Journal of gerontological nursing最新文献

Preventing Depression Among Older Adults With Severe Illness: The Mediating Role of Life Satisfaction and the Moderating Role of Gender. 老年重症患者的抑郁预防：生活满意度的中介作用及性别的调节作用

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-02-01 Epub Date: 2024-12-02 DOI: 10.3928/00989134-20241122-03

Juan Liu, Wei Wei, Zhihong Ding

{"title":"Preventing Depression Among Older Adults With Severe Illness: The Mediating Role of Life Satisfaction and the Moderating Role of Gender.","authors":"Juan Liu, Wei Wei, Zhihong Ding","doi":"10.3928/00989134-20241122-03","DOIUrl":"10.3928/00989134-20241122-03","url":null,"abstract":"Purpose: The occurrence of severe illness, the risk for which increases as people age, often results in depression. The current study aimed to explore how and when severe illness leads to depression among older adults.Method: Data collected from a sample of 756 older adults were analyzed using moderated mediation analysis to examine the underlying mechanism between severe illness and depression.Results: Results, as verified by a robustness check, demonstrated that life satisfaction mediated the association between severe illness and depression among older men and women, and that gender moderated the direct relationship between severe illness and depression.Conclusion: The formation path of depression from severe illness among older adults varies according to gender. For men, severe illness did not directly trigger depression, but indirectly triggered depression through decreased life satisfaction; for women, severe illness not only triggered depression directly, but also indirectly triggered depression through decreased life satisfaction. Results yield theoretical and practical implications for gerontological nursing. [Journal of Gerontological Nursing, 51(2), 43-52.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"43-52"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769535","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

Family Care Intervention Effect on the Family Support Needs of Residents in Nursing Homes: A Cluster Randomized Trial. 家庭护理干预对养老院居民家庭支持需求的影响：一项聚类随机试验。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-02-01 Epub Date: 2024-12-02 DOI: 10.3928/00989134-20241122-02

Mingli Zhao, Xue Wang, Yijia Zhuo, Shuangshuang Dai, Wenya Zhao, Jordan Tovera Salvador, Siyuan Feng

{"title":"Family Care Intervention Effect on the Family Support Needs of Residents in Nursing Homes: A Cluster Randomized Trial.","authors":"Mingli Zhao, Xue Wang, Yijia Zhuo, Shuangshuang Dai, Wenya Zhao, Jordan Tovera Salvador, Siyuan Feng","doi":"10.3928/00989134-20241122-02","DOIUrl":"10.3928/00989134-20241122-02","url":null,"abstract":"Purpose: To assess the impact of a home care intervention on the family support needs of nursing home residents through a group clinical trial and blinded outcome assessment.Method: A cluster randomized trial was conducted at two nursing homes in Zhengzhou. Each nursing home was randomized to either the intervention or control group. Eighty-two residents were enrolled in the study. Intervention group participants (n = 41) received a family support intervention, and those in the control group (n = 41) received the institution's standard daily care routine. The Questionnaire of Family Support Needs; Perceived Social Support Scale; and Family Adaptation, Partnership, Growth, Affection, Resolve Index were used to assess post-intervention outcomes.Results: There were no significant differences between groups regarding baseline data. There were statistically significant (p < 0.05) within-subject, between-subject, and interaction effects for both groups regarding family support needs, perceived social support, and family functioning.Conclusion: Findings contribute to strengthening the care of residents in nursing homes, indicating the importance of family support, which can positively influence perceived social support and family function. The long-term efficacy of the intervention should be further verified. [Journal of Gerontological Nursing, 51(2), 24-31.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"24-31"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769515","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

Factor Structure of the Brief Pain Inventory-Short Form in African American Older Adults With Osteoarthritis.

