International Journal of Older People Nursing最新文献

{"title":"Exploring Emotional Communication Between Older Persons and Nursing Assistants in Home Care: A Qualitative Study","authors":"Tanja Gustafsson,&nbsp;Elisabeth Lindberg,&nbsp;Hanna Maurin Söderholm,&nbsp;Lena Hedén,&nbsp;Sandra van dulmen,&nbsp;Annelie J. Sundler","doi":"10.1111/opn.70048","DOIUrl":"10.1111/opn.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Communication between older persons and nursing assistants is important in providing high-quality, person-centred home care. While previous research has reported on older persons' emotional concerns during home care conversations, there is a need to gain an in-depth understanding of emotional concerns' role in such conversations and how to support the older persons' comfort and well-being. Therefore, this study aimed to explore the nature and focus of emotional communication between older persons and nursing assistants in home care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive qualitative design using observational data from 83 audio-recorded home care visits was used to identify and analyse sequences of distressing emotional communication, analysed through thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this study, four themes were described illustrating how emotional communication between older persons and nursing assistants during home care visits creates opportunities for empathy: (1) recognising empathic opportunities, (2) identifying subtle and vague signs of emotional distress, (3) expressing needs for emotional support, and (4) striving to restore comfort in challenging conversations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Conversations about older persons' emotions and worries can be complex. The findings indicate a fine line between meaningfulness and discomfort in emotional sequences. Expressions of emotional distress provide empathic opportunities that call for attentiveness and sensitivity from nursing assistants, implying a need for education and training in person-centred communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Emotional communication acknowledging empathic opportunities enhances person-centred care by promoting trust, comfort, and well-being. Ultimately, emotional communication reinforces the importance of empathy in home care and creates space for emotional interactions, leading to more supportive relationships.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138946","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":"Caregiver Burden and the Related Factors Among Family Caregivers of Older Persons With Schizophrenia: A Mixed Methods Study","authors":"Osuolale John Makanjuola,&nbsp;Winnie Baphumelele Ngcobo","doi":"10.1111/opn.70047","DOIUrl":"10.1111/opn.70047","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Schizophrenia is a chronic health condition that poses unique challenges for patients and their family caregivers. This study assessed the association between caregiver burden, sociodemographic characteristics and psychological factors among family caregivers of older persons with schizophrenia.&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 mixed methods design was employed in this study. Three hundred and forty respondents were purposively selected to participate in the quantitative aspect of the survey, whereas 20 caregivers were purposively selected to participate in the qualitative phase. The Zarit Burden Interview Scale and Hospital Anxiety and Depression Scale were used to collect quantitative data from family caregivers, and qualitative data were collected through face-to-face, in-depth interviews using a semi-structured interview question guide. The qualitative responses were audio-recorded and transcribed, and the cleaned transcribed data were transferred to Atlas.ti Scientific version 24 for coding the themes and subthemes. SPSS version 29 was used to analyse the cleaned, sorted and coded quantitative data at a statistically significant level of &lt;i&gt;p&lt;/i&gt; ≤ 0.05.&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 results showed that most family caregivers (60%) were female, aged between 17 and 64 years. Over half (52.6%) of the caregivers experienced severe caregiver burden. An ordinal logistic regression analysis to predict caregiver burden found that several factors were linked to lower caregiver burden, including older age (OR = 0.75, &lt;i&gt;p&lt;/i&gt; = 0.042), certain living arrangements (OR = 0.51, &lt;i&gt;p&lt;/i&gt; = 0.037) and longer caregiving duration (OR = 0.65, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). In contrast, higher burden was strongly associated with depression (OR = 10.39, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), anxiety (OR = 2.99, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and being married (OR = 1.65, &lt;i&gt;p&lt;/i&gt; = 0.028). Qualitative findings revealed that caregivers experienced profound emotional distress, including anxiety and depression, and significant financial strain due to medication costs and transportation expenses. Qualitative interviews have highlighted emotional distress, financial strain and social isolation as core challenges.&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;There is a need to provide psychological and social support for family caregivers of older persons with schizophrenia. The government should consider subsidising medication and care costs, similar to existing models for TB and HIV treatments in Nigeria.&lt;/p&gt;\u0000 ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081857","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":"Nurses' Experiences in Pain Management of Cognitively Impaired Older People With a Fractured Hip in the Acute Setting—An Integrative Review","authors":"Belinda Evelyn Lincoln,&nbsp;Christina Aggar,&nbsp;Samuel Lapkin","doi":"10.1111/opn.70045","DOIUrl":"https://doi.org/10.1111/opn.