International Journal of Older People Nursing最新文献

{"title":"A Call to Action: Arming Nurses With Political Knowledge to Advocate for Older People","authors":"Sherry Dahlke,&nbsp;Kathleen F. Hunter","doi":"10.1111/opn.70040","DOIUrl":"https://doi.org/10.1111/opn.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>For decades, healthcare systems have enacted cost containment, which has led to nurses working within increasingly thinly resourced healthcare services influenced by political ideologies and often just trying to get through their shift. They may not have enough energy, support or background knowledge about what is behind the challenges they face or how they could effectively advocate for older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this discussion paper, we provide an overview of three underlying political ideologies; discuss how these ideologies influence health and social care among western countries, examine how workplaces influenced by political ideology (e.g., resource allocation) can perpetuate ageism in healthcare decisions; explore advocacy and activism in nursing and suggest opportunities for nurses to disrupt negative practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found common challenges among countries with the three ideologies—increasing older people, the need to spend money efficiently and older people's desire to age-in-place. Thus, there is critical importance of health and social community supports and informal caregivers. Although not perfect, a social democratic ideology appears to be more likely than the other ideologies to work towards valuing people of all ages, with greater potential for equitable access and to support people throughout their lifespan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurses have an important role to play in suggesting improvements in health and social care. Nurses that work together through professional gerontological associations could be proactive in informing the public that their current political ideology could be perpetuating ageism in health and social care systems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nurses need to educate themselves about the political ideology in their country and critically examine how it influences the health and social care of older people. Also necessary that nurses take an advocacy/activist role for older people’s health and social care needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598521","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}

{"title":"Effectiveness of Educating Caregivers on Oral Health of Institutionalized Older Adults: A Systematic Review and Meta-Analysis","authors":"Nishant Mehta,&nbsp;Diptajit Das,&nbsp;Easha Dogra,&nbsp;Arpit Gupta,&nbsp;Richa Srivastava,&nbsp;Shweta Sharda,&nbsp;Komal Kaur Saroya,&nbsp;Ashima Goyal","doi":"10.1111/opn.70038","DOIUrl":"https://doi.org/10.1111/opn.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This systematic review and meta-analysis augments the existing body of evidence concerning the effect of oral health education or caregiver training on the oral hygiene status of institutionalised older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>The study follows a protocol registered in PROSPERO (CRD42022309962). We systematically searched four electronic databases, complemented by manual literature searches. We screened eligible studies and extracted data utilising a meticulously designed form. The quality of the studies has been appraised using RoB 2 and RoB 2 CRT. For quantitative analysis, RevMan 5.4.1 has been employed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We screened 4962 records and evaluated 31 full texts. We conducted qualitative synthesis on 14 trials and subjected data from four trials to quantitative analysis. We assessed the effectiveness of training caregivers regarding the oral health of older adults on denture hygiene status using the post-intervention denture hygiene index scores (mean ± SD). Sub-group analysis, considering the cognitive ability of the study population, revealed a significant difference favouring the intervention compared to no intervention: SMD −0.59; 95% CI (−0.88 to −0.31). Similarly, the oral health education of caregivers was noted to have a statistically significant improvement in the dental plaque scores: SMD −0.51; 95% CI (−0.76 to −0.26). Three studies showed a ‘high risk of bias’, and five studies showed ‘some concerns’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Oral health education programmes on caregiver training by health care/para-health care professionals significantly improve the oral hygiene status of institutionalised older adults. More robust clinical trials are needed to substantiate the evidence on the effectiveness of educating caregivers about the oral health of older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598414","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":"Health Equity Requires Healthy Living, Not Healthy Ageing","authors":"Sarah H. Kagan","doi":"10.1111/opn.70037","DOIUrl":"https://doi.org/10.1111/opn.70037","url":null,"abstract":"&lt;p&gt;Healthy ageing is a popular term widely used throughout research and practice by gerontological nurses, other scholars and news and social media. Synonyms for healthy ageing abound. Super ageing. Active ageing. Positive ageing. Graceful ageing. Productive ageing. The classic synonym is successful ageing which dates back decades (Rowe and Kahn &lt;span&gt;1997&lt;/span&gt;). As gerontological nurses, these phrases are part of our professional vocabulary. We all have a favourite among them that we likely use frequently. But, with the prevalence of structural ageism well established, healthy ageing needs scrutiny (World Health Organization &lt;span&gt;2021&lt;/span&gt;). Consider what is left unspoken but strongly implied by the phrase health ageing. By emphasising the word healthy in relation to ageing, the phrase healthy ageing implies that ageing is a fundamentally unhealthy process. When we use the word healthy as an adjective to describe ageing, we share the implication that ageing is not healthy. With our use of healthy ageing, we are unwittingly reinforcing negative understandings of ageing and expectations about growing older.