Sherif Olanrewaju, Susan J Loeb, Marie Boltz, Ying-Ling Jao
{"title":"Impact of Transitional Experiences on the Preparedness of Internationally Educated Nurses to Provide Care for Older Adults in U.S. Long-Term Care Settings: A Qualitative Study.","authors":"Sherif Olanrewaju, Susan J Loeb, Marie Boltz, Ying-Ling Jao","doi":"10.3928/00989134-20250627-02","DOIUrl":"10.3928/00989134-20250627-02","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the transitional experiences of internationally educated nurses (IENs) in U.S. long-term care (LTC) settings, focusing on their preparedness to provide care for older adults and the perceived quality of professional development opportunities.</p><p><strong>Method: </strong>A qualitative descriptive methodology was used with 22 IENs from eight countries participating in semi-structured interviews. Braun and Clarke's thematic analysis framework integrated inductive and deductive approaches.</p><p><strong>Results: </strong>Two key themes emerged from the analysis-<i>Preparation for Care of Older Adults</i> and <i>Navigating Professional Growth</i>. IENs with prior gerontological care experience felt more prepared for LTC roles. Professional development opportunities varied significantly, with many participants citing inadequate ongoing training. Findings suggest that a comprehensive clinical orientation program and ongoing professional development opportunities are essential for IENs to succeed in LTC facilities.</p><p><strong>Conclusion: </strong>Findings underscore the importance of comprehensive orientation and structured, continuous professional development tailored to IENs' needs. Enhanced support systems could improve IEN integration, care quality, and workforce retention in U.S. LTC settings.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"31-38"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560301","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":"Development and Psychometric Testing of a Chinese Version of the Self-Reporting Age-Friendly Environment Assessment Tool (CS-AFEAT).","authors":"Qiuna Huang, Ning Wang","doi":"10.3928/00989134-20250812-02","DOIUrl":"10.3928/00989134-20250812-02","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically develop and evaluate the psychometric properties of a Chinese version of the Self-Reporting Age-Friendly Environment Assessment Tool (CS-AFEAT).</p><p><strong>Method: </strong>The CS-AFEAT was developed based on literature review, semi-structured interviews with older adults, and a two-round Delphi procedure. Older adults (<i>N</i> = 836) from Guangdong Province were chosen to complete a survey using a convenience sampling method to test validity and reliability. One half of the sample was randomly selected for exploratory factor analysis (EFA), and the other half for confirmatory factor analysis (CFA). Internal consistency reliability was tested using Cronbach's alpha.</p><p><strong>Results: </strong>A questionnaire comprising 61 items and six domains was constructed. All items had significant discrimination and had a strong relationship with the total score of the tool. In EFA and CFA, the factor loading of each item was >0.70. During CFA, the composite reliabilities of all domains were >0.90. The content validity index of the overall tool was 0.980. Cronbach's alpha of the overall tool was 0.962.</p><p><strong>Conclusion: </strong>This scale can contribute to establishing age-friendly home and community environments. It may be a valuable reference for community service centers to assess and enhance their services, considering factors such as limited workforce and resources. Moreover, this scale can facilitate continuous improvement and long-term development of age-friendly care communities.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873447","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":"Factors Influencing Glycemic Control in Older Adults With Diabetes in South Korea: Analysis Using the 2022 KNHANES Data.","authors":"Kyeongmin Jang","doi":"10.3928/00989134-20250812-01","DOIUrl":"10.3928/00989134-20250812-01","url":null,"abstract":"<p><strong>Purpose: </strong>Maintaining optimal glycemic control, as measured by hemoglobin A1c (HbA1c), is critical for preventing diabetes-related complications in older adults. The current study investigated determinants of glycemic control in older adults with diabetes in South Korea, aligning with the latest clinical guidelines from the American Diabetes Association and World Health Organization.</p><p><strong>Method: </strong>This cross-sectional study analyzed data from the 2022 Korea National Health and Nutrition Examination Survey. A total of 372 adults aged ≥65 years with physician-diagnosed diabetes were included. Participants were categorized into well-controlled (HbA1c <7%) and poorly controlled (HbA1c ≥7%) groups. Factors influencing glycemic control, including psychological distress, physical activity, and socioeconomic variables, were assessed using binary logistic regression.</p><p><strong>Results: </strong>Depression (Patient Health Questionnaire-9 ≥4; odds ratio [OR] = 1.986, <i>p</i> = 0.019), anxiety (General Anxiety Disorder-7 ≥2; OR = 1.800, <i>p</i> = 0.041), and insufficient strength training (<2 times/week; OR = 0.496, <i>p</i> = 0.025) were significant predictors of poor glycemic control. Current smoking was also associated with elevated HbA1c (OR = 2.228, <i>p</i> = 0.030). No significant associations were observed for demographic or socioeconomic factors.</p><p><strong>Conclusion: </strong>Psychological distress, insufficient strength training, and smoking are key modifiable predictors of poor glycemic control in older adults with diabetes. These findings highlight the need for integrated interventions that address mental health support, lifestyle modifications, and smoking cessation in diabetes management for older adults. Further longitudinal studies are recommended to confirm causality.