Ashley Kuzmik, Sahdia Parveen, Daniel Eaton, Angela Richardson, Melissa Owens, Janice Whitaker, Ann Kolanowski, Kimberly Van Haitsma, Marie Boltz
{"title":"Development and Psychometric Properties of the Student Nurse Preparedness Assessment for Dementia Care (SNAP-D).","authors":"Ashley Kuzmik, Sahdia Parveen, Daniel Eaton, Angela Richardson, Melissa Owens, Janice Whitaker, Ann Kolanowski, Kimberly Van Haitsma, Marie Boltz","doi":"10.3928/00989134-20260709-01","DOIUrl":"10.3928/00989134-20260709-01","url":null,"abstract":"<p><strong>Purpose: </strong>National dementia strategies in the United States and United Kingdom emphasize developing a skilled nursing workforce capable of delivering person-centered dementia care. However, little is known about how prepared nursing students are to provide such care, and few validated tools exist to measure preparedness.</p><p><strong>Method: </strong>A literature review informed initial item generation, which was refined through expert review and cognitive interviews with 12 nursing students in the United States and United Kingdom. The final 59-item Student Nurse Preparedness Assessment for Dementia Care (SNAP-D) was tested with 328 nursing students to assess reliability and validity.</p><p><strong>Results: </strong>The SNAP-D comprises eight domains and 59 items rated on a 5-point Likert scale. It demonstrated adequate construct validity, good convergent validity, and strong internal and test-retest reliability.</p><p><strong>Conclusion: </strong>The SNAP-D provides educators with a validated tool to evaluate curricula, identify learning gaps, and assess nursing students' preparedness to deliver high-quality dementia care.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"27-33"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471044","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":"Unlicensed Assistive Personnel as Untapped Delirium Champions: A Call to Invest in Our Closest Caregivers.","authors":"Tanya Mailhot","doi":"10.3928/00989134-20260911-01","DOIUrl":"https://doi.org/10.3928/00989134-20260911-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 10","pages":"3-4"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081094","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":"Effects of a Sarcopenia-Focused Exercise Intervention on Depressive Symptoms and Quality of Life in Older Adults With Dementia.","authors":"Yu-Nu Wang, Wen-Chuin Hsu, Shang-Chien Huang, Hui-Chu Chuang, Grace Yao, Sajad Yarahmadi","doi":"10.3928/00989134-20260709-04","DOIUrl":"10.3928/00989134-20260709-04","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effects of a 3-month, sarcopenia-focused exercise intervention on depressive symptoms and quality of life (QoL) among community-dwelling older adults with dementia.</p><p><strong>Method: </strong>A quasi-experimental pre-post design was conducted in Taiwan. Eighty participants were recruited; 77 completed posttests (intervention, <i>n</i> = 38; control, <i>n</i> = 39). The intervention group attended 50-minute supervised exercise sessions three times per week for 12 weeks, whereas the control group received usual care. Depressive symptoms and QoL were assessed at baseline and after 3 months using validated instruments.</p><p><strong>Results: </strong>Postintervention, the intervention group showed significantly higher QoL than the control group (<i>t</i> = 3.63, <i>p</i> < .001). Within-group analyses revealed significant reductions in depressive symptoms (<i>t</i> = 5.12, <i>p</i> < .001) and improvements in QoL (<i>t</i> = 3.36, <i>p</i> = .002).</p><p><strong>Conclusion: </strong>Structured, nurse-led exercise interventions can enhance psychological well-being and QoL in older adults with dementia, supporting their integration into community-based dementia care.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"44-54"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471101","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":"Mapping Artificial Intelligence Applications in Dementia Caregiving: A Scoping Review of Technologies, Functions, and Evidence Gaps.","authors":"Alison H Davis, Mary Dioise Ramos","doi":"10.3928/00989134-20260709-02","DOIUrl":"10.3928/00989134-20260709-02","url":null,"abstract":"<p><strong>Purpose: </strong>As symptoms progress in people with Alzheimer's disease and related dementias (ADRD), caregivers assume increasing responsibility. The objective of the current study was to summarize evidence on artificial intelligence (AI) technologies designed to support caregivers of people with ADRD.</p><p><strong>Method: </strong>A comprehensive literature search was conducted in CINAHL and PubMed. A scoping review methodology was used to synthesize study designs, AI modalities, caregiver populations, intervention settings, outcomes measured, and key findings.</p><p><strong>Results: </strong>Forty-three studies were included. Identified technologies included physical robots, conversational agents, and predictive algorithms. These AI interventions supported caregivers through education, task assistance, social support, and clinical management.</p><p><strong>Conclusion: </strong>As the population of older adults with ADRD grows, so will demand for caregiver support. Current research demonstrates a wide range of AI applications. Future research should focus on rigorous, long-term empirical evaluation of these technologies.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"17-25"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471127","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}
