Nahida Akter, Lucy Mondol, Allison R Heid, Kimberly Van Haitsma
{"title":"Person-Centered Care Measurement Tools for Older Adults Receiving Services in Long-Term Care Settings: A Scoping Review.","authors":"Nahida Akter, Lucy Mondol, Allison R Heid, Kimberly Van Haitsma","doi":"10.3928/00989134-20260430-02","DOIUrl":"https://doi.org/10.3928/00989134-20260430-02","url":null,"abstract":"<p><strong>Purpose: </strong>Measuring person-centered care (PCC) is essential for assessing care quality, yet a comprehensive review of PCC measurement tools in long-term supports and services (LTSS) is lacking. The current study identified and evaluated tools for measuring PCC in older adults in LTSS.</p><p><strong>Method: </strong>Following Arksey and O'Malley's scoping review framework, a search was conducted in PubMed and CINAHL. Peer-reviewed articles in English on PCC measurement tools for older adults (aged ≥65 years) in LTSS were included, excluding family-reported tools and gray literature.</p><p><strong>Results: </strong>From 914 studies, 25 articles were selected, revealing 11 tools categorized as non-observational (e.g., self-report) and observational (e.g., structured observation). Most tools (<i>n</i> = 8) demonstrated strong reliability and validity.</p><p><strong>Conclusion: </strong>This study identified current tools available while also highlighting limitations, such as inconsistencies among tools. Findings can guide future research and practice to enhance PCC in LTSS.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838781","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}
{"title":"Nurses' Perspectives on Contributing Factors to Hospitalized Older Adults' Self-Neglect: A Qualitative Study.","authors":"Jingrui Tao, Ting Yi, Liuqing Xu, Qiongying Xu, Chaoqun Dong","doi":"10.3928/00989134-20260430-01","DOIUrl":"https://doi.org/10.3928/00989134-20260430-01","url":null,"abstract":"<p><strong>Purpose: </strong>The incidence of self-neglect among hospitalized older adults is relatively high, yet there is lack of research on the factors that influence this phenomenon. The current study aimed to explore the factors that influence self-neglect among hospitalized older adults from the perspective of nurses.</p><p><strong>Method: </strong>Purposive sampling was used to select 15 nurses working in geriatric wards of four comprehensive hospitals in southeastern China, from November to December 2020. Semi-structured face-to-face interviews were used to collect data. Content analysis was used to summarize, analyze, and refine themes derived from interviews.</p><p><strong>Results: </strong>Four main themes and 10 subthemes were found. The four main themes included <i>Individual Characteristics</i>, <i>Health Beliefs and Perceptions</i>, <i>Physical Functional Status</i>, and <i>Social Support Systems</i>.</p><p><strong>Conclusion: </strong>A comprehensive assessment should be conducted on the physical, psychological, social, and medical aspects of hospitalized older adults to identify high-risk individuals who are prone to self-neglect.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838806","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}
Haojie Wang, Yaxuan Wu, Weiqing Zhang, Zhihua Wei, Kun Song, Kun Wang
{"title":"Developing Core Competency Assessment Metrics for Dementia Care for Geriatric Nurse Specialists: A Delphi Method Study.","authors":"Haojie Wang, Yaxuan Wu, Weiqing Zhang, Zhihua Wei, Kun Song, Kun Wang","doi":"10.3928/00989134-20260501-01","DOIUrl":"https://doi.org/10.3928/00989134-20260501-01","url":null,"abstract":"<p><strong>Purpose: </strong>The current study sought to develop a set of core competency assessment metrics for dementia care for geriatric nurse specialists, serving as a foundational resource for training assessment and competency evaluation.</p><p><strong>Method: </strong>An initial framework was established through literature review and qualitative interviews. Then, using Delphi expert consensus method, a questionnaire was distributed to experts across eight Chinese provinces.</p><p><strong>Results: </strong>Three rounds of expert consensus were conducted. The resulting core competency framework comprised six dimensions and 39 competencies. Expert authority coefficients were 0.904, 0.891, and 0.891, with importance scores of entries ranging from 3.76 to 4.95, and coefficients of variation ranging from 0.06 to 0.24.</p><p><strong>Conclusion: </strong>The developed dementia care core competency indicator system exhibited robust scientific validity and reliability, serving as a valuable reference for the training, assessment, and standardization of dementia care competencies among geriatric nurse specialists in China.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838787","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}
