International Journal of Older People Nursing最新文献

{"title":"Shared Decision-Making on Drinking Alcohol in Older Adults Living in Residential Care Facilities: Care Professionals' Perspectives.","authors":"Lisette de Graaf, Tineke Roelofs, Meriam Janssen, Sascha Bolt, Katrien Luijkx","doi":"10.1111/opn.70080","DOIUrl":"10.1111/opn.70080","url":null,"abstract":"<p><strong>Introduction: </strong>Older adults living in residential care facilities (RCFs) may wish to drink alcohol, despite adverse outcomes. Shared decision-making (SDM) could support care professionals in balancing residents' autonomy and well-being with the adverse outcomes to all residents and staff. This study aims to assess factors that could affect shared decision-making (SDM) and care professionals' behaviour regarding residents' alcohol use in residential care facilities (RCFs).</p><p><strong>Methods: </strong>A quantitative cross-sectional study and explorative analyses were chosen to answer the research question. Care professionals working in psychogeriatric or in somatic units of RCFs were included (N = 332) and filled out a survey. The main variables studied in this research are shared decision-making, behaviour (facilitating or limiting residents' alcohol use), care professionals personal alcohol use and their attitudes, person-centred care and organisational culture. t-tests, regression analyses and ANOVA analyses were conducted using SPSS.</p><p><strong>Results: </strong>Care professionals' attitudes towards residents' alcohol use are significantly associated with personal alcohol use; the level of SDM; and the level of enabling residents to drink alcohol. SDM is associated with person-centred care (PCC) and significantly differs between somatic units and psychogeriatric units.</p><p><strong>Conclusion: </strong>SDM could be used in dilemmas regarding residents' alcohol use. Care professionals' personal alcohol use and attitudes towards residents' alcohol use could affect whether they discuss and facilitate this use. This may cause inconsistencies in care towards residents' alcohol use, which endangers PCC.</p><p><strong>Implications for practice: </strong>SDM could support care professionals in dilemmas regarding residents' alcohol use. Care professionals should learn about the possible role of their personal alcohol use and attitudes regarding this topic. Finally, organizations should consider potential complicating factors when developing and implementing organizational policies regarding residents' alcohol use.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70080"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730305","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":"Academic Nurse Educators' Experiences and Perceptions of Supporting Adult Nursing Students in Clinical Placements in Nursing Homes: An Interpretative Phenomenological Analysis.","authors":"Julie Cooke, Helen Aveyard, Kathleen Greenway, Sue Schutz","doi":"10.1111/opn.70076","DOIUrl":"10.1111/opn.70076","url":null,"abstract":"<p><strong>Aim: </strong>This paper explores nurse educators' perceptions of nursing home placements and their experiences of supporting adult nursing students undertaking placements within them.</p><p><strong>Background: </strong>The global population is ageing and requires the provision of skilled Registered Nurses to meet their needs. However, concerns exist that students do not view nursing homes favourably compared to hospital placements.</p><p><strong>Design: </strong>Interpretative Phenomenological Analysis.</p><p><strong>Methods: </strong>Semi-structured interviews with eight nurse educators were conducted online between December 2020 and March 2021 and transcribed verbatim. The cross-group analysis elicited individual and shared experiences.</p><p><strong>Results: </strong>A curriculum focussed on hospital-based technical skills can result in placement settings such as nursing homes becoming overlooked within nurse education. Participants suggested that student, faculty and nursing home nurses' negative perceptions of the value of nursing home clinical placements make it more challenging to build trusting relationships, and support everyone involved in nursing homes to recognise the potential of their skills and contribution to nurse education.</p><p><strong>Conclusions: </strong>There is evidence that negative perceptions of nursing home placements are apparent in the nursing faculty and those who support nursing home placements are unwittingly contributing to these negative perceptions, the Registered Nurses who work in them and the skills practised within them. Student nurses are therefore unprepared and unwilling to work in nursing homes, and nursing home staff lack confidence in supporting nursing students. Implementing Care Home Education Facilitators (CHEF) could be a first step to improving this situation. Nurse educators are challenged to ensure the nursing curriculum actively addresses the value of fundamental care throughout the nurse education programme and supports student nurses undertaking clinical placements in nursing homes.</p><p><strong>Implications for practice: </strong>Nursing home RNs require better support in their educational roles to improve student experiences of clinical placements in these settings. While technical skills are important for students to learn, overemphasis on them within nurse education programmes can lead to a deficit in the preparation of nurses to deliver fundamental complex care to older people.