Journal of gerontological nursing最新文献

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Challenging Behaviors in Nursing Homes: Impact of Staff Training on Laypeople's Perceptions of Staff Competence. 养老院的挑战行为:员工培训对外行人对员工能力认知的影响。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-10-01 Epub Date: 2025-07-07 DOI: 10.3928/00989134-20250627-01
Laura Deprez, Vincent Didone, Effrosyni Pyrovolaki, Stéphane Adam
{"title":"Challenging Behaviors in Nursing Homes: Impact of Staff Training on Laypeople's Perceptions of Staff Competence.","authors":"Laura Deprez, Vincent Didone, Effrosyni Pyrovolaki, Stéphane Adam","doi":"10.3928/00989134-20250627-01","DOIUrl":"10.3928/00989134-20250627-01","url":null,"abstract":"<p><strong>Purpose: </strong>Challenging behaviors of residents with dementia represent a major concern in nursing homes (NHs). Although various studies have investigated the effects of staff training in challenging behavior management, few have explored their impact on laypeople's perceptions. However, NH professionals routinely interact with laypeople, such as current and prospective residents and their families, volunteers, and community partners. The current study examined the effect of person-centered staff training on naïve individuals' perceptions of staff competence.</p><p><strong>Method: </strong>Twenty-two NH professionals completed person-centered care training in challenging behavior management and responded to a clinical vignette before and after training. Their responses were evaluated by 59 naïve assessors for relevance, confidence, and competence. In addition, two trained assessors were recruited to explore whether their informed evaluations corroborated naïve assessors' impressions.</p><p><strong>Results: </strong>Relevance, confidence, and competence improved significantly according to naïve and trained assessors. NH professionals also reported feeling more competent.</p><p><strong>Conclusion: </strong>Multiple measures indicate improved staff performance following training. Future studies should examine how laypeople's perceptions of staff competence influence their experiences in NHs and impact NH attractiveness.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"27-34"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Social Frailty and Pre-Frailty in Asian Older Adults: A Systematic Review and Meta-Analysis. 亚洲老年人社会脆弱和前期脆弱的患病率:系统回顾和荟萃分析。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.3928/00989134-20250811-02
Junting Huang, Fiona Timmins, Duolao Wang, Xiaorong Luan, Wanxia Yao, Youwen Zhang
{"title":"Prevalence of Social Frailty and Pre-Frailty in Asian Older Adults: A Systematic Review and Meta-Analysis.","authors":"Junting Huang, Fiona Timmins, Duolao Wang, Xiaorong Luan, Wanxia Yao, Youwen Zhang","doi":"10.3928/00989134-20250811-02","DOIUrl":"10.3928/00989134-20250811-02","url":null,"abstract":"<p><strong>Purpose: </strong>To synthesize the pooled estimate of the overall incidence of social frailty (SF) and pre-frailty, as well as the prevalence of SF based on sex, country, participant type, and assessment tool used.</p><p><strong>Method: </strong>This systematic review and meta-analysis incorporated data from inception to December 2021 using six databases: PubMed, Embase, MEDLINE, CINAHL Plus, PsycINFO, and Cochrane Library. In addition to using a comprehensive set of medical subject headings and text phrases in Chinese and English, additional research was manually retrieved from reference lists. Calculations of the combined incidence of SF and pre-frailty were based on a random-effects model. Sources of heterogeneity were also verified through subgroup analysis.</p><p><strong>Results: </strong>The literature search yielded 2,371 articles, with 17 articles included in the meta-analysis. The combined incidences of SF and pre-frailty were 18.9% (95% confidence interval [CI] [13.7, 24.1]) and 46.6% (95% CI [34.4, 58.7]), respectively. After subgroup analyses of SF, the combined prevalence was 21.6% (95% CI [12.9, 30.3]) in Japan, 19.4% (95% CI [13.2, 25.5]) among females, 25.1% (95% CI [9.1, 41.1]) with Makizako's 5-item SF questionnaire, and 66.5% (95% CI [63.9, 69.1]) among older adults with heart failure.