Center of Geriatric Nursing Excellence - Annual Report, 2019

www.nursing.psu.edu/cgne

Center of Geriatric Nursing Excellence 304 Nursing Sciences Building University Park, PA 16801 814-863-1048 cgne@psu.edu Editorial Team: Christine Binduga Donna Fick Brooke Killmon Morgann McAfee Janice Whitaker This publication is available in alternative media on request.

Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

U.Ed. NUR 20-01 Š The Pennsylvania State University.

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INTRODUCTION

Vision and Mission Leadership Team Welcome Infographic Activities and Output HIGHLIGHTS

Educational Excellence Scientific Research and Translation of Best Practice Service, Strategic Partnerships and Sustainability

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CELEBRATIONS

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FACULTY ACTIVITIES

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ACKNOWLEDGEMENTS

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LOOKING AHEAD

Annual Events Accomplishments Awards Publications Presentatons Grants Donors Sponsors Make a Gift

Educational Excellence Scientific Research and Translation of Best Practice Service, Strategic Partnerships and Sustainability

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T H E C E N T E R O F G E R I A T R I C N U R S I N G E X C E L L E N C E The Center of Geriatric Nursing Excellence (CGNE) establishes and maintains affiliations and collaborative partnerships with various community members, strategic partners, and organizations on a local and regional basis, throughout the Commonwealth of Pennsylvania, and in countries including Australia, Canada, Germany, and the United Kingdom.

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CGNE was established in 2007 with a mission to prepare a growing number of nurse educators who possess both the passion and the expertise to create the future of gerontological nursing education and practice.

CGNE collaborates with and provides programming for all Penn State campuses, including six satellite sites, other colleges and departments, and World Campus online education.

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The Center of Geriatric Nursing Excellence strives to improve the lives of older adults in positive and personcentered ways.

M I S S I O N We are an interdisciplinary community of clinicians, nurse educators, researchers, scientists, and learners whose leadership involves actively improving health care and quality of life for older adults in America.

S U P P O R T Our work is made possible by generous supporters like you. Gifts of any size help us to continue to improve the healthcare and quality of life for older adults through innovative and integrated educational programming, rigorous clinical and translational research, and community outreach. Donations can be made online: raise.psu.edu/CGNE; or mail to Penn State College of Nursing, Center of Geriatric Nursing Excellence, 201 Nursing Sciences Building, University Park, PA 16801.

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L E A D E R S H I P

Donna Marie Fick, PhD, RN, FGSA, FAAN Elouise Ross Eberly Professor; Director of the CGNE

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Janice Whitaker, MEd, BSN, RN Administrator and Community Liaison CGNE

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Ann Kolanowski,

PhD, RN, FAAN Professor Emerita of Nursing; Professor Emerita of Psychiatry; Penn State Hershey College of Medicine; Founder, CGNE

Marie Boltz PhD, GNP-BC, FGSA, FAAN Elouise Ross Eberly and Robert Eberly Endowed Chair; Professor; Associate Director of Translation, CGNE

Nikki Hill PhD, RN Assistant Professor; Associate Director of Education, CGNE

Kimberly Van Haitsma,

Judith E. Hupcey, EdD, CRNP, FAAN Professor of Nursing & Medicine; Associate Dean for Research & Innovation

Diane Berish, PhD Assistant Research Professor

Ying-Ling Jao, PhD, RN Assistant Professor

Susan Kukic, Director of Development and Alumni Relations

Morgann McAfee, Marketing and Creative Services Manager

PhD Associate Professor; Associate Director of Scientific Research, CGNE; Director of Program for Person-Centered Living Systems of Care; Adjunct Research Scientist, Polisher Research Institute, Abramson Senior Care

Christine Binduga, Education Program Assistant, CGNE

Andrea Yevchak Sillner, PhD, GCNS-BC, RN Assistant Research Professor

W E L C O M E Dear colleagues and friends, Welcome to the 2019 CGNE Annual Report.

We hope that you and your families are well during these historic and taxing times. 2020 thus far has been a challenging one, where many have suffered and died. We are hopeful that it will also be a year of learning from this crisis and years of resiliency and growth in the future.

In the following pages, we highlight new and exciting initiatives such as Age-Friendly Care, PA which provides education to providers, nurses and other healthcare workers, and community members about evidence-based practices related to the 4Ms framework.

Please read about increased student involvement and achievement including the ways in which students are impacting the lives of older adults. Learn how our team is moving forward by reviewing and updating our vision and mission statements, prioritizing center goals, and developing a strategic plan that aligns with the goals of our college and university.

We would be remiss if we didn’t also mention how the COVID-19 pandemic has underscored the importance of our endeavors to advance and support care for older adults and families, as well as our efforts to develop the next generation of nursing educators and researchers who specialize in gerontology. As most of you know, older adults have been the most affected by this pandemic. As of May 2020, even though older adults in residential facilities make up 0.6% of the population, they accounted for 42% of all deaths from COVID-19. CGNE has worked with several community partners to learn about the experiences of older adults while providing evidence-based guidance and resources.

We have educated our communities on the importance of knowing and acting on what matters, mentation, medications, mobility, and safely staying active and connected during social distancing. Our center has also been

involved in various state-wide and national initiatives to address specific aspects of this crisis. With the pandemic serving as a backdrop, many health care providers and caregivers have been adjusting the way they deliver safe and effective care while promoting quality of life. Our expertise serves as the framework for ensuring that the needs of older adults are still being met, and for addressing the health disparities that exist in healthcare and in our communities.

Finally, we want to thank Dean Laurie Badzek and our supporters for their continued engagement and support, while reassuring our strategic partners that CGNE remains committed to goals and outcomes that will improve the lives of older adults in positive and person-centered ways. Our work is more vital now than ever, a perspective that is shared by our leadership and funding agencies. As our strategic activities continue to grow and expand, we look forward to our continued partnerships and advancing the science and education of aging.

As always, we are open to feedback about our annual report as well as any specific content it contains. We hope that you find it interesting and informative. If you would like to connect with CGNE, please do not hesitate to reach out!

Warmest regards, Donna Fick Janice Whitaker

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I N F O G R A P H I C DATA SOURCED FROM 2019 ACTIVITIES AND OUTPUT

Nursing Continuing Professional Development Events

249 Contact Hours Issued

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94 Publications by CGNE researchers

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HIGHLIGHTS

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E D U C A T I O N A L E X C E L L E N C E COLLABORATIVE SEMINAR SERIES Each academic year, the CGNE and the Penn State College of Nursing Center for Nursing Research (CNR) collaborate to plan and implement a series of seminars. In addition to promoting skill-building, mentoring, and scholarly discourse among students and faculty, seminars provide interprofessional educational opportunities to the broader community, including many that offer nursing continuing professional development contact hours credit for Registered Nurses (RNs), which are provided by the College of Nursing Outreach and Professional Development office.The following descriptions highlight the seminars that involved learning objectives and content relevant to gerontology.

Treatment Fidelity Joanne Roman Jones, MS, JD, RN

Joanne shared principles, methods, and practical considerations related to treatment fidelity.

By designing research plans and projects that incorporate treatment fidelity, as well as collecting and monitoring data to determine the degree to which fidelity is maintained, nurse scientists will improve effectiveness, consistency, and results obtained from implementation research.

Delirium Assessment, Risk Factors, Nursing Interventions Tanya Maihot, PhD, RN

Aside from presenting key components for nursing assessment and intervention, Tanya shared strategies for involving families in detection and management, as demonstrated by the expertise she acquired with postoperative delirium among older cardiac surgery patients. As a postdoctoral fellow at the Department of Pharmacy and Health Systems Sciences of the BouvĂŠ College of Health Sciences at Northeastern University in Boston, her work focuses on cognition among older patients hospitalized in acute and critical care settings.

As nurses play a critical role in assessing and intervening with patients, they are well positioned to prevent, detect, and manage delirium.

Mindfulness in Nursing Leadership Kathryn Maxwell, DEd, CHES

Kathryn shared strategies for integrating mindful practices into leadership domains. These practices have been found to boost leadership performance by improving personal and professional effectiveness, workplace satisfaction, and overall organizational productivity. Maxwell, who served as an academic adviser, career counselor, and instructor in kinesiology and special topics honors courses at Penn State for over 25 years, taught courses in stress management, emotional intelligence, health education, human sexuality, and strategies for resisting disease.

The Purpose Therapy Box Ali Izzo, COTA and Holly Masters, COTA

Penn State Shenango alumnae and Certified Occupational Therapy Assistants developed an innovative tool to facilitate meaningful connections with family members and older adults to improve their sense of purpose. The Purpose Therapy Box won these entrepreneurs the grand prize in the April 2019 Inc.U competition.

Mental Fog after Concussion and Traumatic BrainInjury Tyler Bell, PhD

A post-doctoral scholar and member of the ReMind Lab in the College of Nursing. Bell shared information and research findings related to cognition and mental functioning after a person has experienced a concussion or other traumatic brain injury.

The Electronic Rapid Fitness Assessment (eRFA): A Comprehensive Assessment of Older Adults with Cancer Mary Elizabeth Davis, DNP, MSN, RN, CHPM, ADCNS As an advanced practice oncology nursing professional and Penn State DNP student, Davis explained how this comprehensive assessment of older adult cancer patients can help to improve health outcomes in older adult patients undergoing chemotherapy and other cancer treatment.

Check out our website to learn about our upcoming seminars: NURSING.PSU.EDU/CGNE/ COLLABORATIVE-SEMINAR-SERIES/ 11

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The CGNE & CNR had the pleasure of hosting Lisa Alves Gomes, PhD, professor of nursing at the University of Minho. Gomes spent much of the week meeting with College of Nursing faculty and leadership, guest presenting in several undergraduate and graduate nursing classes, and touring College of Nursing facilities. Gomes, whose interest and expertise is in the area of nursing rehabilitation, delivered her presentation titled "Heart Disease, Now What? Promoting Self-Care with Education" on August 29 to 50 Penn State faculty, staff, and community members.

She also shared her lecture with Encompass Health Rehabilitation Hospital of Nittany Valley staff the following day. The goal of the presentation was to foster an understanding of an educational program’s effectiveness and develop related skills that enhance patient self-care after acute coronary syndrome.

Penn State alum (MA in French ‘75 and PhD in French ’85), Régine Lambrech, PhD presented to a packed room on September 5. Her seminar focused on dementia’s second victim: the caregiver.

Her aptly titled presentation "Dementia: A Second Victim’s Perspective" examined demographics and economic data as well as physical, psychological, social, and financial ramifications of dementia on the caregiver.

Lambrech’s talk explored healthcare provider knowledge of caregiver stress and how it affects interactions with staff and the resident/ patient. Her lecture encouraged healthcare providers to develop partnerships with caregivers in order to provide person-centered care for dementia patients while supporting dementia’s second victims.

Photo of Régine Lambrech's talk on September 5

Image credit: Morgann McAfee L to R: Donna Fick, Lisa Gomes, Judith Hupcey, Janice Whitaker, Christine Binduga

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Lambrech, who was named a Distinguished Alumna of Penn State in 1996 and currently serves as President of the Penn State Society of Distinguished Alumni, has had a long career creating and managing international educational and research exchanges both in the United States and France. As a result of her mother’s Lewy Body Dementia diagnosis in 1999, Lambrech sought opportunities to learn

about dementia to provide the best possible care for her mother. She studied and received the Certified Dementia Specialist certificate from the Alzheimer’s Foundation of America, founded the Phone Angel caregiver support program for the Alzheimer’s Association of Connecticut, and ran several Alzheimer caregiver support groups. Lambrech used her experience and training to teach dementia care as an adjunct lecturer with the Avila Institute of Gerontology and currently coordinates the grant writing and fundraising efforts of the independent living, assisted living, and nursing home facilities of The Carmelite System.

Faculty, students, and local community members gathered on November 7 for a seminar presented by Kimberly Oosterhouse, PhD, RN, CNE, assistant professor in the Marcella Niehoff School of Nursing at Loyola University, Chicago. Her talk titled "EMR Delirium Identification: CUIs and TUIs and AUIs – Oh my!" centered on the incidence and prevalence of delirium in hospitalized older adults, identifying barriers to older adult delirium assessment in acute care, types of Electronic Medical Records (EMRs), and how to register for Unified Medical Language System Metathesaurus access.

Oosterhouse is Chair of the Midwest Nursing Research Society’s (MNRS) Gerontological Nursing Science Research Interest Group and a member of the Education Committee of the National Hartford Center for Geriatric Nursing

Excellence. Her expertise includes adult critical care nursing, nursing education, and older adult nursing care.

L to R: Janice Whitaker, Kimberly Oosterhouse, Donna Fick, Kimberly Van Haitsma

Want to be a visiting scholar or collaborate with our team?

VISIT NURSING.PSU.EDU/CGNE OR EMAIL CGNE@PSU.EDU 13

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IMPROVING CAREGIVER EMPATHY

BY IMPLEMENTING DEMENTIA LIVE® SIMULATIONS Since August of 2018, CGNE has provided funding to support faculty and staff at University Park as well as several commonwealth campuses to become certified as Dementia Live coaches. This eldercare program is sponsored by the AGE-u-cate® Training Institute and involves an experiential learning opportunity that immerses participants into what life might be like for a person living with cognitive impairment and sensory change. Upon becoming Dementia Live certified coaches, Janice Whitaker, MEd, BSN, RN, CGNE Administrator and PEEC Director, Ruth Bish, Program for Enhancing Excellence in Care (PEEC) Project Coordinator, and Donna Massari, CGNE Education Program Assistant conducted the Dementia Live experience with over 300 Cambria Care Center and SeniorLIFE employees as part of PEEC. It was so well received, that SeniorLIFE ‘s executive leadership requested that it be provided to family members as well.