&lt;/p&gt;&lt;p&gt;Much of the lay discussion around healthy ageing is medicalised, especially in high-income societies. Efforts to quantify precise amounts of exercise, nutrient intake and activities with purported preventative value to promote brain health and guard against frailty abound. To a certain extent, lay people may benefit from such information and form healthier habits as a result. Nonetheless, those changes may come later in life than is desirable. This lag occurs simply because the term healthy ageing implies relevance only to people who see themselves as older or are thinking about getting older. The implicit message that their health is at risk because they are getting older, stemming from the notion that ageing is unhealthy, presents an underlying threat to population and individual health. Internalised negative understandings of ageing and later life, called negative age-related self-stereotyping, can significantly damage both health and well-being.&lt;/p&gt;&lt;p&gt;Nurses and other health professionals generally understand ageing as an essentially unhealthy process. Nurses and other health professionals express the structurally ageist beliefs and attitudes within their professions and healthcare with every clinical judgement or action that is predicated on chronological age. This professional perspective is as damaging as the lay phenomenon of negative age-related self-stereotyping. Health professionals are taught early in their foundational education to believe that older people—defined as 60 and older internationally or as 65 and older in many societies—are at risk of ill health merely by virtue of their age. Relying on a flawed classification of normative and non-normative—usual or successful—ageing jeopardises health and healthcare for people of all ages. Nurses and other clinicians typically look for specific diseases and dysfunction in r","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536859","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}

{"title":"Translation, Cultural Adaptation and Validation of the Advance Care Planning Engagement Survey for Korean Older People","authors":"Minjeong Jo,&nbsp;Heejin Chung,&nbsp;Mihyun Park","doi":"10.1111/opn.70039","DOIUrl":"https://doi.org/10.1111/opn.70039","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The Advance Care Planning (ACP) Engagement Survey, initially developed in English, was designed to assess behaviour related to the ACP process. Although ACP is widely recognised globally, its adoption and practice differ considerably among countries, primarily due to unique cultural and policy-related factors. Therefore, ensuring appropriate translation and cultural validation of the tool is critical for its effective use in varied contexts. This study aimed to translate and culturally adapt the ACP Engagement Survey for use with Korean older people and to examine its psychometric properties.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study used a cross-sectional survey design that was implemented in two phases. In phase 1, the ACP Engagement Survey underwent translation and cross-cultural adaptation from English to Korean by: (1) forward and backward translation, (2) committee review and (3) pretesting. In phase 2, psychometric properties of the finalised Korean version were examined via factor analysis, assessment of construct validity and analysis of internal consistency. The study sample comprised 235 community-dwelling older people with a mean age of 71.1 years.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The final Korean version of the ACP Engagement Survey (K-ACP-ES 12) was composed of 12 items across three factors: readiness, contemplation and self-efficacy. Hypothesis testing demonstrated construct validity of the K-ACP-ES 12 by a statistically significant correlation with the AD Knowledge Scale (&lt;i&gt;r&lt;/i&gt; = 0.26, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). In addition, the Korean version showed acceptable reliability, with a Cronbach's alpha of 0.93.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The K-ACP-ES 12 demonstrated good reliability, acceptable structural validity and supported hypothesis-testing construct validity. Evaluating a patient's engagement in ACP is essential for assessing ACP quality, which constitutes a principal outcome of the ACP process. The findings highlight the necessity of tailoring and validating measurement tools within specific cultural and policy contexts to ensure accurate assessment of ACP outcomes and enhance the instrument's utility across varied populations.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Practice&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The findings underscore the importance of tailoring and validating measurement tools within specific cultural and policy contexts to ensure accurate ass","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536862","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}

