Kelly Doran, Douglas Gyamfi, Lauren Anderson, Kelly Brown, Gurpreet Kaur Saini, Barbara Resnick, Shijun Zhu
{"title":"Assessing Modifiable Environmental Work Factors Influencing Mood Symptoms in Long-Term Care Staff.","authors":"Kelly Doran, Douglas Gyamfi, Lauren Anderson, Kelly Brown, Gurpreet Kaur Saini, Barbara Resnick, Shijun Zhu","doi":"10.3928/00989134-20250905-02","DOIUrl":"https://doi.org/10.3928/00989134-20250905-02","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate modifiable environmental work factors impacting long-term care (LTC) workers' mood symptoms. This is a first step in creating interventions that can improve mood symptoms and reduce turnover.</p><p><strong>Method: </strong>This descriptive study used baseline data from a trial within six worksites (<i>N</i> = 112). Through self-reported surveys, mood symptoms were analyzed using the 21-item version of the Depression Anxiety and Stress Scale, and environmental factors, such as job demands, decision authority, job duties, social support, and organizational justice, were measured using the Job Strain Model tool.</p><p><strong>Results: </strong>After controlling for age, organizational justice (β = 0.361, <i>p</i> ≤ 0.001) significantly influenced mood symptoms and explained 15% of the variance in mood symptoms.</p><p><strong>Conclusion: </strong>Organizational justice may reduce mood symptoms in LTC staff. These findings offer managers and researchers insights for potential interventions with this population.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069791","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":"Social Isolation and Frailty Among Older People Living With HIV in China: Mediation Effects of Psychological Distress.","authors":"Wenxiu Sun, Wei-Ti Chen, Yanyun Pan, Xueqian Lu, Lin Zhang, Rachel Arbing","doi":"10.3928/00989134-20250905-03","DOIUrl":"https://doi.org/10.3928/00989134-20250905-03","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether psychological distress mediates the relationship between social isolation and frailty among older people living with HIV (PLWH) in China.</p><p><strong>Method: </strong>A quantitative cross-sectional study was conducted. A convenience sample of 342 eligible older PLWH were identified between December 2022 and October 2023. Data were collected through in-person surveys and structured questionnaires designed to collect data on sociodemographic characteristics, social isolation, frailty, and psychological distress with standard measures, including the Tilburg Frailty Indicator, Lubben Social Network Scale-6, and Distress Thermometer.</p><p><strong>Results: </strong>Overall prevalence of major variables among participants was reported as follows: social isolation (57.3%), frailty (39.5%), and psychological distress (25.8%). Mediation analysis showed that an association between social isolation and frailty was mediated by psychological distress. Psychological distress partially mediated the relationship between social isolation and frailty, accounting for 30.4% of the total effect.</p><p><strong>Conclusion: </strong>Higher levels of social isolation and greater levels of psychological distress may be significant risk factors for frailty among older PLWH. Levels of social isolation influence frailty directly and indirectly through a psychological distress pathway.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069735","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":"No Meals, No Meds.","authors":"Carol Lindsay","doi":"10.3928/00989134-20250908-02","DOIUrl":"https://doi.org/10.3928/00989134-20250908-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-2"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069701","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}
José Lucas Sena da Silva, Lorena Azi, Kan Ding, Luiz Eduardo Ritt, Juliana Caldas
{"title":"Nonpharmacological Interventions Prevent Delirium in Older Adult Surgical Patients: A Network Meta-Analysis of Randomized Controlled Trials.","authors":"José Lucas Sena da Silva, Lorena Azi, Kan Ding, Luiz Eduardo Ritt, Juliana Caldas","doi":"10.3928/00989134-20250626-01","DOIUrl":"10.3928/00989134-20250626-01","url":null,"abstract":"<p><strong>Purpose: </strong>The current meta-analysis aimed to evaluate the effectiveness of nonpharmacological interventions in preventing delirium among older adult surgical patients.</p><p><strong>Method: </strong>Randomized controlled trials (RCTs) examining nonpharmacological approaches were selected. A meta-analysis was performed using random-effect models to calculate standard mean differences and 95% confidence intervals (CI).</p><p><strong>Findings: </strong>Twelve RCTs (<i>N</i> = 3,829) met inclusion criteria. Nonpharmacological interventions significantly reduced delirium incidence (OR [odds ratio] = 0.57, 95% CI [0.49, 0.66]). Multicomponent (OR = 0.6, 95% CI [0.49, 0.75]) and single-component (OR = 0.53, 95% CI [0.42, 0.66]) interventions were effective. Network meta-analysis revealed that the multicomponent intervention \"Family HELP\" demonstrated significant superiority over four other interventions (OR = 0.11, 95% CI [0.04, 0.33]; p-score = 0.911).</p><p><strong>Conclusion: </strong>Nonpharmacological interventions were found to effectively prevent delirium among older adult surgical patients, with the Family HELP intervention being the most effective. These interventions should be integrated into nursing care guidelines to enhance patient-centered care and experience.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"20-29"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560303","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":"Advocating for the Needs of Older Adults.","authors":"Paul Mulhausen","doi":"10.3928/00989134-20250818-01","DOIUrl":"https://doi.org/10.3928/00989134-20250818-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 9","pages":"55-56"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956737","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}
Kworweinski Lafontant, Abigail L Tice, Jethro Raphael M Suarez, Amber Blount, Chitra Banarjee, David H Fukuda, Jeffrey R Stout, Sergi Garcia-Retortillo, Ladda Thiamwong
