Journal of gerontological nursing最新文献_第10页

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

Effectiveness of an Information-Motivation-Behavioral Skills Model-Based Sarcopenia Prevention Program for Older Adults: A Quasi-Experimental Study. 基于信息-动机-行为技能模型的老年人肌肉减少症预防方案的有效性：一项准实验研究。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-01-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251111-03

Yeji Kim, Gaeun Kim

{"title":"Effectiveness of an Information-Motivation-Behavioral Skills Model-Based Sarcopenia Prevention Program for Older Adults: A Quasi-Experimental Study.","authors":"Yeji Kim, Gaeun Kim","doi":"10.3928/00989134-20251111-03","DOIUrl":"10.3928/00989134-20251111-03","url":null,"abstract":"Purpose: To evaluate the effectiveness of an information-motivation-behavioral skills (IMB) model-based sarcopenia prevention program.Method: A quasi-experimental study was conducted with 50 older adults from senior centers in South Korea, divided into experimental (n = 25) and control (n = 25) groups. The 12-session intervention program spanned 6 weeks, comprising structured physical activity exercises, nutritional education focusing on protein and vitamin D intake, and motivational strategies aimed at sustaining behavior change. Data were analyzed, applying logistic regression, t tests, and Mann-Whitney U tests for group comparisons.Results: The experimental group showed significant improvements in physical performance (odds ratio [OR] = 2.37, 95% confidence interval [1.42, 107.74], p = .002) and sarcopenia-related quality of life (t = 8.02, p < .001). However, no significant changes in muscle mass (OR = 3.12, p = 1.000) or muscle strength (OR = 2.00, p = .153) were observed.Conclusion: The IMB model-based program improved physical performance and quality of life in older adults, making it a viable nursing intervention for sarcopenia prevention. Further studies should explore long-term adherence and intervention effectiveness over extended periods.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"33-42"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549479","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

Association of Psychotropic and Opioid Medication Use With Physical Function in Hospitalized Older Adults With Dementia. 住院老年痴呆患者精神药物和阿片类药物使用与身体功能的关系

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-01-01 Epub Date: 2025-11-19 DOI: 10.3928/00989134-20251104-01

Nayeon Kim, Barbara Resnick, Elizabeth Galik, Sarah Holmes, Brittany Burch, Chris Wells, Rachel McPherson

{"title":"Association of Psychotropic and Opioid Medication Use With Physical Function in Hospitalized Older Adults With Dementia.","authors":"Nayeon Kim, Barbara Resnick, Elizabeth Galik, Sarah Holmes, Brittany Burch, Chris Wells, Rachel McPherson","doi":"10.3928/00989134-20251104-01","DOIUrl":"10.3928/00989134-20251104-01","url":null,"abstract":"Purpose: To examine whether psychotropic medications (antipsychotics, sedatives, antiseizures, antidepressants, and anxiolytics) and opioids were associated with physical function in hospitalized older adults with dementia.Method: A secondary analysis was conducted using baseline data from the Function Focused Care for Acute Care Using the Evidence Integration Triangle randomized controlled trial (N = 368). It was hypothesized that when controlling for age, sex, race, comorbidities, cognitive function, and pain, use of psychotropic medications and opioids would be negatively associated with physical function.Results: Overall, 72.5% (n = 230) of participants used psychotropic medications and 18.8% (n = 69) used opioids. Neither was associated with physical function. However, comorbidities, cognition, and pain significantly influenced function, with fewer comorbidities, better cognition, and less pain linked to greater independence.Conclusion: Findings support prior research showing lack of association between psychotropic medication and opioid use with physical function in hospitalized older adults with dementia; however, additional research may be necessary to investigate the importance of pain control in optimizing function in older adults with dementia.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"23-32"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549437","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

Sexuality in Age: Enhancing Patient-Centered Nursing Care Through Holistic Educational Approaches. 年龄中的性：通过整体教育方法加强以病人为中心的护理。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-01-01 DOI: 10.3928/00989134-20251208-02

