Are Nursing Faculty Future-Ready? The Effects of Emerging Technologies on Nursing Education.

Background: Preparing the next generation of nurses requires consideration for the integration of emerging technologies. This refers specifically to technologies that will shape and affect how care is delivered-not in today's health care facilities but in facilities 20 years from now and beyond.

Method: A cross-sectional survey examining how seven emerging technologies were integrated into nursing curricula was developed and distributed to nursing faculty.

Elderspeak communication and pain severity as modifiable factors to rejection of care in hospital dementia care.

Background: Rejection of care (RoC) occurs when persons living with dementia (PLWD) withstand or oppose the efforts of their caregiver. Improvements in hospital dementia care are needed, and one way to address this need is by identifying factors that lead to RoC, particularly those that are modifiable. Elderspeak communication is an established antecedent to RoC among PLWD in nursing homes.

Characteristics of elderspeak communication in hospital dementia care: Findings from The Nurse Talk observational study.

Background: Elderspeak communication is typically viewed as patronizing and infantilizing by older adults and can lead to resistive behaviors in persons living with dementia. Little is known about the presence of elderspeak communication in hospitals in the United States. Understanding this phenomenon in the hospital setting is needed in order to improve hospital dementia care.

How well does the discrepancy between semantic and letter verbal fluency performance distinguish Alzheimer's dementia from typical aging?

In Alzheimer's dementia (AD), greater declines in semantic fluency (SF) relative to letter fluency (LF) have been assumed to reflect semantic disintegration. However, the same pattern is observed in typical aging and neurodegenerative disorders besides AD. We examined this assumption by comparing different aspects of SF and LF performance in older adults with and without dementia, and identifying which verbal fluency measures most clearly distinguish AD from typical aging.

How Do Clinicians Judge Fluency in Aphasia?

Purpose: Aphasia fluency is multiply determined by underlying impairments in lexical retrieval, grammatical formulation, and speech production. This poses challenges for establishing a reliable and feasible tool to measure fluency in the clinic. We examine the reliability and validity of perceptual ratings and clinical perspectives on the utility and relevance of methods used to assess fluency.

Evaluating Cognitive-Linguistic Approaches to Interventions for Aphasia Within the Rehabilitation Treatment Specification System.

The Rehabilitation Treatment Specification System (RTSS) provides a framework to identify specific components of treatments developed within various rehabilitation disciplines (eg, physical, occupational, or speech-language therapy). Furthermore, this framework offers the opportunity to identify the target and active ingredients of a therapy approach as well as the mechanism of action by which it is hypothesized to effect change in abilities or functions. In this article, we apply the RTSS framework to the characterization of a sample of treatments for aphasia that are based on cognitive-linguistic models of language processing.

Demystifying the Complexity of Aphasia Treatment: Application of the Rehabilitation Treatment Specification Systemx.

A considerable body of research supports the use of behavioral communication treatment as the standard of care for aphasia. In spite of robust progress in clinical aphasiology, many questions regarding optimal care remain unanswered. One of the major challenges to progress in the field is the lack of a common framework to adequately describe individual treatments, which, if available, would allow comparisons across studies as well as improved communication among researchers, clinicians, and other stakeholders.

Understanding Elderspeak: An Evolutionary Concept Analysis.

Background And Objectives: Elderspeak is an inappropriate simplified speech register that sounds like baby talk and is used with older adults, especially in health care settings. Understanding the concept of elderspeak is challenging due to varying views about which communicative components constitute elderspeak and whether elderspeak is beneficial or harmful for older adults.

Research Design And Methods: Rodgers' evolutionary concept analysis method was used to evaluate the concept of elderspeak through identification of elderspeak's attributes, antecedents, and consequences.

The effects of age and verbal ability on word predictability in reading.

Increased predictability effects in older compared to younger adults have been mostly observed in late eye-movement measures during reading. However, it is unclear whether and how these effects may be related to verbal ability, which typically improves with age. Past studies have shown that verbal abilities modulate the predictability effect.

Factor Analysis of Spontaneous Speech in Aphasia.

Purpose Spontaneous speech tasks are critically important for characterizing spoken language production deficits in aphasia and for assessing the impact of therapy. The utility of such tasks arises from the complex interaction of linguistic demands (word retrieval, sentence formulation, articulation). However, this complexity also makes spontaneous speech hugely variable and difficult to assess.

How Old Do You Think I Am? Speech-Language Predictors of Perceived Age and Communicative Competence.

Purpose Spoken language serves as a primary means of social interaction, but speech and language skills change with age, a potential source of age-related stereotyping. The goals of this study were to examine how accurately age could be estimated from language samples, to determine which speech and language cues were most informative, and to assess the impact of perceived age on judgments of the speakers' communication skills. Method We analyzed narratives from 84 speakers aged 30-89 years to identify age-related differences and compared these differences to factors affecting perceptions of age and communicative competence.

Lexical prediction in the aging brain: The effects of predictiveness and congruency on the N400 ERP component.