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-02-01 Epub Date: 2025-01-10 DOI: 10.3928/00989134-20250102-01

Jianli Wu, Ann L Horgas, Staja Q Booker

{"title":"Factor Structure of the Brief Pain Inventory-Short Form in African American Older Adults With Osteoarthritis.","authors":"Jianli Wu, Ann L Horgas, Staja Q Booker","doi":"10.3928/00989134-20250102-01","DOIUrl":"https://doi.org/10.3928/00989134-20250102-01","url":null,"abstract":"Purpose: To evaluate the factor structure of the Brief Pain Inventory-Short Form (BPI-SF) and measurement invariance across two age groups for African American (AA) older adults with osteoarthritis (OA).Method: Participants were AA older adults aged 50 to 94 years with self-reported OA and chronic pain (N = 110). Cross-sectional data from the BPI-SF were obtained from all participants, and confirmatory factor analysis (CFA) was used to evaluate the factor structure. Measurement invariance across young-old (aged 50 to 69 years) and old-old (aged 70 to 94 years) participants was examined at configural, full metric, and full scalar levels.Results: CFA revealed that a three-factor model (i.e., pain intensity, activity interference, and affective interference) demonstrated the best fit (χ2/df = 1.595, comparative fit index [CFI] = 0.949, root-mean-square error of approximation = 0.074). The change of CFI between configural and metric invariance was below the cutoff point of 0.01, supporting full metric (i.e., factor loadings) invariance across the two age groups. However, full scalar (i.e., item intercepts) invariance was not demonstrated.Conclusion: Results support a three-factor structure of the BPI-SF, which is consistent across two age groups for AA older adults with OA. This study provides evidence that the BPI-SF can reliably measure pain intensity and two distinct dimensions of pain interference in this population. [Journal of Gerontological Nursing, 51(2), 13-22.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 2","pages":"13-22"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080283","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

Promoting Equity and Social Justice for Caregivers: A Frank Conversation for Gerontological Nurses.

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-02-01 DOI: 10.3928/00989134-20250115-01

Harleah G Buck

引用次数: 0

Loneliness and Health Status Among Omani Older Adults. 阿曼老年人的孤独与健康状况

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-02-01 Epub Date: 2024-12-02 DOI: 10.3928/00989134-20241122-01

Salma Al Yazeedi, Chanam Shin

{"title":"Loneliness and Health Status Among Omani Older Adults.","authors":"Salma Al Yazeedi, Chanam Shin","doi":"10.3928/00989134-20241122-01","DOIUrl":"10.3928/00989134-20241122-01","url":null,"abstract":"Purpose: Despite advances in health care and increased life expectancy, many older adults are at high risk for poor health and loneliness. The current study examined loneliness and its association with health among Omani older adults (aged ≥60 years).Method: This descriptive, correlational study used structured questionnaires to collect data from 113 Omani older adults.Results: More than one half (67.3%) of participants felt moderate to severe loneliness. Hierarchical regression analyses revealed that being female, older age (≥85 years), living with non-family members, and being unemployed were significant predictors of loneliness. Loneliness was a significant predictor of poor mental health status when sociodemographic and environmental factors were controlled.Conclusion: Findings indicate a significant number of Omani older adults are experiencing loneliness. We suggest that RNs specialize or practice in the care of older adults, and that researchers and policy makers take prompt action to address this urgent health issue before the occurrence of severe adverse health outcomes among this population. [Journal of Gerontological Nursing, 51(2), 33-42.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"33-42"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769529","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 Social Security Fairness Act: Evaluating Potential Impact, Limitations, and Implications for Research, Policy, and Practice.

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-02-01 DOI: 10.3928/00989134-20250122-01

G Adriana Perez

{"title":"The Social Security Fairness Act: Evaluating Potential Impact, Limitations, and Implications for Research, Policy, and Practice.","authors":"G Adriana Perez","doi":"10.3928/00989134-20250122-01","DOIUrl":"https://doi.org/10.3928/00989134-20250122-01","url":null,"abstract":"The impact of laws and policies that involve social determinants of health (SDOH), particularly among older, retired populations, needs to be considered as a public health intervention. The Social Security Fairness Act was signed into law in 2025, as a new amendment to the Social Security Act first introduced in 1935. The Social Security Fairness Act ends two provisions that have reduced benefits for spouses, widows, and widowers and for public service workers, which include teachers, fire fighters, police officers, nurses, and others who are receiving pensions from state or local government. Specifically, this new bill involves economic stability, which is considered an important SDOH for older adults. The purpose of the current article is to evaluate policy changes through the Social Security Fairness Act, including potential impact and benefits, limitations or unintended consequences, and implications and recommendations for future research, policy, and practice. Findings will help guide gerontological nurses and interprofessional researchers, clinicians, and educators promoting healthy aging. [Journal of Gerontological Nursing, 51(2), 7-12.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 2","pages":"7-12"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080294","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

