THE ATTITUDES OF REGISTERED NURSES TOWARDS ELDERLY IN THE GERIATRIC MEDICAL FACILITY IN SHANGHAI

Abstract

central in the publicly funded project "ROBINA". Here, a robotic-supported arm that directly receives user commands will be developed to support ALS-patients in their activities of daily living. A user-centered design is ensured by the involvement of all user groups (ALS-patients, formal and informal caregivers) into the development process. We present the preliminary results from a first study that evaluated the needs of ALS-patients. The methodology consisted of a quantitative and qualitative approach using questionnaires, interviews and participatory observations. Relevant topics addressed technology acceptance and related influencing factors, e.g. fear of losing human proximity or social participation via assistive systems. Crucial requirements were to guarantee patient safety and to target an adaptive system use to ensure the longest possible usage despite the body sta-tus' deterioration. Insecurities concerned the realization of the robotic-arm's features and the financing. The results of the requirements analysis are the basis for the further course of the project. A transferability of the results to geriatric patients is given as they often experience motoric impairments , e.g. after stroke, and would profit from the robotic-arm described above. Disturbances in sleep and circadian rhythms are common among residents of long-term care facilities. In this systematic review, we aim to identify and evaluate the literature documenting the outcomes associated with non-pharmacological interventions to improve sleep among long-term care residents. The Preferred Reporting Items for Systematic Reviews guided searches of five databases (MEDLINE, Embase, CINAHL, Scopus, Cochrane Library) for articles reporting results of experimental or quasi-experimental studies conducted in long-term care settings (nursing homes, assisted-living facilities, or group homes) in which nighttime sleep was subjectively or objectively measured as a primary outcome. We categorized each intervention by its intended use and how it was administered. Of the 54 included studies evaluating the effects of 25 different non-pharmacological interventions, more than half employed a randomized controlled trial design (n=30); the others used a pre-post design with (n=11) or without (n=13) a comparison group. The majority of randomized controlled trials were at low risk for most types of bias, and most other studies met the standard quality criteria. The interventions were categorized as environmental interventions (n=14), complementary health practices (n=12), social/physical stimulation (n=11), clinical care practices (n=3), or mind-body practices (n=3). Although there was no clear pattern of positive findings, three interventions had the most promising results: increased daytime light exposure, nighttime use of melatonin, and acupres-sure. Non-pharmacological interventions have the potential to improve sleep for residents of long-term care facilities. Further research is needed to better standardize such interventions and provide clear implementation guidelines using cost-effective practices. Objective: To investigate attitudes of registered nurses working in the geriatric medical institution towards the older, analyze its influence factors, and explore real care experience and attitudes of nurses when they are taking care of the older. Methods: This study employed survey research method associated with focus group interviews. Using the convenience sampling method to select 441 registered nurses who worked in the geriatric medical institution from Aug 2016 to Oct 2016. The questionnaires included General Information Questionnaire of Nurses,Kogan's Attitudes toward Old People Scale (KAOP), Facts on Aging Quiz 1 (FAQ1), Professional Identification Scale (PI) and Maslach of Burnout Inventory (MBI). A total of 19 registered nurses were interviewed in three focus groups. Results：The average score of nurses' attitudes toward the older is (111.08 ± 11.47), among which the average score of passive attitude is （54.74 ± 8.20）and positive is （53.82 ± 7.60）.The main factors influencing the attitudes toward the older include patients' self-care abilities , the nurses' professional ranks, the reasons to choose for elderly care, knowledge about aging, professional identification , emotional exhaustion (P < 0.05). Conclusion：Elderly medical institutions nurses' attitudes towards the elderly is positive. The formation of attitudes is often influenced by past experiences, with positive attitudes often accompanied by pleasant experiences, and negative attitudes are often accompanied by past experiences.Therefore, nursing managers should pay attention to the nurses' attitudes toward the older and views of care experience, to explore the corresponding education and management strategies to deal with nurse-patient relationship, reduce emotional exhaustion and provide better overall care services for the elder. Music and MemorySM (M&M) is a program that provides personalized music to older adults with dementia and other cognitive or behavioral symptoms. One aim of this study was to examine whether the program reduced anti-psychotic use and/or improved behaviors in nursing home (NH) residents with these conditions. Alzheimer's disease affects 1 in 9 Americans over age 65 years and 32% of those 85 years and older. Currently, 5.4 million Americans have dementia; 70% reside in NHs and many are reported to have behavioral and psychiatric symptoms. In 2016, the cost of dementia care was $236 billion on top of the 18.1 billion hours of unpaid time for personal or family care. This was a quasi-experimental study; all NHs received M&M equipment (computers and iPods) and national certification in the M&M program. NHs were expected to enroll 15 residents