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70076"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730316","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":"Stakeholder Perspectives on Integrating ADEPT Into End-Of-Life Care for Nursing Home Residents With Dementia: A Qualitative Descriptive Study.","authors":"Susanny J Beltran, Latarsha Chisholm, Emily Jaijairam","doi":"10.1111/opn.70081","DOIUrl":"https://doi.org/10.1111/opn.70081","url":null,"abstract":"<p><strong>Background: </strong>Nursing homes care for a significant proportion of individuals with advanced dementia, yet timely hospice referrals remain a challenge. The Advanced Dementia Prognostic Tool (ADEPT) is a mortality risk score instrument that holds promise for improving care planning by providing a standardised, accessible method for identifying residents at risk of death within 6 months.</p><p><strong>Aims: </strong>To describe current nursing home processes for identifying residents with dementia for hospice referral and gather stakeholder input on integrating ADEPT into routine assessment practices.</p><p><strong>Methodology: </strong>A qualitative descriptive design guided by the Consolidated Framework for Implementation Research (CFIR) was employed. Data were gathered through online surveys and individual interviews (n = 5) as well as a focus group (n = 4) with interdisciplinary staff from six Florida nursing homes. Analysis involved deductive coding using a CFIR-based codebook and thematic synthesis.</p><p><strong>Reporting method: </strong>The Standards for Reporting Qualitative Research (SRQR) checklist was followed.</p><p><strong>Results: </strong>Current processes for identifying hospice-eligible residents rely on regular assessments and interdisciplinary collaboration but reveal significant gaps, including delays in referrals and inconsistent practices. Participants viewed ADEPT as a promising tool to complement goals-of-care conversations and enhance care planning, rather than exclusively triggering hospice initiation. Implementation barriers included the need for electronic system integration, regulatory compliance and staff education, while facilitators encompassed strong leadership support, interdisciplinary coordination and alignment with existing workflows.</p><p><strong>Conclusion: </strong>ADEPT has the potential to improve hospice referral processes in nursing homes by providing a structured, accessible framework to support care planning and interdisciplinary discussions. Addressing barriers through targeted training, leadership engagement and pilot testing is essential to optimise its implementation and impact.</p><p><strong>Implications for practice: </strong>ADEPT could support end-of-life care in nursing homes by fostering timely, goal-directed care planning for residents with dementia, ultimately enhancing both care quality and staff decision-making processes.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70081"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822542","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":"Development of a Nurse-Led, Family-Oriented Resilience Intervention for Caregivers of Older Adults With Disabilities: A Multi-Method Study.","authors":"Xiaoling Bai, Shihong Guo, Yutian Niu, Ting Lou, Zengzhen Yang, Zhongsha Cheng, Xiangyin Li, Anni Wang","doi":"10.1111/opn.70077","DOIUrl":"https://doi.org/10.1111/opn.70077","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Most older adults with disabilities in China and across Eastern Asian prefer to age in place, relying on home- and community-based care. Their family caregivers frequently encounter significant challenges, including a pronounced lack of knowledge and skills for providing daily living assistance, highlighting a critical need for accessible, practical training. Furthermore, existing community-based support programmes for caregivers often fail to incorporate an integrated family perspective. This oversight neglects the crucial dynamics and internal interactions within the family unit, which are fundamental to the overall adaptation and resilience of the entire family system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to develop a nurse-led, family-oriented resilience intervention programme for caregivers of older adults with disabilities. The programme is designed to enhance caregivers' practical competencies and to strengthen overall family adaptation within the context of Chinese community settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;We followed the Medical Research Council (MRC) framework for developing and evaluating complex interventions to guide the development process. This involved integrating empirical evidence from our prior studies, identifying relevant theories of family resilience, and validating the preliminary intervention content. We employed a two-round Delphi method with an expert panel to validate the initial programme draft. For each proposed activity, we calculated the coefficient of variation (CV) and Kendall's coefficient of concordance (Kendall's W) to assess expert consensus.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;The two-round Delphi consultation yielded high positive and authority coefficients. In the first round, the mean importance scores for items ranged from 4.19 to 4.96 (overall mean 4.77 ± 0.21), with a coefficient of variation (CV) between 0.04 and 0.16 and Kendall's W was statistically significant (p &lt; 0.01). In the second round, scores ranged from 4.16 to 4.96 (overall mean 4.82 ± 0.19), with a CV between 0.04 and 0.15, and a significant Kendall's W (p &lt; 0.01). Based on this expert feedback, we refined the intervention into an 8-week programme, delivered via weekly home visits, integrating two core components: caregiving skill and family resilience. The weekly themes are (1) Getting to know each other; (2) I am not fighting alone (cleaning care and coping, social support for caregivers); (3) Thank you, embrace you (family resilience and internal support); (4) Love