Addressing Dementia Care Needs During the COVID-19 Pandemic: Perspectives From Home Care Workers. 解决COVID-19大流行期间的痴呆症护理需求：来自家庭护理工作者的观点。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-01-10 DOI: 10.3928/00989134-20250102-02

Sue Anne Bell, Katherine Kruger, Ryoko Ikari, Christina Kuhnmuench, Karen Gates, Marie-Anne Rosemberg

{"title":"Addressing Dementia Care Needs During the COVID-19 Pandemic: Perspectives From Home Care Workers.","authors":"Sue Anne Bell, Katherine Kruger, Ryoko Ikari, Christina Kuhnmuench, Karen Gates, Marie-Anne Rosemberg","doi":"10.3928/00989134-20250102-02","DOIUrl":"https://doi.org/10.3928/00989134-20250102-02","url":null,"abstract":"Purpose: To uncover the barriers, facilitators, and adaptations that affected home care workers' care practices for their clients with dementia during the coronavirus disease 2019 (COVID-19) pandemic.Method: Semi-structured interviews were conducted with home care workers employed during the COVID-19 pandemic in Southeast Michigan. Respondent-driven sampling was used to recruit participants who were interviewed using a guide informed by the Theoretical Domains Framework. To identify themes across interviews, the research team combined content analysis with coding software for qualitative data.Results: Participants (N = 34) were predominantly female and ranged in age from 19 to 79 years. From the analyzed transcripts, five themes emerged: (1) Challenges in Complying With Pandemic Precautions; (2) Personal Protective Equipment-Related Disruption in Communication; (3) Client Fear and Agitation Exacerbated by Isolation; (4) Difficulties Necessitating Increased Patience; and (5) Continuation of Pre-Pandemic Holistic Care Practices Facilitating Well-Being.Conclusion: Home care workers adapted to meet their clients' health and well-being needs in the face of the demands of the pandemic. This study's findings are critical to informing the development of strategies to support home care workers and people living with dementia during future pandemics. [Journal of Gerontological Nursing, xx(xx), xx-xx.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949972","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

Improving Medication-Related Safety for Residents in Nursing Homes: A Qualitative Study. 改善养老院居民用药安全：一项质性研究。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-01-10 DOI: 10.3928/00989134-20250102-03

Bianca Shieu, Ya-Wen Lee, Fayron Epps, Mei-Chen Wang, John Harris

{"title":"Improving Medication-Related Safety for Residents in Nursing Homes: A Qualitative Study.","authors":"Bianca Shieu, Ya-Wen Lee, Fayron Epps, Mei-Chen Wang, John Harris","doi":"10.3928/00989134-20250102-03","DOIUrl":"https://doi.org/10.3928/00989134-20250102-03","url":null,"abstract":"Purpose: To gain a better understanding of the perceptions of RNs on medication safety concerns and potential solutions for nursing home (NH) residents.Method: This prospective, qualitative study used semi-structured phone interviews with a description approach. We used purposeful sampling to recruit 12 RNs employed at two NHs in the northeastern region of the United States. The Systems Engineering Initiative for Patient Safety constructs informed the interview guide, coding, and qualitative theme identification.Results: We categorized non-user-friendly charting systems and gained insights into more experience with paper-based charting under the technology component. For the organization component, participants identified the importance of teamwork, communication, and leadership. Participants also mentioned how education and nationality of training impact medication administration (MA) safety. Task-related concerns revealed how different care approaches, extreme workload variation, and task prioritization during the day are perceived as critical issues that need to be addressed. Staff shortages were also expressed as an environment-related concern.Conclusion: Findings highlight the importance of appropriate nurse-to-patient ratio, the significance of user-friendly charting systems, and customizing the interface of MA in the charting system. [Journal of Gerontological Nursing, xx(xx), xx-xx.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950065","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