In addition, CGNE gero faculty affiliate Daniel Eaton, DNP, RN, assistant teaching professor of nursing at Penn State Behrend focused his dissertation and practicum project on studying the potential impact of this type of education.

Eaton, teaches NURS 310 Therapeutic care of the older adult, NURS 420 Mental health nursing, and NURS 415 Community health

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nursing. As part of his studies and eventual graduation from Clarion University in 2018, his interest was in the impact of dementia simulation on participants’ empathy. He developed a pilot study that was conducted at a continuing care retirement community in Northwest Pennsylvania. There were 27 total participants in the study, with experience working with persons living with dementia ranging from less than 1 year to over 30 years. Participants included nurses, nurse aides, dietary workers, housekeepers, and therapy staff. The Jefferson Scale of Empathy (JSE) was used pre and post simulation to evaluate participants' empathy. Upon analysis

Image credit: Morgann McAfee Cambria Care Center employees are outfitted with DementiaLIVE gear.

CENTRE COUNTY GERIATRIC INTEREST NETWORK (GIN) of the data, statistically significant results were found, indicating that participants' empathy increased. In fact, every participant demonstrated some increase in their empathy score after experiencing Dementia Live.

Eaton is using his study results to guide current and future research. In addition, he’s in the process of developing: a scale that evaluates empathy, specifically as it relates to dementia; and, a virtual reality dementia simulation to provide participants a view of what life is like for someone living with dementia.

Image credit: Morgann McAfee

The Centre County GIN strives to educate, advocate, and provide networking opportunities for individuals and organizations that serve the needs of older adults in Centre County. As part of the educational arm, biannual conferences, which are co-sponsored by the CGNE, offer various disciplines continuing education units, some of which are provided by the College of Nursing Outreach and Professional Development office.

The 2019 spring program, “Leadership & Communication” was offered March 31 in Boalsburg, PA. Ninety-three health practitioners, administrators, and community members learned about the Servant model of leadership, which focuses on leading by example. The allday conference was presented

by Benjamin Elman, PhD, leadership development consultant of Bartell & Bartell, Ltd., pioneer in organizational and leadership technologies.

In the fall, Magaret Calkins, PhD, CAPS, EDAC, who presented at the seventh annual CGNE Alumni & Friends Spring Brunch, returned to Happy Valley to showcase her expertise and work. Nationally recognized as an innovative expert and dynamic leader in architectural research and gerontology, with a background in psychology, Calkins offered multiple sessions in addition to providing the keynote presentation at the October 18 conference.

Dr. Calkins is the president of IDEAS: Innovative Designs in Environments for an Aging Society, a consulting firm that improves care and quality of life for older adults through therapeutic physical, social and organizational environments.

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S C I R E S T R A N S B E S T

E N T I F I C E A R C H & L A T I O N O F P R A C T I C E

COLLABORATIVE BRINGS 4MS FOCUS TO HEALTH CARE IN PENNSYLVANIA Collaborations yield important and meaningful results difficult to achieve without a shared approach. Age-Friendly Care, PA is a collaborative for age- and dementia-friendly care that came together in the summer of 2019 with support from the Geriatric Workforce Enhancement Program (GWEP), a five-year 3.2-million-dollar grant to help ensure older adults in Pennsylvania receive quality primary health care that meets their needs.

The CGNE & CNR are working in collaboration with partners including the Primary Health Network (PHN), Area Agencies on Aging, Alzheimer’s Association, Leading Age, PA Department of Aging, and community-based organizations. The College of Nursing brings together a strong and vibrant team of researchers that are leading this collaborative endeavor.

These include Judith Hupcey EdD, CRNP, FAAN, professor of nursing & medicine, Associate Dean for Research & Innovation and Donna Fick (co-PI’s), PhD, RN, FGSA, FAAN, Elouise Ross Eberly Professor, Director of the CGNE and team members, Marie Boltz, Lisa Kitko, Diane Berish, Kimberly 16

Van Haitsma, Madeline Mattern, Marianne Adam, and Britney Wardecker. Each of these members brings a complementary expertise to the team.

The team also includes Erica Husser, PhD, project director, Jenny Knecht Fredo, MSN, CRNP, project nurse practitioner, and Janice Whitaker, MEd, BSN, RN, CGNE Administrator and Community Liaison. Members from the Primary Health Network include George Garrow, MD, medical director, and Marie Mulvihill, executive director and PHN GWEP liaison.

The Age-Friendly Care, PA team understands that older adults are unique, and their health care needs are different from middle aged or younger adults.

Older adults are complex individuals with a lifetime accumulation of experiences and preferences, and they need health care and communities that can meet them where they are. The goal of Age-Friendly Care, PA is to improve the health and quality of life for older adults in Pennsylvania, including those living with Alzheimer’s Disease and related dementias, and with a special attention to older adults living in rural parts of our state.

To achieve the goal, the team is educating and training health care professionals, and all involved in caring for older adults and older adults themselves, on the 4Ms of an Age-

Friendly Care Health System. This includes integrating age-friendly care into the College of Nursing undergraduate and graduate curricula.

The 4Ms are: What Matters, Medication, Mentation, and Mobility. When practiced as a set, these four essential elements can improve patient care, save resources, reduce harm, increase job satisfaction, and empower older adults and their caregivers. The 4Ms model is part of a national social movement initiated by the Institute for Health Care Improvement (IHI) and the John A. Hartford Foundation, and in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA).

The collaborative approach is at the heart of efforts and functions to bring the work to fruition. Age-Friendly Care, PA is one of 48 GWEPs across the nation.

Visit us at www.agefriendlycarepa.psu.edu to learn more and join the movement.

Jenny Knecht, NP (on left) poses with Primary Health Network providers and nurses during an AFC-PA pilot site visit. L to R: Jenny Knecht, CRNP AFC-PA, Marie Mulvihill, Grant Champion PHN, Jody Peters, Practice Manager PHN, Frank Conly, MD PHN, Kayla Davis, LPN PHN.

REDUCING DISABILITY VIA A FAMILY-CENTERED INTERVENTION FOR ACUTELY-ILL PERSONS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS Marie Boltz, PhD, GNPBC, FGSA, FAAN, Elouise Ross Eberly and Robert Eberly Endowed Chair and Professor of Nursing, along with her research team, focused on advancing current research testing the efficacy of Family-Centered Function Focused Care (Fam-FFC). The team has enrolled about 2/3 of the planned sample of patients who are living with dementia and their family caregivers. Along the way to final enrollment and data analysis, important findings about the hospital experience of persons with dementia have surfaced. Preliminary findings show occurrences of untreated pain and its association with functional decline and behavioral distress; health disparities in symptoms among black and white persons with dementia; and the positive influence of family-centered goal attainment upon cognitive and functional outcomes.

The project has been enriched by the work of two Penn State PhD students: Project Director, Ashley Kuzmik (Epidemiology, College of Medicine), who completed an analysis of MotionWatch 17

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data (a measure of physical activity) validating the use of this measure in hospitalized persons with dementia; and, Research Evaluator, Joanne Roman Jones (College of Nursing), who presented the project’s treatment fidelity work at the 2019 Eastern Nursing Research Society (ENRS) virtual conference.

In addition to contributing substantially to the project, both have passed comprehensive examinations and successfully defended their dissertation proposals.

ALZHEIMER’S DISEASE RISK FACTORS AS MEDIATORS OF SUBJECTIVE MEMORY IMPAIRMENT AND OBJECTIVE MEMORY DECLINE: A CONSTRUCT-LEVEL REPLICATION ACROSS FOUR STUDIES Nikki Hill, PhD, RN, assistant professor; associate director of education, Center of Geriatric Nursing Excellence reports that the results of this National Institute of Health (NIH)-funded study highlight relationships between reports of memory problems among older adults without cognitive impairment and future mental health. Although these memory complaints are often considered benign, Hill and team found that they are in fact associated with the development of future depressive and anxiety symptoms as well as perceived stress. These findings feature the need for clinicians to consider the potential implications of memory complaints as early indicators of psychosocial health needs.

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Hill has been leading the research team to disseminate results and develop research proposals to extend this work based on findings. In 2020, the team will examine how memory complaints, depressive symptoms, and anxiety symptoms influence the risk for cognitive decline and Alzheimer’s disease.

GERONTOLOGY RESEARCH INTEREST GROUP (GERO RIG) The Gero RIG, a newly created group founded and led by Diane Berish, PhD, assistant research professor, kickedoff with its first meeting on August 28. Each month, students, faculty, and others meet to discuss gerontology related research.

Berish, who joined the College of Nursing in 2018, says her intent in creating the group was to allow a space for faculty, students, and others to talk about and receive feedback on their ongoing research, research ideas, research issues/problems, and other research related topics.

SERVING THE PROFESSION A member of the INTERDEM taskforce on Methodology, Ann Kolanowski, PhD, RN, FAAN, and other taskforce members are applying new methods (non-RCT) to build upon the body of evidence for psychosocial INTERvention for people with DEMentia. The taskforce was originally initiated at the INTERDEM meeting in Barcelona in 2018 and expanded at the Den Hague meeting in 2019. INTERDEM is a panEuropean network of researchers collaborating and disseminating research on psychosocial

interventions aimed at improving the quality of life of people with dementia.

Kolanowski further serves her profession as a member of the Research Steering Committee for the NIA- and Alzheimer’s Associationfunded Leveraging an Interdisciplinary Consortium to Improve Care and Outcomes for Persons Living with Alzheimer’s and Dementia (LINC-AD) project (Sheryl Zimmerman and Sam Fazio MPIs). This project is an outgrowth of the recommendations of the 2017 National Research Summit on Care, Services, and Supports for Persons with Dementia and their Caregivers, specifically, the development of methods for measuring person-centered outcomes. The project also builds on the Alzheimer’s Association recently developed recommendations for quality dementia care. The overarching goals of LINCAD are to broaden interdisciplinary interest in measuring person-centered outcomes that: foster a constructive balance between strengths and deficits assessment, add a new emphasis on evidence-based tools to guide structures and processes of care, and provide a novel conceptual framework to inform measurement and care.

INMATES CARE

Stages of this research included: • A paper and electronic files Toolkit for Enhancing End-of-Life Care in Prisons was developed and implemented in six state prisons; • The Toolkit was transformed into 3 prototype computer-based training (CBT) modules and renamed Enhancing Care of the Aged and Dying in Prisons (ECAD-P) in a Phase I STTR study; and • A refinement and extension of that work was achieved in our recently completed Phase II STTR study, which resulted in a fullscale highly interactive CBT program that was usability tested in diverse correctional settings.

In the second focus of the research, Loeb and team transformed and programmed a highly interactive and media-rich set of prototype modules that are based upon best practices in inmate peer caregiving in the STTR Phase I study E-training of Inmate Peer Caregivers for Enhancing Geriatric and EOL Care in Prisons.

The product has been branded as Inmates Care. Face-to-face usability testing of three prototype modules has been completed.

Research was conducted in collaboration with Valerie Myers, PhD, senior scientist at Klein Buendel, Inc., a small business in Golden, CO.

Susan Loeb, PhD, RN, FGSA, FAAN, professor of nursing and medicine, recently completed her twofold research where one aspect focused on the research, development, dissemination, and implementation of a toolkit for training prison staff in strategies to enhace geriatric and end of life (EOL) care in prisons.

L to R: Kalei Kowalchik, Erin Kitt-Lewis and Susan Loeb at the first University Park Medical Campus Research Symposium

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PRAGMATIC TOOLS TO FACILITATE PREFERENCE BASED, PERSONCENTERED CARE

Building upon Kimberly Van Haitsma’s, PhD associate professor, early research on the value of individualized care for nursing home residents with dementia, VanHaitsma and team created the PELI, a questionnaire co-designed with older adults to promote daily care responsive to individual preferences. This first-of-its-kind tool was initially validated in testing with 500 home health care clients. Subsequent versions have been developed for nursing homes, and with varied populations such as LGBT older adults, seniors in adult day care, and home health recipients.

A new subscale for technology-assisted communication preferences for older adults and their family caregivers is being tested with funding by the Gordon and Betty Moore Foundation and under the leadership of Andrea Yevchak Sillner, PhD, GCNS-BC, RN, assistant research professor.

In addition, Britney Wardecker, PhD, assistant professor, has been awarded a grant to make the PELI more inclusive to gender identity and orientation issues, aka the Rainbow PELI. Seeking to address long-term care providers’ real-world needs and challenges, Van Haitsma and team have created a robust set of practical resources for practitioners 20

at all levels that include webinars, training videos, conferences and websites (Visit preferencebasedliving.com to view resources). Since 2017, the website has had over 9,000 users from the US (50 states) and internationally (46 countries).

HOSPICE CARE IN RURAL PA A new grant from the Center for Rural Pennsylvania will enable researchers in the College of Nursing and the Department of Health Policy and Administration in the College of Health and Human Development to assess the need for hospice and palliative care in rural Pennsylvania.

Co-investigators Lisa Kitko, PhD, RN, FAHA, FAAN, associate professor of nursing, Associate Dean for Graduate Education, and Joel Segel, assistant professor of health policy and administration, will analyze Medicare data to determine current and future demand for hospice services in rural Pennsylvania.

