International Journal of Older People Nursing最新文献

{"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}

{"title":"International Nurses Day: Celebrating Our Care Worker Colleagues","authors":"Sarah H. Kagan","doi":"10.1111/opn.70029","DOIUrl":"https://doi.org/10.1111/opn.70029","url":null,"abstract":"&lt;p&gt;The theme of the 2025 International Nurses Day, happening on Florence Nightingale's birthday on the 12th of May as it always does, is Our Nurses: Our Future (https://www.icn.ch/news/icn-puts-wellbeing-nurses-centre-international-nurses-day-2025). Most nurses around the world work with paraprofessional care workers whose work we registered nurses supervise. Among care workers are nursing assistants, home health aides, health care assistants and personal care attendants. Securing our future and the health of older populations around the world requires that we registered nurses recognise care workers and the contributions that they make to the care of older people and their care partners.&lt;/p&gt;&lt;p&gt;Care workers are indispensable members of our gerontological nursing team. Under our direction, they expand the reach of gerontological nursing. These colleagues provide personal care that supports the health, function and well-being of older people. Together, we and care workers support older people in their homes and throughout most of their encounters across the full range of health and social care settings. Celebrating the contributions of care workers and leveraging our skills to help them improve their work with older people is more vital now than ever before.&lt;/p&gt;&lt;p&gt;Care workers is a term that encompasses a range of roles. Unfortunately, those roles are often labelled idiosyncratically within institutions and from country to country, making care workers less visible to nurses, other health professionals and the public. The variability of role titles and vagueness connoted by the label ‘care workers’ point to some of the challenges that these health and social care staff members face regarding their role preparation, continuing education and training, compensation and recognition. Regardless of what their roles are called, we gerontological nurses know that the support and care that older people need cannot happen without the contributions of care workers. This year on International Nurses Day, let us, the global community of gerontological nurses who lead nursing teams caring for older people and their care partners, take time to truly recognise and celebrate care workers through our actions with and for them.&lt;/p&gt;&lt;p&gt;Our effective leadership of the gerontological nursing team that includes care workers is crucial to the health, function and well-being of older people globally. Each of us knows through our experiences in clinical practice, education and research just how crucial well prepared and compensated care workers are to the health and safety of our older populations around the world. Gerontological nurses are uniquely placed to take larger leadership roles in healthcare research, services and education to ensure that care workers receive what they need so that they can give older people and their care partners what they need. Building on what so many of us already are doing, that leadership can help safeguard care workers' preparation, ongoing ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143925931","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":"Spouses' Experiences of Emotional and Existential Support When Caring for a Frail Partner Late in Life","authors":"Helena Larsson,&nbsp;Anna-Karin Edberg,&nbsp;Kerstin Blomqvist","doi":"10.1111/opn.70028","DOIUrl":"https://doi.org/10.1111/opn.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The ability to care for a frail older partner late in life often entails the need for support and help from others, a need that sometimes can go unmet. Exploring spouses' views of emotional and existential support can guide further development of supportive structures, which in turn can promote family caregivers' existential health and well-being. Therefore, the aim of this study was to explore what spouses experience as supportive of their emotional and existential concerns when caring, or after having cared for, a frail partner late in life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was explorative and based on multistage focus group interviews with older spouses (<i>n</i> = 10) divided in two groups who met three times each. The data were analysed using conventional content analysis. The checklist ‘Consolidated criteria for reporting qualitative research’ (COREQ) was followed when presenting the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The spouses described the importance of an atmosphere in which being sad was allowed for as much time as needed; it was safe to share experiences together with others, they could receive compassion and comfort from others, and they were free to feel hope, let their previous life go and dare to think of their future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Providing emotional and existential support creates an atmosphere that allows older spouses to reflect together with others, listening to their own and others' thoughts, and thus be able to put feelings and experiences into words. A suggestion for organising such support considers the physical, social, personal and spiritual dimensions of people's lifeworlds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nursing interventions aimed at improving emotional and existential support for older spouses should primarily target transitional phases in life and focus on relational aspects.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865662","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 Scoping Review of the Experiences of Internationally Educated Nurses Working With Older Adults in High-Income Countries","authors":"Kristina M. Kokorelias,&nbsp;Marianne Saragosa,&nbsp;Reham Abdelhalim,&nbsp;Ann Vo","doi":"10.1111/opn.70027","DOIUrl":"https://doi.org/10.1111/opn.70027","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 comprehensively review the experiences and support needs of internationally educated nurses in healthcare settings for older people, identify current supportive interventions for internationally educated nurses in gerontological nursing practice and determine research gaps in the existing literature on their experiences and support needs. The review includes all types of nurses, except those focusing solely on undergraduate nurses who have yet to practise and nursing assistants.