</p><p><strong>Conclusion: </strong>SF and pre-frailty were prevalent in Asian older adults, especially in Japan, among females, with Makizako's 5-item SF questionnaire, and among older adults with heart failure.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"17-25"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determining Nursing Home Staffing Based on Resident Acuity: A New Evidence-Based Methodology. 基于居民敏锐度的养老院人员配置:一种新的循证方法论。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-10-01 DOI: 10.3928/00989134-20250905-01
Margaret I Wallhagen, Christine Mueller
{"title":"Determining Nursing Home Staffing Based on Resident Acuity: A New Evidence-Based Methodology.","authors":"Margaret I Wallhagen, Christine Mueller","doi":"10.3928/00989134-20250905-01","DOIUrl":"https://doi.org/10.3928/00989134-20250905-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 10","pages":"4-6"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aging Matters: A Multi-Site Study and Call to Action for Integrating Gerontological Content into Bachelor of Science, Associate Degree, and Practical Nursing Program Curricula. 老龄化问题:一项多地点研究和对将老年学内容纳入理学学士、副学士学位和实践护理课程的行动呼吁。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-09-15 DOI: 10.3928/02793695-20250908-01
Deborah D Brabham, Cynthia Fletcher
{"title":"Aging Matters: A Multi-Site Study and Call to Action for Integrating Gerontological Content into Bachelor of Science, Associate Degree, and Practical Nursing Program Curricula.","authors":"Deborah D Brabham, Cynthia Fletcher","doi":"10.3928/02793695-20250908-01","DOIUrl":"https://doi.org/10.3928/02793695-20250908-01","url":null,"abstract":"<p><strong>Purpose: </strong>The current study examined differences in senior nursing students' knowledge, attitudes, and perceived competency about older adults, based on enrollment in Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN), and Practical Nursing (PN) programs offering gerontological nursing curricula content.</p><p><strong>Method: </strong>A nonexperimental, descriptive survey design was used. A total of 145 senior nursing students from five prelicensure programs in Florida completed a 92-item survey incorporating the Palmore Facts on Aging Quiz 2, Kogan's Attitudes Toward Old People Scale, and the Hartford Geriatric Nurse Competency Tool. Data were analyzed using analysis of variance (ANOVA), multivariate ANOVA, and Pearson correlation.</p><p><strong>Results: </strong>Students demonstrated limited knowledge about older adults but reported high perceived competency. A statistically significant difference in knowledge was found between program types, with PN students scoring highest. A moderate positive correlation existed between knowledge and attitudes. No significant differences were found for attitudes or perceived competency by program.</p><p><strong>Conclusion: </strong>The current study underscores the need to systematically design an evidence-based curriculum inclusive of gerontological nursing content across BSN, ADN, and PN programs to prepare the future nursing workforce to care for older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing Empathy: A Mixed Methods Exploration of Dementia Simulation in Occupational Therapy and Nursing Education. 增强同理心:痴呆模拟在职业治疗和护理教育中的混合方法探索。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-09-15 DOI: 10.3928/00989134-20250908-03
Suzanne Parkman, Julie Larouche, Ashley Condon, Abou El-Makarim Aboueissa