{"title":"Systematic Development of an Art Making Intervention as a Potential Pain Management Strategy for Older Adults.","authors":"Kyung Soo Kim, Clara Baldus, Harleah Buck","doi":"10.3928/00989134-20251211-02","DOIUrl":"10.3928/00989134-20251211-02","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a systematic process for developing an art making intervention, guided by a previously developed theoretical framework outlining its proposed mechanism of action as a potential pain management strategy for older adults.</p><p><strong>Method: </strong>A multi-method approach that combined a descriptive qualitative study and survey methodology was used. Initially, a qualitative study with 11 older adults experiencing various chronic pain conditions provided insights into their perspectives on the preliminary intervention. Participants described the intervention, which included drawing, painting, and craft activities, as generally appropriate but in need of revisions to instructional details and difficulty levels. Based on this feedback, we created six independent intervention books featuring activities at three levels of difficulty. A quantitative survey was conducted with five content experts and three experiential experts to collect formative evaluations of the revised intervention.</p><p><strong>Results: </strong>The eight experts rated the revised intervention highly overall but recommended improving the organization of the written and visual instructions and ensuring the use of age-appropriate language. The final intervention offers 20 art making activities delivered in a home-based, individual format using an art making activity book and YouTube channel.</p><p><strong>Conclusion: </strong>By using a multi-method design, we tailored the intervention to the unique needs of older adults while grounding it in our theoretical framework describing its proposed mechanism of action for chronic pain management. Future studies are needed to rigorously test our hypotheses and evaluate the intervention's efficacy in reducing pain intensity among older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"34-41"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774762","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}
{"title":"Ethical Considerations in Promoting Physical Activity for Nursing Home Residents With Cognitive Impairment: Implications for Policy and Practice.","authors":"Jieun Lim, G Adriana Perez","doi":"10.3928/00989134-20260414-02","DOIUrl":"10.3928/00989134-20260414-02","url":null,"abstract":"<p><strong>Purpose: </strong>Promoting physical activity (PA) among nursing home (NH) residents, particularly those with cognitive impairment, often generates ethical tensions that may be rooted in paternalism, risk-averse cultures, and institutional routines. Therefore, it is necessary to address ethical considerations that can inform policy and practice aimed at promoting safe and effective PA intervention strategies.</p><p><strong>Method: </strong>PA promotion was examined through the bioethical principles of autonomy, beneficence, nonmaleficence, and justice. The analysis was extended by introducing a relational autonomy framework suited to contexts of cognitive vulnerability.</p><p><strong>Results: </strong>By situating agency within relational, cultural, and organizational structures, the relational autonomy framework clarifies how ethically grounded and cognitively responsive PA can be enabled or constrained in long-term care settings. The analysis further demonstrated that principlist approaches alone are insufficient to address the relational dependencies and fluctuating capacities that shape NH residents' participation.</p><p><strong>Conclusion: </strong>Meaningful PA requires communication strategies attuned to cognitive fluctuation, identity-aligned activity design, and institutional flexibility that reduces structural barriers. Integrating relational autonomy into PA policy, staff training, and everyday care practices is ethically necessary to not only promote overall health, but to uphold agency, equity, and personhood for cognitively impaired NH residents.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 5","pages":"6-13"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773342","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}
{"title":"Advancing Intervention Research to Improve Health and Well-Being in Older Adults via Roybal Centers.","authors":"Fang Yu, Ross Andel, Rodney Joseph, David Coon","doi":"10.3928/00989134-20260414-01","DOIUrl":"https://doi.org/10.3928/00989134-20260414-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 5","pages":"3-4"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773262","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}
{"title":"CMS's New Age-Friendly Hospital Measure & AGS CoCare<sup>®</sup>: HELP-What You Need to Know.","authors":"Paul Mulhausen","doi":"10.3928/00989134-20260413-01","DOIUrl":"https://doi.org/10.3928/00989134-20260413-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 5","pages":"55-56"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773291","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}