In addition, their team — which also includes graduate assistant Elizabeth Thiede, a student in the Ph.D. Degree Program in Nursing — will conduct interviews with hospice and palliative care providers to identify challenges and opportunities for delivering these services.

After the data has been analyzed and interpreted, the team will discuss the policies currently in place and how they can be updated to better serve patients who receive hospice and palliative care.

AMERICAN GERIATRICS SOCIETY (AGS) BEERS CRITERIA® UPDATE In January 2019, the AGS unveiled the third update to the AGS Beers Criteria, a frequently cited reference tool for healthcare professionals to help improve the safety of prescribing medications for older adults. An interdisciplinary panel of experts co-chaired by Donna Fick, PhD, RN, FGSA, FAAN, Elouise Ross Eberly Professor of Nursing and director of the Center of Geriatric Nursing Excellence, updated and expanded the guidelines by reviewing more than 1,400 clinical trials and researching and identifying more than 40 potentially problematic medications and classes of medications.

evaluating the ultra-brief screener, including determining the effectiveness and cost of having physicians, nurses, and certified nursing assistants administer the two-step delirium identification protocol.

Qualitative findings from direct observation and interviews will inform implementation of hospital-wide systematic delirium identification, including ways to improve adherence. This study also has an Alzheimer’s Disease and Related Dementia (ADRD) supplement funded in 2017 with an additional aim for understanding screening in persons with ADRD. To date, researchers have completed enrollment with over 900 assessments, 934 older adults and clinicians enrolled.

Enrollment and main aim papers for two thirds aims have been completed. Over ten READI papers have been published, though data is still being analyzed. Fick and Marcantonio have written specific aims, which are now under review by the larger team for a grant submission in 2020.

RESEARCHING EFFICIENT APPROACHES TO DELIRIUM IDENTIFICATION (READI) The purpose of this NIH funded R01, which ends in 2021, is to determine the best approach to implement systematic delirium identification at the bedside. Donna Fick, PhD, RN, FGSA, FAAN, Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Elouise Ross Eberly and Robert Eberly Endowed Chair and Professor of Nursing, and co-MPI Edward Marcantonio, MD, SM, professor of medicine at Harvard Medical School, and team are

Image credit: Morgann McAfee Project Director Erica Husser, PhD (right) on shift at Mount Nittany Medical Center screening for enrollment into the READI study with Logan Foreman, research assistant (left).

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S E R V I C E , S T R AT E G I C PA R T N E R S H I P S A N D S U S TA I N A B I L I T Y EXPLORING THE INTERSECTIONS OF ART, SCIENCE AND HEALTH Bill Doan, professor of theatre in the College of Arts and Architecture, has always recognized the connection between health care and the arts. Through this understanding came a collaboration with the College of Nursing for a unique artist-in-residence pilot program. The residency aims to infuse artistic representation into the science of nursing by focusing on caring for individuals experiencing some of life’s most difficult challenges.

In a project with Nikki Hill, PhD, RN, assistant professor; associate director of education, Center of Geriatric Nursing Excellence, a methodology known as story circles was used to investigate the potential for enhancing research aimed at improving illness representation, communication and intervention. Story circles involve the creation of original plays and the telling and listening to stories to cultivate an appreciation for the unique experiences of each participant.

One of Hill’s doctoral student advisees, Logan Sweeder, shared some of the early results of her study exploring cognitive problems in aging in a poster session as part of the College of Medicine's University Park Medical Campus Research Symposium on May 2.

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Doan and Lisa Kitko, PhD, RN, FAHA, FAAN, associate professor of nursing, Associate Dean for Graduate Education, also conducted a pilot story circle event at Juniputer Village at Brookline with individuals who received an advanced heart failure diagnosis. Doan is looking forward to obtaining the results from a pilot and is interested in exploring future College of Nursing collaborations including the possibility of examining the experiences of individuals with dementia with Donna Fick, PhD, RN, FGSA, FAAN.

Image credit: Morgann McAfee Bill Doan, professor of theatre and 2019–20 Penn State Laureate, capped off his first year as artist-in-residence with the College of Nursing with a new performance piece from his Anxiety Project, "Frozen in the Toilet Paper Aisle of Life."

CGNE FOUNDER’S NEW ROLE AT KING’S COLLEGE Ann Kolanowski, PhD, RN, FAAN, became an invited member of the President’s Council at King’s College in Wilkes-Barre, PA. King’s College is a liberal arts college run by the Holy Cross

Fathers that serves over 2000, primarily first generation, college students. In this position she experiences an academic institution from a new perspective, advising the college leadership advocating for older adults’ lifetime learning. Kolanowski is also a champion for the King’s College new nursing program, which is headed by Cynthia Mailloux, PhD, RN (chair) and Julie L. Murphy, PhD, RN (Director of the RN to BSN Program), both proud graduates of the Penn State College of Nursing doctoral program.

CGNE LEADERSHIP TEAM MEMBERS SERVE AS NATIONAL INSTITUTE ON AGING (NIA) IMPACT COLLABORATORY, DISSEMINATION AND IMPLEMENTATION (D&I) CORE ADVISORY MEMBERS Kimberly Van Haitsma, PhD associate professor, and Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Elouise Ross Eberly and Robert Eberly Endowed Chair and professor of nursing, have been asked to serve as advisory members of the D&I Core as a part of the large-scale NIA IMPACT Collaboratory (2019-2024), which is directed by primary investigators from Brown University and Harvard University. The Core is comprised of international experts in dementia implementation research and led by Laura Gitlin, PhD, MA, Founding Director, Center for Innovative Care in Aging at Johns Hopkins University. The aim of this project is to provide the national infrastructure necessary

to catalyze and support pragmatic clinical trials of non-pharmacological interventions for persons with dementia. The D&I core will provide technical assistance to investigators and identify pilot trials ready for full-scale evaluation and implementation within health care systems.

CGNE CELEBRATES ITS HIGHEST PARTICIPATION IN ANNUAL STATE COLLEGE WALK TO END ALZHEIMER’S The 2019 State College Walk to End Alzheimer’s was held on October 26 at Medlar Field/Lubrano Park. This year’s College of Nursing CGNE team celebrated its highest participation to date with 66 faculty, staff, and students walking, donating, or raising funds (placing 2nd in State College in terms of team size). In addition, the team doubled its fundraising goals, raising $4,300 in just six weeks (placing 3rd in the State College walk in terms of funds raised).

CGNE Walk to End Alzheimer's Team - - 2019

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HIGHLIGHTS

CGNE BRINGS HOLIDAY CHEER TO OLDER ADULTS IN CARE COMMUNITIES Twenty-six generous College of Nursing faculty members, staff, and students provided gifts to 29 older adults residing at 2 care communities: House of Care, State College and Salem Hill, Spring Mills. The gifts were delivered

by CGNE elves on December 19 and 20; the latter included refreshments and a special musical performance by Diane Berish, PhD, assistant research professor. Residents enjoyed the hearing and telling of special holiday memories and a fun sing-along.

Image credit: Christine Binduga Festive photo of donated gifts

L to R - Diane Berish, Christine Binduga, Janice Whitaker

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Image credit: Christine Binduga The Musical Stylings of Diane Berish, on the flute

Image credit: Christine Binduga L to R - Diane Berish, Donna Fick, Christine Binduga, Janice Whitaker

SETTING THE STAGE FOR ACTION IN RURAL HEALTH AND AGING In July, Janice Whitaker, MEd, BSN, RN, CGNE Administrator and Community Liaison, participated in an invitation-only two-day summit in Scranton, PA, which was organized and facilitated by The Honorable Kathy Greenlee, JD, President & CEO, Greenlee Global, LLC/ former Assistant Secretary for Aging, US Department of Health and Human Services.

The purpose of the summit, which was co-sponsored by the John A. Hartford Foundation and Harry and Jeannette Weinberg Foundation, was to draw on the wisdom and energy of nearly 40 local, regional, and national experts in the fields of aging and health. With a goal to “understand the strategies that can be deployed now, not in the distant future, to support the health and independence of rural older Americans,” the aim was to identify and prioritize action.

Participants were separated into three workgroups: coordinating care, technology for connectivity, and geriatrics workforce.

Conversations focused on adapting proven programs, closing the gaps in rural care, older adults and digital technology, and expanding the workforce to meet the needs of older adults. After many hours of collaborative discussion, the experts identified the following calls to action that can be taken immediately: • Identify community assets for older people • Engage older adults (advising communities on the nature of their needs)

• Integrate care (via care coordination) • Address social determinants of health • Age-friendly rural health by implementing the 4Ms • Address social isolation • Backbone organizations (identification of) • Build upon the Project ECHO model • Capacity building and technical assistance • Partnerships (local businesses) • Promote greater use of technology • Upskilling and advancement of direct care workforce • Map the rural landscape (research workforce shortages/service gaps)

STATE COLLEGE COMMUNITY FORUM In collaboration with the Alzheimer’s Association, the CGNE co-hosted a community forum on February 19th in State College, PA. Janice Whitaker, MEd, BSN, RN, CGNE Administrator and Community Liaison, and Jill Curtis, Alzheimer’s Association led a discussion to identify the needs and gaps in resources and opportunities for older adults in the State College area. The event also served as an invaluable opportunity to build and strengthen strategic partnerships with the Borough of State College, local media outlets, AIDS Resource Alliance, Sage Life Technologies, and Centre Volunteers in Medicine.

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HIGHLIGHTS

UNDERGRADUATE NURSING STUDENTS APPLY CLASSROOM LEARNING VIA OUTREACH ACTIVITY

Image credit: Morgann McAfee Nursing students and a Mount Nittany Residences resident

Image credit: Morgann McAfee Junior nursing students who particpated in the health fair

On October 15 and 16, Janice Whitaker, MEd, BSN, RN, CGNE Administrator and Community Liaison, and Mary Ellen Yonushonis, MS, RN, CNE, assistant teaching professor, and more than a dozen undergraduate nursing students participated in the Mount Nittany Residences Resource Fair. The event, which brought together over 150 older adults and resource professionals, was designed to provide helpful information to older adults in a familiar and comfortable setting. The College of Nursing team provided health screenings to Mount Nittany residents and educate them on the 4Ms of age-friendly care, while offering students an opportunity to apply material learned in the classroom.

Image credit: Morgann McAfee Nursing students and a Mount Nittany Residences resident

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INTERGENERATIONAL FRIENDS FAIR On June 1, Janice Whitaker, MEd, BSN, RN, participated in the Intergenerational Friends Fair, sponsored by the Penn State Intergenerational Leader Institute and the State College Friends School. The fair, which was held at the State College Friends School, provided activities for all ages including crafts, games, and interactive workshops on various topics.

Whitaker’s workshop, which was co-presented by Jomara Sandbulte, PhD student from the College of Information Sciences and Technology, was titled, “Family Conversations About Health.”

CGNE TAKES 2ND PLACE IN JUNIPER TRAIL OF TREES CONTEST In recent years, the CGNE has entered the Juniper Trail of Trees contest, a communitywide event hosted by Juniper Village at Brookline, a State College continuum of care community. The contest features dozens of holiday trees creatively decorated by local businesses, organizations, and Juniper departments. In 2019, the CGNE submitted a“Snowflakes that Warm Our Hearts” themed tree, which was adorned with photos of College of Nursing faculty, staff, and students alongside their loved ones.The CGNE was awarded 2nd place, which came with a donation to our charity of choice, the Alzheimer’s Association.

Image credit: Christine Binduga Judith Hupcey and her mother, aged 93 in the photo

Image credit: Christine Binduga Janice Whitaker and her mother, Connie

Image credit: Christine Binduga Rae Brown and her aunt, aged 101

Image credit: Christine Binduga Dean Badzek and her family on a trip to celebrate her 92 year old father

Image credit: Christine Binduga Photo of the CGNE & CON award-winning tree

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CELEBRATIONS

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A N N U A L

E V E N T S

SEVENTH ANNUAL CGNE ALUMNI AND FRIENDS SPRING BRUNCH

2019 CGNE HOLIDAY OPEN HOUSE

The Seventh Annual CGNE Alumni and Friends Spring Brunch was held on March 31 at the Nittany Lion Inn. The event, which was attended by 132 faculty, staff, and clinical/ community partners, featured keynote Margaret Calkins, PhD, CAPS, EDAC and offered one Continuing Nursing Education (CNE) unit to each Registered Nurse (RN) in attendance. The keynote presentation, “Environmental Design for Older Adults: Research and Practice Recommendation,” centered on environmental characteristics that positively impact the quality of life of older adults in various types of residential settings.

Attendees also celebrated the CGNE and its partners while enjoying brunch, opportunities for fellowship, and music.

The CGNE Holiday Open House was held on December 11th at the Nursing Sciences Building Atrium.The annual event provides an opportunity for faculty, staff, alumni, and community/clinical partners to celebrate the season, enjoy togetherness, and look back on the year’s accomplishments. Fortyfive attendees viewed a slideshow of the year in images while enjoying music and refreshments.