flows through communication (dietary care and coping, family communication and coping); (5) Riding the wind and waves together (excretion care and coping, social support for peers); (6) Community with me (mobile care and coping, social support for community); (7) Supplementing energy (safety protection and basic first aid, social support for external systems); and (8) Radiating the caregiver's radiance (individual self-resilien","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70077"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822570","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":"Effects of Different Exercise-Led Strategies on Mental, Nutritional, Physical and Cognitive Health in Community-Dwelling Older Adults: A Quasi-Experimental Study","authors":"Hui-Chuan Liao,&nbsp;Chia-Ni Chou,&nbsp;Wen-Yi Chao","doi":"10.1111/opn.70071","DOIUrl":"10.1111/opn.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Exercise interventions are widely used to promote physical and psychosocial health in community-dwelling older adults; however, the comparative effects of human-guided and artificial intelligence (AI)-based exercise delivery on sleep and cognitive outcomes remain insufficiently understood. This study compared the effects of human-guided versus AI-based exercise programmes on multiple health domains in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 12-week quasi-experimental study was conducted with two groups: a human-guided exercise programme (HGEP) and an AI-based exercise programme (AIEP). Outcomes included depression, sleep quality, well-being, nutritional status, sarcopenia risk and cognitive function, assessed using validated instruments. Generalised estimating equation models were applied to examine time effects and group-by-time interactions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant main effects of time were observed for depression, well-being, sarcopenia risk, sleep quality and cognitive function, indicating overall post-intervention improvement. Notably, significant group-by-time interactions favoured the AIEP for sleep quality and cognitive function. Improvements in sleep quality should be interpreted cautiously due to a floor effect in the human-guided group, whereas the cognitive benefit observed in the AI-based group may reflect additional attentional and executive demands associated with real-time feedback and performance monitoring.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both exercise delivery strategies yielded beneficial effects across multiple health domains. AIEPs may provide added advantages for sleep and cognitive outcomes, highlighting their potential role as a complementary approach in community-based exercise interventions for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>These findings support integrating AI-assisted exercise into community and nursing practice as a scalable, accessible alternative to instructor-led programs, enhancing reach and providing flexible, personalized support for older adults’ health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639783","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":"Reframing Negative Understandings of Ageing Populations: Updating Our Nursing Perspective","authors":"Sarah H. Kagan","doi":"10.1111/opn.70072","DOIUrl":"10.1111/opn.70072","url":null,"abstract":"&lt;p&gt;Frail, vulnerable, a burden. This sequence of thoughts feels omnipresent as we consider older people and ageing populations. Many nurse researchers and their colleagues leverage frailty, vulnerability and interpersonal or societal burden in some combination to outline problem statements, frame studies and anchor programmes of research. Certainly, some use approaches like strength-based nursing that rebalance such negativistic language. But we are, in general, far more likely to see gerontological nursing research predicated on the problematic.&lt;/p&gt;&lt;p&gt;Emphasising the negative and anticipating decline as the inevitable consequence of growing older is a proverbial slippery slope. When we gerontological nurses view growing older and ageing demography in the negative terms of loss and decline, we invest in a nihilistic perspective. That nihilism involves believing that older people and aged communities pose the eventual prospect of societal downfall. Diverse age demographics are, like all societal diversity, invaluable to individuals and communities alike. Thus, viewing ageing and older people foremost as problems needing to be managed by younger people is unrealistic, auguring deleterious consequences for people of all ages.&lt;/p&gt;&lt;p&gt;Suggesting that older people are, as individuals and groups, needy and burdensome conflicts with our current global reality. A variety of indicators reflect that our older fellows contribute to our communities and societies in important and essential ways. Older people are involved in both paid and unpaid work in large numbers. Critically, older people often need to work for themselves and their families to subsist, a reality reflected in the high numbers of people aged 65 and older who work for pay in low- and middle-income societies (World Health Organization &lt;span&gt;2026&lt;/span&gt;). Older women frequently spend a sizeable portion of their days engaged in unpaid labour, most often caring for others (UN Women &lt;span&gt;2023&lt;/span&gt;). For example, huge numbers of older people now care for their own grandchildren is many societies around the world. The work of older people is broadly essential to intergenerational family well-being.