{"title":"Enhancing Empathy: A Mixed Methods Exploration of Dementia Simulation in Occupational Therapy and Nursing Education.","authors":"Suzanne Parkman, Julie Larouche, Ashley Condon, Abou El-Makarim Aboueissa","doi":"10.3928/00989134-20250908-03","DOIUrl":"https://doi.org/10.3928/00989134-20250908-03","url":null,"abstract":"<p><strong>Purpose: </strong>Dementia, including Alzheimer's disease, poses complex challenges requiring health care providers to respond with empathy and skill. The current study examined whether a simulation-based dementia education intervention could enhance empathy in health care students.</p><p><strong>Methods: </strong>Using embedded mixed methods, one-group quasi-experimental design, empathy levels in 125 prelicensure nursing and graduate occupational therapy students were measured via the Kiersma-Chen Empathy Scale-Revised (KCES-R) before, immediately after, and 6 weeks post-simulation. In addition, 36 post-debriefing focus groups explored student experiences qualitatively.</p><p><strong>Results: </strong>Findings showed significant empathy score increases across all time points (F[2,124] = 17.02, <i>p</i> < 0.001). Thematic analysis revealed five themes: <i>The Illusion of Empathy</i>, <i>Developing Empathetic Skills</i>, <i>Confronting Uncomfortable Truths</i>, <i>The Eureka Moment: Transformative Realizations</i>, and <i>Empathy and Power Dynamics</i>.</p><p><strong>Conclusion: </strong>Findings suggest that simulation-based dementia experience improves empathy and motivates students to provide better care. Experiential learning is critical to preparing future health care professionals to meet the growing demands of dementia care.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Modifiable Environmental Work Factors Influencing Mood Symptoms in Long-Term Care Staff. 评估影响长期照护人员情绪症状的可改变环境工作因素。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-09-15 DOI: 10.3928/00989134-20250905-02
Kelly Doran, Douglas Gyamfi, Lauren Anderson, Kelly Brown, Gurpreet Kaur Saini, Barbara Resnick, Shijun Zhu
{"title":"Assessing Modifiable Environmental Work Factors Influencing Mood Symptoms in Long-Term Care Staff.","authors":"Kelly Doran, Douglas Gyamfi, Lauren Anderson, Kelly Brown, Gurpreet Kaur Saini, Barbara Resnick, Shijun Zhu","doi":"10.3928/00989134-20250905-02","DOIUrl":"https://doi.org/10.3928/00989134-20250905-02","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate modifiable environmental work factors impacting long-term care (LTC) workers' mood symptoms. This is a first step in creating interventions that can improve mood symptoms and reduce turnover.</p><p><strong>Method: </strong>This descriptive study used baseline data from a trial within six worksites (<i>N</i> = 112). Through self-reported surveys, mood symptoms were analyzed using the 21-item version of the Depression Anxiety and Stress Scale, and environmental factors, such as job demands, decision authority, job duties, social support, and organizational justice, were measured using the Job Strain Model tool.</p><p><strong>Results: </strong>After controlling for age, organizational justice (β = 0.361, <i>p</i> ≤ 0.001) significantly influenced mood symptoms and explained 15% of the variance in mood symptoms.</p><p><strong>Conclusion: </strong>Organizational justice may reduce mood symptoms in LTC staff. These findings offer managers and researchers insights for potential interventions with this population.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
No Meals, No Meds. 不吃饭,不吃药。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-09-15 DOI: 10.3928/00989134-20250908-02
Carol Lindsay
{"title":"No Meals, No Meds.","authors":"Carol Lindsay","doi":"10.3928/00989134-20250908-02","DOIUrl":"https://doi.org/10.3928/00989134-20250908-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-2"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nonpharmacological Interventions Prevent Delirium in Older Adult Surgical Patients: A Network Meta-Analysis of Randomized Controlled Trials. 非药物干预预防老年外科患者谵妄:随机对照试验的网络荟萃分析。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI: 10.3928/00989134-20250626-01
José Lucas Sena da Silva, Lorena Azi, Kan Ding, Luiz Eduardo Ritt, Juliana Caldas