{"title":"Prevalence of and Factors Related to Subjective Cognitive Decline in Middle-Aged Adults.","authors":"Yu-Wun Teng, Ying-Ling Jao, Li-Kai Huang, Hui-Chuan Huang","doi":"10.3928/00989134-20260122-03","DOIUrl":"10.3928/00989134-20260122-03","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the prevalence of and factors associated with subjective cognitive decline (SCD) in middle-aged adults.</p><p><strong>Method: </strong>The current cross-sectional study used convenience sampling to recruit community-dwelling adults aged 50 to 64 years. Data collected included demographics, disease characteristics, frailty, depression, sleep quality, and social support. A logistic regression model identified significant risk factors related to SCD.</p><p><strong>Results: </strong>In total, 200 middle-aged adults participated in the study, with a 15% prevalence of SCD. Multiple logistic regression models revealed that chronic diseases, smoking, and poor sleep quality were significantly associated with increased SCD. Specifically, participants with chronic diseases (odds ratio [OR] = 2.99, 95% confidence interval [CI] [1.27, 7.04]), those who smoked (OR = 3.51, 95% CI [1.23, 10.02]), and those reporting poor sleep quality (OR = 3.18, 95% CI [1.36, 7.49]) had significantly higher likelihoods of experiencing SCD compared to their counterparts.</p><p><strong>Conclusion: </strong>This study identified significant associations among chronic disease status, smoking, and poor sleep quality and the presence of SCD among middle-aged adults. Although causal relationships cannot be established, findings highlight the need for greater attention to cognitive health in individuals with these risk profiles. Further longitudinal research is warranted to clarify temporal relationships and assess the potential value of targeted monitoring strategies in at-risk populations.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"43-53"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086125","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}
{"title":"Unlocking Heart Health: Influence of Mobile Health on Treatment Adherence in Older Adults With Heart Failure.","authors":"Mohamed Toufic El Hussein, Simreen Dhaliwal","doi":"10.3928/00989134-20251212-01","DOIUrl":"10.3928/00989134-20251212-01","url":null,"abstract":"<p><strong>Purpose: </strong>To map existing literature to understand the impact of mobile health (mHealth) interventions on older adult patients' self-efficacy in adhering to prescribed treatment plans for heart failure (HF).</p><p><strong>Method: </strong>The current scoping review examined peer-reviewed studies identified in PubMed, CINAHL, and SCOPUS, with data screening and extraction conducted independently by two reviewers to ensure accuracy and minimize bias.</p><p><strong>Results: </strong>The search yielded 731 articles, of which 16 were included in the final review. After examining all studies, three key themes were examined in detail: <i>Medication Adherence</i>, <i>Self-Care Adherence</i>, and <i>Engagement With mHealth Services</i>.</p><p><strong>Conclusion: </strong>mHealth apps have shown promising effects on medication and treatment adherence in patients with HF. However, modifications addressing the specific needs of older populations are necessary to effectively implement these tools. Comprehensive feasibility trials on a larger scale are essential for fully understanding the potential effectiveness and implementation requirements of these interventions.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"14-21"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774814","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}
{"title":"Fall-Related Medications and Fall Risk as Predictors of Fall-Related Hospitalization Among Community-Dwelling Older Adults.","authors":"Tamara Alibrahim, Yvonne Johnston","doi":"10.3928/00989134-20260219-02","DOIUrl":"10.3928/00989134-20260219-02","url":null,"abstract":"<p><strong>Purpose: </strong>To examine fall-related medications and fall risk as predictors of fall-related hospitalizations among a cohort of community-dwelling older adults in the southern tier of New York State.</p><p><strong>Method: </strong>Participants comprised 8,499 patients from 14 primary care practices within a large community hospital system. Bivariate and multivariate analyses were conducted to examine associations between fall-related medications and fall risk, and their interactions as predictors of fall-related hospitalizations.</p><p><strong>Results: </strong>There was a statistically significant association between fall risk and Fall Risk Medication Score (FRMS) with a cut-point ≥6 (χ<sup>2</sup> = 85.145, <i>p</i> < .001), with a weak but significant positive correlation (φ = 0.100, <i>p</i> < .001). Older adults who had fall risk were 1.738 times more likely to have a FRMS ≥6 (95% confidence interval [CI] [1.544, 1.956]). Similarly, there was a statistically significant association between fall risk and FRMS with a cut-point ≥10 (χ<sup>2</sup> = 68.953, <i>p</i> < .001), with a weak but significant positive correlation (φ = 0.090, <i>p</i> < .001). Older adults who had fall risk were 2.348 times more likely to have a FRMS ≥10 (95% CI [1.909, 2.887]). In logistic regression analyses, the interaction between fall risk and FRMS was a significant predictor of hospitalization when controlling for age and sex (<i>p</i> < .001); however, FRMS did not significantly improve the model over fall risk alone.</p><p><strong>Conclusion: </strong>Current tools for assessing and weighing the personal, environmental, and pharmacological factors that influence the likelihood of falls among older adults could be significantly improved through larger cohort studies using significant endpoints, such as fall-related hospitalizations.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"22-32"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306740","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}