
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Age-Friendly Insights: How Do Older Adults Feel About Nursing Homes? |
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Key findings from the survey of older adults include:
- 71% say they are unwilling to live in a nursing home in the future;
- 57% say COVID influenced that decision;
- Nearly 90% say changes are needed in nursing homes; and
- Black and Hispanic older adults are more concerned with nursing home safety.
The results come from JAHFâs new Age-Friendly Insights, a polling series on improving the care of older adults, and affirm the necessity of work by JAHF and its partners to redesign nursing home care through projects including:
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Case Western Reserve University Nurse Researchers Team with CVS Healthâs MinuteClinic to Implement Revolutionary Approach to Geriatric Care |
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Mary Dolansky found herself in the middle of a family health predicament.
Years ago, her aging father-in-law, Robert, was battling the precarious edge of a heart condition, and Dolansky and her husband were split with indecision. After all, Robertâs heart medication, which made him dizzy and foggy-minded, cost $1,000 per dose. He was attached to a machine and immobile for most of his days.
As the Sarah C. Hirsch Professor at Case Western Reserve Universityâs Frances Payne Bolton School of Nursing, Dolansky, PhD, RN (GRS â01, nursing), now faced an all-too common dilemma she had entrenched herself in after decades of research and practice in geriatrics: Who decides what is best in senior care? Them or me?
âHe didnât necessarily want to have an extended life, but a better quality of life,â Dolansky said. âStill, no one ever asked him, âWhat matters to you?ââ
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Dolanskyâs question is at the root of a revolutionary movement in gerontology and care for older adults being propagated by nurse researchers at Case Western Reserve. Itâs also a vital part of the âAge-Friendly Health Systems 4Msâ approach to chronic and ambulatory care for people ages 65 and upâan empathy-focused framework created by The John A. Hartford Foundation (JAHF) and Institute for Healthcare Improvement (IHI) thatâs now being implemented at 1,100 MinuteClinicsâinside select CVS Pharmacy locationsâand being taught virtually to over 3,300 nurse practitioners and 1,200 practical nurses nationwide.
The brainchild of a CVS-CWRU partnership, with advising from the IHI, the Age-Friendly Health Systems 4Ms implementation is funded by the JAHF through an initial one-year, $945,000 planning grant followed by three-year, $2.44 million grant. Itâs an initiative based on decades of evidence among three esteemed research organizations and dozens, if not hundreds, of experts in geriatrics.
âIt reflects a new paradigm of health care,â Dolansky said.
The 4Ms approach to careââWhat Matters?ââMedication,â âMentationâ and âMobilityââcould not come at a better time, it seems, in the world of American health care. Besides the obvious risks to aging adults during the Delta variant phase of COVID-19, the senior population is only getting olderâand quick. U.S. Census data predicts this age group will nearly double in size by 2035, from 49 million to 78 million, and occupy about 24% of the population by 2060. Couple this with decades of unsolved elder abuse, over-prescribing, and the pandemicâs amplification of nursing home vulnerability, and you get a perfect storm that beckons a clarified solution, said Terry Fulmer, PhD, RN, president of The John A. Hartford Foundation, a philanthropic organization focused on improving older adult care.
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HIGN Announces New Partnership with NHCGNE |
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We are proud to announce our new partnership with Hartford Institute for Geriatric Nursing. This partnership allows both organizations to provide benefits, opportunities, and collaborative activities that facilitate achievement of our missions. Together, we can promote outreach to a broader network of nurses interested in promoting the quality of care provided to older adults.
NHCGNE Members will receive the following benefits:
- 25% discount on HIGN Summer Scholars Program.
- 50% discount for NHCGNE faculty at member institutions on customized package(s) of HIGN online learning resources.
We would also ask that you advertise two of our newest course packages:
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Gerontological Certification Review Course
Created by HIGN, the Gerontological Certification Review Course is a collection of 13 individual, interactive online modules developed by NYU Rory Meyers College of Nursing faculty and featuring the latest content to date.
These modules review knowledge of geriatric nursing and can be used with conventional test preparation for the ANCC Gerontological Nursing Certification Exam.
The course has the following modules, each comprising engaging graphics, in-depth material, and knowledge checks. Nursing CEâs are available for each module.
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Behavioral Health in Primary Care
Free Courses and Case Studies!
Topics in the BHPC Series Include: Depressive Disorders, LGBT Diversity Inclusion, Risk Screening, Social Determinants of Health, Substance Use Disorders, and Trauma-Related Disorders
ï»żAppropriate for RNs, LPNs, and other members of the interprofessional team. With each course, you will receive 0.5-1.5 Continuing Education Credits for nurses.
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Say it with "Got Content"! |
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Next New Directions Content Submission Deadline:
March 2022
Deadline: January 20, 2022 (Publish February 5)
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ï»żNewsletter submissions should be sent to NHCGNE Staff at info@nhcgne.org with
NHCGNE New Directions Submission in the subject line.
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Do You Know Someone Who's Not Getting Our Newsletters? |
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Let us know of people who are not already receiving the News Digest mailing list for member schools. If you know of faculty or PhD students that are not receiving this - email us at info@nhcgne.org with their name and email address.
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