Journal of gerontological nursing最新文献_第5页

Analysis of Job Satisfaction Among Older Adult Medical Companions in Shanghai. 上海市老年医疗陪伴人员工作满意度分析

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-07-01 Epub Date: 2026-02-26 DOI: 10.3928/00989134-20260220-02

Kaichang Cui, Yawen Ran

{"title":"Analysis of Job Satisfaction Among Older Adult Medical Companions in Shanghai.","authors":"Kaichang Cui, Yawen Ran","doi":"10.3928/00989134-20260220-02","DOIUrl":"10.3928/00989134-20260220-02","url":null,"abstract":"Purpose: The world's rapid aging has heightened demand for older adult medical services, driving the emergence of medical companions. The current study examined factors influencing job satisfaction among Shanghai's older adult medical companions to inform workforce stability strategies and aging-related policy upgrades.Method: Cross-sectional surveys (N = 146) were administered through stratified sampling across agencies, online platforms, and associations. Multivariate regression analyzed material (income, workload balance), social (professional recognition), and systemic factors (rights protections) using conservation of resources theory.Results: Key determinants included income-workload balance, income level, social recognition, and rights violations (all p < .005). More than 68% reported high satisfaction (mean = 4.12/5).Conclusion: Systemic support mechanisms-standardized compensation, rights protections, and professional certification-are critical for workforce retention. This study further highlights that, unlike Western patient navigator models where institutional safeguards are well established, policy adaptation in East Asia must begin with strengthening rights protection and recognition to provide a foundation for subsequent professionalization.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"48-54"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306766","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

Examining Temporary Agency Staff Use in Assisted Living. 研究临时机构员工在辅助生活中的使用情况。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-07-01 Epub Date: 2026-03-25 DOI: 10.3928/00989134-20260316-01

Sarah Dys, Ozcan Tunalilar

引用次数: 0

Managing Behavioral and Psychological Symptoms of Dementia and/or Delirium Superimposed on Dementia in Long-Term Care Hospitals: Nurses' Practical Perspectives. 管理长期护理医院痴呆和/或谵妄叠加的行为和心理症状：护士的实践观点。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-06-01 Epub Date: 2026-01-28 DOI: 10.3928/00989134-20260121-02

Yong Hwan Hyeon, Kyoung Ja Moon

{"title":"Managing Behavioral and Psychological Symptoms of Dementia and/or Delirium Superimposed on Dementia in Long-Term Care Hospitals: Nurses' Practical Perspectives.","authors":"Yong Hwan Hyeon, Kyoung Ja Moon","doi":"10.3928/00989134-20260121-02","DOIUrl":"10.3928/00989134-20260121-02","url":null,"abstract":"Purpose: The current study examined RNs' practical experiences in managing behavioral and psychological symptoms of dementia (BPSD) and delirium superimposed on dementia (DSD) in long-term care hospitals.Method: In-depth, one-on-one interviews were conducted with 18 RNs-including charge nurses, head nurses, and general staff-at two long-term care hospitals.Results: Nurses reported significant challenges in distinguishing and managing BPSD and/or DSD due to limited symptom-specific knowledge, overlapping clinical presentations in older adults, and resource constraints. Despite these barriers, they actively applied practical strategies to interpret symptoms and initiate appropriate interventions.Conclusion: Findings highlight the need for targeted education and structured clinical support to strengthen nurses' capacity to differentiate and manage BPSD and DSD. Enhancing institutional systems and interdisciplinary collaboration is essential to improving dementia care in long-term care hospitals.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"32-39"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086169","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

Health Literacy and Associated Factors Among Community-Dwelling Older Adults With Pre-Frailty: A Cross-Sectional Study. 健康素养及相关因素在社区居住的老年人体弱前期：一项横断面研究。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-06-01 Epub Date: 2026-02-26 DOI: 10.3928/00989134-20260219-01