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873448","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":"Exploring eHealth Literacy and Its Impact on Mental Health Among Korean American Older Adults.","authors":"Hyejin Park","doi":"10.3928/00989134-20250521-02","DOIUrl":"10.3928/00989134-20250521-02","url":null,"abstract":"<p><strong>Purpose: </strong>eHealth literacy is crucial for immigrant Korean American older adults to effectively access online mental health information and manage their mental health within the health care system. The current study aimed to investigate mental health issues, levels of eHealth literacy, and the impact of eHealth literacy on mental health among Korean American older adults.</p><p><strong>Method: </strong>Data were collected from Korean American adults aged ≥50 years through a survey that included the eHealth Literacy Scale and Depression, Anxiety and Stress Scale. Collected data were analyzed using descriptive statistics and regression analysis.</p><p><strong>Results: </strong>Korean American older adults demonstrated lack of skills in assessing the quality of online health resources. Higher levels of eHealth literacy were significantly associated with lower levels of stress, anxiety, and depression.</p><p><strong>Conclusion: </strong>Findings indicate that strategies should be developed to address the specific needs and challenges of Korean American older adults, particularly for those with limited skills in using online mental health information when making health-related decisions.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"35-44"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234260","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":"Connecting Nature and Care: Implementing an Outdoor Oxygen Garden for Patients on Ventilation Support.","authors":"Ahuva Tzabari, Nadya Kagansky","doi":"10.3928/00989134-20250515-05","DOIUrl":"10.3928/00989134-20250515-05","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"51-52"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127437","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":"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":"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.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"11-14"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","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}
Heather M Young, Sarah H Kagan, Donna M Fick, Deb Bakerjian
{"title":"Sustaining and Growing Our Scientific Impact in Turbulent Times.","authors":"Heather M Young, Sarah H Kagan, Donna M Fick, Deb Bakerjian","doi":"10.3928/00989134-20250703-02","DOIUrl":"https://doi.org/10.3928/00989134-20250703-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 8","pages":"3-4"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742252","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":"Changing Climate of Policies in the United States and Implications for Older Adults.","authors":"Ruth McDermott-Levy, Sarah Bucic, Katie Huffling","doi":"10.3928/00989134-20250703-01","DOIUrl":"https://doi.org/10.3928/00989134-20250703-01","url":null,"abstract":"<p><p>Since the beginning of the second Trump Administration there have been changes in relationships and global agreements, Executive Orders that supported fossil fuel energy while limiting environmental health protections, and communications related to climate change. These changes risk the health of older adults. Nurses must engage with policymakers and advocate to rollback polices that negatively influence health to protect older adults from climate change-related health risks.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 8","pages":"6-10"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742251","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}
Ko-Xin Chen, Miao-Hsin Ko, Valerie T Cotter, Hui-Wen Chang, Jong-Ni Lin, Jing-Jy Wang
{"title":"Evidence-Based Clinical Guideline for Wandering in Hospitalized Persons With Dementia.","authors":"Ko-Xin Chen, Miao-Hsin Ko, Valerie T Cotter, Hui-Wen Chang, Jong-Ni Lin, Jing-Jy Wang","doi":"10.3928/00989134-20250515-03","DOIUrl":"10.3928/00989134-20250515-03","url":null,"abstract":"<p><strong>Purpose: </strong>To develop clinical guidelines on managing wandering in hospitalized persons with dementia (PwD).</p><p><strong>Method: </strong>The PICO framework and a scoping literature review were used for guideline development. Expert consensus was established using the Delphi method, followed by external and methodological reviews. The guideline was tested for clinical applicability in hospital wards.</p><p><strong>Results: </strong>The guideline encompasses two topics and 33 recommendations, which were positively rated by external and methodological experts. Among 30 nurses who evaluated its clinical applicability, most recommendations were deemed easy to implement.</p><p><strong>Conclusion: </strong>The guideline has the potential to enhance care quality for hospitalized PwD.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"45-50"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127439","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":"Age Disparity in the Association Between Internet Use and Trust in Doctors Among Chinese Adults.","authors":"Peisen Yang, Dianqi Yuan, Xiyuan Hu, Xiaohan Zhu, Chao Guo","doi":"10.3928/00989134-20250521-01","DOIUrl":"10.3928/00989134-20250521-01","url":null,"abstract":"<p><strong>Purpose: </strong>To examine associations between internet use behaviors, network information literacy, and trust in doctors across age groups, and to test the mediating role of subjective well-being (SWB).</p><p><strong>Method: </strong>Multiple linear regression was used to test associations between internet use behaviors, network information literacy, and trust in doctors. The mediation effect of SWB was tested with the Karlson-Holm-Breen method.</p><p><strong>Results: </strong>Internet use, particularly via mobile devices, decreased trust in doctors among older adults (coef. = -0.272, <i>p</i> = 0.003) and increased trust among young adults (coef. = 0.122, <i>p</i> = 0.011). However, among mobile device users, improved network information literacy significantly enhanced trust in doctors for both age groups.</p><p><strong>Conclusion: </strong>Findings highlight age-specific mechanisms linking internet use to trust in doctors, emphasizing the mediating role of SWB and protective effect of network information literacy.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"26-34"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234259","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}