Facilitators and barriers of change toward an elder-friendly surgical environment: perspectives of clinician stakeholder groups.

Background: Current acute care surgical practices do not focus on the unique needs of older adults. Adverse outcomes in older patients result from a complex interrelationship between baseline vulnerability and insults experienced during hospitalization. The purpose of this study is to assess the organizational readiness and the barriers and facilitators for the implementation of elder-friendly interventions in the acute care of unplanned abdominal surgery patients.

Coming together and pulling apart: Exploring the influence of functional status on co-resident relationships in assisted living.

Social relationships can have considerable influence on physical and mental well-being in later life, particularly for those in long-term care settings such as assisted living (AL). Research set in AL suggests that other residents are among the most available social contacts and that co-resident relationships can affect life satisfaction, quality of life, and well-being. Functional status is a major factor influencing relationships, yet AL research has not studied in-depth or systematically considered the role it plays in residents' relationships.

The psychometric analysis of a brief and sensitive measure of perceived manageability.

This study was conducted to determine the psychometric properties of the newly developed Perceived Manageability Scale (PMnac). The study was retrospective in design. Two hundred sixty-one inpatients with a spinal cord injury were recruited from The National Spinal Injuries Centre (NSIC), Stoke Mandeville Hospital, UK, as part of a convenience sample.

Psychological adjustment to spinal cord injury: the contribution of coping, hope and cognitive appraisals.

This study explored the degree to which current cognitions, in terms of appraisals and hope, are associated with the use of coping strategies and psychological adjustment to spinal cord injury (SCI). A cross-sectional survey design was used. A range of comprehensive, standard self-report measures were administered to 54 newly injured people with SCI.