{"title":"Factors Associated With Falls Among Residents Living in Long-Term Care Homes in Ontario","authors":"Lori Rietze,&nbsp;Roberta Heale,&nbsp;Robyn Gorham,&nbsp;Abimbola Akomah","doi":"10.1111/opn.70035","DOIUrl":"https://doi.org/10.1111/opn.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The prevalence of falls in Ontario-based long-term care homes is above the provincial benchmark. There is limited research exploring the reason for such a variation. The research question guiding this study was: <i>What are the risk factors for falls among all residents in Ontario's LTC homes?</i></p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective, population-based study was conducted using Minimum Data Set assessments for all residents of long-term care in Ontario between April 2019 and March 2020. Binomial logistic regression analysis was used to determine the significance of the relationship of selected variables to falls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings identified a significant relationship between several variables that were not previously found in the existing literature and falls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study has important implications for clinicians and researchers globally as they aim to better understand the increased prevalence of falls in older adults living in residential care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Clinicians are encouraged to consider alternatives to high-risk medications and closely monitor residents on these medications, implement harm reduction strategies for residents with responsive behaviors, and routinely assess residents for bowel incontinence, cognitive decline, or increased care needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144472952","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}

{"title":"Supporting Ageing Parents Abroad: The Case for Culturally Adaptive Remote Monitoring Systems","authors":"Jane Chung,&nbsp;Ikseon Choi,&nbsp;Sejung Kwon,&nbsp;Kenneth Hepburn","doi":"10.1111/opn.70034","DOIUrl":"https://doi.org/10.1111/opn.70034","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367227","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":"Best Practice to Prevent Constipation in People Living With Dementia: A Scoping Review","authors":"Linda Maria Schnitker,&nbsp;Safa Alrababah,&nbsp;Anne Young,&nbsp;Zoe Selby,&nbsp;Claudia Meyer,&nbsp;Judy A. Lowthian","doi":"10.1111/opn.70033","DOIUrl":"https://doi.org/10.1111/opn.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This scoping review explores available evidence on strategies to guide the prevention of constipation in people with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic literature search was conducted across eight electronic databases. Two researchers independently conducted data screening, extraction, analysis and charting using a standardised data extraction tool for obtaining information about studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified seven studies, including three randomised controlled trials, carried out between 1997 and 2019. A range of nonpharmacological strategies was utilised to reduce the risk of developing constipation in people who live with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Strategies identified through this review could guide the care of people with dementia in preventing constipation by emphasising the importance of lifestyle and environmental changes to support regular, soft-formed bowel movements.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308964","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}

{"title":"Person-Centered Care Assessment Tool: French Validation and Structural Invariance in Nursing Home Staff","authors":"Jérôme Erkes,&nbsp;Clarisse Madiouni,&nbsp;Cécile Bourgeois,&nbsp;David Edvardsson,&nbsp;Valérie Vitou,&nbsp;Sophie Bayard","doi":"10.1111/opn.70032","DOIUrl":"https://doi.org/10.1111/opn.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Person-centred care is widely recognised as the gold standard of quality in terms of gerontological care approaches and offers an alternative to traditional, medically oriented models. The Person-Centered Care Assessment Tool (P-CAT), developed by Edvardsson et al. (2010), is one of the most extensively studied instruments for adaptation and validation across countries. However, its structural invariance remains questionable, with the number of factors varying from one to three depending on the study. Currently, no validated French version exists. This study aims to explore the psychometric properties of the French version of the P-CAT among nursing home staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We translated the P-CAT into French. A total of 473 participants, recruited in 41 nursing homes and divided into two independent samples, completed several questionnaires including the P-CAT. We conducted exploratory and confirmatory factor analyses and assessed reliability, as well as convergent and divergent validity of the P-CAT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Exploratory and confirmatory factor analyses supported a three-factor structure with adequate internal consistency (<i>ω</i> = 0.79). The three dimensions are related to the following: Organisational and environmental support; care planning; and adaptability to the residents' needs. Good convergent validity and divergent validity were documented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The French version of the P-CAT demonstrated good psychometric properties and a structural invariance among nursing home staff. It can be used in research and practice to assess person-centredness in gerontological care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085448","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":"Diagnostic Accuracy of Self-Reported Tools for Frailty Assessment in Older Adults With Cancer: A Diagnostic Meta-Analysis","authors":"Dwi Apriadi,&nbsp;Saranya Pimolkatekul,&nbsp;Evi Susanti,&nbsp;Hsiao-Yean Chiu,&nbsp;Hui-Chuan Huang","doi":"10.1111/opn.70030","DOIUrl":"https://doi.org/10.1111/opn.