The purpose of this study was to provide an in-depth description of the experience of making the decision to place a family member in a special care unit among a diverse sample of family caregivers. To achieve purposive maximum variation of the sample, the sample of 30 family caregivers was chosen from an original study of 256 family caregivers. The sample was randomly stratified according to ethnicity, gender, and relationship to the care receiver. Three independent researchers used Luborsky's method of thematic analysis to analyze the interviews. After mutual consensus, 1565 themes (descriptive statements) were identified and synthesized into 21 topics. The topics were then synthesized into four patterns describing the decision-making experience: moving toward the unavoidable decision, struggling with the decision, seeking reassurance, and remaining connected.

Given the complex historical context of research with indigenous communities, there is an ethical imperative to ensure cultural sensitivity in research with these populations. Despite this need, there is a lack of practical guidance based on empirical results to conduct culturally sensitive research. The purpose of this qualitative inquiry is twofold. First, Part 1 identifies strategies for culturally sensitive research with indigenous communities in the USA. Second, Part 2 applies culturally sensitive strategies to a specific research setting with an indigenous community. Part 1 uses a qualitative descriptive study with 13 indigenous and non-indigenous researchers to identify strategies for cultural sensitivity in research. Part 2 applies identified strategies to a rigorous critical ethnography with indigenous communities. Emergent themes from Part 1 include the impact of history, relational research, incorporating cultural sensitivity and strengths, demonstrating patience, and negotiating multiple perspectives. These themes inform a researcher's toolkit for cultural sensitivity, which is applied to a localized setting in Part 2. Cultural sensitivity enhances the quality and usefulness of research, which is better able to address the pressing problems experienced by some indigenous communities.

The purpose of this study was to provide an in-depth description of 19 Korean family caregivers' experiences in making the decision to place a family member with dementia in a Korean long-term care facility. A total of 656 themes (descriptive statements) were identified and synthesized into 17 topics using Luborsky's method for thematic analysis. The topics were synthesized into four patterns: (a) feeling exhausted; (b) deep sorrow; (c) fractured relationships; and (d) apprehension. The findings enhance the capacity of health care professionals and the public to understand more fully, how caregiving experiences differ by cultural context. The findings contribute to understanding family caregiving experiences in a country in transition from a traditional society based on Confucianism to a Westernized society.

The purpose of this phenomenological study was to describe the experience of caring for a family member with Alzheimer's disease or related disorder (ADRD) living at home among a diverse sample of 103 family caregivers. The study involved secondary analysis of in-depth transcribed interview data using van Kaam's rigorous four phase, 12-step psychophenomenological method. A total of 2,115 descriptive expressions were categorized into 38 preliminary structural elements. Eight essential structural elements emerged from an analysis of the preliminary structural elements. The eight elements were then synthesized to form the following synthetic structural definition: Caring for a family member living at home with ADRD was experienced as "being immersed in caregiving; enduring stress and frustration; suffering through the losses; integrating ADRD into our lives and preserving integrity; gathering support; moving with continuous change; and finding meaning and joy."

Photoelectric BVRI photometry of several fields is presented. These data are intended to be used as "standard fields" for calibration of area detectors, specifically CCDs. The fields are located at intervals of 4-6 hours and are accessible from Northern Hemisphere observatories. The photometry has been converted to the "standard" system of Landolt (1983).

The purpose of this phenomenological study was to describe the experience of caring for a family member with Alzheimer's disease or related disorder (ADRD) living at home among a diverse sample of 103 family caregivers. The study involved secondary analysis of in-depth transcribed interview data using van Kaam's rigorous four phase, 12-step psychophenomenological method. A total of 2,115 descriptive expressions were categorized into 38 preliminary structural elements. Eight essential structural elements emerged from an analysis of the preliminary structural elements. The eight elements were then synthesized to form the following synthetic structural definition: Caring for a family member living at home with ADRD was experienced as "being immersed in caregiving; enduring stress and frustration; suffering through the losses; integrating ADRD into our lives and preserving integrity; gathering support; moving with continuous change; and finding meaning and joy."

Physical restraints continue to be used in acute care settings, despite the challenges and calls to reduce this practice. The current guideline on restraint use is updated with evidence that includes critical care settings and issues related to restraint use in acute care units. Nurses play a significant role in the use of restraints. Factors such as nurse's knowledge and patient characteristics combined with the culture and resources in health care facilities influence the practice of physical restraint use. Nurses can identify patients at high risk for restraint use; assess the potential causes of unsafe behaviors; and target interventions in the areas of physiological, psychological, and environmental approaches to address those unsafe behaviors. Members of the interdisciplinary team can provide additional consultation, and institutions can provide resources and education and implement monitoring processes and quality improvement practices to help reduce the practice of physical restraint use. [Journal of Gerontological Nursing, 42(2), 17-26.].

Falls are a major cause of injury and death annually for millions of individuals 65 and older. Older adults are at risk for falls for a variety of reasons regardless of where they live. Falls are defined as any sudden drop from one surface to a lower surface. The purpose of this fall prevention evidence-based practice guideline is to describe strategies that can identify individuals at risk for falls. A 10-step protocol including screening for falls, comprehensive fall assessment, gait and balance screening when necessary, and an individualized fall intervention program addressing specific fall risks is presented. Reassessing fall risk and fall prevention programs will ensure a proactive approach to reducing falls in the aging population. [Journal of Gerontological Nursing, 43(11), 15-21.].