Yin Li, Jeannie P Cimiotti, Katherine A Evans, Carolyn K Clevenger
{"title":"Practice Environment and Intent to Leave Among Nurse Practitioners Caring for Older Adults: A Secondary Survey Analysis.","authors":"Yin Li, Jeannie P Cimiotti, Katherine A Evans, Carolyn K Clevenger","doi":"10.3928/00989134-20260709-03","DOIUrl":"10.3928/00989134-20260709-03","url":null,"abstract":"<p><strong>Purpose: </strong>Nurse practitioners (NPs) in the United States play a critical role in meeting the demand for older adult care, a demand that will continue to increase over the next few years. Yet little is known about how the practice environment affects job satisfaction and intention to remain on the job for NPs who focus primarily on older adults (GNPs). To address this knowledge gap, we characterized the current geriatric NP workforce and examined how the practice environment relates to job dissatisfaction and intention to leave.</p><p><strong>Method: </strong>The current study draws on nationwide survey data from GNPs and NPs.</p><p><strong>Results: </strong>GNPs were dissatisfied with the paperwork burden, their input into organizational policies, and the level of available administrative support. Dissatisfaction with input into organizational or practice policies, opportunities for professional development, patient load, patient mix, respect from physician colleagues, salary and benefits, and sense of being valued were significantly associated with a greater likelihood of intending to leave their position.</p><p><strong>Conclusion: </strong>These findings offer practical guidance for health care administrators and managers seeking to build practice environments that support GNPs, improve job satisfaction, and strengthen workforce retention.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"11-16"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471067","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}
Tiago Teófilo, Valkenia Silva, Rafaella Veras, Jacira Oliveira, Wilson Abreu
{"title":"Cultural Adaptation and Validation of the Empathy Circle in Dementia Care for Older Adults.","authors":"Tiago Teófilo, Valkenia Silva, Rafaella Veras, Jacira Oliveira, Wilson Abreu","doi":"10.3928/00989134-20260518-01","DOIUrl":"10.3928/00989134-20260518-01","url":null,"abstract":"<p><strong>Purpose: </strong>To culturally adapt and evaluate the content validity of the Empathy Circle (EC) intervention for Brazilian dementia care settings.</p><p><strong>Method: </strong>The current methodological study was guided by the Planned Intervention Adaptation protocol. Adaptation and validation used a modified Delphi technique with expert panels (<i>n</i> = 5: nursing, geriatrics, neurology, philosophy). Qualitative data from experts and participants were descriptively analyzed and organized according to the Delphi method. For pilot sessions, a directed content analysis was used, grouping responses into predefined units. Quantitative analysis included the content validity index (CVI) and Gwet's coefficient.</p><p><strong>Results: </strong>Qualitative analysis revealed a positive emotional effect and suggestions for improving the physical setting and session duration. The EC achieved a mean CVI of 96%, with strong expert agreement. Participants reported enhanced emotional support, empathy, and reflective practice.</p><p><strong>Conclusion: </strong>The EC showed cultural validity and potential as a psychosocial tool for promoting empathy in dementia care, with high acceptability and adaptability.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"41-48"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143548","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":"Home Care Nurses' Experiences With Connected Continuous Glucose Monitoring Systems in Older Adults With Type 2 Diabetes: A Qualitative Study in France.","authors":"Basma Berrag, Paul Quindroit","doi":"10.3928/00989134-20260626-01","DOIUrl":"10.3928/00989134-20260626-01","url":null,"abstract":"<p><strong>Purpose: </strong>Connected continuous glucose monitoring (CGM) systems are increasingly used in managing older adults with diabetes. Although CGM systems offer clinical benefits, their implementation in home care remains challenging, especially for digitally excluded individuals. The current study sought to explore the experiences, perceptions, and support needs of French home care nurses in the use of connected CGM systems in the home-based care of older adults with type 2 diabetes.</p><p><strong>Method: </strong>A qualitative descriptive study was conducted with 11 home care nurses in northern France. Semi-structured interviews were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four themes emerged: (1) <i>A Promising Tool With Unresolved Practical Challenges</i>, (2) <i>Variable Digital Autonomy and the Role of Family Support</i>, (3) <i>The Evolving Role of the Home Care Nurse</i>, and (4) <i>Structural Gaps in Training and Support</i>.</p><p><strong>Conclusion: </strong>CGM use among older adults relies heavily on nurses' ability to address technological and social barriers. Supporting their role is essential for equitable digital health adoption in aging care.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"33-40"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396961","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}
