Lakeland Library Cooperative

Abstract U.S. Census trends indicate significantly increased numbers of older adults and thus, a greater need for medical and mental health providers equipped to address older adult needs. Since the Building Bridges Conference in March 2021, the Building Bridges Post-Licensure (BBPL) group has been working to advance clinical practice with older adults. In 2022, we conducted a needs assessment of 80 post-licensure psychologists and identified a strong desire for gero-focused case consultation. We subsequently launched two six-month pilot consultation groups, occurring monthly for 90 minutes and led separately by a board certified geropsychologist. The groups consisted of didactic teaching, case presentation, and case discussion, focusing on foundational knowledge, assessment, and intervention geropsychology competencies. Nine licensed psychologists and one licensed clinical social worker completed consultation and eight of these participants completed the post-assessment. Most agreed consultation added value to their clinical practice (62% ‘strongly agree’; 38% ‘agree), was responsive to their professional needs (75% ‘strongly agree’; 25% ‘agree’), and 88% strongly agreed they received direction with difficult cases. Qualitative accounts of skills implemented were highlighted. This presentation will describe the BBPL’s efforts in developing these groups, including recruitment strategies, structure and format of monthly groups, and outcome measures. This approach may serve as a model for other disciplines interested in developing post-licensure training and educational opportunities for providers working with older adults.

To elicit oncology nurse leaders' perceptions and experiences of accessing, using and interpreting report data at the unit level, and their suggestions for future reports. Nurse leaders are expected to use data reports for decisions about unit-level operations, yet data may be inaccessible, unavailable and lack relevance for improving patient care and unit-level outcomes. A purposeful sampling was used to recruit 12 unit-level nurse leaders. Qualitative data were collected through semi-structured interviews and analysed using thematic content analysis. Consistent themes included the lack of accurate, useful and meaningful data specifically related to patient care. Accessibility Challenges, Limits to Applicability and Suggestions for Improvement were the main themes. Nurse leaders require real-time data to effectively implement clinical interventions and practice changes for improving unit-level patient care. Nurse leaders emphasized that their insight into the development of customizable reports is crucial for obtaining meaningful data relevant to the varied unit-level health care setting. Reports targeting unit-level outcomes would provide meaningful data to facilitate clinical improvement where patient care is provided. Improved reports increase the likelihood of their use and the potential for enhancing the quality and safe care outcomes.

Human neutrophil antigen (HNA)-4a/4bw is encoded by 230G>A in ITGAM, which results in an Arg61His substitution of the αM chain (CD11b) of complement receptor 3 (CR3; CD11b/18 or Mac-1). HNA-4a antibodies have been detected in the sera of female blood donors and in maternal sera that caused alloimmune neonatal neutropenia (ANN), in which maternal immunoglobulin (Ig)G antibodies against a paternally inherited HNA cross the placenta and destroy fetal and neonatal neutrophils. However, to date, antibodies specific for HNA-4b have not been reported. Here, we report the first two examples of HNA-4b antibodies. The two sera studied were both from previously pregnant females, one a multiparous female blood donor implicated in two separate transfusion reactions and the second a mother whose first pregnancy resulted in the birth of a severely neutropenic (0 × 10(6) neutrophils/L) infant affected with ANN. Serum neutrophil antibody testing was by flow cytometry and CD11b/18 monoclonal antibody immobilization of granulocyte antigens assay, and HNA genotyping was performed by polymerase chain reaction with sequence-specific priming and allele-specific 5' exonuclease assays. Sera from both women contained IgG antibodies reactive only with HNA-4b+ neutrophils and both typed HNA-4a/a. Both were immunized through pregnancy since their husbands and children all typed HNA-4a/b. The serologic results, together with the genotype results, confirm that these are the first reported cases of neutrophil antibodies specific for HNA-4b.

Experiential techniques, such as role plays and simulations, are recommended to achieve nursing home staff training and development objectives. Experiential techniques can be customized to match the learning styles and preferences of all levels of nursing staff. Nursing staff's reactions to and benefits from such techniques are a necessary first step in the evaluation of a skills training program. Project RELATE (Research and Education for Living with Alzheimer's Disease: Therapeutic Eldercare) measured reactions to and knowledge gained by nursing staff using such techniques in training person-centered care. Findings suggest experiential techniques are efficacious as learning methods.