Caregiver Tasks and Life Changes Among Family Caregivers of Stroke Survivors. 中风幸存者家庭照顾者的照顾任务和生活变化。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-01-10 DOI: 10.3928/00989134-20250103-02

Tamilyn Bakas, Gabrielle Cawthon, Jahmeel Israel, Elaine L Miller

{"title":"Caregiver Tasks and Life Changes Among Family Caregivers of Stroke Survivors.","authors":"Tamilyn Bakas, Gabrielle Cawthon, Jahmeel Israel, Elaine L Miller","doi":"10.3928/00989134-20250103-02","DOIUrl":"https://doi.org/10.3928/00989134-20250103-02","url":null,"abstract":"Purpose: Stroke family caregivers often struggle to provide care. The purpose of the current study was to determine: (a) ease or difficulty with caregiving tasks; (b) life changes because of providing care; and (c) relationship between caregiving tasks and life changes.Method: A descriptive correlational design was used. Telephone interviews were conducted with 74 stroke caregivers. Tasks were measured using the Oberst Caregiving Burden Scale; life changes with the Bakas Caregiving Outcomes Scale.Results: The most difficult tasks were managing survivor behaviors and the most negative life changes were lack of time for social activities. The easiest tasks were medical or nursing treatments, whereas the most positive life change was an improved relationship with the survivor. Tasks and life changes were different for each caregiver. Caregiver tasks and life changes were moderately correlated (r = 0.33, p < 0.01).Conclusion: Caregiver tasks and life changes are important for designing strategies to support stroke caregivers. [Journal of Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950028","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 and Factors Associated With Elder Self-Neglect Among Community-Dwelling Older Adults: A Cross-Sectional Study. 社区居住老年人自我忽视的患病率及相关因素：一项横断面研究。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2025-01-10 DOI: 10.3928/00989134-20250103-01

Yanhong Wang, Ke Zhang, Haihui Ruan, Xiaodan Niu, Jing Zhang, Yaxin Chen, Hongxia Tao

{"title":"Prevalence and Factors Associated With Elder Self-Neglect Among Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Yanhong Wang, Ke Zhang, Haihui Ruan, Xiaodan Niu, Jing Zhang, Yaxin Chen, Hongxia Tao","doi":"10.3928/00989134-20250103-01","DOIUrl":"https://doi.org/10.3928/00989134-20250103-01","url":null,"abstract":"Purpose: To report the prevalence and risk factors of elder self-neglect (ESN) among community-dwelling older adults (N = 604).Method: The current cross-sectional study was conducted from July 2019 to October 2020 in Lanzhou City, China. ESN was determined by the Scale of Elderly Self-Neglect, which evaluates five dimensions: (a) medical health and care, (b) environmental sanitation and personal hygiene, (c) mental health, (d) safety, and (e) social engagement. Frailty was assessed using the Physical Frailty Phenotype scale. Participants were asked whether they had bothersome and activity-limiting pain over the past 1 month. Characteristics associated with ESN were identified through multiple linear regression analyses.Results: Mean age of participants was 71.34 years (SD = 7.15 years), and 255 (57.8%) were female. The prevalence of ESN among participants was 16.2%. Among the five dimensions of ESN, medical health and care accounted for the largest proportion (44%). Approximately 58% of participants were pre-frail and 11.4% were frail, and 45% reported experiencing bothersome pain. Older adults with a household monthly income per capita <2,000 RMB (β = -0.112, p < 0.05), larger waist circumference (β = 0.185, p < 0.001), pre-frailty (β = 0.176, p < 0.001), frailty (β = 0.420, p < 0.001), and pain (β = 0.102, p < 0.05) were more prone to ESN.Conclusion: ESN is a prevalent issue among community-dwelling older adults. Frailty, pain, low economic status, and larger waist circumference are identified as independent risk factors for ESN. There is a need to improve the understanding of ESN among health care providers and policymakers. Personalized interventions aimed at preventing or addressing these risk factors may lead to improvements in ESN outcomes. [Journal of Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950067","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