Journal of gerontological nursing最新文献_第10页

Age-Friendly Care for All: Making a Global Difference One Older Adult at a Time. 为所有老年人提供友好关怀：一次为一位老年人带来全球改变。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 DOI: 10.3928/00989134-20260106-02

Donna M Fick, Terry T Fulmer

引用次数: 0

Designing, Implementing, and Evaluating a Nurse-Led Age-Friendly Dashboard in an Academic Health System: An Innovation Exemplar. 在学术卫生系统中设计、实施和评估护士主导的年龄友好型仪表板：创新范例。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 Epub Date: 2025-10-20 DOI: 10.3928/00989134-20251010-01

Patricia M Lavin, William Winfree, Divya Padgaonkar, Lauren Link, Kathleen E Zavotsky, Woodlyne Pierre-Lallemand, Jennifer Withall

{"title":"Designing, Implementing, and Evaluating a Nurse-Led Age-Friendly Dashboard in an Academic Health System: An Innovation Exemplar.","authors":"Patricia M Lavin, William Winfree, Divya Padgaonkar, Lauren Link, Kathleen E Zavotsky, Woodlyne Pierre-Lallemand, Jennifer Withall","doi":"10.3928/00989134-20251010-01","DOIUrl":"10.3928/00989134-20251010-01","url":null,"abstract":"Purpose: To describe how a nursing geriatrics workgroup in an academic age-friendly health system (AFHS) designed, developed, and piloted an age-friendly dashboard (AFD) that featured select patient experience scores and nursing-sensitive indicators (NSIs) that disproportionally impact hospitalized older adults.Method: A nurse-led interdisciplinary team developed an interactive dashboard that aggregated existing age-friendly data and allowed for stratifying by age, campus, unit, and NSIs. Pilot users included frontline unit leaders, Nurses Improving Care for Healthsystems Elders program coordinators, gerontological nurse practitioners, and nurse educators.Results: Optimization feedback was shared by pilot users. One campus used the AFD to inform and guide a quality improvement project that yielded a 51% reduction in the falls rate of adults aged ≥65 years.Conclusion: The AFD is a practical example of leveraging NSIs and patient experience data to support age-friendly care by making data accessible to frontline leaders, nurses, and clinicians in an AFHS.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"31-36"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301352","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

Patient Priorities in Age-Friendly 4Ms Care. 老年友好型老年护理的患者优先事项。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.3928/00989134-20251210-01

John W Meyer, Kalen M Kearcher, Ayesha S Ahmad, Leandra N L Davis, Robert D Fraleigh, Christopher Griffin, Amy M Westcott

引用次数: 0

Age-Friendly Health Systems Reflection Case Study Across Settings: From Professional Roles to Personal Connection. 年龄友好型卫生系统跨设置反思案例研究：从专业角色到个人联系。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251111-04

Kate L Taylor, Teresa Wagner

引用次数: 0

Gerontological Advanced Practice Nurses Association Partners with the Journal of Gerontological Nursing. 老年高级执业护士协会与老年护理杂志合作。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 DOI: 10.3928/00989134-20260112-01

George Peraza-Smith, Katy Vickers

引用次数: 0

Empowering Mobility in Age-Friendly Health Systems: Development and Impact of a Mobility Dashboard. 在老年人友好型卫生系统中增强移动性：移动性仪表板的发展和影响。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251112-04

Lyn Nguyen, Kathryn S Agarwal, Keith T Wilson, Tyronne L Mitchell, Opal H Livelee, Andrea K Curtis, Eleftheria Kalatzi