{"title":"Nonpharmacological Interventions Prevent Delirium in Older Adult Surgical Patients: A Network Meta-Analysis of Randomized Controlled Trials.","authors":"José Lucas Sena da Silva, Lorena Azi, Kan Ding, Luiz Eduardo Ritt, Juliana Caldas","doi":"10.3928/00989134-20250626-01","DOIUrl":"10.3928/00989134-20250626-01","url":null,"abstract":"<p><strong>Purpose: </strong>The current meta-analysis aimed to evaluate the effectiveness of nonpharmacological interventions in preventing delirium among older adult surgical patients.</p><p><strong>Method: </strong>Randomized controlled trials (RCTs) examining nonpharmacological approaches were selected. A meta-analysis was performed using random-effect models to calculate standard mean differences and 95% confidence intervals (CI).</p><p><strong>Findings: </strong>Twelve RCTs (<i>N</i> = 3,829) met inclusion criteria. Nonpharmacological interventions significantly reduced delirium incidence (OR [odds ratio] = 0.57, 95% CI [0.49, 0.66]). Multicomponent (OR = 0.6, 95% CI [0.49, 0.75]) and single-component (OR = 0.53, 95% CI [0.42, 0.66]) interventions were effective. Network meta-analysis revealed that the multicomponent intervention \"Family HELP\" demonstrated significant superiority over four other interventions (OR = 0.11, 95% CI [0.04, 0.33]; p-score = 0.911).</p><p><strong>Conclusion: </strong>Nonpharmacological interventions were found to effectively prevent delirium among older adult surgical patients, with the Family HELP intervention being the most effective. These interventions should be integrated into nursing care guidelines to enhance patient-centered care and experience.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"20-29"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Phantom Foley: A Simple Intervention to Prevent Urinary Catheter Trauma in Hospitalized Older Adults With Delirium. 幻影Foley:一种预防住院老年谵妄患者尿管创伤的简单干预。
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-09-01 DOI: 10.3928/00989134-20250812-03
Max S Yudovich, Tullika Garg, Rebekah Keller
{"title":"The Phantom Foley: A Simple Intervention to Prevent Urinary Catheter Trauma in Hospitalized Older Adults With Delirium.","authors":"Max S Yudovich, Tullika Garg, Rebekah Keller","doi":"10.3928/00989134-20250812-03","DOIUrl":"10.3928/00989134-20250812-03","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 9","pages":"3-4"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship Among Social Isolation, Gender, and Marital Status in Retirees: The Mediating Role of Social Participation. 退休人员社会孤立、性别与婚姻状况的关系:社会参与的中介作用
IF 1.1 4区 医学
Journal of gerontological nursing Pub Date : 2025-09-01 Epub Date: 2025-06-06 DOI: 10.3928/00989134-20250523-01
Eunhea You, Carrie Andreoletti, Richard S Feinn, Nicholas R Nicholson, Briana Howard
{"title":"Relationship Among Social Isolation, Gender, and Marital Status in Retirees: The Mediating Role of Social Participation.","authors":"Eunhea You, Carrie Andreoletti, Richard S Feinn, Nicholas R Nicholson, Briana Howard","doi":"10.3928/00989134-20250523-01","DOIUrl":"10.3928/00989134-20250523-01","url":null,"abstract":"<p><strong>Purpose: </strong>Social isolation poses significant risks to older adults' well-being, yet the mechanisms driving their demographic differences remain unclear. The current study investigated whether social participation mediates the relationship among social isolation, gender, and marital status among retirees.</p><p><strong>Method: </strong>A secondary analysis of AARP survey data (<i>N</i> = 6,664) was conducted. Mediation analyses examined the indirect effects of gender and marital status on social isolation through social participation. Participants were predominantly adults aged ≥50 years with low to moderate income.</p><p><strong>Results: </strong>Women and married individuals showed higher social participation and lower social isolation. There was a significant direct effect of being female and being married on social isolation, and also a significant indirect effect through social participation.</p><p><strong>Conclusion: </strong>Interventions should consider diverse vulnerable groups. Although unmarried men may benefit from tailored social programs, broader strategies, inclusive of gender and marital status dynamics, are essential. Tailored programs targeting unmarried men could foster social participation, thereby reducing social isolation and promoting healthy aging.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"39-44"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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