Juan Fang, Yue Ji, Mingqian He, Ziyun Wang, Jinlan Yao

{"title":"Health Literacy and Associated Factors Among Community-Dwelling Older Adults With Pre-Frailty: A Cross-Sectional Study.","authors":"Juan Fang, Yue Ji, Mingqian He, Ziyun Wang, Jinlan Yao","doi":"10.3928/00989134-20260219-01","DOIUrl":"10.3928/00989134-20260219-01","url":null,"abstract":"Purpose: To assess health literacy levels and identify factors influencing them among community-dwelling older adults with pre-frailty.Method: This cross-sectional study enrolled 254 participants in community health service centers in five cities in Zhejiang Province, China. Health literacy was assessed using the Short-Form Health Literacy Questionnaire. Data were analyzed using descriptive statistics, t tests, analysis of variance, Pearson's correlation analysis, and hierarchical linear regression analysis.Results: Mean age of participants was 72.44 years (SD = 5.8 years). Mean health literacy index score was 28.72 (SD = 5.38). Higher health literacy was significantly associated with younger age (p = .007), higher educational attainment (junior high school: p = .031; senior high school: p = .002; college or higher: p < .001), smart-phone use (p = .009), regular exercise (p = .011), and social engagement (p = .002). Health literacy showed significant negative associations with three or more chronic diseases (p = .031) and psychological distress (p < .001).Conclusion: The study revealed significantly low health literacy among older adults with pre-frailty. Health care professionals should adopt targeted interventions focusing on individuals with low health literacy. Future research could develop and evaluate targeted interventions to examine the effects of health promotion on health literacy in community-based populations of older adults with pre-frailty.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"21-30"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306690","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

Predictors of Advance Directive Intentions Among Older Adults With End-Stage Renal Disease. 老年终末期肾病患者预先指示意向的预测因素。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-06-01 Epub Date: 2026-02-26 DOI: 10.3928/00989134-20260220-01

Yueh-Fang Huang, Hsiang-Chu Pai

{"title":"Predictors of Advance Directive Intentions Among Older Adults With End-Stage Renal Disease.","authors":"Yueh-Fang Huang, Hsiang-Chu Pai","doi":"10.3928/00989134-20260220-01","DOIUrl":"10.3928/00989134-20260220-01","url":null,"abstract":"Purpose: To evaluate the current status of advance directives (ADs) among older adults with end-stage renal disease (ESRD) and identify potential contributing factors.Method: A quantitative, comparative, and correlational design was used. Older adults with ESRD were recruited from a teaching hospital in Taiwan between October 2023 and October 2024. Structured questionnaires were used to assess quality of life, knowledge, attitudes, subjective norms, and behavioral intention to complete ADs. Data were analyzed to identify factors associated with the intention to complete ADs.Results: A notable proportion of older adults with ESRD expressed an intention to complete an AD. Participants with one or two comorbidities were more likely to report this intention. Positive attitudes toward ADs and supportive subjective norms were also associated with greater intention to complete ADs. In contrast, knowledge and quality of life did not appear to significantly influence intention.Conclusion: Comorbidities, attitudes, and subjective norms are key influencers of intention to complete ADs.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"50-58"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306723","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

Vitamin D Deficiency and Depressive Symptoms Among Rural Older Adults in South Korea: Implications for Gerontological Nursing. 维生素D缺乏和抑郁症状在韩国农村老年人：老年护理的意义。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-06-01 Epub Date: 2026-01-28 DOI: 10.3928/00989134-20260122-02

Kyeongmin Jang

引用次数: 0

Who Provides Home-Based Primary Care to People With Dementia? 谁为痴呆症患者提供家庭初级保健？

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-06-01 Epub Date: 2026-03-25 DOI: 10.3928/00989134-20260316-02

Monica O'Reilly-Jacob, Madison Horton, Xuefan Ji, Carolyn K Clevenger, Soo Borson, Lusine Poghosyan, Jianfang Liu

{"title":"Who Provides Home-Based Primary Care to People With Dementia?","authors":"Monica O'Reilly-Jacob, Madison Horton, Xuefan Ji, Carolyn K Clevenger, Soo Borson, Lusine Poghosyan, Jianfang Liu","doi":"10.3928/00989134-20260316-02","DOIUrl":"10.3928/00989134-20260316-02","url":null,"abstract":"Purpose: Home-based primary care (HBPC) for people with dementia is growing. Nurse practitioners (NPs) and physicians (MDs) deliver HBPC, often sharing care. We compared the characteristics of people with dementia receiving HBPC from NPs only, MDs only, and NPs+MDs.Method: The current cross-sectional study used 2019 Medicare claims to identify people with dementia and bivariate statistics to assess differences in patient characteristics (e.g., age, dual-eligibility for Medicare and Medicaid, race/ethnicity, comorbidities) across HBPC provider type.Results: In 2019, 62,094 Medicare beneficiaries with dementia received HBPC. Approximately 40% received HBPC exclusively from NPs, 33% from MDs, and 27% from NPs+MDs. Those seen by NPs+MDs were significantly more racially and ethnically diverse with more comorbidities than those who saw NPs or MDs exclusively.Conclusion: NPs provide HBPC to a sizeable share of homebound people with dementia. Patients cared for by NPs and MDs are more medically and sociodemographically complex than those cared for by a single provider type.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"12-20"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512592","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