{"title":"Empowering Mobility in Age-Friendly Health Systems: Development and Impact of a Mobility Dashboard.","authors":"Lyn Nguyen, Kathryn S Agarwal, Keith T Wilson, Tyronne L Mitchell, Opal H Livelee, Andrea K Curtis, Eleftheria Kalatzi","doi":"10.3928/00989134-20251112-04","DOIUrl":"10.3928/00989134-20251112-04","url":null,"abstract":"Purpose: To describe how a Mobility Dashboard was created to aggregate patient mobility metrics monthly by unit to empower bedside teams to implement and measure mobility-related quality improvement (QI) activities as part of an Age-Friendly Health System (AFHS).Method: A multidisciplinary team improved existing electronic health record documentation to facilitate count of mobility events and created a framework for mobility measurement. Through partnering with IT Analytics, the dashboard was built and made accessible to interdisciplinary teams to facilitate future QI efforts.Results: Implementation of the dashboard yielded quantifiable mobility data for all system hospitals to achieve AFHS recognition. The dashboard facilitates nursing QI initiatives. Two projects are described yielding increased mobility, reduction in length of stay, falls, and discharges to inpatient rehabilitation facilities with hospital-wide dissemination.Conclusion: Focus on mobility in an AFHS and enhanced access to accurate mobility data encourages nursing QI efforts and leads to measurable and improved patient outcomes.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"17-21"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549530","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

Leveraging Teams to Implement Age-Friendly Health Systems Across Settings in a Major Academic Medical Center. 利用团队实施：一个主要学术医疗中心的跨设置的老年人友好型卫生系统。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 Epub Date: 2025-10-20 DOI: 10.3928/00989134-20251010-06

Maureen S Beck, Cristina C Murdock, Cindy B Woolverton, Min J Kwak, Ezenwa C Onyema, Faith D Atai, Holly M Holmes, Rafael Samper-Ternent, Rachel J Jantea

{"title":"Leveraging Teams to Implement Age-Friendly Health Systems Across Settings in a Major Academic Medical Center.","authors":"Maureen S Beck, Cristina C Murdock, Cindy B Woolverton, Min J Kwak, Ezenwa C Onyema, Faith D Atai, Holly M Holmes, Rafael Samper-Ternent, Rachel J Jantea","doi":"10.3928/00989134-20251010-06","DOIUrl":"10.3928/00989134-20251010-06","url":null,"abstract":"Purpose: To describe implementation strategies, successes, and challenges of spreading Age-Friendly Health Systems (AFHS) practices across diverse clinical settings within a large academic medical center focusing on the 4Ms (What Matters, Medication, Mentation, and Mobility).Method: We engaged five clinical sites across three health systems in an 18-month national AFHS System-Wide Spread Collaborative. Interprofessional teams conducted Plan-Do-Study-Act cycles, held weekly meetings, and tracked documentation and actions on the 4Ms via chart reviews.Results: Charts were reviewed beginning in April 2024. On average, 49% of patients were assessed on all 4Ms, and 33% had all 4Ms acted upon. Key facilitators to implementation included leadership support, leveraging the electronic health record (EHR), and staff education. Challenges included workflow variability by site and limited EHR capabilities.Conclusion: Multisite AFHS implementation is feasible, but requires local adaptation and leadership engagement. Standardized documentation and tools are essential for sustainability, and more work is needed to align with the upcoming Centers for Medicare & Medicaid Services quality measures.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"37-43"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301379","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

Applying the Age-Friendly Health Systems Framework to Promote Adoption and Sustainability of Interventions for Older Adults in the Intensive Care Unit. 应用老年人友好型卫生系统框架促进重症监护病房老年人干预措施的采用和可持续性。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251112-01

