Background: Nearly 1.4 million Americans reside in residential or long-term care facilities. Over 55% of these individuals report feelings of loneliness and social isolation. The COVID-19 pandemic subjected individuals within these facilities to experience high levels of loneliness and social isolation. Social isolation and loneliness are presumed to be continued feelings despite the lifting of COVID-19 restrictions within these facilities. Persistent feelings of loneliness and social isolation are linked to several comorbidities, most notably anxiety, depression, and increased mortality. Purpose: The purpose of this project was to identify individuals within a long-term care facility experiencing loneliness utilizing a modified UCLA Screening Tool. Evidence-based practice interventions were then implemented to reduce or eliminate feelings of loneliness. Methods: This project was deemed not human subjects research by the University of Iowa Review Board. The Iowa Model guided the implementation of this project. The setting was a long-term care facility in the Midwest. The population included adults >65 residing within this facility. Findings: There were 30 residents eligible for loneliness screening and 29 residents were screened throughout the project timeframe. In the first quarter of screening, 65.5% of residents scored positive for loneliness. All residents received offers for referrals to appropriate interventions within two weeks of their screening results. Post-intervention loneliness scores were reduced to 37.9% during the second quarter of screening. Discussion: The UCLA Loneliness Screening tool is an effective way to identify feelings of loneliness across various healthcare settings. This project resulted in the identification of a high volume of residents experiencing feelings of loneliness. Staff were educated on the signs, symptoms, and consequences of persistent loneliness. This facility plans to adopt a version of the modified UCLA Loneliness Screening Tool to continue identifying individuals experiencing loneliness.
UCLA Screener long-term care social isolation loneliness older adults
Details
Title: Subtitle
The Implementation of a Loneliness Screening Tool for Residents in Long-Term Care
Creators
Alexx Lynn DeVore - University of Iowa
Contributors
Larry Newman (Chair) - University of Iowa
Resource Type
Dissertation
Project Type
Poster
Degree Awarded
Doctor of Nursing Practice (DNP), University of Iowa