{"title":"Interventions for Improving Mental Health and Quality of Life of Older Adults with Mental Illness in Long-term Care: A Systematic Review and Meta-analysis","authors":"Benjawan Ngamwongwiwat, Vineekarn Kongsuwan, Praneed Songwathana","doi":"10.60099/prijnr.2023.261505","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261505","url":null,"abstract":"Various mental health interventions have been provided to older adults living in long-term care facilities, but the overall effectiveness of these interventions in improving mental health and quality of life remains inconclusive. This study is the first systematic review and meta-analysis to investigate and report interventions’ effects on improving mental health and quality of life among this population. A comprehensive search was conducted from January to February 2022 using PubMed, CINAHL, ProQuest, Web of Science, and Cochrane databases to identify eligible intervention studies published in English from December 2011 to December 2021. The inclusion criteria required studies to measure mental health and quality of life as outcomes in individuals aged 60 years and older with mental illness living in long-term care facilities. Studies that measured only mental health or quality of life were excluded. The PRISMA guidelines were used to guide the study’s method and report. Two reviewers independently evaluated the included studies’ methodological quality and extracted data. A third reviewer resolved discrepancies. Six randomized controlled trials and two quasi-experimental studies were included for systematic review, of which five studies qualified for meta-analysis involving 658 participants. Due to high heterogeneity, subgroup analysis with a fixed effects model was conducted. The interventions integrating active social interactions reduced depressive symptoms (low certainty of the evidence). Additionally, reminiscence-based interventions improved the quality of life of older adults with mental illness (low certainty of evidence). Although the effectiveness of interventions remains inconclusive due to high heterogeneity, a limited number of studies in the meta-analysis, and low-quality evidence, this review suggested that nursing care and activities promoting active social interactions and reminiscence should be implemented in living in long-term care facilities to enhance the quality of life and mental health of older adults with mental illness. However, the types and components of interventions should be adjusted based on available resources and contextual factors. Further research with larger sample sizes and higher methodological quality is warranted to strengthen the evidence base in this area.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135386359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives of Independent Living among Filipino Older Adults: A Qualitative Study","authors":"Ritzmond Loa, Pranom Othaganont, Gabriel Culbert","doi":"10.60099/prijnr.2023.261879","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261879","url":null,"abstract":"As individuals grow older, a gradual decline in physiological function, psychosocial interaction, and financial resources can limit their ability to live independently. This qualitative descriptive study explored the perspectives of 32 older adults aged 60 years or older with no physical disability residing in Metro Manila and Central Luzon Island in the Philippines. The data were collected through in-depth interviews using a semi-structured interview guide from April to December 2019, and data were analyzed using content analysis. The findings revealed that Filipino older adults' perspectives of independent living encompass a range of factors: 1) Ensuring physical health, with two subcategories (maintaining good health and ability to engage in self-care); 2) Maintaining mental capacity, with three subcategories (unburdening others, gaining control over their lives, and being able to make decisions; 3) Maintaining social relationships with others, with two subcategories (forming meaningful connections, and maintaining positive relationships with others; 4) Being financially stable by having a stable source of income; and 5) Being spiritually connected by maintaining religious practices. Independent living is a multidimensional concept that reflects Filipino older adults' physical, psychosocial, economic, and spiritual needs. By understanding and utilizing these findings, nurses can develop targeted interventions to help older people meet their needs and remain independent as possible. Furthermore, policymakers can use the findings to make informed decisions in healthcare planning to promote independent living and healthy aging in the Philippines.