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Questionnaires are commonly used for rapid frailty assessment. However, which scale is most appropriate for the identification of frailty in older adults with cancer remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>A diagnostic meta-analysis was conducted to examine the sensitivity and specificity of questionnaire-based assessment tools in detecting frailty among older adults with cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five databases were searched for eligible studies from inception to January 26, 2025. Study quality was evaluated using the revised Quality Assessment of Diagnostic Accuracy Studies tool. The pooled sensitivity and specificity of the frailty assessment tools were assessed through a bivariate random-effects model. Factors influencing the heterogeneity of sensitivity and specificity values were assessed through moderator analysis, which comprised a subgroup analysis and metaregression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five questionnaire-based tools (i.e., the Edmonton Frailty Scale, FRAIL scale, Groningen Frailty Indikator [GFI], Tilburg Frailty Indikator, and Vulnerable Elders Survey-13 [VES-13]) for assessing frailty in older adults with cancer were identified in the literature; the most commonly used were the GFI and VES-13. The sensitivity and specificity of the GFI (67% and 81%, respectively) and VES-13 (65% and 81%) were calculated. Studies with a high proportion of male participants had poorer GFI sensitivity. Older patient samples were associated with lower VES-13 sensitivity, and a high prevalence of frailty or patients having stage III–IV cancer was associated with higher sensitivity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The GFI and VES-13 demonstrated high specificity but low sensitivity for frailty assessment in older adults with cancer. Frequent assessment with the GFI or VES-13 is recommended to improve frailty detection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Health-care professionals, including oncology nurses, care managers, and oncologists, can incorporate the GFI and VES-13 into cancer care settings to improve early frailty detection and management.</p>\u0000 \u0000 <p><b>Pre-Registration:</b> The study protocol was registered at PROSPERO (CRD42024505836)</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074314","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":"Patient Participation for Frail Older Persons and Their Next of Kin in Hospital Care—A Scoping Review","authors":"Pernilla Bengtsson,&nbsp;Maria Larsson,&nbsp;Anna Josse Eklund","doi":"10.1111/opn.70031","DOIUrl":"https://doi.org/10.1111/opn.70031","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To map and summarise research literature describing patient participation in hospital care for frail older persons and their next of kin.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Patient participation refers to the active involvement of patients in healthcare decision-making processes. An aging population and increased life expectancy have led to a growing number of older adults requiring hospital care, and engaging older patients in decision-making can be challenging due to the complexities of their health conditions. Thus, there is a need to deepen our understanding of patient participation, concerning frail older persons and their next of kin.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Scoping review.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic search was conducted across four databases. Abstracts and titles were evaluated for relevance according to predetermined inclusion criteria. A total of 140 studies were read in full text, and 17 quality-appraised studies were selected for analysis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Five instruments for measuring participation were identified. Patient participation was mainly characterised as being informed, understanding provided information, conducting good communication and being given the opportunity to make decisions. Patients could adopt different participation strategies. Next of kin participation is characterised as being informed, communicating with healthcare staff and being involved in decision-making. Conditions facilitating participation are dependent on healthcare staff, environmental conditions and written information. Barriers to participation stem from staff attitudes, their lack of availability and approachability, unsatisfactory communication, patient shortcomings, substandard continuity of care, organisational routines and unsatisfactory physical environments.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Older persons and their next of kin have reasonable demands for them to experience participation. Therefore, it should not be difficult for healthcare staff to meet patient expectations by ensuring patients and their next of kin receive understandable information and are given the opportunity to make their own decisions, and for organisations to create a climate where staff are available, approachable and empathet","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074315","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}