Objectives: The purpose was to examine the effectiveness of music care on cognitive function, depression, and behavioral problems among elderly people with dementia in long-term care facilities in Taiwan.Methods: The study had a quasi-experimental, longitudinal research design and used two groups of subjects. Subjects were not randomly assigned to experimental group (n = 90) or comparison group (n = 56). Based on Bandura's social cognition theory, subjects in the experimental group received Kagayashiki music care (KMC) twice per week for 24 weeks. Subjects in the comparison group were provided with activities as usual.Results: Results found, using the control score of the Clifton Assessment Procedures for the Elderly Behavior Rating Scale (baseline) and time of attending KMC activities as a covariate, the two groups of subjects had statistically significant differences in the mini-mental state examination (MMSE). Results also showed that, using the control score of the Cornell Scale for Depression in Deme...

Effect of music care on depression and behavioral problems in elderly people with dementia in Taiwan: a quasi-experimental, longitudinal study

Aims and objectives

To investigate the levels and causes of work-related frustration among senior nurses.



Background

Role changes and the associated expectations and setbacks faced by senior middle-aged nurses can easily result in low morale. Therefore, working setbacks experienced by senior nurses must be investigated.



Design

A cross-sectional questionnaire study.



Methods

Purposive sampling was used to select questionnaire recipients. In total, 482 senior nurses completed and returned a structured questionnaire.



Results

The predictive factors for frustration at work among senior nurses included age, service unit, and the impact of sleep disorders, which jointly explained 54% of the variance. In particular, age and service unit were important predictive factors for frustration at work.



Conclusions

Senior nurses had medium-to-low scores for frustration at work and did not perceive a high level of frustration.



Relevance to clinical practice

The outpatient departments and other medical departments in this sector should provide a reasonable system of incentives and promotion opportunities if they are to retain their most senior and experienced nurses. The results of this study could serve as a reference for hospital administrations.

Work‐related frustration among senior nurses at a medical centre

The implementation of a nursing information system is a revolutionary change in that with its help nurses can quickly complete various assessments and treatment records and simplify manual work. Consequently, physicians and interdisciplinary teams can query information and deliver the most accurate treatment. Since the implementation of a nursing information system to the case hospital, the recording time difference between new and senior nurses was reduced; for new nurses, the recording time per shift decreased from 66.2 ± 15.0 minutes to 37.16 ± 15.7 minutes, while for senior nurses with more than 10 years of experience, it decreased from 45.4 ± 6.65 minutes to 29.1 ± 4.23 minutes. With the application of the innovation diffusion theory, the Nursing Department achieved cross-team cooperation with the Information Department and successfully developed the nursing information system, which laid a solid foundation for the case hospital to further develop other information systems.

The Effect of Implementation of a Nursing Information System: Experiences in a Regional Teaching Hospital in Taiwan.

Es existieren zahlreiche Studien uber zerebrale Korrelate des Musikhorens. Aus diesen Studien sind Implikationen fur musiktherapeutische Anwendungsgebiete abzuleiten. Depression und Demenz sind zwei solcher Gebiete, die aus verschiedenen Grunden in den Fokus musikpsychologischer Wirkungsstudien geraten sind. Ungeachtet zahlreicher systematischer Beobachtungen auf behavioraler Ebene sowie sich verdichtenden Hinweisen auf klinisch relevante Wirkungen musikbasierter Interventionen klaffen Forschungslucken zwischen neurowissenschaftlichen Grundlagen und klinischer Anwendung.

Musikhören bei Depression und Demenz: von der Hirnforschung zur klinischen Anwendung

Policy-Driven Post-Acute Care Program Lowers Mortality Rate and Medical Expenditures After Hospitalization for Acute Heart Failure: A Nationwide Propensity Score-Matched Study.

Background Although music therapy is now applied widely as an intervention for elderly dementia patients, the effectiveness of this therapy is not yet well understood Purpose This study conducts a systematic review of clinical studies that address the effectiveness of music therapy in elderly dementia patients Methods Databases including MEDLINE, Cochrane Library, ProQuest, EBMR, CINAHL, and CEPS were searched for relevant articles published between 2004 and 2013 using the key words "music" or "music therapy" with "dementia" An initial 272 original articles were identified Applying inclusion criteria and excluding duplications left 18 articles that used randomized controlled trials to assess the effectiveness of music therapy in elderly participants for further analysis and synthesis Results Music therapy was found effective at improving cognitive functions, mental symptoms, and eating problems However, this therapy was not found effective at improving irritable behavior Type of music and method of presentation were the most important factors affecting results Most studies (611%) used songs familiar to ÷ favored by the participants; most studies delivered 30-minute interventions twice weekly; and most studies used a therapy duration of 6 hours Finally, most studies (778%) had music therapy sessions performed by either music therapists or trained healthcare providers Conclusions / implications for practice This study supports that music therapy is an effective nursing intervention for elderly dementia patients The authors hope that findings are a helpful reference for clinical nurses to develop practical music therapy procedures and protocols

[The use of music intervention in nursing practice for elderly dementia patients: a systematic review].

BACKGROUND The professional nursing clinical ladder program can effectively enhance the professional morale of nursing staff and help retain the best senior nurses in clinical settings. Hence, it is important to explore factors that influence nurse staff intentions to participate in the clinical ladder. PURPOSE This study examined factors that affect nurse staff intention to participate in the N3 nurse clinical ladder program. METHODS We used a cross sectional study design and a structured questionnaire survey. We employed purposive sampling to recruit 389 nurse staffs qualified for promotion to the N3 level from a medical center in southern Taiwan. RESULTS Findings showed: (1) Nearly two-thirds (233, 59.9%) of participants intended to participate in clinical ladder; (2) The factors of age, years of nursing experience, years in current position, project/research experience, promotion experience, and intention all significantly affected intent to participate in the ladder; (3) A significant difference between willingness to participate in the ladder program and each of the following variables--motivation, satisfaction, professional capacity, and sense of achievement; (4) Logistic regression analysis identified only motivation as a valid predictor of willingness to participate the ladder program (95% CI: 1.21-3.78). CONCLUSION/IMPLICATIONS FOR PRACTICE Results provide a useful reference to nursing administrators for planning on-the-job training and increasing nurse staff participation in the ladder. The authors hope results can help promote better human resource management and achievements.

Factors of influence on willingness to participate in the N3 nursing clinical ladder program

/pdf/relationships-between-willingness-to-participate-in-the-212ax80j.pdf

Relationships between Willingness to Participate in the Nursing Clinical Ladder Program and Its Related Factors among Clinical Nurses

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[The use of music intervention in nursing practice for elderly dementia patients: a systematic review].

Factors of influence on willingness to participate in the N3 nursing clinical ladder program

Relationships between Willingness to Participate in the Nursing Clinical Ladder Program and Its Related Factors among Clinical Nurses