&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 scoping review by a Canadian review group followed the methodological framework outlined by Arksey and O'Malley (2005) and later refined by Levac, Colquhoun, and O'Brien (2010). Articles of any publication date were included. A two-stage screening process was conducted independently to determine eligibility. Data extraction was performed using a piloted charting form. We also conducted a consultative exercise with Canadian nurses. Thematic and descriptive analyses were employed to analyse the extracted data.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Seven databases (PubMed, PsycINFO, PsychArticles, CINAHL, Scopus, Web of Science and EThOS) were systematically searched on April 27, 2024. Grey literature was searched using Google search engines, OpenGrey, ProQuest Sociological Abstracts and ProQuest ERIC, Healthcare Management Information Consortium, Open Grey repository, Proceedings First, Canada Health and Council for Allied Health Professions Research, and through expert consultation.&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 scoping review identified 11 articles from Canada, Germany, Ireland, the Netherlands, New Zealand, Norway and the United Kingdom, highlighting positive experiences and challenges internationally educated nurses face in healthcare settings for older people. Nurses were primarily registered nurses. Challenges included workplace interpersonal issues, language barriers and organisational constraints, while positive experiences included being valued by older adults and colleagues.&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;The findings highlight the need for supportive interventions like mentorship, cultural competency training and organisation-led initiatives to improve internationally educated nurses' integration and retention in geriatric care, enhancing care quality for older persons.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856859","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":"Measurement Properties of the Caregiver Reaction Assessment Scale: A Systematic Review and Meta-Analysis","authors":"Wanting Luo,&nbsp;Minyan Liu,&nbsp;Yue Yao,&nbsp;Yanli Zeng","doi":"10.1111/opn.70024","DOIUrl":"https://doi.org/10.1111/opn.70024","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;The Caregiver Reaction Assessment Scale is a widely used tool for evaluating the experiences of informal caregivers of older adults. Despite its global application, researchers from different countries have reported varying psychometric properties for the CRA, and a comprehensive evaluation of its overall psychometric quality remains lacking. Given the increasing reliance on informal caregivers in ageing populations worldwide, understanding the reliability and validity of the CRA is critical for improving caregiver support and enhancing care outcomes for older adults.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aims to (1) systematically review the psychometric properties of the CRA scale using the Consensus-based Standards for the Selection of Health Measurement Instruments methodology and (2) conduct a meta-analysis of Cronbach's alpha across different versions of the CRA scale to assess its internal consistency.&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;We systematically searched 10 electronic databases from their inception to May 17, 2024, with an update on February 13, 2025. Two researchers independently screened and extracted data. Methodological quality was assessed using the COSMIN checklist, and a random-effects meta-analysis of Cronbach's alpha was performed. Measurement properties were rated according to updated COSMIN standards, and the quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system.&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;A total of 21 studies were included in the review. The meta-analysis revealed acceptable internal consistency for the CRA scale, with Cronbach's alpha values ranging from 0.76 to 0.79. Based on COSMIN standards, one version of the CRA scale is recommended for use, 14 versions are weakly recommended and six versions do not meet validity or consistency standards.&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;The CRA scale is a reliable tool for assessing the experiences of informal caregivers of older adults and demonstrates potential for broader application in other informal caregiver groups. However, limited research on cross-cultural validity, stability, measurement error and criterion validity highlights the need for future studies to address these gaps by rigorously following COSMIN methodology.&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 suggest that the CRA ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778407","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":"Reliability and Validity Assessments of the Subjective End-Of-Life Health Literacy Scale in Community Older Adults","authors":"Haojie Wang,&nbsp;Weiqing Zhang,&nbsp;Kun Wang,&nbsp;Jielu Song,&nbsp;Yabing Cao,&nbsp;Zhihua Wei","doi":"10.1111/opn.70025","DOIUrl":"https://doi.org/10.1111/opn.