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}
{"title":"Navigating Digital Health: Experiences and Challenges of Older Adults in Adopting AI and Digital Technologies.","authors":"Oğulcan Çöme, Merve Saniye Imancer, Gizem Limnili, Niels Kristian Kjær, Nilgun Ozcakar","doi":"10.3928/00989134-20250627-03","DOIUrl":"10.3928/00989134-20250627-03","url":null,"abstract":"<p><strong>Purpose: </strong>Digital technologies and artificial intelligence (AI) offer valuable opportunities to improve patient care, but older adults face unique challenges in adopting these innovations. The current study sought to explore the experiences of older adults with digital health technologies to inform more inclusive, accessible solutions.</p><p><strong>Method: </strong>Ten semi-structured interviews were conducted with participants aged ≥65 years from Family Health Centers affiliated with Dokuz Eylül University, Izmir, Turkey. Data were analyzed using phenomenological thematic analysis.</p><p><strong>Results: </strong>Five themes emerged: (1) <i>Technology Adoption and Integration</i>; (2) <i>Health Care and</i> <i>Digital Health Services</i>; (3) <i>AI and Emerging Technologies</i>; (4) <i>Social and Emotional Impact of Technology</i>; and (5) <i>Trust, Privacy, and Security Concerns</i>. Participants were open to adopting digital health tools but faced barriers, such as cognitive limitations, lack of tailored education, and trust issues. Family support was key in facilitating adoption. Privacy and ethical concerns about AI influenced engagement.</p><p><strong>Conclusion: </strong>Addressing usability, trust, and ethical issues is essential to making technology accessible and beneficial for older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"35-42"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560302","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":"Impact of Severe Sarcopenia on Depressive Symptoms and Quality of Life in Community-Dwelling Older Adults With Dementia: A Cross-Sectional Study.","authors":"Yu-Nu Wang, Wen-Chuin Hsu, An-Yi Hsu, Jeng Wang, Sajad Yarahmadi","doi":"10.3928/00989134-20250811-01","DOIUrl":"10.3928/00989134-20250811-01","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the impact of sarcopenia severity on depressive symptoms and quality of life (QoL) among community-dwelling older adults with dementia, using the 2019 Asian Working Group for Sarcopenia criteria.</p><p><strong>Method: </strong>A cross-sectional study was conducted at neurological outpatient clinics in Taiwan. Participants included 120 older adults aged ≥65 years with dementia (as determined by a Clinical Dementia Rating score ≤2). Sarcopenia severity was classified based on muscle mass, strength, and physical performance. Depressive symptoms and QoL were assessed using the Center for Epidemiologic Studies Depression Scale and Medical Outcomes Study Short Form-36, respectively.</p><p><strong>Results: </strong>Severe sarcopenia was significantly associated with poorer QoL (<i>p</i> < 0.05), and no significant association was found between sarcopenia and depressive symptoms.</p><p><strong>Conclusion: </strong>Sarcopenia severity negatively impacts QoL in older adults with dementia. Routine nursing assessments should include sarcopenia screening to guide interventions aimed at improving QoL, such as resistance training and nutritional support.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"43-52"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873449","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":"Erratum for \"The Phantom Foley: A Simple Intervention to Prevent Urinary Catheter Trauma in Hospitalized Older Adults with Delirium\".","authors":"","doi":"10.3928/00989134-20250903-01","DOIUrl":"https://doi.org/10.3928/00989134-20250903-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 10","pages":"8"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206546","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}
John P McHugh, Hayara Cardoso, Ngan Bui, Gregory L Alexander
{"title":"Market and Organizational Characteristics Associated With Nursing Home Health Information Technology Maturity.","authors":"John P McHugh, Hayara Cardoso, Ngan Bui, Gregory L Alexander","doi":"10.3928/00989134-20250916-01","DOIUrl":"https://doi.org/10.3928/00989134-20250916-01","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the association between market and organizational variables (financial health, market competitiveness, social capital) on health information technology (HIT) maturity levels across nursing homes.</p><p><strong>Method: </strong>Using a national sample of HIT maturity in 525 nursing homes, we used a standard ordinary least squares regression model with robust standard errors to explore market and organizational factors associated with HIT maturity.</p><p><strong>Results: </strong>We found four of seven financial health variables (operating income per resident day, total facility beds, occupancy percentage, chain affiliation) associated with HIT maturity. Moderately concentrated counties (market competitiveness) also exhibited higher HIT maturity. Social capital indicators were not associated with HIT maturity.</p><p><strong>Conclusion: </strong>Facilities with greater resources can make more significant HIT investments and are associated with higher HIT maturity. These findings can assist health care leaders in strategically examining the factors that drive investments in information technology within nursing homes.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 10","pages":"10-16"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206538","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 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}
{"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}
{"title":"Widowhood Unveiled: Exploring Physical, Mental, and Social Dimensions.","authors":"Jodi C Kennedy, Wyona M Freysteinson","doi":"10.3928/00989134-20250515-04","DOIUrl":"10.3928/00989134-20250515-04","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"53-56"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127479","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":"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}
{"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}