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135386982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Living in Harmony with the Community’s Nature and Socio-culture: An Ethnography of Healthy Older People in a Northeastern Thai Rural Community","authors":"Onanong Nilphat, Kasara Sripichyakan, Rojanee Chintanawat, Totsaporn Khampolsiri","doi":"10.60099/prijnr.2023.261325","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261325","url":null,"abstract":"Preparing to enter old age is crucial for accommodating longevity. However, a holistic view of socio-culture and natural environments that influences the healthiness of older people is not clearly explained. This focused ethnographic study was conducted between December 2017 and July 2019 and aimed to describe the healthy ways of life of older people in a rural community of northeastern Thailand (Isan) and the influence of socio-culture and natural environment. Fifteen people 70-87 years old and 15 of the people involved were interviewed in-depth, and focus group interviews, participant observations, and document reviews were also conducted. The study found that healthiness was determined by physical strength and self-reliance and a peaceful mind and happy life. Living in harmony with the community’s nature and socio-culture was the healthy way of life indicated by natural/Isan food, modest physicalactivities, a peaceful life, community participation, and folk/modern health remedies. Their sense of healthiness was influenced by the conversion of the community in a concordant interweaving manner, including the preserved nature in the developed infrastructure,sufficiency/reliance in expanding networks, and spirituality in contemporary viewpoints. Healthy older people benefited from the community development mediated by the younger people. A holistic approach to natural resources and socio-culture with a balance between conservation and development is recommended for developing rural community nursing guidelines to achieve a healthy way of life for older people and others who are aging.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Apiradee Pimsen, None Chung-Ying Lin, Virapun Wirojratana, Bih-Ching Shu
{"title":"Psychometric Properties of The Thai Version of the Nurses’ Intention to Participate in Advance Care Planning Instrument","authors":"Apiradee Pimsen, None Chung-Ying Lin, Virapun Wirojratana, Bih-Ching Shu","doi":"10.60099/prijnr.2023.262874","DOIUrl":"https://doi.org/10.60099/prijnr.2023.262874","url":null,"abstract":"Advance care planning is an essential process in healthcare that necessitates active participation from all involved professionals, particularly nurses. However, in Thailand, nurse involvement in ACP is limited. Assessment of nurses’ intention to participate inadvance care planning is necessary to organize training courses to improve their participation in this critical event. However, there is no tool to evaluate Thai nurses’ intention to participate in Advance care planning. Thus, we selected the Health Professionals’ Experience and Attitudes Questionnaire on Advance Care Planning to culturally adapt and validate it in the Thai context. We achieved this through a five-step process: (1) standard translation procedures, including forward translation, reconciliation, and back-translation; (2) item refinement through an expert panel; (3) conducting content validity and cognitive interviews; and (4) confirmation of the first culturally adapted tool by the expert panel on the factors. The panel of experts suggested adding the knowledge dimension and changing the name to the Nurses’ Intention to Participate in Advance Care Planning and (5) The Thai version was tested for validity and reliability using confirmatory factor analysis, average variance extracted, and the Fornell–Larcker criteria matrix, Cronbach’s α, and composite reliability. The final version achieved from testing with 260 registered nurses from a teaching hospital in Bangkok is comprised of 20 items distributed across five key dimensions, namely ‘intention,’ ‘attitude,’ ‘subjective norm,’ ‘perceived behavioral control,’ and ‘knowledge,’ demonstrating an excellent model fit, strong composite reliability, and robust internal consistency. This newly adapted tool is a resource for policymakers and nurse educators designing targeted training courses to enhance nurses’ competency in advance care planning. However, before this tool is widely implemented, it would be beneficial to test it further across diverse groups of nursing professionals.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of a Web-Based Occupational Noise-Induced Hearing Loss Prevention Program on Hearing Protection Device Behavior Among Thai Navy Officers: A Quasi-Experimental Study","authors":"Suthasinee Srinoon, Weeraporn Suthakorn, Petsunee Thungjaroenkul, Pratum Soivong, Atipong Sujiratana","doi":"10.60099/prijnr.2023.262221","DOIUrl":"https://doi.org/10.60099/prijnr.2023.262221","url":null,"abstract":"Navy officers working on the coastal guard vessels risk hearing loss due to repeated exposure to high noise levels from ship engines. Therefore, proper use of hearing protection devices is important. In this study, a web-based hearing loss prevention program was developed to promote the behavior of the use of hearing protection devices among Thai navy officers working on coastal guard vessels. In total, 152 navy personnel were recruited based on selection criteria and randomly assigned to the experimental (n = 76) and control groups (n = 76). The participants in the experimental group received the hearing loss prevention program via a website over four weeks. After completing the program, hearing protection device behavior was evaluated by a self-report questionnaire