Image credit: Morgann McAfee Members of the CGNE leadership team*

Image credit: Emily Fritts Photo from the Spring Brunch Image credit: Christine Binduga Photo from the Holiday Open House

Image credit: Emily Fritts L to R: Magaret Calkins, Ann Kolanowski, Donna Fick, Laurie Badzek

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C E L E B R AT I O N S

A C C O M P L I S H M E N T S & A W A R D S ADMINISTRATION AND FACULTY Laurie Badzek American Nurses Association Leadership in Ethics Award Recipient

Michael Evans Promoted to Assistant Dean for Undergraduate Education, Commonwealth Campuses; Penn State Scranton Alumni Society's 2019 Alumnus of the Year

Nikki Hill 2019 Janet A. Williamson Excellence in Teaching Award Recipient

Ying-Ling Jao 2019 NHCGNE National Distinguished Educator in Gerontological Nursing Award Recipient

Lisa Kitko Promoted to Associate Dean for Graduate Education

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Ann Kolanowski 2019 CGNE Community Champion Award Recipient; Awarded Emerita Status

CGNE-AFFILIATED STUDENTS Liza Behrens

2019 CGNE Student Champion Award Recipient; 2019 ENRS/ Council for the Advancement of Nursing Science Dissertation Award; Post-Doctoral Research Fellow, New Courtland Center for Transitions and Health, Leonard Davis Institute of Health Economics at the University of Pennsylvania

Caroline Madrigal

2019 CGNE Student Champion Award Recipient; Advanced Fellow in Health Services Research, Center for Innovation in Long-term Services and Supports at the Providence VA Medical Center

Mary Alyce Nelson 2019 CGNE Student Champion Award Recipient

Elizabeth Thiede ENRS 2nd Place Student Podium Presentation Award Recipient

Kiernan Riley ENRS Early PhD School Selected Poster Award Recipient

Emily Bratlee-Whitaker Rapid Research Fan Favorite Award Recipient

Priyanka Shrestha University Park Medical Campus Research Symposium Best Poster Award Recipient

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C E L E B R AT I O N S

THE NHCGNE LEADERSHIP CONFERENCE SCHOLARSHIP PROGRAM Beginning in the fall of 2019, CGNE began a new initiative to provide sponsorships for two or more graduate nursing students to attend the National Hartford Center of Geriatric Nursing Excellence’s (NHCGNE) Leadership Conference,which is held annually two days prior to the Gerontological Scientific Association meeting at the same location. This sponsorship provides financial support for the conference registration and travel expenses.

The professional development activity is in alignment with the Center’s vision and mission, with emphasis on the promotion of leadership in gerontological nursing.

Eligible students must be affiliated with our center, have a program of study and project/research focus in gerontology, and demonstrate professional growth as a geriatric nursing leader. Due to a generous endowment, CGNE was pleased to provide financial support for three PhD students with this inaugural program in November of 2019. Rachel Arendacs, Logan Sweeder, and Priyanka Shrestha were our first doctoral students to participate in the NHCGNE Leadership on Aging: A Transdisciplinary Conference on Alzheimer’s and Aging held in Austin, Texas.

Students and faculty that attended the conference had an opportunity to learn about research and how to implement findings and recommendations into practice. They also heard presentations by the Administrator of

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Health Resources Services Administration as well as some of the biggest names in gerontological nursing in our country.

Networking opportunities with nurses and other healthcare professionals was also provided.

SUPPORT FOR STUDENTS’ PROFESSIONAL DEVELOPMENT THROUGH TRAVEL REIMBURSEMENT For several years, with the help of donations made to the Center, CGNE has providedfinancial support to graduate students seeking professional development opportunities that align with the CGNE vision, as well as the individual’s program of study, project, or research. The student may wish to attend an educational or scientific event to increase their knowledge and, most often, they are also presenting a paper or poster as part of a symposium.

In 2019, seven doctoral students received CGNE funding to attend the 2019 Eastern Nursing Research Society conference in Providence, Rhode Island. The conference entitled, Transforming the Future of Nursing Research: Imagination, Innovation, and Engagement was held from April 3-5. College of Nursing doctoral students that attended included: Liza Behrens, In Young Bang, Soyoung Choi, Julie Murphy, Mary Alyce Nelson, Jyotsana Parajuli, and Elizabeth Thiede.

Three doctoral students received travel reimbursement support to presenting at the Gerontological Society of America Annual Scientific Meeting held at the Austin Convention Center, November 13-17. More than 4,000 professionals in the field of aging from around the world learn trends, research, and development from industry leaders. They also build strategic partnerships to address aging challenges, and network with peers.

Students that received funding for presenting research at the conference included: Rachel Arendacs, Jyotsana Parajuli, and Logan Sweeder.

Jyotsana Parajuli presenting research findings at GSA.

Logan Sweeder presenting research findings at GSA.

Rachel Arendacs presenting research findings at GSA.

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FACULTY ACTIVITIES

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2 0 1 9 C G N E P U B L I C A T I O N S 1. Alonso, W., Faulker, K., B. P., Hupcey, J. E., Kitko, L. A., & Lee, C. A longitudinal comparison of health-related quality of life in rural and urban recipients of left ventricular assist devices. [Submitted August 2019].

2. Alonso, W., Kitko, L. A., Hupcey, J. E., Pozehl, B., & Kupzyk, K. (2019). Adverse-event free survival, hospitalizations, and mortality in left ventricular assist device recipients: A rural-urban cohort comparison. Journal of Cardiovascular Nursing. ISBN/ISSN #/Case #/DOI #: 10.1097/JCN.0000000000000597 3. Alonzo, W., Hupcey, J. E., Kitko, L. A., Pozehl, B., & Kupcyzk, K. Rural LVAD recipients experience increased risk of device thrombosis. [Submitted 2019].

4. Behrens, L. L., McGhan, G., Abbott, K. M., Fick, D. M., Kolanowski, A. M., Liu, Y., Buck, H. G., Roes, M., Heid, A. R., Spector, A., & Van Haitsma, K. V. (2019). Mapping Core Concepts of Person-Centered Care in Long-Term Services and Supports.

Journal of Gerontological Nursing, 45(2), 7-13. ISBN/ISSN #/Case #/DOI #: doi:10.3928/00989134-20190111-02 5. Bell, T. R., Hill, N., Mogle, J. A., & Bhargava, S. Longitudinal evaluation of perceived stress and memory complaints in older adulthood. Anxiety, Stress, & Coping. [Submitted 2019].

6. Bell, T., Hill, N., & Stavrinos, D. (2019). Personality determinants of subjective executive function in older adults. Aging & Mental Health, Advanced online publication. ISBN/ISSN #/Case #/DOI #: doi: 10.1080/13607863.2019.1667300 7. Berish, D. E., Bornstein, J., & Bowblis, J. (2019). The long-term care ombudsman impact on survey deficiencies. Journal of the American Medical Directors Association.

8. Bhang, I., Mogle, J. A., Hill, N., Whitaker, E., & Bhargava, S. (2019). Examining the temporal associations between self-reported memory problems and depressive symptoms in older adults. Aging & Mental Health, Advance online publication. ISBN/ISSN #/Case #/ DOI #: doi: 10.1080/13607863.2019.1647135 9. Birriel, B. A., Alonso, W., Kitko, L. A., & Hupcey, J. E. (2019).

Family caregiver-reported outcomes regarding decision-making for left ventricular assist device implantation. 48(4). HEART & LUNG, 48(4), 308-312. ISBN/ISSN #/Case #/DOI #: 0147-9563 10. Boltz, M. Dementia assessment and care strategies. In M. Boltz, E. Capezuti, D. Zwicker & T. Fulmer (eds.). Evidence-Based Geriatric Nursing Protocols for Best Practice (6th ed. pp 331-352).

New York: Springer.

11. Boltz, M., Resnick, B., & Galik, E., et al. (2019). Testing of the function focused environment assessment and the function focused policy assessment in assisted living. Journal of Housing for the Elderly, 33(2).

12. Bratlee-Whitaker, E., Hill, N., Mogle, J. A., & Bhang, I. Neuroticism biases memory self-report in women. Journal of Women & Aging, Advanced online publication, 17 pages. ISBN/ISSN #/Case #/DOI #: https://doi.org/10.1080/08952841.2019.1700729 13. Brewster, A., Wilson, T., Frehn, J., Berish, D. E., & Kunkel, S.

Establishing partnerships between area agencies on aging and health care organizations: Examination of impacts on health care use and spending for older adults. Health Affairs.

14. Buck, H., Hupcey, J. E., Juรกrez-Vela, R., Vellone, E., & Riegel, B. (2019). Heart failure care dyadic typology: Initial conceptualization, advances in thinking, and future directions of a clinically relevant classification system. Journal of Cardiovascular Nursing, 32(2), 159-165. ISBN/ISSN #/Case #/DOI #: 10.1097/ JCN.0000000000000548 15. Caceres, B. A., Wardecker, B. M., Anderson, J., & Hughes, T. L. Revictimization is associated with higher cardiometabolic risk in sexual minority women. Journal of Interpersonal Violence, 1-30.

[Submitted December 2019].

16. Carpenter, J., Miller, S., Kolanowski, A. M., Karel, M., Periyako il, V., Lowery, J., Levy, C., Sales, A., & Ersek, M. (2019). Partnership to Enhance Resident Outcomes for Community Living Center (CLC) Residents with Dementia: Description of Design and Methods.

Journal of Gerontological Nursing, 45(3), 21-30.

17. Daiello, L. A., et al, & Kolanowski, A. M. (2019). Postoperative Delirium and Postoperative Cognitive Dysfunction: Overlap and Divergence. Anesthesiology, 131(3), 477-491.

18. Dattilo, J. P., Lorek, A. E., Sliwinski, M. J., Chen, S.-T., & Hill, N. An exploratory study examining effects of video-assisted leisure education on older adults. Journal of Leisure Research. [Submitted 2019].

19. DiGasbarro, D., Mast, B., Meeks, S., & Van Haitsma, K. (2019). Reliability and validity of the Adult Hope Scale among nursing home residents with and without cognitive impairment.

Clinical Gerontologist, 45(2), 7-13. ISBN/ISSN #/Case #/DOI #: doi:10.3928/00989134-20190111-02 20. Donesky, D., de Leon, K., Bailey, A., Doorenbos, A., Fink, R., Hurd, C., Ling, P., & Kitko, L. A. (2019) Excellence in post licensure interprofessional palliative care education: Consensus through a delphi survey. Journal of Hospice and Palliative Nursing.

21. Evans, M. M., Hupcey, J. E. (Co-Author), Kitko, L. A., & Johnson, H. (2019). Somatic awareness and self-symptom recognition in persons living with stage-D heart failure. MedSurg Matters Newsletter, 28(2), 4-7.

22. Fick, D. M. (2019). Aging and disabilities: how to age well with down syndrome and leave no one behind (Editorial). Journal of Gerontological Nursing, 45(5), 2-4. Invited. ISBN/ISSN #/Case #/ DOI #: https://doi.org/10.3928/00989134-20190410-01 23. Fick, D. M. (2019). Assessing cognitive function in the older adult. In Marie Boltz and colleagues (Eds.), Evidence-Based Geriatric Nursing Protocols for Best Practice, Sixth Edition Springer.

24. Fick, D. M. (2019). Caring for our earth and ourselves focusing attention on climate change and older adults. Journal of Gerontological Nursing, 45(11), 2-3. Invited.

25. Fick, D. M. (2019). Ushering in the new year with new research, new grants, and stories to tell (Editorial). Journal of Gerontological

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FA C U LT Y A C T I V I T I E S

Nursing, 46(1), 4-6.

26. Fick, D. M. Are antipsychotics helpful for preventing or treating delirium? (Editorial). Journal of Gerontological Nursing. [Accepted December 2019].

27. Fick, D. M. (2019). American Geriatrics Society 2019 updated beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674-694.

28. Fong, T. G., Racine, A. M., Fick, D. M. (Co-Author), Tabloski, P., Gou, Y., Schmitt, E. M., Hshieh, T. T., Metzger, E., Bertrand, S. E., Marcantonio, E. R., Jones, R. N., & Inouye, S. K. (2019). The caregiver burden of delirium in older adults with alzheimer's disease and related disorders. Journal of American Geriatrics Society, 67(12), 2587-2592.

29. Fulmer, T., & Fick, D. M. (2019). The origins of the geriatric resource nurse model. (pp. 83-93). Peer-reviewed/refereed.

30. Gilmore-Bykovskyi, A., Block, L., Hovanes, M., Porter, J., & Kolanowski, A. M. (2019). Analgesic use patterns among patients with dementia during transitions from hospitals to skilled nursing facilities. Research in Gerontological Nursing, 12(2), 61-69.

31. Goldstein, C., Abbott, K.M., Bangerter, L., Kotterman, A., & Van Haitsma, K. (2019). "A bone of contention…”: Perceived barriers and situational dependencies to food preferences of nursing home residents. Journal of Nutrition in Gerontology and Geriatrics, 38, 277-296. ISBN/ISSN #/Case #/DOI #: doi: 10.1080/21551197.2019.1617220 32. Heid, A., Abbott, K., Kleban, M., Rovine, M., & Van Haitsma, K. (2019). The impact of nursing home residents’ characteristics on ratings of importance of autonomy preferences in daily care over time. Aging & Mental Health. ISBN/ISSN #/Case #/DOI #: doi: 10.1080/13607863.2019.1584875 33. Heid, A. R., Brnich, E., Eshraghi, K., Abbott, K. M., & Van Haitsma, K. (2019). Exploring preference fulfillment among older adults receiving long-term care: Consistency of satisfaction ratings.