&lt;/p&gt;&lt;p&gt;The paid and unpaid work undertaken by older members of our societies offers vital support to families, helps secure younger people's employment and provides the older people themselves with key benefits like financial independence, social engagement and well-being. These benefits point out the strengths and advantages exhibited by older people. By contrast, a closer look at the ideas of frailty, vulnerability and burdensomeness reveals the full extent of our biases. When we believe these concepts define older people, instead of seeing the extent to which older individuals may experience one or more of them at different times in their lives, we miss the strengths and advantages that older people simultaneously possess at the same time that they are frail or vulnerable.&lt;/p&gt;&lt;p&gt;Understanding frailty a","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515953","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":"Older Spouses' Decision-Making on Intubation for Older Patients: A Qualitative Study","authors":"Janyagarn Jiwnoy,&nbsp;Watchara Tabootwong,&nbsp;Waree Kangchai","doi":"10.1111/opn.70073","DOIUrl":"10.1111/opn.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>When older patients are intubated, their older spouses often play an important role in making difficult decisions to assist them. Therefore, this study was conducted to understand how older spouses experienced making decisions on intubation for older patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive qualitative design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifteen participants were recruited using purposive sampling. Face-to-face semi-structured interviews were employed to interview participants. Data were analysed using the content analysis method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Four themes identified were as follows: (1) Reasons for making decisions—believing in doctors' recommendation, enhancing the survival of older patients without suffering and performing intubation because of their love for, and attachment to, their spouse; (2) Consequences of decision-making—worry about the survival of older patients and effects of prolonged intubation, fear of signs of deterioration and complication, but happiness to see spouses' survival; (3) Requiring assistance—they required assistance from physicians, nurses and family members in decision-making for spouses with regards to intubation; and (4) Selected treatment—they selected treatments for older patients with utmost treatment, symptomatic treatment and avoidance of suffering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Spouses of older patients were often eager to help choose treatments, including intubation, for them. However, they faced both positive and negative consequences in decision-making, which highlighted their need for assistance from healthcare professionals. These challenges resulted from a lack of knowledge and experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>To address these challenges, basic information can be utilised to create a decision-making program that supports spouses of older patients in their choices in managing intubation for them.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505359","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":"Evaluating the Effectiveness of Training in Improving Nurses' Level of Knowledge and Attitudes Towards Dementia Care in Acute Care Settings: A Mixed-Method Study","authors":"Melina Evripidou,&nbsp;Evridiki Papastavrou,&nbsp;Andreas Charalambous,&nbsp;Savvas Zannetos,&nbsp;Anastasios Merkouris","doi":"10.1111/opn.70067","DOIUrl":"10.1111/opn.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The rapid epidemiological growth of dementia predisposes the urgent need to prepare nurses for a massive wave of hospitalised patients with dementia. The study aimed to evaluate the effectiveness of a modified nursing training programme by analysing nurses' acquired knowledge and attitudes towards dementia care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-method study consisting of three stages. The first stage is a descriptive study to assess the level of knowledge and attitudes of medical and surgical nurses regarding the care of patients diagnosed with dementia (<i>N</i> = 416, RR = 88.5%). A convenience sampling method is applied, and the assessment is based on two questionnaires. In the second stage, we carry out an observational study of the care of 13 hospitalised patients with dementia. Over the course of 91 h, we observe care behaviours, identify nursing omissions and monitor the overall mood of dementia patients whilst in care. Based on the findings of the above two stages, we modify and deliver a training programme to two groups of nurses (intervention and control group <i>n</i> = 68) with one pre (T1) and two post-measurements (immediately after the programme termination: T2, three months post: T3). The study lasted 2 years, from 2018 to 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results of the descriptive stage detect predominantly low levels of knowledge (M = 12.8/21) and non-positive attitudes (99.06/140), while the observation reveal inappropriate caring behaviours. Regarding the training, the first measurements indicate a low level of knowledge (M = 11.64) and non-positive attitudes (M = 105.97). During T2, the results show an increase for both variables (knowledge M = 15.38, attitudes M = 110.72). The intervention group indicates higher scores at T3 (knowledge M = 16.25, attitudes M = 110.47) than the control group (knowledge M = 13.39, attitudes M = 103.03).