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Subjective end-of-life health literacy investigates individuals' abilities in knowledge, communication and decision-making related to health during the end-of-life stage. This study aims to culturally adapt the Subjective End-of-Life Health Literacy Scale (S-EOL-HLS) for a Chinese context, including reliability and validity assessments among older adult community populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We translated, back-translated and cross-culturally adapted the English version (S-EOL-HLS) using Brislin's translation model. Subsequently, a survey was conducted among older adults in the community to assess the scale's reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The content validity index for each item ranged from 0.714 to 1.000, with a total scale index of 0.928. Exploratory factor analysis identified three main factors with eigenvalues ≥ 1, contributing to a cumulative variance of 67.131%. Confirmatory factor analysis demonstrated that all fit indices met the required criteria, resulting in a Cronbach's α coefficient of 0.945. The half-split reliability was 0.956, and test–retest reliability reached 0.905. Validity evaluation using the HLS-EU-Q16 demonstrated a positive correlation with the scores of the Chinese End-of-Life Health Literacy Scale (<i>r</i> = 0.821, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Chinese version of the S-EOL-HLS exhibits strong reliability and validity among older individuals. It is suitable for evaluating end-of-life health literacy within the Chinese cultural context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741496","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":"Emergency Department Navigator Interventions and Outcome Measures: A Scoping Review","authors":"Kathleen Parry,&nbsp;Christopher Picard,&nbsp;Rashmi Devkota,&nbsp;Kaitlyn Tate","doi":"10.1111/opn.70026","DOIUrl":"https://doi.org/10.1111/opn.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Emergency department (ED) patient navigators are increasingly used, but a lack of understanding of how ED navigator interventions are designed, described, and evaluated creates gaps in our ability to understand, monitor and improve care. The purpose of this scoping review is to identify how the literature describes and evaluates ED patient navigator interventions for older people transitioning to a primary care setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was conducted following the Johanna Briggs Institute updated methodological guidance for the conduct of scoping reviews. We searched three databases: MEDLINE, EMBASE and CINAHL. We included English language articles without any restrictions on study designs that two reviewers screened. All articles focused on distinct ED navigator roles to facilitate transitions for older people from the ED to primary care were included. Data extraction was completed by the primary reviewer and validated by two secondary reviewers. We report study characteristics in a table. Descriptive content analysis was used to analyse the main findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 10 studies were included out of 2102 articles identified. All studies used quantitative designs except one, which used a qualitative research design. Four studies were conducted in the United States, two in Australia and the UK and one in Canada and Belgium. Twenty unique outcome measures were identified, with hospital admission rate, frequency of ED presentations and ED/hospital length of stay being the most common. We identified six intervention components: assessment, consultation, liaison, development of care plan, referral and follow-up. Interventions using 4 or more components more commonly reported positive outcomes. Outcome measures used to evaluate interventions were often not tracked across care settings, potentially obscuring the impact of ED navigator interventions across the care continuum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Future research should examine which patients benefit from ED navigation and which outcome measures might help contextualise intervention effectiveness across 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":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741497","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":"Psychometric Properties of Instruments Assessing Ageism: A Systematic Review","authors":"Chien-Chih Liu,&nbsp;Yi-Jung Chen,&nbsp;Xavier C. C. Fung,&nbsp;Iqbal Pramukti,&nbsp;Chieh-hsiu Liu,&nbsp;Li-Fan Liu,&nbsp;Mark D. Griffiths,&nbsp;Yi-Ching Yang,&nbsp;Chung-Ying Lin","doi":"10.1111/opn.70023","DOIUrl":"https://doi.org/10.1111/opn.70023","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 global population is experiencing a significant increase in the number of older people, highlighting the need to maintain both physical and mental health among this cohort and to promote healthy ageing. One critical area that has been insufficiently explored is the prevalence and scope of ageism and its assessment. Therefore, the present review evaluated the psychometric properties of instruments designed to assess ageism against older people.&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;To locate relevant instruments, a search was conducted using seven databases comprising &lt;i&gt;MEDLINE, PubMed, Embase, PsycINFO, Web of Science, ScienceDirect&lt;/i&gt; and &lt;i&gt;Scopus&lt;/i&gt;. The review utilised the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist to assess the methodological quality of the studies identified, ensuring a thorough evaluation of relevant literature.&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;From an initial pool of 338,180 outputs, 20 studies were deemed suitable for inclusion. These studies addressed various aspects of ageism, with eight focusing on self-directed ageism and 12 on attitudes towards older individuals. The review found that while 18 studies tested internal consistency, only three assessed cross-cultural validity. None of the studies achieved a high methodological quality rating concerning content validity based on the COSMIN criteria.&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;These findings suggest a significant gap in the development of reliable and comprehensive psychometric instruments for assessing ageism, indicating a need for further refinement of these instruments. Implications for Practice: This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.&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;This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.&lt;/p&gt;\u0000 &lt;/sec","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741509","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}