Annals of Long-Term Care, 27(4), 20-25. ISBN/ISSN #/Case #/DOI #: doi:10.25270/altc.2019.01.00053 34. Hill, N., Mogle, J. A., Bell, T., Bhargava, S., Wion, R., & Bhang, I. (2019). Predicting current and future anxiety symptoms in cognitively intact older adults with memory complaints. International Journal of Geriatric Psychiatry, 34(12), 1874-1882. ISBN/ISSN #/ Case #/DOI #: doi: 10.1002/gps.5204 35. Hill, N., Mogle, J. A., Bhargava, S., Bell, T., Bhang, I., Katz, M., & Sliwinski, M. (2019). Longitudinal relationships among depressive symptoms and three types of memory self-report in cognitively intact older adults. International Psychogeriatrics, Advance online publication. ISBN/ISSN #/Case #/DOI #: doi: 10.1017/ S104161021900084X 36. Hill, N., Mogle, J. A., Bhargava, S., Wion, R., Bell, T., & Sliwinski, M. J. (2019). The influence of personality on memory self-report among black and white older adults. PLoS One, 14(7). ISBN/ISSN #/Case #/DOI #: https://doi.org/10.1371/journal.pone.0219712 37. Hill, N. (2019) A Voice from the Field: The Perspective of a New Investigator Dr. Nikki Hill. Successful Grant Writing for Health and Human Service Professionals, 5th edition Invited.

38. Hill, N., Mogle, J. A., Whitaker, E. B., Gilmore-Bykovskyi, A., Bhargava, S., Bhang, I.Y., & Van Haitsma, K. (2019). Sources of

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response bias in cognitive self-report items: “Which memory are you talking about?”. The Gerontologist, 59(5), 912-924. ISBN/ISSN #/ Case #/DOI #: doi:10.1093/geront/gny087 39. Hshieh, T. T., et al., & Kolanowski, A. M. (2019). The better assessment of illness study for delirium severity: study design, procedures, and cohort description. Gerontology, 65(1), 20-29.

ISBN/ISSN #/Case #/DOI #: 0304324X 40. Jao, Y.-L., Liu, W., Williams, K., Chaudary, H., & Parajuli, J. (2019). Association between environmental stimulation and apathy in nursing home residents with dementia. International Psychogeriatrics, 31(8). ISBN/ISSN #/Case #/DOI #: doi:10.1017/ S1041610219000589.

41. Kitt-Lewis, E. A., Loeb, S. J., Myers, V. H., Wion, R. K., Baney, B., & Strickfaden, S. (2019). Developing educational modules to enhance care of aged and dying inmates: Set-up phase. Public Health Nursing, 36(3), 401-410. ISBN/ISSN #/Case #/DOI #: 10.1111/phn.12583 42. Kitt-Lewis, E. A., Loeb, S. J., Wion, R. K., Myers, V. H., Jerrod, T., & Strickfaden, S. (2019). Developing computer-based learning on care of aged and dying incarcerated people. Journal of Forensic Nursing. ISBN/ISSN #/Case #/DOI #: DOI: 10.1097/ JFN.0000000000000248 43. Kolanowski, A. M., Behrens, L., Lehman, E., Oravecz, Z., Resnick, B., Boltz, M., & Van Haitsma, K. (2019). Living well with dementia: Factors associated with nursing home residents’ affect balance. Research in Gerontological Nursing. 13(1). ISBN/ISSN #/ Case #/DOI #: doi: 10.3928/19404921-20190823-01 44. Kolanowski, A. M., Gilmore-Bykovskyi, A., Hill, N., Massimo, L., & Mogle, J. (2019). Measurement challenges in research with cognitively impaired persons. Research in Gerontological Nursing, 12(1), 7-15. Invited. ISBN/ISSN #/Case #/DOI #:. doi: 10.3928/19404921-20181212-06 45. Koller, O., Hill, N., Mogle, J. A., & Bhang, I. (2019). Relationships between subjective cognitive impairment and personality traits: A systematic review. Journal of Gerontological Nursing, 45(2), 27-34.

ISBN/ISSN #/Case #/DOI #: doi: 10.3928/00989134-20190111-04.

46. Lee, K. H., Lee, J.Y., Boltz, M., & McConnell, E. (2019).

Emotional expression of persons with dementia: An integrative review with implications for evidence-based practice. Worldviews on Evidence-Based Nursing., 16(5). ISBN/ISSN #/Case #/DOI #: DOI: 10.1111/wvn.12395 47. Liebzeit, D., Bratzke, L., Boltz, M., Purvis, S., & King, B. (2019).

Getting back to normal: A grounded theory study of function in posthospitalized older adults. ISBN/ISSN #/Case #/DOI #: doi: 10.1093/ geront/gnz057 48. Liu, W., Jao, Y.-L., & Williams, K. (2019). Factors influencing the pace of food intake for nursing home residents with dementia: Resident characteristics, staff assistance and environmental stimulation. 6(3).

49. Loeb, S. J., Myers, V. H., Kitt-Lewis, E. A., Wion, R. K., Jerrod, T., Carter, M., & Murphy, J. L. (2019). "Inmate caregiver training in geriatrics and end-of-life: Determining priority content." Nursing Research., 68(2, E65-E66.) .

50. Lundquist, D., Berry, D., & Boltz, M., et al. (2019). The experience of young women living with advanced breast cancer.

Oncology Nursing Forum. ISBN/ISSN #/Case #/DOI #: DOI: 10.1188/19.ONF.329-337.

51. MacAndrews, M., Kolanowski, A. M., Fielding, E., Kerr, G., McMaster, M., Wyles, K., & Beattie, E. (2019). “Would you like to join me for a walk?” The feasibility of a supervised walking program (SWP) for people with dementia who wander. International Journal of Older People, 14(3), 1-9.

52. Mashour, G., Frank, L., Batthyany, A., Kolanowski, A. M., Nahm, M., Schulman-Green, D., Greyson, B., Pakhomov, S., Karlawish, J., & Shah, R. (2019). Paradoxical lucidity: a potential paradigm shift for the neurobiology and treatment of advanced dementias.

Alzheimer’s & Dementia, 15(8), 1107- 1114.

53. Massimo, L., Xie, S. X., Rennert, L., Fick, D. M., Halpin, A., Placek, K., Williams, A., Raskovsky, K., Irwin, D. J., Grossman, M., & McMillan, C. T. (2019). Occupational attainment influences longitudinal decline in behavioral variant frontotemporal degeneration. Brain Imaging and Behavior, 13(1), 293-301. ISBN/ ISSN #/Case #/DOI #: https://doi.org/10.1007/s11682-018-9852-x 54. McDermott-Levy, R., Kolanowski, A. M., Fick, D., & Mann, M. (2019). Addressing the health risks of climate change in older adults. Journal of Gerontological Nursing, 45(11), 21-29.

55. Mogle, J. A., Hill, N., Bell, T. R., Bhargava, S., BratleeWhitaker, E., Wion, R. K., & Tiwari, A. (2019) Combined influences of dementia exposure and personality on self-reported memory problems. American Journal of Alzheimer’s Disease and Other Dementias.

56. Mogle, J. A., Hill, N., Bhang, I., Bhargava, S., Whitaker, E., & Kitt-Lewis, E. (2019). Time frame, problem specificity, and framing: The implicit structures of questions about memory in older adults.

Aging & Mental Health, 24(1). ISBN/ISSN #/Case #/DOI #: doi: 10.1080/13607863.2018.1523882 57. Mogle, J. A., Hill, N., Bhargava, S., Bell, T. R., & Bhang, I. (2019) Memory complaints and depressive symptoms over time: A construct-level replication analysis. BMC Geriatrics.

58. Murphy, J., Hupcey, J. E., Kitko, L. A., Nussbaum, J. F., & Mogle, J. A. (2019). Family communication patterns and young adults in advance care planning: a mixed methods study. Nursing Research., 68(2), (pp. E28-E28). ISBN/ISSN #/Case #/DOI #: 0029-6562 59. Myers, V. H., Loeb, S. J., Kitt-Lewis, E. A., Wion, R. K., Murphy, J. L., Jerrod, T., & Carter, M. (2019). "E-training of inmate peer caregivers for enhancing geriatric and end-of-life care in prisons."

Annals of Behavioral Medicine., 53, S257. University Park.

60. Parajuli, J., Aluem, T., Jao, Y.-L., & Hupcey, J. (2019). Barriers to palliative and hospice care utilization in older adults with cancer: A systematic review. ISBN/ISSN #/Case #/DOI #: https://doi. org/10.1016/j.jgo.2019.09.017 61. Parajuli, J., Berish, D., & Jao, Y.-L. (2019). Chronic conditions and depressive symptoms in older adults: The mediating role of functional limitations. Aging and Mental Health. ISBN/ISSN #/Case #/DOI #: https://doi.org/10.1080/13607863.2019.1693971 62. Resnick, B., Boltz, M., & Galik, E., et al. (2019). Pain assessment, management, and impact among older adults in assisted living. Pain Management Nursing, 20(3). ISBN/ISSN #/ Case #/DOI #: doi: 10.1016/j.pmn.2019.02.008 63. Resnick, B., & Boltz, M. (2019). Optimizing function and physical

activity in hospitalized older adults to prevent functional decline and falls. Clinics in Geriatric Medicine, 35(2). Invited. ISBN/ISSN #/Case #/DOI #: doi: 10.1016/j.cger. 2019.01.003.

64. Resnick, B., Galik, E., & Boltz, M. (2019). The impact of physical activity and function on falls in assisted living residents. Journal of Aging and Physical Activity. ISBN/ISSN #/Case #/DOI #: doi: 10.1123/japa.2018-0291 65. Resnick, B., Galik, E., & Boltz, M., et al. (2019). Gender differences in function, physical activity, falls, medication use, and life satisfaction among assisted living residents. Research in Gerontological Nursing, 13(1). ISBN/ISSN #/Case #/DOI #: DOI: 10.3928/19404921-20190930-02 66. Resnick, B., Galik, E., & Boltz, M., et al. (2019). The Impact of function focused care and physical activity on falls in assisted living residents. The Canadian Journal of Nursing Research. ISBN/ISSN #/Case #/DOI #: doi.org/10.1177/0844562119856224 67. Resnick, B., Kolanowski, A. M., Van Haitsma, K., Galik, E., Boltz, M., Ellis, J., Eshraghi, K., Behrens, L., & Zhu, S. (2019).

Current psychotropic medication use and contributing factors among nursing home residents with cognitive impairment. Clinical Nursing Research. ISBN/ISSN #/Case #/DOI #: doi: 1054773819838678.

68. Resnick, B., Kolanowski, A. M., Van Haitsma, K., Galik, E., Boltz, M., Ellis, J., Behrens, L., Eshraghi, K., Viviano, N., & Madrigal, C. Reliability and validity of the knowledge of personcentered behavioral approaches for BPSD Tes. Journal of Nursing Measurement. [Accepted April 2019].

69. Resnick, B., Kolanowski, A. M., Van Haitsma, K., Galik, E., Boltz, M., Zhu, S., Ellis, J., Behrens, L., Eshraghi, K., Viviano, N., & Jao, Y.-L. Reliability and validity testing of the assessment of the environment for person-centered management of BPSD and assessment of policies for person-centered management of BPSD measures. 43 pages. Journal of Housing for the Elderly. [Accepted September 2019].

70. Riley, K., Evans, M., Kowalchik, K., Adams, L, & Hunting, A. (November/December, 2019). The role of the medical-surgical nurse in the identification of elder abuse. MedSurg Matters, 28(6), 4-7.

71. Riley, K., Evans, M. M., Hupcey, J. E., Sellers II, P. D., & Machluf, K. (2019). Impact of an educational intervention on organ donation attitudes in college-aged students. Journal of Death and Dying, 0(0), 1-10. ISBN/ISSN #/Case #/DOI #: 10.1177/0030222819880708 72. Sawyer, A., King, T., Weaver, T., Sawyer, D., Varrasse, M., Franks, J., Watach, A., Kolanowski, A., & Richards, K. (2019).

A tailored intervention for PAP adherence: The SCIP-PA trial.

Behavioral Sleep Medicine, 17(1), 49-69.

73. Schulman-Green, D., Schmitt, E., Fong, T., Vasunilashorn, S., Gallagher, J., Marcantonio, E., Brown, C., Clark, D., Flaherty, J., Gleason, A., Gordon, S., Kolanowski, A. M., Neufeld, K., O'Connor, M., Pisani, M., Robinson, T., Verghese, J., Wald, H., Jones, R., & Inouye, S. (2019). Use of an expert panel to identify domains and indicators of delirium severity. Quality of Life Research, 28(9), 2565–2578.

74. Sinvani, L., Strunk, A., Patel, V., Shah, S., Mulvany, M., Kozikowski, A., Boltz, M. (Co-Author, 10%), Pekmezaris, R., & WolfKlein, G. (2019). Constant observation practices for hospitalized

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persons with dementia: A survey study. American Journal of Alzheimer’s Disease and Other Dementias, 34(4). ISBN/ISSN #/ Case #/DOI #: . doi: 10.1177/1533317519826272.

75. Steensma, E., Zhou, W., Ngo, L., Gallagher, J., Inouye, S. K., Leslie, D., Boltz, M., Kolanowski, A., Mion, L., Marcantonio, E. R., & Fick, D. M. (2019). Ultra-brief screeners for detecting delirium superimposed on dementia. Journal of the American Medical Directors Association, 20(11), 1391-1396. ISBN/ISSN #/Case #/DOI #: https://doi.org/10.1016/j.jamda.2019.05.011 76. Steinman, M. A., & Fick, D. M. (2019). Using Wisely: A reminder on the proper use of the American Geriatrics Society Beers Criteria.

Journal of American Geriatrics Society, 67(4), 644-646.