Maya N Elias, Hilaire J Thompson

{"title":"Applying the Age-Friendly Health Systems Framework to Promote Adoption and Sustainability of Interventions for Older Adults in the Intensive Care Unit.","authors":"Maya N Elias, Hilaire J Thompson","doi":"10.3928/00989134-20251112-01","DOIUrl":"10.3928/00989134-20251112-01","url":null,"abstract":"Older adults hospitalized in an intensive care unit (ICU) frequently experience adverse outcomes, including delirium, functional decline, medication-related harm, and goal-discordant care. Despite the availability of evidence-based interventions to address these risks, adoption and sustained implementation remain limited. The Age-Friendly Health Systems 4Ms Framework offers a policy-aligned structure for advancing adoption and sustainability of gerontological nursing interventions in the ICU. The Centers for Medicare & Medicaid Services announcement of the 2025 Age-Friendly Hospital Measure marks a turning point: hospitals will be incentivized to deliver care integrated with the 4Ms (What Matters, Medication, Mentation, and Mobility) to older adults. The introduction of this new measure presents a timely opportunity to align innovative gerontological nursing interventions with institutional quality goals. Grounding interventions in the 4Ms will facilitate engagement with key stakeholders, including frontline health care providers and hospital leadership, who are essential to the adoption and sustainability of age-friendly critical care for older adult patients in the ICU.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"45-52"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12812299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supporting Older Adults at Risk (SOAR): A Nurse-Led Model to Achieve Age-Friendly Care. 支持处于危险中的老年人（SOAR）：以护士为主导的模式实现对老年人友好的护理。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251112-02

Rebecca L Trotta, Colleen M Werkmeister

{"title":"Supporting Older Adults at Risk (SOAR): A Nurse-Led Model to Achieve Age-Friendly Care.","authors":"Rebecca L Trotta, Colleen M Werkmeister","doi":"10.3928/00989134-20251112-02","DOIUrl":"10.3928/00989134-20251112-02","url":null,"abstract":"Purpose: To describe a model of nurse-led age-friendly care in the acute care setting and associated processes and outcomes aligned with the 4Ms Framework.Method: We implemented the Supporting Older Adults at Risk Model-a novel model of care that includes primary care geriatric nurse practitioner co-management and AGS CoCare®:HELP-and used descriptive statistics to evaluate outcomes aligned with each of the 4Ms: What Matters, Medication, Mentation, and Mobility.Results: Advance care planning conversations were documented for 81% of the selected sample, resulting in subsequent family meetings and goal-concordant care. Beers Criteria® and anticholinergic medications were identified and reduced. Mobility goals were identified for 100% of the selected sample and mobility was maintained or improved for 46%. Addressing mentation was done in alignment with What Matters.Conclusion: Nurses are well-positioned to lead age-friendly care and drive optimal outcomes in the acute care setting, especially considering the geriatrician work-force shortage.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"53-59"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549528","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

Effects of Pain and Cognition on the Changes in Knowledge, Behavior, and Status Ratings in Older Adults Using Omaha System Scores. 疼痛和认知对使用奥马哈系统评分的老年人知识、行为和状态评分变化的影响。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-01-01 Epub Date: 2025-10-20 DOI: 10.3928/00989134-20251009-01

Jiayue Xiong, Rozina Bhimani, Karen A Monsen, Michelle Mathiason

{"title":"Effects of Pain and Cognition on the Changes in Knowledge, Behavior, and Status Ratings in Older Adults Using Omaha System Scores.","authors":"Jiayue Xiong, Rozina Bhimani, Karen A Monsen, Michelle Mathiason","doi":"10.3928/00989134-20251009-01","DOIUrl":"10.3928/00989134-20251009-01","url":null,"abstract":"Purpose: To examine the relationship between cognition and pain among community-dwelling older adults using the Omaha System.Method: A quantitative longitudinal retrospective correlational study was performed. Patterns of pain and cognition in adults aged ≥65 years from the Omaha System data were obtained. Four groups of individuals with pain, cognition, both, and neither were compared on admission and discharge, including changes between and within groups.Results: Findings from 6,546 patients demonstrated the cognition group gained the most from nursing interventions. The cognition and both groups' knowledge, behavior, and status ratings differed on admission, but the difference was minimized on discharge.Conclusion: Lower cognitive functioning may impede patient expression of pain and/or accurate assessment of pain by nurses. When assessing pain status in older adults, nurses should account for possible effects of cognition problems, and the use of objective assessment is preferred for this population.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"43-51"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301447","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