immediately after and at eight weeks follow-up. The results showed significantly increasing scores of the use of hearing protection devices behavior within the experimental group, both immediately and eight weeks after the program completion. However, there were no significant differences in the scores when comparing between groups, even though the scores of the experimental group were better than those in the control group. The restrictions could be explained by some emerging events during the implementation period, including the COVID-19 pandemic followed by a massive oil spill incident at sea. These put an extra workload on the study participants. Most importantly, there was a problem with the network connection that might have affected the continuation of participant attention to the program. Although this study found no effective results of the developed program due to some limitations, nurses can adopt this protective intervention to reduce the risk of occupational noise-induced hearing loss among Navy officers. Therefore, a recommendation for further study is to develop an intervention program that considers both the working context of the coastal vessels and appropriate participation methods that require more challenging efforts.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Preventive Nursing Program for Multidrug-Resistant Organism Transmission: A Quasi-experimental Study","authors":"Ketsara Tanseng, Akeau Unahalekhaka, Nongyao Kasatpibal, Nongkran Viseskul","doi":"10.60099/prijnr.2023.262568","DOIUrl":"https://doi.org/10.60099/prijnr.2023.262568","url":null,"abstract":"Multidrug-resistant organism infections are a major public health problem. Promoting nurses’ practice in preventing multidrug-resistant infections can reduce hospital transmission. This quasi-experimental study investigated the effectiveness of a preventive nursing program for multidrug-resistant organism transmission. The study was carried out in the Department of Internal Medicine in a tertiary hospital in south Thailand. Participants in this study were registered nurses. Two wards were randomly selected as the experimental ward and two as the control ward, then participants from each ward were purposively selected. Finally, there were 60 participants, n = 31 from the experiment wards and n = 29 from the control wards. The experimental group received a 4-week program, whereas the control group followed the usual practice. Then, the practices in preventing multidrug-resistant organism transmission of the experimental and control groups were assessed 4 and 12 weeks after the program ended. The instruments for data collection included a demographic data form and a preventive practice observation form. Data were analyzed using descriptive statistics and a chi-square test. The results showed that, at 4 and 12 weeks after completion of the program, nurses in the experimental group had a significantly higher proportion of correct practices (hand hygiene, use of personal protective equipment, patient placement, patient transport, patient care equipment management, environmental management, and linen and infectious waste management of multidrug-resistant organism transmission) than before receiving the program and in the control group. The findings suggest that the program effectively improves nurses’ correct practices in preventing multidrug-resistant organism transmission. The program can be applied to promote and support preventive practices among nurses. However, long-term follow-ups with the incidence of multidrug-resistant organism transmission should be further studied. In addition, as this study was conducted with nurses working in the internal medicine wards of a tertiary hospital, it is necessary to evaluate the program's effectiveness with different samples prior to its widerimplementation.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kashmiri “Imperial Preceptor” Namo (or Nanwu) in China During Yuan Dynasty","authors":"Hong Zhang","doi":"10.55014/pij.v6i3.438","DOIUrl":"https://doi.org/10.55014/pij.v6i3.438","url":null,"abstract":"The Buddhist monk Namo (Nanwu), born in Kashmir, came to China during the Yuan Dynasty and was highly regarded by Emperor Xianzong (also known as Emperor Mengge) and honored as Imperial Preceptor, which ranked the highest in Buddhist monks. The place that Namo visited is in today's Zhengding County, Hebei Province. He was once the abbot of the Giant Buddhist Temple (also known as Longxing Temple) in Zhengding (a Prefecture at that time--added by translator). Namo was not only the first Imperial Preceptor of the Yuan Dynasty, who occupied an outstanding position in the history of Buddhism, but also selflessly funded the restoration of the Giant Buddhist Temple, which was recorded in the inscription of \"Merit Record of Preceptor Nanwu of Dachao who repaired Longxing Temple, Zhending Prefecture\", which is still preserved in Ci Shi Pavilion of the Giant Buddhist Temple.