77. Surachman, A., Wardecker, B. M., Chow, S.-M., & Almeida, D. M. (2019). Life course socioeconomic status, daily stressors, and daily well-being: Examining chain of risk models. Journal of Gerontology, Series B: Psychological Sciences and Social Sciences, 74(1), 126-135. ISBN/ISSN #/Case #/DOI #: 10.1093/geronb/ gby014 78. Thiede, E., Murphy, J., Hupcey, J. E., & Kitko, L. A. (2019).

Using the Area Deprivation Index to understand the palliative care needs of individuals with advanced heart failure and their caregivers living in socioeconomically disadvantaged neighborhoods. Nursing Research., 68(2), (pp. E50-E50). ISBN/ISSN #/Case #/DOI #: 00296562 79. Van Haitsma, K. (2019). "A monthly newsletter sent to Ohio's 960 nursing homes, September 2016-June 2019." PELI-Can eNews. Available online at: www.preferencebasedliving.com 80. Van Haitsma, K. (2019). "Features of the PELI and recommender system� in Mather LifeWays InvestigAge newsletter. https://www.matherlifewaysinstituteonaging.com/2019/09/20/ improving-person-centered-care-with-machine-learning/?utm_ medium=email&utm_campaign=October InvestigAge 2019&utm_ content=October InvestigAge 2019+CID_545c7d08201e90d022d 23c5375a2e88f&utm_source=Campaignmonitor&utm_term=Read more 81. Van Haitsma, K. (2019). "Features Preferences for Everyday Living Inventory (PELI) resources in." National Nursing Home Quality Improvement Campaign Newsletter.

82. Van Haitsma, K., Abbott, K., Arbogast, A., Bangerter, L., Heid, A., Behrens, L., & Madrigal, C. (2019). A preference-based model of care: An integrative theoretical model of the role of preferences in person-centered care. The Gerontologist. ISBN/ISSN #/Case #/DOI #: doi.org/10.1093/geront/gnz075.

83. Wardecker, B. M., Matsick, J. L., Graham, J. E., & Almeida, D. M. (2019). Life satisfaction across adulthood in bisexual men and women: Findings from the Midlife in the United States (MIDUS) study. Archives of Sexual Behavior, 48(1), 291-303. ISBN/ISSN #/ Case #/DOI #: 10.1007/s10508-018-1151-5 84. Wardecker, B. M., Graham, J. E., & Almeida, D. M. Perceived discrimination predicts elevated biological markers of inflammation among sexual minority adults. Journal of Behavioral Medicine, 1-32.

[Submitted August 2019].

85. White, B., Van Haitsma, K., Lauver, L., & Yevchak Sillner, A. M. (Co-Author, 15%) (2019). Improving uptake of evidence-based oral care in long-term care: A pilot quality improvement project. Annals of Long-Term Care, 27(9). ISBN/ISSN #/Case #/DOI #: doi: 10.25270/

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altc.2019.08.00083. Published online e6-e14 86. Wion, R. K., & Loeb, S. J. (2019). "HIV Prevention in Older Online Daters." Nursing Research., 68(2, E12.5-E126).

87. Wion, R., Hill, N., Mogle, J. A., Bhargava, S., Berish, D. E., & Kolanowski, A. M. (2019). Scoring of leisure activities for older adults according to cognitive, physical, and social components.

Research in Gerontological Nursing, 13(1), 13-20. ISBN/ISSN #/ Case #/DOI #: doi: 10.3928/19404921-20191022-01 88. Wion, R., Hill, N., DePasquale, N., Mogle, J. A., & Whitaker, E. (2019). The relationship between subjective cognitive impairment and activity participation: A systematic review. Activities, Adaptation, & Aging, Advance online publication. ISBN/ISSN #/Case #/DOI #: do i:10.1080/01924788.2019.1651188 89. Yevchak Sillner, A. M., Hollee, C., & Rudolph, J. L. (2019). The overlap between falls and delirium in hospitalized older adults: A systematic review. Clinics in Geriatric Medicine, 35(2), 221-236.

Invited. ISBN/ISSN #/Case #/DOI #: doi:10.1016/j.cger.2019.01.004 90. Yevchak Sillner, A. M., Buck, H., Van Haitsma, K., Behrens, L., & Abbott, K. (2019). Identifying preferences for everyday living in home health care: Recommendations from an expert panel. Home Health Care Management & Practice, 31(2), 122-133. ISBN/ISSN #/ Case #/DOI #: 10.1177/1084822318811319 91. Yevchak Sillner, A. M., Behrens, L., & Boltz, M. (2019). PersonCentered Care in Resnick, B., Boltz, M., Capezuti, E., Carolan, D., Clevenger, C., Galik, E., Kennedy-Malone, L. (Eds.), Geriatric Nursing Review Syllabus: A Core Curriculum in Advanced Practice Geriatric Nursing. (6th ed.). New York City, New York: American Geriatrics Society.

92. Yevchak Sillner, A. M., Long, N., Jung, Y., Inouye, S., Boltz, M., Leslie, D., Marcantonio, E., & Fick, D. M. Ultra-Brief Screens for Detecting Delirium in Post-Operative Cognitively Intact Older Adults.

[Submitted 2019].

93. Yevchak Sillner, A. M., McConeghy, R., Madrigal, C., Culley, D., Rakesh, A., & Rudolph, J. L. The Association of a Frailty Index and Incident Delirium in Hospitalized Veterans. [Submitted 2019].

94. Zhou, W., Inouye, S. K., Gallagher, J., Husser, E. K., Fick, D. M., & Marcantonio, E. R. (2019). Does a year have 6 months or 12?

Implications for delirium detection among hospitalized older general medicine patients. Journal of General Internal Medicine, 34(3), 354355. ISBN/ISSN #/Case #/DOI #: DOI: 10.1007/s11606-018-4704-3

2 0 1 9 C G N E P R E S E N A T I O N S

1. Bell, T. R., Hill, N., & Mogle, J. A. (2019). "Longitudinal evaluation of subjective memory complaints on perceived stress," Alzheimer's Association International Conference, Los Angeles, CA. 2. Bell, T. R., Hill, N., Mogle, J. A., & Bhargava, S. (2019).

"Longitudinal associations between perceived stress and memory complaints," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 3. Bell, T. R., Mogle, J. A., & Hill, N. (2019). "Longitudinal associations between depressive symptoms and self-reported memory problems in older adults: A construct-level replication," 2019 Rotman Research Institute Conference, Toronto, ON, Canada.

4. Bhang, I., Mogle, J. A., Hill, N., Whitaker, E., & Bhargava, S. (2019). "Examining the temporal associations between subjective memory impairment and depressive symptoms in older adults," 2019 Rotman Research Institute Conference, Toronto, ON, Canada.

5. Bhargava, S., Hill, N., Mogle, J. A., Bell, T. R., Bratlee-Whitaker, E., Wion, R. K., & Tiwari, A. (2019). "Personality and family history of Alzheimer’s disease as predictors of older adults’ self-reported memory problems," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 6. Birriel, B. A., Kitko, L. A., & Hupcey, J. E. (2019). "Family surrogate decision-making in acute heart failure: A case series," Society of Critical Care Medicine, San Diego, CA. 7. Boltz, M. (2019). "Engaging older adults in research," Honors Research Seminar, Biobehavioral Health, Penn State, University Park, PA. 8. Boltz, M. (2019). "Engaging older adults in research," Center for Translational Science Institute Seminar, Biobehavioral Health, Penn State, University Park, PA. 9. Boltz, M. (2019). "Qualitative and mixed methods research: Expanding the delirium evidence base.," Cedartree - NIDUS 7th Annual Delirium Boot Camp, State College, PA. 10. Boltz, M. (2019). "Factors that contribute to falls among assisted living residents," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 11. Curyto, K., & Van Haitsma, K. (2019). "Sustaining STAR-VA: Evaluating systemic outcomes and team strategies for managing behavior symptoms of dementia," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 12. DiGasbarro, D., Van Haitsma, K., Meeks, S., & Mast, B. (2019).

"Optimism, quality of life, and cognition in recent nursing home residents," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 13. Evans, M., Kowalchik, K., Lindemuth, M., Pieshefski, N., & Adams, L. (August 7, 2019). The impact of exercise on healthy aging. Podium presentation at Visiting Nurses Association of

Lackawanna County Community Health Fair, Olyphant, PA. 14. Fick, D. M. (2019). "Delirium research from NIDUS grant and READI," American Delirium Society, ADS, Boston, MA. 15. Fick, D. M. (2019). "Comparative efficiency of four strategies of delirium screening," American Geriatric Society, AGS, Boston, MA. 16. Fick, D. M. (2019). "Results from READI trial," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 17. Fick, D. M. (2019). "Age-friendly care and delirium," Anne Arundel Annual Hospital Conference, Anne Arundel Health System, Annapolis, MD. 18. Fick, D. M. (2019). Multiple presentations, Delirium Boot Camp, NIH grant NIDUS, Penn State, State College, PA. 19. Galik, E., & Boltz, M. (2019). "Behavioral and psychological symptoms of dementia: Does gender matter?" Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 20. Heppner, A., Hicks, N., Poth, S., Van Haitsma, K., & Abbott, K. (2019). "Provider perspectives on implementing a person-centered communication tool," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 21. Hermesch, A., Chang, D. J., Goldstein, C., Van Haitsma, K., & Abbott, K. (2019). "Partnering with nursing home providers for person centered quality improvement," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 22. Hill, N., Davis, K., Kolanowski, A. M., Perez, A., & Sefcik, J. (2019). "Maximizing the health and well-being of older adults: The Aging RIG symposium," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS, Providence, RI. 23. Hill, N., Mogle, J. A., Bhargava, S., Bell, T. R., & Wion, R. K. (2019). "The influence of personality on memory self-report among black and white older adults," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 24. Hill, N. (2019). "Factors influencing self-reported cognition over time," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 25. Hupcey, J. E. (2019). "Caregiving after an acute event: A period of increased vulnerability?" Scientific Sessions, American Heart Association, Philadelphia, PA. 26. Hupcey, J. E. (2019). "Where do we go from here?" Scientific Sessions, American Heart Association, Philadelphia, PA. 27. Hupcey, J. E., Kitko, L. A., & Gilchrist, J. H. (2019).

"Misperceptions of heart failure terminality: Aggressive treatments at end of life," 16th Congress of the European Association of Palliative Care, European Association of Palliative Care, Berlin, Germany.

28. Hupcey, J. E., Kitko, L. A., & Gilchrist, I. C. (2019).

"Understanding wishes: The importance of advance decisions for surrogate family members," 16th Congress of the European Association of Palliative Care, European Association of Palliative Care, Berlin, Germany.

29. Hupcey, J. E., Kitko, L. A., Gilchrist, J. H. & Gilchrist, I. C. (2019). "LVAD-DT: The final destination," Heart Failure 2019; World

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Congress on Acute Heart Failure, European Society of Cardiology, Heart Failure Association, Athens, Greece.

30. Jao, Y.-L., Williams, K., & Berish, D. (2019). "Assessing apathy in long-term care residents with dementia: Comparing self-evaluation with proxy ratings," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 31. Kitko, L. A. (2019). "Palliative care and heart failure: Challenges and opportunities," Indiana University School of Nursing Center for Enhancing Quality of Life in Chronic Illness, Indianapolis, IN. 32. Kitko, L. A. (2019). "Primary palliative care for the intensivist team," Critical Care Congress, Society of Critical Care Medicine, San Diego, CA. 33. Kitko, L. A. (2019). "Palliative care and heart failure: Challenges and opportunities," University of Nebraska Medical Center School of Nursing, Omaha, NE. 34. Kitko, L. A. (2019). "Cognitive impairment is a family affair," Scientific Sessions, American Heart Association, Philadelphia, PA. 35. Kitko, L. A. (2019). "Rehabilitation: Let us pump...you up....," Scientific Meeting, Heart Failure Society of America, Philadelphia, PA. 36. Kitko, L. A., & Hupcey, J. E. (2019). "Understanding wishes: The importance of advanced decisions for surrogate family members," 16th Congress of the European Association of Palliative Care, European Association of Palliative Care, Berlin, Germany.

37. Kitko, L. A., Hupcey, J. E., & Gilchrist, J. H. (2019). "Unexpected loss in advanced heart failure," Heart Failure 2019, World Congress on Acute Heart Failure, European Society of Cardiology, Heart Failure Association, Athens Greece.

38. Kitt-Lewis, E. A., Loeb, S. J., Myers, V. H., Jerrod, T., Murphy, J., Wion, R. K., & Kowalchik, K. (2019). "Developing e-training for incarcerated people who care for their aged and dying peers," 1st Annual Penn State College of Medicine University Park Campus Research Symposium.

39. Kolanowski, A., Behrens, L., Van Haitsma, K. & Resnick, B. (2019). "Resident, staff, and facility factors associated with affect balance," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 40. Lee, K. H., Lee, J., Kim, B., & Boltz, M. (2019). "Event-specific emotional expression of persons with dementia in long-term care: Preliminary results.," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 41. Loeb, S. J., Kitt-Lewis, E. A., & Myers, V. H. (2019). "Research, development, & testing of an e-training package to enhance care of aged and dying incarcerated people," 1st Annual Penn State College of Medicine University Park Research Symposium, University Park, PA. 42. Loeb, S. J., Myers, V. H., Kitt-Lewis, E. A., Jerrod, T., Murphy, J., & Kowalchik, K. (2019). "Research and development of e-training in geriatric and end-of-life care for peer caregivers in correctional setting," 16th Biennial Custody and Caring International Conference on the Nurse's Role in the Criminal Justice System, Saskatoon, Saskatchewan, Canada.

