Anna E Bender, Heba Aldossary, Sutthinee Thorngthip, Grace Q Armstrong, Anne Pohnert, Mary A Dolansky
{"title":"Direct Care Provider Innovation to Improve the Implementation of Age-Friendly 4Ms Care in a Retail Health Clinic Setting.","authors":"Anna E Bender, Heba Aldossary, Sutthinee Thorngthip, Grace Q Armstrong, Anne Pohnert, Mary A Dolansky","doi":"10.3928/00989134-20260204-01","DOIUrl":"10.3928/00989134-20260204-01","url":null,"abstract":"<p><strong>Purpose: </strong>The Age-Friendly Health Systems (AFHS) is a national initiative that ensures evidence-based care for older adults. To facilitate implementation, direct care providers created a questionnaire for older adults to complete before a clinic visit. The current mixed methods study evaluated the questionnaire's acceptability using the Theoretical Framework of Acceptability and explored provider perceptions of the questionnaire.</p><p><strong>Method: </strong>In 2022, the questionnaire was sent to 1,100 retail health clinics. After 4 weeks of use, an online survey was sent to 3,300 direct care providers (e.g., nurse practitioners, physician assistants) at these clinics.</p><p><strong>Results: </strong>Higher-than-average acceptability of the questionnaire in most of the Theoretical Framework of Acceptability domains was reported and self-reported implementation, completion, and documentation of all AFHS 4Ms improved. In open-ended responses, direct care providers described how the questionnaire was user-friendly and improved clinic visit efficiency.</p><p><strong>Conclusion: </strong>Direct care provider innovations help overcome real-world challenges, improving the effective implementation and delivery of evidence-based practices in a retail health clinic setting.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 3","pages":"52-59"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326363","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":"Maximizing Reimbursement Opportunities in Geriatrics: Coding Updates for 2026.","authors":"Paul Mulhausen","doi":"10.3928/00989134-20260205-02","DOIUrl":"https://doi.org/10.3928/00989134-20260205-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 3","pages":"75-76"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326297","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":"Learning What Matters: Students' Reflections on Age-Friendly Care in Nursing Homes.","authors":"Erin Kitt-Lewis, Alison Jochen","doi":"10.3928/00989134-20251112-03","DOIUrl":"10.3928/00989134-20251112-03","url":null,"abstract":"<p><strong>Purpose: </strong>To describe second-year nursing students' perception and clinical learning experiences related to the Age-Friendly Care 4Ms Framework.</p><p><strong>Method: </strong>A qualitative exploratory study using inductive thematic analysis of student-generated clinical reflections and course artifacts was performed. Data were coded independently by researchers and synthesized into themes to ensure analytic rigor and accuracy.</p><p><strong>Results: </strong>Five themes emerged and included <i>Challenging Assumptions</i>, <i>Upholding Dignity and Personhood</i>, <i>Communication and Connection</i>, <i>Staff Engagement and Family Involvement</i>, and <i>Shared Humanity</i>.</p><p><strong>Conclusion: </strong>Integration of the 4Ms Framework into early clinical education fostered empathy, critical thinking, and professional growth. Students' perceptions evolved toward person-centered care and highlighted the richness of nursing home experiences in shaping professional identity. Embedding structured, age-friendly clinical experiences in nursing education can shift attitudes, enhance communication skills, and better prepare students to work effectively with older adults living in nursing homes.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"60-66"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549507","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":"Redesigning Health Systems for an Aging Society: Why Age-Friendly Care Matters.","authors":"Jane Carmody, Nafasya Ramadini Maura","doi":"10.3928/00989134-20260205-01","DOIUrl":"https://doi.org/10.3928/00989134-20260205-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 3","pages":"5-8"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326294","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":"SAFER Mobilization Is Age-Friendly Care.","authors":"Christine Waszynski, Jenifer Ash, Anna-Rae Montano","doi":"10.3928/00989134-20251010-05","DOIUrl":"10.3928/00989134-20251010-05","url":null,"abstract":"<p><strong>Purpose: </strong>A dynamic tension exists between preventing falls and optimally mobilizing hospitalized patients. The SAFER program aimed for patients, families, and staff to collaboratively design and simultaneously operationalize patient-specific fall reduction and mobilization strategies.</p><p><strong>Method: </strong>This pilot project was implemented on six units of a large level one trauma center. Patients were engaged in goal setting to maximize their mobilization potential while avoiding a fall during hospitalization. A poster displaying each patient's fall risk factors, corresponding mitigation strategies, and patient responsibilities served as a visual aid to assist staff, patients, and families in following the individualized safe mobilization plan. Falls and mobilization trends were measured.</p><p><strong>Results: </strong>This project achieved a 43% reduction in falls with a trend toward increased patient mobilization over a 6-month period.</p><p><strong>Conclusion: </strong>This project demonstrated a patient-centered approach to promoting safe mobilization within the context of the Age-Friendly Health Systems 4Ms Framework during hospitalization.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"23-30"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301376","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}
Maria Camila Fiorotti, Mariana Perez Roman, Abraham Medina, Ariana Borda, Nikita Patel, G Adriana Perez