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Managing pain in older people with hip fractures and cognitive impairment, such as dementia or delirium, presents unique challenges in acute care settings. Cognitive impairment can complicate pain assessment and management, making nurses' roles in identifying and addressing pain particularly critical in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To review the existing research on nurses' experiences in pain management of cognitively impaired older people with a fractured hip in the acute setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An integrative review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four databases were searched using the PRISMA framework to guide the search and screening. Eligible studies were identified and the quality of each was evaluated using the Mixed Method Appraisal Tool. Thematic analysis was conducted to identify and analyse key themes across all articles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine studies examined nurses' experiences in managing pain for cognitively impaired older people with a fractured hip in the acute setting. Three key themes were identified: communication challenges, the importance of person-specific knowledge and complexities in analgesia administration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses recognise the importance of pain management in cognitively impaired older people with a fractured hip. There is a reliance on opioid analgesia balanced with the potential for side effects. Effective pain management is challenged by communication barriers and the need for person-specific knowledge, underscoring the complexity of delivering optimal care in this setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Clinical Practice</h3>\u0000 \u0000 <p>Managing pain in cognitively impaired older people following a hip fracture can be challenging. Nurses are well placed to contribute to and support quality pain assessment and management in cognitively impaired older people with a fractured hip in the acute setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient or Public Contribution</h3>\u0000 \u0000 <p>No direct patient or public contribution to the review.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038037","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":"How Have Quality Improvement Strategies Been Adopted and How Has Impact Been Assessed in Care Homes for Older People? A Systematic Search and Narrative Review","authors":"Fiona Cowdell,&nbsp;Hannah Harvey,&nbsp;Judith Dyson","doi":"10.1111/opn.70036","DOIUrl":"https://doi.org/10.1111/opn.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>We conducted a systematic search and narrative review of quality improvement in care homes. Our aim was to examine how quality improvement strategies have been adopted and how impact has been assessed in care homes for older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following PRISMA guidelines, we conducted systematic searches of the electronic databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, PsycINFO and Applied Social Sciences Index &amp; Abstracts (ASSIA) (2019–2024). We replicated the search strategy of a previously published review. Three co-authors undertook selection and data extraction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-four articles were included describing varied stages of quality improvement initiatives in care homes. The United States produced the largest number of studies. Quality improvement strategies were often poorly reported. Included papers reported stages of quality improvement from inception to evaluation. Most aimed for improved clinical outcomes, mainly those subject to external scrutiny. Few studies reported impact robustly. Quantitative measures, surveys and qualitative data were reported alongside staff-reported changes. There was no evidence of sustained improvement. There is some evidence of the use of theories, models and frameworks usually associated with implementation and knowledge mobilisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Current improvement practice is inconsistent and having limited impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>We recommend any initiative to enhance resident experience and outcomes should involve establishing a project team, moving away from a deficit model, prioritising areas for improvement, identifying best practice, deciding how to measure improvement, understanding the challenges to best practice, co-designing strategies to effect change, sustaining the improvement, sharing learning and providing clear, detailed and accessible reporting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144998901","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":"One Chance to Get it Right: Exploring Perspectives and Experiences in Care Home Discharge Decision-Making in the Acute Hospital","authors":"Gemma Stevenson,&nbsp;Jennifer Kirsty Burton,&nbsp;Susan D. Shenkin,&nbsp;Juliet MacArthur,&nbsp;Brendan McCormack,&nbsp;Clare Halpenny,&nbsp;Sarah Rhynas","doi":"10.1111/opn.70041","DOIUrl":"https://doi.org/10.1111/opn.70041","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Discharge from acute hospital to new care home is a complex and life changing process often involving several key stakeholders in decision-making such as the older person, their significant person and members of the multidisciplinary team. There is limited research exploring the perspectives of these stakeholders, including factors that influence decision-making and how this is communicated.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study explored how decisions are made to discharge older people directly from hospital to care home, considering the perspectives and experiences of those involved.