B Suzy Diggle-Fox, Debra A Hrelic, Amy F Neal, Carolyn Kleman

{"title":"Sexuality in Age: Enhancing Patient-Centered Nursing Care Through Holistic Educational Approaches.","authors":"B Suzy Diggle-Fox, Debra A Hrelic, Amy F Neal, Carolyn Kleman","doi":"10.3928/00989134-20251208-02","DOIUrl":"10.3928/00989134-20251208-02","url":null,"abstract":"Purpose: To evaluate the effectiveness of a 6-week holistic sexuality education program in enhancing sexual knowledge, positive attitudes, and self-efficacy among older adults.Method: The current study used a mixed methods, pre-/postintervention design (quantitative) supplemented with postintervention focus groups (qualitative). Twenty-three participants aged ≥50 years attended one of three sexuality education courses. Participants completed the Aging Sexual Knowledge and Attitudes Scale and Sexual Self-Perception and Adjustment Questionnaire before and after the interventions.Results: Post-course results revealed improved sexual knowledge, and positively reinforced sexual self-efficacy. Holistic sexuality education also demonstrated post-course results of significantly decreased anxiety related to sexual communication, issues, and overall sexual health.Conclusion: Findings support the value of structured, age-inclusive sexual health education in promoting confidence, communication, and overall well-being in later life.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 1","pages":"16-22"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819531","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

Detecting Mild Cognitive Impairment Using Follow-Up Call Speech and Electronic Health Record Data in Home Health Care Settings. 使用随访电话语音和家庭保健设置中的电子健康记录数据检测轻度认知障碍。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-01-01 DOI: 10.3928/00989134-20251208-03

Maryam Zolnoori, Ali Zolnour, Sina Rashidi, Ian Spens, Yasaman Haghbin, Sasha Vergez, Grace Flaherty, Nicole Onorato, Felix Vasquez, James M Noble, Margaret V McDonald

{"title":"Detecting Mild Cognitive Impairment Using Follow-Up Call Speech and Electronic Health Record Data in Home Health Care Settings.","authors":"Maryam Zolnoori, Ali Zolnour, Sina Rashidi, Ian Spens, Yasaman Haghbin, Sasha Vergez, Grace Flaherty, Nicole Onorato, Felix Vasquez, James M Noble, Margaret V McDonald","doi":"10.3928/00989134-20251208-03","DOIUrl":"10.3928/00989134-20251208-03","url":null,"abstract":"Purpose: Alzheimer's disease and related dementias often remain undiagnosed in home health care, where early symptoms are rarely documented in electronic health records (EHRs). The current study aimed to develop and evaluate a speech-based screening algorithm for detecting mild cognitive impairment (MCI) using routine follow-up calls.Method: Speech data were collected from brief, semi-structured follow-up calls between nurse assistants and patients, Clinical Dementia Rating (CDR) interviews, and structured EHR data (Outcome and Assessment Information Set [OASIS]). Machine learning models were trained on these modalities individually and in combination. Model performance was evaluated using the area under the curve (AUC) of the receiver operating characteristic and secondary metrics.Results: Among 114 participants, the multimodal model combining follow-up call speech and OASIS variables achieved the best performance (AUC = 91.03), outperforming models based on CDR interviews (AUC = 80.67), follow-up calls alone (AUC = 81.09), and OASIS alone (AUC = 78.53). Patients with MCI showed greater comorbidity burden, higher rates of dual eligibility, and lower health literacy compared with cognitively healthy participants.Conclusion: Speech collected from routine follow-up calls, when combined with structured clinical data, can enhance early detection of MCI in home health care. This multimodal, low-burden approach leverages existing care coordination workflows and holds promise for scalable cognitive screening in diverse, aging populations.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 1","pages":"8-14"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819555","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