{"title":"Cost Analysis of Physical Activity Interventions Among Latino Older Adults: A Systematic Review and Policy Recommendations.","authors":"Maria Camila Fiorotti, Mariana Perez Roman, Abraham Medina, Ariana Borda, Nikita Patel, G Adriana Perez","doi":"10.3928/00989134-20260106-01","DOIUrl":"10.3928/00989134-20260106-01","url":null,"abstract":"<p><strong>Purpose: </strong>The current systematic review examined how community-based physical activity (PA) interventions for Latino older adults assessed intervention costs, health care utilization costs, and overall cost-effectiveness.</p><p><strong>Method: </strong>Five databases were searched for U.S.-based studies published from 2021 to 2025 that (a) assessed community-based PA interventions; (b) evaluated cost-effectiveness, reported intervention cost, and utilization data; (c) included populations aged ≥55 years; and (d) focused on Latino/Hispanic participants. Data were extracted on cost measurement methods, health care utilization metrics, and economic evaluation outcomes.</p><p><strong>Results: </strong>Few eligible studies met full criteria, and most interventions reported general program costs, whereas only a few incorporated health care utilization or conducted formal cost-effectiveness analyses. Programs that measured PA improvements generally demonstrated favorable cost patterns but lacked standardized reporting. Among the few interventions that included Latino participants, results were typically reported in combination with other racial or ethnic groups, limiting the ability to interpret cost and cost-effectiveness outcomes specific to Latino older adults.</p><p><strong>Conclusion: </strong>The limited and inconsistent economic evaluation of community-based PA programs for Latino older adults highlights the need for more studies to evaluate intervention, utilization costs, and cost effectiveness reporting. Strengthening economic evaluations can guide resource allocation, support culturally tailored program development, and promote translating trial-based evidence into practical public policy for healthy aging.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 2","pages":"7-12"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113295","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-Friendly Care for All: Making a Global Difference One Older Adult at a Time.","authors":"Donna M Fick, Terry T Fulmer","doi":"10.3928/00989134-20260106-02","DOIUrl":"https://doi.org/10.3928/00989134-20260106-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 2","pages":"4-6"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113263","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}
Patricia M Lavin, William Winfree, Divya Padgaonkar, Lauren Link, Kathleen E Zavotsky, Woodlyne Pierre-Lallemand, Jennifer Withall
{"title":"Designing, Implementing, and Evaluating a Nurse-Led Age-Friendly Dashboard in an Academic Health System: An Innovation Exemplar.","authors":"Patricia M Lavin, William Winfree, Divya Padgaonkar, Lauren Link, Kathleen E Zavotsky, Woodlyne Pierre-Lallemand, Jennifer Withall","doi":"10.3928/00989134-20251010-01","DOIUrl":"10.3928/00989134-20251010-01","url":null,"abstract":"<p><strong>Purpose: </strong>To describe how a nursing geriatrics workgroup in an academic age-friendly health system (AFHS) designed, developed, and piloted an age-friendly dashboard (AFD) that featured select patient experience scores and nursing-sensitive indicators (NSIs) that disproportionally impact hospitalized older adults.</p><p><strong>Method: </strong>A nurse-led interdisciplinary team developed an interactive dashboard that aggregated existing age-friendly data and allowed for stratifying by age, campus, unit, and NSIs. Pilot users included frontline unit leaders, Nurses Improving Care for Healthsystems Elders program coordinators, gerontological nurse practitioners, and nurse educators.</p><p><strong>Results: </strong>Optimization feedback was shared by pilot users. One campus used the AFD to inform and guide a quality improvement project that yielded a 51% reduction in the falls rate of adults aged ≥65 years.</p><p><strong>Conclusion: </strong>The AFD is a practical example of leveraging NSIs and patient experience data to support age-friendly care by making data accessible to frontline leaders, nurses, and clinicians in an AFHS.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"31-36"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301352","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}
John W Meyer, Kalen M Kearcher, Ayesha S Ahmad, Leandra N L Davis, Robert D Fraleigh, Christopher Griffin, Amy M Westcott
{"title":"Patient Priorities in Age-Friendly 4Ms Care.","authors":"John W Meyer, Kalen M Kearcher, Ayesha S Ahmad, Leandra N L Davis, Robert D Fraleigh, Christopher Griffin, Amy M Westcott","doi":"10.3928/00989134-20251210-01","DOIUrl":"10.3928/00989134-20251210-01","url":null,"abstract":"<p><strong>Purpose: </strong>The Institute for Healthcare Improvement developed the 4Ms Framework-What Matters, Medication, Mentation, and Mobility-to enhance age-friendly, person-centered care. At one medical center, nurses ask inpatients daily, \"What is most important to you?\" to align care with patient priorities and the \"What Matters\" component of the 4Ms. Thus, the current study aimed to identify patterns and recurring themes across age groups and departments.</p><p><strong>Method: </strong>The current study analyzed >11,000 responses from geriatric inpatients using unsupervised clustering and topological data analysis.</p><p><strong>Results: </strong>Four key themes emerged: <i>Inpatient Quality of Life</i>, <i>Discharge Planning</i>, <i>Pain Management</i>, and <i>Clarification</i> of <i>Medical Terminology</i>.</p><p><strong>Conclusion: </strong>Understanding these priorities can help provide more responsive and tailored care. Integrating these themes into system-level pathways and consult triggers may strengthen alignment with the 4Ms.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"13-16"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774694","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-Friendly Health Systems Reflection Case Study Across Settings: From Professional Roles to Personal Connection.","authors":"Kate L Taylor, Teresa Wagner","doi":"10.3928/00989134-20251111-04","DOIUrl":"10.3928/00989134-20251111-04","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"60-62"},"PeriodicalIF":1.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549522","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}