Although the N400 ERP component has been extensively studied in younger adults, the underlying mechanisms are still unclear. In older adults, N400 ERP studies have shown less efficient use of context compared to younger adults. Here, we asked whether the mechanisms underlying the N400 effect are the same in terms of predictiveness and congruency in younger and older adults.

Why do older adults have difficulty with semantic fluency?

Aging involves many cognitive declines, particularly in fluid intelligence, with relative maintenance of crystallized intelligence. This paradox is evident in the language domain: lexical retrieval becomes slower and less accurate, despite well preserved vocabularies. Verbal fluency assesses both crystallized and fluid aspects of language.

Older is wiser? It depends who you ask… and how you ask.

Interacting with older adults can trigger a number of stereotypes. Negative stereotypes tend to dominate, but a persistent positive perception of aging in the popular psyche is that age brings wisdom. Despite this common belief, previous research suggests that the relationship between age and wisdom is weak and inconsistent.

Finding Meaning in Written Emotional Expression by Family Caregivers of Persons With Dementia.

This study tested the effect of written emotional expression on the ability to find meaning in caregiving and the effects of finding meaning on emotional state and psychological burden in 91 dementia family caregivers. In a pretest-posttest design, participants were randomly assigned to either an experimental or a comparison group. Experimental caregivers (n = 57) wrote about their deepest thoughts and feelings about caring for a family member with dementia, whereas those in the comparison group (n = 34) wrote about nonemotional topics.

The Aging Neighborhood: Phonological Density in Naming.

Aging affects the ability to retrieve words for production, despite maintainence of lexical knowledge. In this study, we investigate the influence of lexical variables on picture naming accuracy and latency in adults ranging in age from 22 to 86 years. In particular, we explored the influence of phonological neighborhood density, which has been shown to exert competitive effects on word recognition, but to facilitate word production, a finding with implications for models of the lexicon.

Semantic interference in a randomized naming task: effects of age, order, and category.

Lexical retrieval in production is a competitive process, requiring activation of a target word from semantic input and its selection from amongst coactivated items. Competitors are automatically primed through spreading activation within the lexicon, but competition may be increased by the prior presentation of related items: the semantic interference effect. This has been demonstrated in tasks in which pictures grouped by semantic category are compared to unrelated pictures (blocked naming) and in tasks involving successive naming of items from the same semantic category (continuous naming).

Measuring the lexical semantics of picture description in aphasia.

BACKGROUND: Individuals with non-fluent aphasia have difficulty producing syntactically laden words, such as function words, whereas individuals with fluent aphasia often have difficulty producing semantically specific words. It is hypothesised that such dissociations arise, at least in part, from a trade-off between syntactic and semantic sources of input to lexical retrieval. AIMS: The aims of this study were (a) to identify quantitative measures of the semantic content of narrative for people with aphasia that are reliable indicators of semantic competence, independent of overall aphasia severity; (b) to determine whether these measures distinguish between fluent and non-fluent aphasia; and (c) to assess whether individuals with fluent and non-fluent aphasia show a trade-off between measures of syntactic and semantic production.

A neural signature of phonological access: distinguishing the effects of word frequency from familiarity and length in overt picture naming.

Cognitive models of word production correlate the word frequency effect (i.e., the fact that words which appear with less frequency take longer to produce) with an increased processing cost to activate the whole-word (lexical) phonological representation.

Entrepreneurial organizations: the driving force for improving quality in the healthcare industry.

Using DiMaggio and Powell's concept of institutional isomorphism, the authors explain why healthcare lags behind other industries in innovating new production functions that address quality. Healthcare finns can "learn" to be entrepreneurial organizations within Stevenson's 'entrepreneurial versus administrative behavior' framework and Covin and Slevin's model of an entrepreneurial organization's required culture and behavioral support structure.

Designing and implementing an undergraduate health administration program for nontraditional students.

This paper describes the development and implementation of an undergraduate health administration program for nontraditional students at a Hispanic serving institution. The program had to meet the needs of a diverse, adult student population, the local community, and the future leadership requirements of the healthcare industry. As such, the program was designed as a "bridge" for full-time employed healthcare licensed professionals seeking to complete a baccalaureate degree and obtain positions in the healthcare management field.

Models of errors of omission in aphasic naming.

Five computational models of lexical access during production are tested for their ability to account for the distribution of aphasic picture-naming errors. The naming profiles (N= 14) were chosen from the literature to represent patients who make a relatively large number of omission errors. The most successful models combined the damage assumptions of the semantic-phonological model of lexical access (Foygel & Dell, 2000) with a treatment of omission errors as largely independent from overt errors (Ruml, Caramazza, Shelton, &Chialant, 2000).

Phonological neighborhood effects in aphasic speech errors: spontaneous and structured contexts.

The current study investigates the influence of phonological neighborhoods on the accuracy of speech production in aphasia by examining errors produced in both spontaneous and structured speech tasks. Characteristics of the phonological neighborhoods of spontaneously produced aphasic errors are compared to the neighborhood characteristics of correctly produced targets in a picture description task. Accuracy of picture naming is also examined with reference to the phonological neighborhood characteristics of the stimuli.