43. Loeb, S. J., Myers, V. H., Kitt-Lewis, E. A., Wion, R. K., Jerrod, T., Carter, M., & Murphy, J. (2019). "Inmate caregiver training in geriatrics and end-of-life: Determining priority content," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS,

40

Providence, RI. 44. Madrigal, D., & Yevchak Sillner, A. M. (2019). "Acceptability of embedding routine informal, family caregiver assessment of delirium in acute care," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS, Providence, RI. 45. Martindale, N., Gannod, G., Abbott, K., & Van Haitsma, K. (22, 2019). "Comparison of three recommender strategies for facilitating person-centered care in nursing homes," AAAI Florida Artificial Intelligence Research Society, FLAIRS, Sarasota, FL. 46. McConeghy, R., Yevchak Sillner, A. M., & Randolph, J. L. (2019). "A frailty index for predicting incident delirium in hospitalized veterans," Veterans Affairs Research Week Conference, Providence, RI. 47. McConeghy, R., Yevchak Sillner, A. M., & Rudolph, J. l. (2019).

"A frailty index for predicting incident delirium in hospitalized veterans," Rhode Island Alzheimer’s Conference, Warwick, RI. 48. Mogle, J. A., Hill, N., Bell, T. R., Bhargava, S., & BratleeWhitaker, E. (2019). "The factor structure of memory complaints over time," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 49. Murphy, J., Hupcey, J. E., Kitko, L. A., Nussbaum, J. F., & Mogle, J. A. (2019). "Family communication patterns and young adults in advance care planning: A mixed methods study," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS, Providence, RI. 50. Myers, V. H., Loeb, S. J., Kitt-Lewis, E. A., Wion, R. K., Murphy, J., Jerrod, T., & Carter, M. (2019). "E-training of inmate peer caregivers for enhancing geriatric and end-of-life care in prisons," 40th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, Washington, DC. 51. Parajuli, J., Berish, D., & Jao, Y.-L. (2019). "Chronic conditions, functional limitations, and depression in older adults: Analysis of a longitudinal study," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 52. Parajuli, J., Tark, A., & Hupcey, J. E. (2019). "Barriers to palliative care in oncology: A systematic review," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS, Providence, RI. 53. Resnick, B., Kolanowski, A. M., Van Haitsma, K., & Galik, E. (2019). "Changing how care is provided to residents with BPSD: The EIT-4-BPSD intervention.," AMDA-The Society for Post-Acute and Long-Term Care Medicine Annual Conference, Atlanta, GA. 54. Shakya, S., Yu, H., Mueller, E., Van Haitsma, K., & Abbott, K. (2019). "The feasibility, acceptability, and appropriateness of a person-centered communication tool," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 55. Sweeder, L., Hill, N., Bratlee-Whitaker, E., Tiwari, A., & Doan, W. (2019). "Story circles as methodology: A pilot study exploring cognitive problems in aging," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 56. Sweeder, L., Hill, N., Whitaker, E., Tiwari, A., & Doan, B. (2019).

"Story circles as a methodology: A pilot study exploring cognitive problems in aging.," 1st Annual Penn State College of Medicine University Park Research Symposium, University Park, PA. 57. Sweeder, L., Hill, N., Whitaker, E., Tiwari, A., & Doan, W. (2019).

"Story circles as a methodology: A pilot study exploring cognitive

problems in aging," Beta Sigma Research Day, University Park, PA. 58. Thiede, E., Murphy, J., Hupcey, J. E., & Kitko, L. A. (April 2019).

"Using the area deprivation index to understand the palliative care needs of individual with advanced heart failure and their caregivers living in socioeconomically disadvantaged neighborhoods," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS, Providence, RI. 59. Van Haitsma, K., Madrigal, C., Kolanowski, A., Resnick, B., Galik, B., Ellis, J., & Eshraghi, K. (2019). "Reliability and validity of the knowledge of person-centered behavioral approaches for BPSD," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 60. Verbeek, H., & Van Haitsma, K. (2019). "The care recipient’s perspective on quality of care: Different approaches in nursing homes," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 61. Whitaker, E., Hill, N., Mogle, J. A., Bhang, I., & Bhargava, S. (2019). "Memory self-report in women: The impact of neuroticism on responses to two assessment items," Beta Sigma Research Day, University Park, PA. 62. Whitaker, E., Hill, N., Mogle, J. A., Bhang, I., & Bhargava, S. (2019). "Memory self-report in women: The impact of neuroticism on responses to two assessment items," 1st Annual Penn State College of Medicine University Park Research Symposium, University Park, PA. 63. Wion, R. K., & Loeb, S. J. (2019). "HIV prevention in older online daters," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS, Providence, RI. 64. Wion, R., Hill, N., Mogle, J. A., Bhargava, S., & Berish, D. E. (2019). "Scoring of activity participation items: An expert panel review," Annual Scientific Sessions, Eastern Nursing Research Society, ENRS, Providence, RI. 65. Yevchak Sillner, A. M. (2019). "Publications in Nursing and Other Related Disciplines, The ins and outs of authorship," Penn State Center of Geriatric Nursing Excellence, College of Nursing, University Park, PA. 66. Yevchak Sillner, A. M., Bolz, M., Wion, R., & Van Haitsma, K. (2019). "Assessing preferences for communication with technology: Community-based provider perspectives," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX. 67. Yevchak Sillner, A. M., McConeghy, R., Madrigal, C., Culley, D., Rakesh, A., & Rudolph, J. L. (2019). "The association of a frailty index and incident delirium in hospitalized veterans," Annual Scientific Meeting of the Gerontological Society of America, GSA, Austin, TX.

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2 0 1 9 C G N E G R A N T S Boltz: Reducing Behavioral and Psychological Symptoms of Dementia (BPSD) for Acutely-Ill Persons with Alzheimer’s Disease and Related Dementias via Patient Engagement Specialists National Institute on Aging $264,459.00 (awarded); $264,459.00 (anticipated) August 15, 2019 - July 31, 2021 Boltz: Reducing Disability Via A Family-Centered Intervention for Acutely Ill Persons with Alzheimer's And Related Dementias National Institute on Aging $535,561.00 (awarded); $2,366,343.00 (anticipated) May 1, 2017 - April 30, 2022 Boltz: Dissemination and Implementation of Function Focused Care for Assisted Living University of Maryland $166,705.00 (awarded); $830,867.00 (anticipated) April 1, 2016 - March 31, 2021 Boltz, Van Haitsma: NIA AD/ADRD Health Care Systems Research Collaboratory Brown University $42,895.00 (awarded); $476,739.00 (anticipated) September 1, 2019 - June 30, 2024 Fick: Network for Investigation of Delirium across the U.S. (NIDUS) Hebrew Rehabilitation Center $83,536.00 (awarded); $125,179.00 (anticipated) May 1, 2018 - April 30, 2019 Fick: Video Recording of NIDUS Webinars and Boot Camp Sessions ** Supplement ** Hebrew Rehabilitation Center $20,618.00 (awarded); $99,918.00 (anticipated) September 15, 2018 - November 30, 2019 Fick, Boltz: Researching Efficient Approaches to Delirium Identification (READ) Beth Israel Deaconess Medical Center $283,120.00 (awarded); $1,181,832.00 (anticipated) April 15, 2016 - March 31, 2019 Hill: Alzheimer's Disease Risk Factors as Mediators of Subjective Memory Impairment and Objective Memory Decline: A ConstructLevel Replication Across Four Studies National Institute on Aging $469,012.00 (awarded); $1,869,820.00 (anticipated) May 1, 2017 - April 30, 2021 Hill: Improving Assessment of Subjective Memory Impairment for Detecting Alzheimer's Disease: A Coordinated Analysis in Two Measurement Burst Studies National Institute on Aging

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$390,794.00 (awarded); $1,565,824.00 (anticipated) August 15, 2019 - April 30, 2023 Hupcey, Fick, Boltz, Whitaker J., Berish, Kitko, Van Haitsma: PA Collaborative for Age and Dementia Friendly Care using the 4 M’s and Telehealth with Rural Communities and in Persons with ADRD Health Resources and Services Administration $750,000.00 (awarded) - $3,750,000.00 (anticipated) July 1, 2019 - June 30, 2020 Jao, Berish: Apathy in Nursing Home Residents with Dementia: Impact of Caregiver Communication National Institute on Aging $248,985.00 (awarded); $443,206.00 (anticipated) August 15, 2019 - May 31, 2021 Kitko: Availability of Hospice and Palliative Care in Rural Pennsylvania COP: Center for Rural Pennsylvania $15,000.00 (awarded) - $15,000.00 (anticipated) February 11, 2019 - January 13, 2020 Kitko: Improving Access to Research and Training (IMPACT) National Heart, Lung and Blood Institute $122,427.00 (awarded) - $615,375.00 (anticipated) September 1, 2019 - August 31, 2024 Loeb: Enhancing Care of the Aged and Dying in Prisons II Klein Buendel, Inc. $408,066.00 (awarded) - $1,465,293.00 (anticipated) September 15, 2016 - April 30, 2019 Loeb: E-Training of Inmate Peer Caregivers for Enhancing Geriatric and End-Of-Life Care in Prisons Klein Buendel, Inc. $112,781.00 (awarded); $112,781.00 (anticipated) August 1, 2017 - April 30, 2019 Van Haitsma: Increasing the Preference-Based Care of People in Ohio's Nursing Homes with a Special Focus on People Living with Dementia Miami University (of Ohio) $78,447.00 (awarded); $136,782.00 (anticipated) October 28, 2019 - June 30, 2023 Van Haitsma: Incorporating the Preferences for Everyday Living into Ohio’s Nursing Homes to Improve Resident Care Miami University (of Ohio) $45,195.00 (awarded; $1,005,662.00 (anticipated) July 1, 2016 - June 30, 2019 Van Haitsma, Boltz, Kolanowski: Implementation of EIT-4-BPSD in Nursing Homes University of Maryland

$278,345.00 (awarded); $1,281,104.00 (anticipated) August 23, 2016 - May 31, 2019 Van Haitsma, Boltz, Kolanowski: The Impact of Gender Differences on Identification and Treatment Of BPSD University of Maryland $79,029.00 (awarded); $1,190,106.00 (anticipated) August 23, 2016 - May 31, 2020 Yevchak-Sillner: Collaboration with James Rudolph Department of Veterans Affairs $10,288.00 (awarded); $10,288.00 (anticipated) May 15, 2019 - August 15, 2019

Yevchak-Sillner, Van Haitsma, Boltz: Assessing Preferences for Communicating with Technology: A Person-Centered Approach to Managing Multiple Chronic Conditions Gordon and Betty Moore Foundation $492,124.00 (awarded); $492,124.00 (anticipated) November 30, 2017 - November 29, 2020 TOTALS $4,897,387.00 (awarded); $19,298,702.00 (anticipated)

C G N E P E N D I N G A W A R D S Boltz: Testing the Efficacy of FFC-AC-EIT in Patients with Alzheimer’s Disease and Related Dementias.

National Institute on Aging $1,180,512.00 December 17, 2018 Hupcey: Oncology Nurses’ Confidence in Providing Primary Palliative Care Oncology Nursing Foundation $4,100.00 July 1, 2019 Loeb: E-training of Inmate Peer Caregivers for Enhancing Geriatric and End-of-life Care in Prisons Klein Buendel, Inc. $841,433.00 August 23, 2019 TOTALS $2,026,045.00

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ACKNOWLEDGEMENTS

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A C K N O W L E D G E M E N T S SUSTAINING PARTNERS

SPONSORS

Madlyn and Leonard Abramson Center for Jewish Life Grane Healthcare and SeniorLIFE

Alzheimer's Association, Greater PA Chapter Centre Crest Centre HomeCare, Inc. Encompass Health Rehabilitation Hospital Foxdale Village Grane Healthcare Juniper Village at Brookline Mount Nittany Health Harmony at State College The Village at Penn State

DONORS Anonymous Edward R. Book & Inga Scheyer Book Marie Boltz Centre Foundation Barbara H. Conforti & Peter M. Conforti Mimi U. Coppersmith Donna M. and James Fick Donald Ford Nikki Hill Ying-Ling Jao Ann Kolanowski & Leon Kolanowski Susan I. Kukic David Maneval Stanley P. Mayers, Jr., & Patricia Mayers Ann L. McCracken Paula F. Milone-Nuzzo & Joseph Nuzzo Barbara Palmer Kimberly VanHaitsma

SUPPORT OUR WORK Our work is made possible by generous supporters like you. Gifts of any size help us to continue to improve the healthcare and quality of life for older adults through innovative and integrated educational programming, rigorous clinical and translational research, and community outreach. Donations can be made online: raise.psu.edu/CGNE; or mail to Penn State College of Nursing, Center of Geriatric Nursing Excellence, 201 Nursing Sciences Building, University Park, PA 16801.

Interested in supporting the center with a monetary gift? Learn how: RAISE.PSU.EDU/CGNE

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LOOKING AHEAD

As our CGNE Leadership Team looks ahead to the rest of 2020 and beyond, we have spent much of the past academic year engaged in significant dialogue and processes that have enabled us to update our strategic plan. By September 1, 2020 our plan will be polished with specific action steps, timeline, and other details that will guide our work for the next several years. Under the important lens of our vision and mission, and in alignment with our college and university’s strategic plan, the CGNE major strategic goals include the following: 1. Strengthen gerontological education at Penn State College of Nursing, emphasizing recruitment of students who specialize in gerontology into graduate (PhD) programs.