Juh Hyun Shin, Chung Hyuk Park, Myungeun Lee, Soo-Kyoung Lee, Crystel L Farina, Suhyun Park, Burton Korer, Melissa Batchelor
{"title":"Development and Evaluation of a Standardized Nursing Language Clinical Decision Support System for Long-Term Care Nurses Using GPT-4.0-Generated Nursing Scenarios.","authors":"Juh Hyun Shin, Chung Hyuk Park, Myungeun Lee, Soo-Kyoung Lee, Crystel L Farina, Suhyun Park, Burton Korer, Melissa Batchelor","doi":"10.3928/00989134-20260626-03","DOIUrl":"10.3928/00989134-20260626-03","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and evaluate the usability of clinical-decision support systems (CDSS) tailored for skilled nursing facilities (SNFs), incorporating standardized nursing languages to support optimal nursing care.</p><p><strong>Method: </strong>The current study used a user-centered design, with four participants from a single SNF. Large language modeling was used to train and test CDSS using a total of 130 Generative Pretrained Transformer 4.0-generated scenarios of simulated SNF residents. System usability was evaluated using the System Usability Scale (SUS); Usefulness, Satisfaction, and Ease-of-Use (USE) questionnaire; and heuristic evaluation.</p><p><strong>Results: </strong>Mean SUS score was 60 (<i>SD</i> = 3.65). Mean USE score was 6.62 (<i>SD</i> = 0.55), with the ease of learning subdomain rated highly. We identified usability issues through heuristic evaluation with nursing faculty experts, receiving overall positive feedback.</p><p><strong>Conclusion: </strong>CDSS has the potential to significantly enhance care quality, marking a pivotal advancement in the application of health care technology to support nursing professionals.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"23-32"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396851","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":"A Community-Based Health Literacy Intervention to Improve Health Literacy, Health Behavior Self-Efficacy, and Quality of Life Among Older Adults With Frailty: A Quasi-Experimental Study.","authors":"Juan Fang, Lihui Li, Xinfang Xie, Jinlan Yao","doi":"10.3928/00989134-20260626-02","DOIUrl":"10.3928/00989134-20260626-02","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effectiveness of a health education program on health literacy based on Wellness Motivation Theory (WMT) among frail older adults.</p><p><strong>Method: </strong>The current quasi-experimental study was conducted from September 2024 to January 2025 across two communities in Huzhou, Zhejiang Province, China. Participants aged 60 to 85 years with physical frailty were recruited, screened, and randomly assigned to an intervention (<i>n</i> = 35) or control (<i>n</i> = 35) group. The intervention included a 12-week program with 12 supervised online and offline sessions based on WMT. Data were collected at baseline and postintervention to assess health literacy, health behavior self-efficacy, and quality of life.</p><p><strong>Results: </strong>When compared to the control group, the intervention group demonstrated a significant improvement in all health literacy domains (all <i>p</i> = .001); health behavior self-efficacy for nutrition (<i>p</i> = .018), psychological comfort (<i>p</i> = .010), and exercise (<i>p</i> = .001); and Mental Component Summary for quality of life (<i>p</i> = .030).</p><p><strong>Conclusion: </strong>Findings suggest that a health education program based on WMT effectively enhances health literacy, health behavior self-efficacy, and quality of life in frail older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"49-58"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396866","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 Nursing Knowledge and Practice in a Rehabilitation Assisted Living Facility Through an Evidence-Based Pressure Injury Prevention Education Model.","authors":"Nicole M West, Tiffany J Calderon, Carrie L Buch","doi":"10.3928/00989134-20260630-01","DOIUrl":"10.3928/00989134-20260630-01","url":null,"abstract":"<p><strong>Purpose: </strong>Pressure injuries are a persistent problem in assisted living facilities (ALFs), especially among patients aged ≥65 years who have limited mobility. Enhancing nursing knowledge and adherence to evidence-based prevention strategies is essential. The current quality improvement project implemented the Agency for Healthcare Research and Quality (AHRQ) Pressure Injury Prevention Toolkit to strengthen nursing practices in an ALF rehabilitation unit.</p><p><strong>Method: </strong>Over 6 weeks, 11 nurses participated in modular workshops on the Braden Scale, skin assessments, repositioning, nutrition, support surfaces, staging, and individualized care planning. Nursing knowledge was measured using the Pressure Ulcer Knowledge Test (PUKT) before and after the intervention. Thirty-five care plans were audited postintervention for prevention strategy documentation.</p><p><strong>Results: </strong>PUKT scores increased from 80.7% to 97.4%. Of the 35 care plans, 94% documented prevention strategies, including 100% repositioning and Braden Scale use, 97% skin assessments, 91% incontinence care, and 85% nutritional support.</p><p><strong>Conclusion: </strong>Targeted education improved nursing knowledge and documentation, supporting evidence-based care for older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"13-21"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148397010","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}