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135425480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effectiveness of Stress Reduction Strategies for Operating Room Nursing Staff in Tertiary Hospitals on the Prevention of Metabolic Syndrome","authors":"Xiaoqing Wang","doi":"10.55014/pij.v6i3.464","DOIUrl":"https://doi.org/10.55014/pij.v6i3.464","url":null,"abstract":"The increase in global life expectancy, driven by economic growth, has resulted in a progressively aging population, thereby emphasizing the imperative for comprehensive elderly care services. In China, the proportion of individuals aged 60 and above has reached 18.70%, with projections indicating a rise to 34.9% by 2050. This statistics underscores the pressing need for competent professionals in the elderly care sector. However, the current education system encounters difficulties in meeting the industry's standards, leading to a disparity between training provisions and societal demands. In light of this, the present study aims to investigate the social adaptability of higher vocational graduates specialized in elderly care services, with a specific focus on areas encompassing independent living, cognitive abilities, interpersonal skills, vocational competence, and teamwork. The findings emphasize the necessity of tailored interventions to enhance the well-being and effectiveness of these graduates. In response, several strategies are proposed, including the cultivation of transformative mindsets, character development, local alignment with development goals, and immersive field practice. This research underscores the pivotal role of higher education institutions in producing qualified professionals equipped to address the multifaceted challenges posed by an aging society.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135426606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Interplay Between Table Tennis Skill Development and Sports Performance: A Comprehensive Review","authors":"Shuaishuai Zhang, Gang Chen, Qiang Wu, Xuan Li","doi":"10.55014/pij.v6i3.433","DOIUrl":"https://doi.org/10.55014/pij.v6i3.433","url":null,"abstract":"This study presents a comprehensive literature review on skill development in table tennis, focusing on various factors that influence expertise in the sport. The research synthesizes findings from multiple studies to understand the effectiveness of mental training programs, the relationship between cognitive functions and table tennis skills, differences between elite and sub-elite players, the impact of visual attention on performance, the effects of plyometric training on serve performance, and the comparison of practice schedules for skill learning and retention. Additionally, the paper explores the stages of tennis forehand attacking technique development, encompassing generalization, differentiation, consolidation, and automation stages, while discussing individual and environmental factors influencing skill development, highlighting the importance of early learning experiences, motivation, intelligence, and family support. Furthermore, the research delves into the history of table tennis performance evaluation methods, including video observation, expert interviews, and the four-stage index evaluation, establishing the reciprocal relationship between skill development and sports performance, emphasizing how enhanced athletic performance fosters skill mastery and vice versa. The findings underscore the significance of mental preparation, cognitive functions, technical proficiency, visual attention, and practice structuring in the pursuit of expertise in table tennis, indicating that incorporating mental training, cognitive training, specialized practice, and plyometric exercises can be beneficial for skill development and performance improvement in the sport.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135426622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Policy Analysis of China's Principal Rank System for Primary and Secondary Schools : Policies, Challenges, and Future Directions","authors":"HuaDong Wang, Chao Ma, Lijiao Pei","doi":"10.55014/pij.v6i3.463","DOIUrl":"https://doi.org/10.55014/pij.v6i3.463","url":null,"abstract":"The Principal Rank System for primary and secondary schools has undergone a nearly 30-year pilot phase, representing a significant reform in the realm of education management in China. However, challenges persist in advancing this reform, and the overall progress has been sluggish. This paper conducts a literature-based examination of the policy background and the implementation of the Principal Rank System. During the promotion of this reform, the implementation of the Principal Rank System encounters multiple challenges, including passive responses from certain principals, inquiries into the determination of principal professional ranks, and the varied impacts of the salary incentive mechanism. This paper analyzes these issues and proposes solutions to address them. It is imperative to establish a unified and stringent principal admission system, develop a comprehensive principal evaluation framework, modernize the principal training mechanism, set forth a rational principal ranking system, enhance the principal duty station exchange system, address income disparities among regions, and augment feedback mechanisms following expert reviews to foster holistic educational development.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135425479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}