{"title":"Potential Influence of Acute Dysregulated Sleep on Fall Incidence Among Low-Income Older Women: A Case Study.","authors":"Kworweinski Lafontant, Abigail L Tice, Jethro Raphael M Suarez, Amber Blount, Chitra Banarjee, David H Fukuda, Jeffrey R Stout, Sergi Garcia-Retortillo, Ladda Thiamwong","doi":"10.3928/00989134-20250626-02","DOIUrl":"10.3928/00989134-20250626-02","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic dysregulated sleep is associated with increased fall risk in older adults, especially in low-income communities. However, little is known about the effects of acute dysregulated sleep.</p><p><strong>Method: </strong>In the current study, we report sleep characteristics the night (Nightx), week, and month prior to a reported fall in two low-income African American older women from Orlando, Florida.</p><p><strong>Results: </strong>Light, deep, rapid eye movement, wake, and total sleep duration between the 7 and 30 days preceding a reported fall were similar for both participants. However, participants had notable differences in all sleep stages, wake time after sleep, and total sleep duration when comparing Nightx to their average sleep 7 and 30 days prior. Participant A had relatively consistent sleep times, whereas Participant B did not, whose lowest total sleep time was Nightx.</p><p><strong>Conclusion: </strong>An acute bout of atypical sleep may increase fall risk among low-income older women, but more research is needed to support this theory.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"14-18"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560304","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}
{"title":"The Phantom Foley: A Simple Intervention to Prevent Urinary Catheter Trauma in Hospitalized Older Adults With Delirium.","authors":"Max S Yudovich, Tullika Garg, Rebekah Keller","doi":"10.3928/00989134-20250812-03","DOIUrl":"10.3928/00989134-20250812-03","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 9","pages":"3-4"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956762","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}
Eunhea You, Carrie Andreoletti, Richard S Feinn, Nicholas R Nicholson, Briana Howard
{"title":"Relationship Among Social Isolation, Gender, and Marital Status in Retirees: The Mediating Role of Social Participation.","authors":"Eunhea You, Carrie Andreoletti, Richard S Feinn, Nicholas R Nicholson, Briana Howard","doi":"10.3928/00989134-20250523-01","DOIUrl":"10.3928/00989134-20250523-01","url":null,"abstract":"<p><strong>Purpose: </strong>Social isolation poses significant risks to older adults' well-being, yet the mechanisms driving their demographic differences remain unclear. The current study investigated whether social participation mediates the relationship among social isolation, gender, and marital status among retirees.</p><p><strong>Method: </strong>A secondary analysis of AARP survey data (<i>N</i> = 6,664) was conducted. Mediation analyses examined the indirect effects of gender and marital status on social isolation through social participation. Participants were predominantly adults aged ≥50 years with low to moderate income.</p><p><strong>Results: </strong>Women and married individuals showed higher social participation and lower social isolation. There was a significant direct effect of being female and being married on social isolation, and also a significant indirect effect through social participation.</p><p><strong>Conclusion: </strong>Interventions should consider diverse vulnerable groups. Although unmarried men may benefit from tailored social programs, broader strategies, inclusive of gender and marital status dynamics, are essential. Tailored programs targeting unmarried men could foster social participation, thereby reducing social isolation and promoting healthy aging.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"39-44"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234261","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":"Tamsulosin for Urinary Retention in Older Women: Maximizing the Flow.","authors":"Kalayaan Becerra, Ugene Sano","doi":"10.3928/00989134-20250812-04","DOIUrl":"https://doi.org/10.3928/00989134-20250812-04","url":null,"abstract":"<p><strong>Purpose: </strong>Urinary retention (UR) is a lower urinary tract symptom (LUTS) that can present in men and women aged ≥65 years. However, unlike the medications available for men to treat this condition, the current approach to management of chronic UR in women is limited to conservative methods and urinary catheterization, which have various risks. The current article reviews the use of tamsulosin as a potential pharmacological alternative for the management of chronic UR in older women.</p><p><strong>Method: </strong>A review of primary literature evaluating tamsulosin use for the treatment of chronic non-neurogenic UR in women was performed.</p><p><strong>Results: </strong>Tamsulosin showed significant improvements in LUTS-based outcome measures, with limited reports of orthostatic hypotension and dizziness.</p><p><strong>Conclusion: </strong>Tamsulosin may be considered a safe alternative option for the management of UR in older women over urinary catheterization and potentially reduces the incidence of catheter-associated complications.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 9","pages":"6-12"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956765","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}
Jung In Park, Yuxi Shi, Derek Chang, Yuri Jang, Sunmin Lee
{"title":"Understanding Factors Associated With Sleep Quality in Korean American Older Adults Residing in Subsidized Senior Housing.","authors":"Jung In Park, Yuxi Shi, Derek Chang, Yuri Jang, Sunmin Lee","doi":"10.3928/00989134-20250519-01","DOIUrl":"10.3928/00989134-20250519-01","url":null,"abstract":"<p><strong>Purpose: </strong>Sleep quality is crucial for older adults, yet many experience poor sleep due to physical, mental, and social factors. The current study addresses the research gap on sleep quality among Korean American older adults in senior housing by examining relevant factors.</p><p><strong>Method: </strong>Using data from 314 Korean American residents in Los Angeles senior housing, we conducted descriptive analysis and logistic regression models.</p><p><strong>Results: </strong>Poor sleep was significantly associated with poor physical health (odds ratio [OR] = 4.89), low energy (OR = 7.92), severe pain (OR = 14.92), multiple chronic conditions (OR = 2.71), and poor mental health (OR = 5.82), including moderate to severe anxiety (OR = 4.71) and depression (OR = 5.11).</p><p><strong>Conclusion: </strong>Findings emphasize the unique sleep needs of Korean American older adults in senior housing and provide insights to improve their well-being. The study also highlights the need for further research using longitudinal designs, broader samples, and comprehensive sleep measures.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"45-54"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127477","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}