2. Continue to enhance and expand our investment in the development of research, scholarship and innovation.

3. Increase the gerontological collaborative, internally and externally – among faculty, students, health care providers and organizations, visiting scholars, and state, national, and international organizations.

4. Inform policy related to quality of care and life for older adults on local, statewide, and national levels.

5. Increase visibility and understanding of our center with internal and external audiences and stakeholders.

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E D U C A T I O N A L E X C E L L E N C E We will be launching a new CGNE Scholars program in fall 2020. In line with our goals to engage students interested in gerontological nursing, the CGNE Scholars program will provide scholarship support, education opportunities, mentorship, and an introduction to doctoral education for up to four undergraduate/graduate nursing students. Nikki Hill is leading the development of the program, along with workgroup members Andrea Sillner and Ying-Ling Jao. The Honorable Kathy Greenlee, former US Assistant Secretary on Aging will provide the keynote address entitled “Rural Health and Aging” for the 8th Annual CGNE Alumni & Friends Spring Brunch, scheduled for April 11, 2021. Aside from providing an educational opportunity, this event involves a celebration of our center’s accomplishments, a brunch meal, and an opportunity to connect with alumni, community members, and collaborative partners.

CGNE and the College of Nursing Outreach and Professional Development office have been co-sponsoring the semi-annual Centre County Geriatric Interest Network conferences for the past few years. The GIN provides opportunities to engage with administrators, nurses, and other professionals that have a similar vision for elder care.

Stay tuned for fall 2020 and spring 2021 educational session announcements.

Ann Kolanowski and collegues Gitlin and Lyons book Successful Grant Writing for Health and Human Service Professionals, Fifth Edition, an invaluable resource for graduate students, faculty, researchers, and health professionals, was released in May of 2020. See the Springer publishing website for details: https://www. springerpub.com/successful-grant-writing-forhealth-and-human-service-professionals-fifthedition-9780826148032.html.

Donna Fick will be presenting primary data from her Delirium READI (Researching efficient approaches for delirium identification) study at the Alzheimer’s Association International Conference, which will be held virtually from July 27-31, 2020 at no cost to participants.

International investigators, clinicians and care researchers will come together online to discuss the latest studies, theories and discoveries that will help bring the world closer to breakthroughs in dementia science.

Fick’s research explored clinician experiences and perspectives when screening for delirium in a person living with dementia in hospitalized patients.

Susan Loeb and colleagues are considering research and development to extend both staff focused and peer caregiver focused trainings for multidisciplinary corrections staff and/or persons who are incarcerated.

This will include information pertaining to persons living with Alzheimer’s Disease & Related Dementias, as well as content relevant 47

LOOKING AHEAD

to COVID-19. The focus of this project will be to develop evidence-based and contextually relevant content to addressing pressing health-related needs challenging corrections systems; to transform this content into highly interactive computer-based learning modules; to examine these trainings in diverse educational settings across the US; to advance educational development of corrections staff; and, to ultimately enhance the health and well-being of persons who reside in prisons and jails.

Marie Boltz has collaborated with a team of nationally recognized gerontological nursing

experts to create a new edition of Evidence-Based Geriatric Nursing Protocols for Best Practice. This book provides an overview of the latest evidence as well as protocols to translate research evidence into clinical care and operations. Ann Kolanowski provided the Preface and authors include several Penn State faculty and graduate students: Rachel Arendacs, Marie Boltz, Donna Fick, Joanne Roman Jones, Kat Phillips, and Andrea Yevchak Sillner. The book will be released in 2020.

S C I E N T I F I C R E S E A R C H A N D T R A N S L A T I O N O F B E S T P R A C T I C E Andrea Yevchak Sillner is the inaugural recipient of funding provided by an endowment to CGNE for the advancement of gerontology. With this new CGNE initiative, faculty and graduate students may apply for funding to support the development of a grant proposal or implementation of a pilot or bridge project that could lead to further study with potential NIH or other awards. The purpose of research study Assessing Preferences for TechnologyAssisted Communication: A PersonCentered Approach in the Context of a Pandemic (P-TAC Pandemic) is to examine the preferences for technology-assisted communication and variance of these preferences across groups of adults over the age of 65 years, throughout the US. The end result of the study will be a description of 48

how communications with a formal healthcare provider(s) (physicians, nurses, physician assistants, certified nurse practitioners) have changed since the COVID-19 pandemic.

This information may allow for development and tailoring of approaches/strategies for technology-assisted communications into an older adult’s plan of care, to enhance engagement with their formal healthcare providers and promote person-centered care.

In response to COVID-19 and the transition to telehealth, Age-Friendly Care, PA received supplemental funding to the Geriatric Workforce Enhancement Program, a collaboration between the CON, CGNE, and the Primary Health Network (PHN). The funds will be used to purchase equipment and support PHN Community Health Workers

(CHWs) to facilitate telehealth visits, and those visits will be conducted by Penn State Nurse Practitioner (NP) students doing their clinical hours at two PHN sites in Mifflin and Mercer counties. Both NPs and CHWs will receive training in age- and dementia-friendly approaches to care from our core faculty.

CHWs will provide Home TeleHealth Care Kits in order to maximize virtual visits between older adults, their caregivers, and providers.

The kits will include educational materials as well as equipment such as thermometers, oximeters, and blood pressure monitors.

The Age-Friendly Care, PA team submitted a grant proposal for a COVID-19 related Patient-Centered Outcomes Research Institute (PCORI) grant. Diane Berish, Britney Wardecker, Marianne Adam, Andrea Yevchak Sillner, Lisa Kitko and Judith Hupcey propose to work with our Primary Health Network collaborating partners to improve TeleHealth services by improving primary care providers' knowledge, competence, and confidence in conducting serious illness conversations during these virtual visits, which will enhance patientcentered care outcomes.

With her background in geriatrics and as a former Director of Nursing, Janice Whitaker has been invited by the College of Medicine ECHO Team to serve as co-investigator on another PCORI grant titled: COVID-19 Project ECHO for Nursing Homes: A Patientcentered, Randomized-controlled Trial to Implement Infection Control and Quality of Life Best Practices. As the title implies, this will involve a randomized controlled trial of an intervention of ECHO, an on-line educational model that emphasizes an “all teach- all learn” philosophy, a model also used by the Age-Friendly Care, PA program. If funded, the project will provide education and technical assistance to nursing homes and skilled

nursing facilities to reduce infection rates and improve quality of care and life for older adults and caregivers.

Join us on May 13, 2021 for the 4th Annual Translating Research to Innovations in Practice Symposium. The symposium brings together nurse researchers from both academic and clinical settings to focus on the translation of evidence to health care practices. The intended purpose is to include research that provides an understanding of what makes an organization successful in the use of evidence-based practice and to provide an opportunity for clinical nurses to network with and share their research with others.

The keynote presentation, “Integrating age friendly care in delirium assessment and prevention: A person-centered approach to care” will be provided by Donna Fick.

Marie Boltz was awarded a new RO1 grant From the National Institute on Aging. As an MPI, Boltz's study, Testing the Efficacy of FFC-AC-EIT in Patients with Alzheimer’s Disease and Related Dementias, will work with hospital staff to implement and disseminate function-focused care across diverse hospitals in Pennsylvania. Another MPI, Barbara Resnick PhD, RN, CRNP, FAAN, FAANP, professor of organizational systems and adult health, School of Nursing at the University of Maryland will lead the study in Maryland sites.

Nikki Hill and Andrea Yevchak Sillner are pursuing new projects to determine how we should be asking older adults and their care partners questions about memory performance and memory concerns.

Aside from continuing to study the impact of caregiver communication on apathy in nursing home residents with dementia, Ying-Ling Jao will be collaborating with the 49

LOOKING AHEAD Architecture Engineering faculty at Penn State to develop a smart lighting intervention for nursing home residents with dementia.

Susan Loeb and colleagues NIH/NIA grant application was recently funded. The Phase II study aims to refine and extend the Inmates Care modules into a full scale highlyinteractive Computer-Based Training (CBT) that is congruent with the correctional setting; is feasible in light of the myriad of safety and security constraints in prisons in general and regarding inmate use of electronics in particular; and, is usable by incarcerated adults, many of whom do not have high-school graduate reading levels. Based on findings from our successful STTR Phase I, our earlier research focused on inmate peer caregivers; current and future recipients of peer care in prison; and, what we learned in our efficiency of healthcare study. The study is conducted in collaboration with Valerie Myers.

Britney Wardecker plans to write a grant to study correlations and predictors of LGBTQ older adults’ decisions to complete advance care directives, such as living wills, durable power of attorneys for healthcare, and do-notresuscitate orders. LGBTQ older adults are more likely than non-LGBTQ counterparts to report chronic health conditions, and thus, it may be critical for them to have plans in place so their end-of-life wishes can be respected and fulfilled.

Kimberly VanHaitsma is part of a team that is developing ComPASS, a mobile responsive website based on the Preferences for Everyday Living Inventory (PELI). This app will be provided free to thousands of US nursing homes to help staff capture residents’ preferences and gauge their satisfaction via smart phones, tablets and computers. Mather LifeWays recently recognized the value of this application for future machine learning initiatives to advance person-centered care.

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Recently, Ohio’s Department of Medicaid approved a new three-year project (total award to Miami University: $1.3 million, 10/1/19-10/30/22), which focuses on improving the quality of care and quality of life of nursing home residents living with dementia. As co-PI on this team, VanHaitsma will assist in the development of resources that enhance nursing home capabilities in leadership, communication, training and quality assurance, as well as strengthen technological solutions for data collection and analysis to support care infrastructure.

Donna Fick, Marie Boltz, Edward Marcantonio from Harvard, and team are in the final year (NCE) of their NIA funded grant (total award $2.4 million as MPI) and plan to submit a renewal to the National Institute on Aging in 2020 for their work on delirium screening and management at the bedside.

Their research will further test improvements for quick and reliable delirium screening by front-line providers including nursing assistants. In addition, Fick, Wes Ely from Vanderbilt and Eva Zeisky, will host the third year of the Delirium Boot Camp, October 2829, 2020 as a virtual event for the Network for Investigation of Delirium Unifying Scientists (NIDUS) NIA funded R24 grant https:// deliriumnetwork.org/ On behalf of the National Academy of Medicine (NAM), Donna Fick received an invitation from Victor Dzau, NAM President, and Mark McClellan, Director of the DukeMargolis Center for Health Policy, to participate as a co-author for a paper which will be published in Health Affairs in early 2021 as part of the next iteration of the NAM initiative Vital Directions for Health and Health Care. The NAM stewarded the development of Vital Directions prior to the last presidential election in 2016, to identify opportunities to substantially improve the health and well-being of Americans, the

quality of care delivered, and the contributions of science and technology. In anticipation of the upcoming election in 2020, the NAM is undertaking a more abbreviated, but important, updated assessment of key trends in health and health care. Health Affairs will publish a series of papers addressing high priority challenges for the next Administration, with each reviewing trends, analysis of the challenge, and potential actions. The papers will be discussed in detail with policymakers and other key stakeholders preparing for, and engaging with, the next Administration.

In 2020, Fick will also start a 2nd term (reappointed) to the National Academy of Medicine forum on Aging, Disability and Independence. This work is important now more than ever, as older adults and persons with disabilities face rationing of care issues, ageism and ableism in the midst of a global pandemic. Read more about the work of the forum and watch the webinar on COVID-19 and disabilities. Free to the public and accessible for the disabled. https://www. nationalacademies.org/our-work/forum-onaging-disability-and-independence

S E R V I C E , S T R A T E G I C P A R T N E R S H I P S A N D S U S T A I N A B I L I T Y In collaboration with Morgann McAfee, Marketing and Creative Services Manager for our college, the leadership team will continue to develop and implement a CGNE Marketing, Media, and Communications Plan to raise awareness and visibility of our center.

Under the direction of Susan Kukic, Director of Development and Alumni Relations for the College of Nursing, we also plan to create a more specific CGNE Development Plan to promote and ensure the sustainability of our center.

CGNE continually seeks new and innovative ways to engage undergraduate students with our center and, more importantly, in becoming interested and passionate about gerontology!

This year, Janice Whitaker and Donna Fick plan to integrate strategies from the Old People Are Cool campaign into sessions with the SNAPS (Student Nurses Association at Penn State), locally and at the regional convention!

Janice Whitaker and Erica Husser have been and will continue to participate in the Intergenerational Think Tank meetings led by Matt Kaplan, Professor of Intergenerational Programs and Aging, Department of Agricultural Economics, Sociology, and Education at Penn State. CGNE strives to promote a more age-friendly university, we plan to integrate intergenerational strategies into current programs, such as our Gero Gift Givers program, which collects and distributes donated gifts to older adults living in assisted living communities during the holidays.

Our CGNE leadership team will continue to serve on various local, statewide, national, and international boards, committees, and organizations. This enables us to share expertise, engage in dialogue and solve problems, and inform policy and practice standards. We plan to organize and refine our strategic partnerships, prioritize action steps, and identify ways to increase our impact.

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Center of Geriatric Nursing Excellence 304 Nursing Sciences Building University Park, PA 16801 814-863-1048 cgne@psu.edu