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses' low levels of knowledge and non-favourable attitudes greatly influence inappropriate care behaviours and nursing omissions. The modified training programme proves that those issues can be mitigated, enhancing the nursing practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487860","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":"Exploring Staff Perspectives on the Feasibility of Integrating the Environmental Components of a Novel Intervention for Hydration in Long-Term Care","authors":"Sophia Werden Abrams,&nbsp;Safura Syed,&nbsp;Ashwini Namasivayam-MacDonald,&nbsp;Raksha Aravind,&nbsp;Kristina Devlin,&nbsp;Wen Liu,&nbsp;Christina Lengyel,&nbsp;Phyllis Gaspar,&nbsp;Janet Mentes,&nbsp;Susan E. Slaughter,&nbsp;Minn N. Yoon,&nbsp;Heather Keller","doi":"10.1111/opn.70070","DOIUrl":"10.1111/opn.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Long-term care (LTC) residents are prone to dehydration, which has many serious effects on health. A multicomponent intervention is required to mitigate dehydration in LTC; however, previous research has not explored the experiences of staff who deliver interventions. The purpose of this study was to explore staff perspectives on the feasibility of implementing the environmental components of a novel multicomponent hydration intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The intervention was enacted over 4 weeks on an urban LTC unit in Ontario, Canada. The components were large drinking glasses (300 mL) and a purpose-built beverage trolley. Observations of workflow by research assistants were conducted throughout the intervention. Personal support staff participated in post-intervention semi-structured interviews, framed using the Behaviour Change Wheel, to determine the perceived factors influencing implementation. Reflexive thematic analysis was used to generate qualitative themes from interview transcripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight staff members participated in post-intervention interviews. Ages ranged from 20 to 49 years, with 1–25 years of experience in LTC. While some minor improvements were suggested, staff were accepting of the environmental strategies and integrated them into the workflow consistently. Four major themes were generated via qualitative analysis and categorised using the Behaviour Change Wheel: (1) optimising efficiency (physical opportunity, reflective motivation), (2) adapting to change (reflective motivation and social opportunity), (3) knowing the resident (reflective motivation, psychological capability) and (4) supporting hydration (physical opportunity, psychological capability, reflective motivation).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The results of this study indicate that LTC staff perceive the environmental components of a novel hydration intervention to be feasible and useful in supporting resident hydration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12972859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391195","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":"The Association Between Home-Visit Nursing Use and the Incidence of Potentially Avoidable Hospitalisation and Its Duration Among Community-Dwelling Older People: A 12-Month Prospective Cohort Study","authors":"Asa Inagaki-Asano,&nbsp;Chie Fukui,&nbsp;Ayumi Igarashi,&nbsp;Mariko Sakka,&nbsp;Sameh Eltaybani,&nbsp;Maiko Noguchi-Watanabe,&nbsp;Yoshinori Takeuchi,&nbsp;Noriko Yamamoto-Mitani","doi":"10.1111/opn.70068","DOIUrl":"10.1111/opn.70068","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;Preventing potentially avoidable hospitalisation (PAH) and reducing its duration are crucial to allow community-dwelling older people to age at home. In Japan, homecare services, which include a variety of services such as home help, home-based rehabilitation and home-visit nursing, are covered by medical and long-term care insurance and coordinated by care managers. Although home-visit nursing is essential in homecare, studies investigating the association between the use of home-visit nursing and the incidence and duration of PAH remain limited.&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;To examine the association between home-visit nursing use and the incidence and duration of PAH among community-dwelling older people.&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;This was a 12-month prospective cohort study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Study Settings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;47 home-visit nursing agencies and 73 care management offices across Japan.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Older people (≥ 75 years) receiving homecare services.&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;Using online questionnaires, home-visit nurses and care managers reported older people's demographics, health status and PAH events over 12 months, as well as the state of using home-visit nursing (users or non-users). The incidence of PAH was dichotomised as either ‘none’ or ‘one and more’, due to heavy skewing. To examine PAH days, the rate of observed days was used due to the variability in the total observation period. Poisson regression and multivariate linear regression analyses were applied.&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;Of the 1450 participants initially recruited, 781 with complete dataset were included in the PAH incidence analysis. Of these, 81.0% were home-visit nursing users. Mean participant age was 85.3 years (standard deviation: 6.1; range: 75–103), and 58.8% were female. The incidence rate ratio (IRR) of PAH was lower among home-visit nursing users compared with non-users (IRR, 0.63; 95% confidence interval [CI]: 0.41–0.95). Among 110 participants with PAH, there was no statistically significant difference in the rate of PAH days between home-visit nursing users and non-users (&lt;i&gt;β&lt;/i&gt; = −","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379055","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}