{"title":"Public Toilet Deficiencies Contribute to Social Isolation for Persons Living With Dementia and Their Caregivers.","authors":"Rachel M Powell","doi":"10.3928/00989134-20250505-04","DOIUrl":"https://doi.org/10.3928/00989134-20250505-04","url":null,"abstract":"<p><p>Most people living with dementia (PLWD) live at home with assistance provided by an unpaid family caregiver. Many PLWD require toileting assistance, thus leaving the home is stressful due to lack of public toilets that are accessible by PLWD and their caregivers. Many choose to stay home instead of seeking needed social interaction or schedule their activities around usable public toilet locations, which can leave PLWD and their caregivers feeling isolated, depressed, and excluded. Dementia-friendly toilets, which are unisex, large enough to accommodate assistive devices and a caregiver, and contain simple fixtures/signage, are needed. PLWD and their caregivers deserve to have the same accessibility as others, including enjoyment of leisure activities, which has been shown to improve quality of life and confidence. [<i>Journal of Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019097","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}
Nicole L Carlson, Robin J Brown, Kay L Foland, Mary J Isaacson
{"title":"Certified Nursing Assistants' Perceptions of a Traumatic Event in Long-Term Care: A Qualitative Pilot Study.","authors":"Nicole L Carlson, Robin J Brown, Kay L Foland, Mary J Isaacson","doi":"10.3928/00989134-20250505-05","DOIUrl":"https://doi.org/10.3928/00989134-20250505-05","url":null,"abstract":"<p><strong>Purpose: </strong>Certified nursing assistants (CNAs) provide indispensable, direct care to residents in long-term care (LTC). When a traumatic event occurs, CNAs may be negatively affected. The purpose of the current qualitative pilot study was to explore the experiences of LTC CNAs who have experienced a traumatic event at work.</p><p><strong>Method: </strong>Two CNAs participated in semi-structured interviews via Zoom. An exemplar case was developed to describe one participant's story.</p><p><strong>Results: </strong>The exemplar case demonstrated the CNA's genuine concern for LTC residents, lack of support from management, and traumatic events' effects on the CNA.</p><p><strong>Conclusion: </strong>This study adds to the body of literature regarding LTC CNAs and provides a foundation for additional research of this population. It is essential that further research be conducted to better understand CNAs' experiences with traumatic events. [<i>Journal of Gerontological Nursing, xx</i>(xx), xx-xx.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027886","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":"Assessment and Scoring of Intrinsic Capacity in Older Adults: An Integrative Literature Review.","authors":"Ilana I Logvinov, Victoria Loerzel","doi":"10.3928/00989134-20250505-01","DOIUrl":"https://doi.org/10.3928/00989134-20250505-01","url":null,"abstract":"<p><strong>Purpose: </strong>Promotion and maintenance of healthy aging is of utmost importance given the growing number of older adults worldwide. Fluctuation in intrinsic capacity (IC), defined as mental and physical functions, can be assessed objectively with an assigned score to predict health outcomes. The goal of the current review was to identify common measurement tools for IC assessment and evaluate IC scoring approaches.</p><p><strong>Method: </strong>Seventeen studies met inclusion criteria for assessing five domains: vitality, locomotion, cognitive, psychological, and sensory.</p><p><strong>Results: </strong>Reviewed studies used diverse instruments with inconsistent scoring approaches. Scoring ranged from simple additive scores to complex item response theory models.</p><p><strong>Conclusion: </strong>Establishing consistency in assessment and scoring for IC will ensure usability of scores in clinical practice to promote healthy aging and identify older adults at risk for disability or care dependence. Additional research is needed to establish consensus in standardized scoring, assessment, and measurement of IC. [<i>Journal of Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021965","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}
Cristina B de Rosa, Ashleigh Holmes, Weijun Wang, Yu-Ping Chang
{"title":"The Association Between Caregiving Burden, the Caregiving Relationship, and Caregiver Health.","authors":"Cristina B de Rosa, Ashleigh Holmes, Weijun Wang, Yu-Ping Chang","doi":"10.3928/00989134-20250310-01","DOIUrl":"10.3928/00989134-20250310-01","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the mediating effects of the quality of family caregivers' relationships with their older adult care recipients on the association between care-giver burden and caregivers' mental health and perceived general health.</p><p><strong>Method: </strong>Participants included 2,431 family/informal caregivers from the 2022 National Study of Caregiving. Mediator path analysis models adjusting for caregivers' age, sex, and race/ethnicity were used to test the direct and indirect effects of caregiver burden on mental health and perceived general health via the caregiving relationship.</p><p><strong>Results: </strong>Quality of the caregiving relationship partially mediated the association between caregiver burden and mental health, and also partially mediated the association between caregiver burden and perceived general health.</p><p><strong>Conclusion: </strong>Caregiver burden and quality of the caregiving relationship are influential factors in caregiver health. Strategies addressing caregiver burden and the caregiving relationship simultaneously could yield potential benefits. [<i>Journal of Gerontological Nursing, 51</i>(5), 27-34.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"27-34"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730243","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":"Challenges and Opportunities for Immigrant Nursing Staff in U.S. Long-Term Care Facilities.","authors":"Sherif Adewale Olanrewaju, Susan J Loeb","doi":"10.3928/00989134-20250414-01","DOIUrl":"https://doi.org/10.3928/00989134-20250414-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 5","pages":"4-6"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022122","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":"AGS' Recommendations to the CDC for Updating STEADI for Primary Care Published in <i>JAGS</i>.","authors":"Mark A Supiano","doi":"10.3928/00989134-20250326-02","DOIUrl":"https://doi.org/10.3928/00989134-20250326-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 5","pages":"55-56"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029226","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":"Evaluation of Geriatric Care Competencies Among Nurses Working in Home Health Care in Saudi Arabia.","authors":"Samira Ahmed Alsenany, Amani A Alharbi","doi":"10.3928/00989134-20250311-01","DOIUrl":"10.3928/00989134-20250311-01","url":null,"abstract":"<p><strong>Purpose: </strong>To assess geriatric care competencies of nurses in home health care (HHC) settings in Saudi Arabia and explore the factors influencing these competencies.