&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 case study design was used to explore the experiences of six older people admitted to acute hospital from home for whom discharge to care home was planned. Six datasets were formed, each comprising semi-structured interviews with the person, their significant person(s) (if applicable), multi-disciplinary professionals and review of health and social-work records. Datasets were analysed using an inductive thematic approach before cross-dataset 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;Findings emphasised the complex and personal nature of decision-making. The older person was often keen to talk about their decision. Significant people highlighted the complexity of balancing risk and care needs. However, the magnitude of the decision to older people and their significant persons appeared to go underacknowledged by professionals. The hospital context was significant as a location for decision-making. Communication was integral to the experiences of those involved; however, uncertainty and lack of role clarity impacted this.&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;This study offers new insights into the complexity of discharge to care home from hospital. This life-changing decision requires greater recognition by professionals. Improved understanding of the process and well-developed communication is central to enhancing the experience for those involved.&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 significance of this oftentimes final decision should not be underestimated. The findings indicate a clear need for interdisciplinary education about care home discharge, and the importance of professionals' availability an","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144998902","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":"Gaining Perspective on Artificial Intelligence and Gerontological Nursing","authors":"Sarah H. Kagan","doi":"10.1111/opn.70046","DOIUrl":"https://doi.org/10.1111/opn.70046","url":null,"abstract":"&lt;p&gt;In an era where concerns about social isolation, discord, and our planet are rife, the coverage that artificial intelligence (AI) is receiving within and beyond healthcare is unprecedented. Publicity about AI far outstrips most people's basic familiarity with the crises of loneliness, conflict, and planetary health. Indeed, many conversations about AI in care for older people and nursing research that I hear seem oblivious to principles of effective health technology evaluation. The inescapability of AI today drives me back to evaluating this technological domain, prompting contemplation of disadvantages as well as advantages, along with accessibility, cost, and unintended effects. As a gerontological nurse, I always frame analysis of any health technology within the multidimensional process of ageing and with consideration of the needs and preferences of older people. AI offers a notable case in point as we gerontological nurses contend with evaluating this technology that is taking the healthcare industry and the scientific world by a paradoxical electric storm.&lt;/p&gt;&lt;p&gt;Remember that AI represents a wide range of computerised functions and tools that are aimed at partially or completely replacing human actions. The word intelligence, however, is a misnomer. Machines are not intelligent. The allusion of intelligence comes with humans designing these tools in ways that mimic human function but can rarely even partially replace the higher-level aspects of our capacities. News coverage and social media posts constantly alert us to AI's manifold possibilities. Most excitement today about AI entails those tools that generate written or other content from data that already exist. As you might expect, this type of AI is called generative AI or GAI for short. Many of us are also aware of avid interest in integrating AI into robotics, especially for clinical applications that promote self-care among older people or extend nursing care for them. The AI domain is broad and diverse, garnering lots of enthusiasm but often spare critical analysis contextualised within our discipline.&lt;/p&gt;&lt;p&gt;Activities involving AI are increasingly common across gerontological nursing research, practice, and education. Within the domain of gerontechnology, for example, many gerontological nurses are investigating the effects of AI-driven interventions like wearable devices or chatbots and other apps on functional outcomes and quality of life metrics. In addition to studying AI in relation to older people, researchers across healthcare are now adopting AI in research data management and analysis. Computer-assisted qualitative data analysis software, for instance, now commonly features AI assistance, which promises to generate findings for investigators more quickly than they could do themselves. Clinical uses of AI are increasingly frequent, too. Many gerontological nurses and other clinicians are recommending smart devices and AI-powered apps to older people and their care par","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144905624","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":"Improving Wound Care in Residential Aged Care Facilities: Development, Validation and Use of a Novel Knowledge Translation Framework","authors":"Geertien Christelle Boersema,&nbsp;Yvonne Botma,&nbsp;Magda Mulder","doi":"10.1111/opn.70044","DOIUrl":"https://doi.org/10.1111/opn.