Pharmacon 2026. Pharmacon 2026年。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-06-01 DOI: 10.3928/00989134-20260506-02

Katy Vickers

引用次数: 0

Systematic Development of an Art Making Intervention as a Potential Pain Management Strategy for Older Adults. 艺术制作干预作为老年人潜在疼痛管理策略的系统发展。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-05-01 Epub Date: 2025-12-18 DOI: 10.3928/00989134-20251211-02

Kyung Soo Kim, Clara Baldus, Harleah Buck

{"title":"Systematic Development of an Art Making Intervention as a Potential Pain Management Strategy for Older Adults.","authors":"Kyung Soo Kim, Clara Baldus, Harleah Buck","doi":"10.3928/00989134-20251211-02","DOIUrl":"10.3928/00989134-20251211-02","url":null,"abstract":"Purpose: To describe a systematic process for developing an art making intervention, guided by a previously developed theoretical framework outlining its proposed mechanism of action as a potential pain management strategy for older adults.Method: A multi-method approach that combined a descriptive qualitative study and survey methodology was used. Initially, a qualitative study with 11 older adults experiencing various chronic pain conditions provided insights into their perspectives on the preliminary intervention. Participants described the intervention, which included drawing, painting, and craft activities, as generally appropriate but in need of revisions to instructional details and difficulty levels. Based on this feedback, we created six independent intervention books featuring activities at three levels of difficulty. A quantitative survey was conducted with five content experts and three experiential experts to collect formative evaluations of the revised intervention.Results: The eight experts rated the revised intervention highly overall but recommended improving the organization of the written and visual instructions and ensuring the use of age-appropriate language. The final intervention offers 20 art making activities delivered in a home-based, individual format using an art making activity book and YouTube channel.Conclusion: By using a multi-method design, we tailored the intervention to the unique needs of older adults while grounding it in our theoretical framework describing its proposed mechanism of action for chronic pain management. Future studies are needed to rigorously test our hypotheses and evaluate the intervention's efficacy in reducing pain intensity among older adults.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"34-41"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774762","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

Ethical Considerations in Promoting Physical Activity for Nursing Home Residents With Cognitive Impairment: Implications for Policy and Practice. 促进有认知障碍的养老院居民体育活动的伦理考虑：政策和实践的意义。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2026-05-01 DOI: 10.3928/00989134-20260414-02

Jieun Lim, G Adriana Perez

{"title":"Ethical Considerations in Promoting Physical Activity for Nursing Home Residents With Cognitive Impairment: Implications for Policy and Practice.","authors":"Jieun Lim, G Adriana Perez","doi":"10.3928/00989134-20260414-02","DOIUrl":"10.3928/00989134-20260414-02","url":null,"abstract":"Purpose: Promoting physical activity (PA) among nursing home (NH) residents, particularly those with cognitive impairment, often generates ethical tensions that may be rooted in paternalism, risk-averse cultures, and institutional routines. Therefore, it is necessary to address ethical considerations that can inform policy and practice aimed at promoting safe and effective PA intervention strategies.Method: PA promotion was examined through the bioethical principles of autonomy, beneficence, nonmaleficence, and justice. The analysis was extended by introducing a relational autonomy framework suited to contexts of cognitive vulnerability.Results: By situating agency within relational, cultural, and organizational structures, the relational autonomy framework clarifies how ethically grounded and cognitively responsive PA can be enabled or constrained in long-term care settings. The analysis further demonstrated that principlist approaches alone are insufficient to address the relational dependencies and fluctuating capacities that shape NH residents' participation.Conclusion: Meaningful PA requires communication strategies attuned to cognitive fluctuation, identity-aligned activity design, and institutional flexibility that reduces structural barriers. Integrating relational autonomy into PA policy, staff training, and everyday care practices is ethically necessary to not only promote overall health, but to uphold agency, equity, and personhood for cognitively impaired NH residents.","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 5","pages":"6-13"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773342","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