</p><p><strong>Method: </strong>A cross-sectional design was used. Data were collected using the Gerontological Nursing Competence Scale among 393 RNs working in HHC units in the Riyadh and Qassim regions.</p><p><strong>Results: </strong>Nurses demonstrated high competence in ensuring safe living environments and addressing nutritional needs. However, weaker competencies were noted in supporting older adults' sexuality and managing ethical challenges. Specialized training and shorter work hours were significantly associated with higher self-perceived competency levels. This finding may suggest that reduced working hours allows nurses to engage in continuing education, skill development, and quality-focused care, rather than indicating lack of clinical experience.</p><p><strong>Conclusion: </strong>Findings highlight strengths and gaps in geriatric care competencies among HHC nurses, emphasizing the need for targeted training to address weaknesses in sensitive areas, including sexual health, ethical dilemmas, and communication challenges in end-of-life care. [<i>Journal of Gerontological Nursing, 51</i>(5), 35-45.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"35-45"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730223","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":"The Administration for Community Living: More Than a Decade of Policies Promoting the Health of Older Adults, People Living With Disabilities, and Their Families and Caregivers.","authors":"G Adriana Perez","doi":"10.3928/00989134-20250414-02","DOIUrl":"https://doi.org/10.3928/00989134-20250414-02","url":null,"abstract":"<p><p>As the Administration for Community Living (ACL) reaches its 13th year as an organization within the U.S. Department of Health and Human Services, current plans for restructuring will result in its closing. The current article reflects on the policies and programs led by the ACL for more than a decade, promoting the health and independence of older adults and people living with disabilities, including their families and caregivers. A brief overview of exemplars focused on family caregivers, fall prevention, and home- and community-based services highlight the potential impact of the closing of the ACL on vulnerable communities. As a result, a list of growing organizations and advocates, including health care and scientific professional groups, have voiced their concerns for the future without the ACL and limited details regarding the continuation of services and resources. The historic nature of these changes calls for gerontological nurse leaders, clinicians, and researchers to stay informed and engaged in support of the population and communities we serve. [<i>Journal of Gerontological Nursing, 51</i>(5), 7-11.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 5","pages":"7-11"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969832","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":"Meaning of Work, Ageism Experience, Social Exclusion, and Quality of Life in Working Older Adults.","authors":"Ju Young Park","doi":"10.3928/00989134-20250321-02","DOIUrl":"10.3928/00989134-20250321-02","url":null,"abstract":"<p><strong>Purpose: </strong>The current study examined the mediating effect of the meaning of work in the relationship between quality of life and experiences with ageism and social exclusion among working older adults.</p><p><strong>Method: </strong>A cross-sectional correlational design was used. Data were collected using self-administered questionnaires between October 1 and November 30, 2019, and were analyzed using Pearson correlation coefficients and multiple linear regression.</p><p><strong>Results: </strong>Quality of life correlated positively with the meaning of work and inversely with experiencing ageism and social exclusion. Meaning of work partially affected ageism's and social exclusion's respective relationships with quality of life.</p><p><strong>Conclusion: </strong>Nursing interventions (to improve older adults' quality of life) could include strategies to reduce working older adults' ageism experiences and social exclusion and enhance the meaning of their work. Findings contribute to providing data for developing industrial nursing policies and guidelines to maximize the quality of life of working older adults. [<i>Journal of Gerontological Nursing, 51</i>(5), 46-54.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"46-54"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730242","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":"Effectiveness of Self-Hydration Management Interventions in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis.","authors":"Ezgi Atasoy, Merve Aliye Akyol, Burcu Akpinar Söylemez, Özlem Küçükgüçlü","doi":"10.3928/00989134-20250326-01","DOIUrl":"https://doi.org/10.3928/00989134-20250326-01","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of self-hydration management interventions for middle-aged and older adults without cognitive impairment.</p><p><strong>Method: </strong>A systematic review and meta-analysis was conducted. Studies published from January 2010 to May 2024 were included. A total of 1,065 articles were reviewed, leading to the selection of 20 eligible articles; of these, five were considered suitable for inclusion.</p><p><strong>Results: </strong>The analysis showed a significant increase in total daily fluid intake and urine volume in intervention groups compared to control groups. This improvement demonstrates the effectiveness of various self-hydration management interventions.</p><p><strong>Conclusion: </strong>Nurse-led self-hydration management interventions are effective and provide valuable guidance for middle-aged and older adults. [<i>Journal of Gerontological Nursing, 51</i>(5), 17-25.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 5","pages":"17-25"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012985","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}