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Wounds and skin conditions are common in residential aged care settings and can result in significant physical, psychosocial and economic impacts on residents and care systems. Ensuring high-quality evidence-based wound and skin care in residential aged care facilities is essential to promote resident well-being. However, the integration of such practices is a complex knowledge translation endeavour, influenced by contextual challenges. A comprehensive, systematic and theory-based framework can be used to guide the complex process. The aim of this study was to develop and validate a framework for wound care knowledge translation in residential aged care facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A multi-method, three-phase design was used. Phase 1 involved two systematic reviews to identify elements from theoretical and empirical perspectives, resulting in a draft framework. Phase 2 consisted of an online participatory design workshop with 10 key stakeholders to contextualise the elements identified in Phase 1. In Phase 3, a two-round modified e-Delphi process was conducted with 11 international experts to refine and validate the framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The developed framework, which recognises knowledge translation as a process, comprises four vertical phases: pre-implementation, implementation, evaluation and sustainment. Additionally, it includes four horizontal components: <i>P</i>rocess steps, <i>A</i>doption process, <i>V</i>alues as a moral compass and <i>E</i>ngagement for individual behaviour change and team development. Consensus was reached on the ‘PAVE’ framework's comprehensiveness, relevance, usability and value for guiding knowledge translation in residential aged care facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The PAVE framework offers a tool for implementation scientists, gerontology nurses and researchers to plan and guide knowledge translation for establishing evidence-based wound and skin care practices in residential aged care facilities, improving the quality and safety of care to older people. The framework holds potential for broader application across various interventions and healthcare settings. Future studies should explore the PAVE framework's effectiveness in diverse healthcare settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891664","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":"Baccalaureate Nursing Education Related to Ageing and the Care of Older People: A Scoping Review","authors":"Kelly Baskerville,&nbsp;Sherry Dahlke,&nbsp;Hannah O'Rourke,&nbsp;Kathleen F. Hunter","doi":"10.1111/opn.70042","DOIUrl":"https://doi.org/10.1111/opn.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although educators are working to improve gerontological content in baccalaureate nursing programmes to keep pace with changing population demographics, it is unclear what types of educational interventions are occurring.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this scoping review was to map baccalaureate nursing educational interventions related to ageing and the care of older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search was conducted in six databases. Databases searched were CINAHL, Medline, EMBASE, Education Resources Information Centre (ERIC), Scopus, Education Database and Education Research Complete for articles published between January 2013 and June 2023. Sixty-five articles met all inclusion criteria. Data were extracted on year, country, characteristics of interventions, methodological approach, evaluation, analysis and outcomes. The Mixed Methods Appraisal Tool was used to assess quality. Analysis included descriptive frequencies and directed content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We examined the patterns of publication, research methodologies, quality, education types and types of outcomes used. We noted an increase in research in the past 10 years examining gerontological education and an increase in the use of simulation, e-learning and community clinical placements. Most studies were descriptive, with only four randomised controlled trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review found improvement in the overall quality of reporting. Studies examining knowledge and skill have increased. There is heterogeneity in tools used to evaluate quantitative outcomes, and an increase in e-learning, simulation and clinical placements in community settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Stronger measures are warranted to ensure gerontological education is included throughout nursing education programmes. Education innovations must be spread to improve preparation of nursing graduates.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843468","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":"Nurse-Led Goal Setting Activities to Enhance Older Adult Health Care and Self-Advocacy","authors":"Francine Hebert Sheppard,&nbsp;Kae Rivers Livsey,&nbsp;J. Danielle Martin","doi":"10.1111/opn.70043","DOIUrl":"https://doi.org/10.1111/opn.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This research project explored nurse-led health goal setting activities in residents living in low-income and other residential senior housing communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>As part of home visit clinical experiences, student nurses met with residents 3+ times to establish health goals, discuss goal progress and identify goal types, goal-achieving rewards and barriers/facilitators to goal attainment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Themes emerged from identified goals: <i>Getting Around, Maintaining and Regaining Health</i>, <i>Living as an Independent Adult</i> and <i>Relationships and Purpose</i>. Rewards for achieving goals yielded themes: <i>Feel Better About Myself</i>; <i>Sense of Accomplishment</i>; <i>I am in Control</i> and <i>Remain Independent.</i> Barriers and facilitators to meeting goals were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings from this study support prior findings of concerns facing older adults as identified by the Age Friendly Health Systems initiative, co-developed by The John A. Hartford Foundation, the Institute for Healthcare Improvement (IHI), the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA).</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782497","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":"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}