International Journal of Older People Nursing最新文献

{"title":"Hospitalization and Death Acceptance: A Meta-Ethnography of Perceptions of Hospital as a Place of Death for Nursing Home Residents","authors":"Bridget Laging, Rachel MacLean, Jessica Dickson, Janine Alan","doi":"10.1111/opn.70101","DOIUrl":"https://doi.org/10.1111/opn.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Efforts to reduce hospital transfers from nursing homes at the end of life have received considerable attention. However, less is known about how hospitals are understood and experienced as places of death for nursing home residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To synthesize qualitative evidence exploring stakeholder perceptions of hospital as a place of death for older adults living in nursing homes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A meta-ethnography of qualitative evidence following the Meta-ethnography Reporting Guidelines (eMERGe). Four bibliographic databases (MEDLINE, CINAHL, PsychINFO and Scopus) were systematically searched to identify all studies published from January 2012 to March 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>Studies were included if they reported qualitative findings on nursing home residents dying in hospital. Following quality appraisal, first- and second-order constructs were extracted and translated across studies using reciprocal and refutational analysis to develop third-order interpretations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Two overarching interpretive themes were generated: (1) <i>Controlling Symptoms of Dying: Comfort and Discomfort</i>; and (2) <i>Acceptance of Death After All Efforts to Save Life Have Been Exhausted</i>. Hospitals were perceived as both impersonal environments and medically resource-rich settings that legitimize death through medical authority.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Hospitals occupy a paradoxical position in end-of-life care for nursing home residents. While often viewed as clinically oriented and less personal, they are also perceived to provide symptom control and reassurance that ‘everything possible’ has been done. Addressing these perceptions—alongside strengthening palliative capacity within nursing homes—is essential to supporting residents' preferences and enabling high-quality end-of-life care across settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nurses can support more person-centred end-of-life care by strengthening palliative symptom management in nursing homes, engaging residents and families in early advance care planning, an","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149099916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Nurse-Led Case Management in Community Settings Among Older Adults: A Systematic Review and Meta-Analysis","authors":"Katsuma Mieda, Miki Kameyama, Erika Ota, Masako Yamada","doi":"10.1111/opn.70100","DOIUrl":"10.1111/opn.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Integrated, people-centred care requires continuity and coordination across services, and nurses increasingly contribute to case management; however, evidence on its effectiveness for older adults living at home remains limited. This systematic review aimed to evaluate the effectiveness of nurse-led case management for community-dwelling older adults compared with usual care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, CINAHL, Embase and the Cochrane Central Register of Controlled Trials were searched from inception to 13 August 2025, for randomised controlled trials comparing nurse-led case management with usual care among community-dwelling older adults with frailty or risk of functional impairment. Primary outcomes were institutionalisation, hospital admissions and mortality. Secondary outcomes included quality of life, emergency department visits, physical function, costs, client satisfaction and days living at home. This review was reported in accordance with PRISMA 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen trials involving 7995 participants were included. The evidence was of very low certainty for institutionalisation, mortality and hospital admissions, with pooled estimates indicating little to no difference. Nurse-led case management probably results in a slight improvement in the physical aspect of quality of life (SMD 0.08, 95% CI 0.00–0.15; moderate certainty). It probably also results in a slight improvement in the mental aspect of quality of life, although the confidence interval included no effect and probably results in little to no difference in physical function. Evidence regarding emergency department visits was of very low certainty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The evidence for the effects of nurse-led case management on institutionalisation, hospital admissions and mortality was of very low certainty. Nurse-led case management probably results in a slight improvement in the physical aspect of quality of life, although the clinical importance of this effect remains uncertain. Implementation and evaluation should align with the current uncertainty regarding healthcare utilisation outcomes and include patient-reported outcomes alongside utilisation outcomes. Future research and policy evaluation should use frameworks that assess long-term continuity and coordination of care and system-level impacts, in addition to individual health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nurse-led case management may yield a sma","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867476","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":"Excellence and Dedication: The 2025 International Journal of Older People Nursing Awards","authors":"Jennifer Baumbusch, Sarah H. Kagan, G. J. Melendez-Torres","doi":"10.1111/opn.70098","DOIUrl":"10.1111/opn.70098","url":null,"abstract":"<p>Now, more than ever, clinical nursing and healthcare rely on excellence. Excellence begins with the research and continues throughout the complex process of publication. Factors such as personal and institutional pressures to publish, uncritical use of artificial intelligence (AI) and unscrupulous research and publishing practices threaten excellence in every journal including the <i>International Journal of Older People Nursing</i> (<i>IJOPN</i>). Combatting the factors that would undermine excellence requires deep and abiding dedication from everyone involved in the journal. Nursing and other disciplines frequently acknowledge excellence among authors and dedicated service from editors and peer reviewers. Here at <i>IJOPN</i>, we view excellence and dedication more broadly. Our encompassing view on excellence drives us to recognise the people whose work often goes unseen or unnoticed by authors, reviewers and readers. Our perspective endures across our shared history, noticing those colleagues who step forward time and again, come to help in challenging circumstances and take their roles within the journal to new heights.</p><p>This year, we updated our annual awards. We refined our awards for papers to one for an excellent contribution to research, whether it be substantive or methodological, and one for an excellent contribution to clinical practice. Our new award for service aims to reflect the excellence and dedication of any colleague working within the journal from editorial board members and peer reviewers to members of the editorial office and journal production team. We are truly delighted to introduce you to the award winners for calendar year 2025.</p><p>Tanja Gustafsson, hailing from Sweden, has received the 2025 Research Paper Award for the paper, published open access:</p><p>Gustafsson, T., E. Lindberg, H. Maurin Söderholm, L. Hedén, S. van dulmen and A. J. Sundler. 2025. ‘Exploring Emotional Communication Between Older Persons and Nursing Assistants in Home Care: A Qualitative Study’. <i>International Journal of Older People Nursing</i> 20, no. 5: e70048. https://doi.org/10.1111/opn.70048.</p><p>Christelle Boersema, from South Africa, has received the 2025 Clinical Practice Paper Award for the paper published open access:</p><p>Boersema, G. C., Y. Botma and M. Mulder. 2025. ‘Improving Wound Care in Residential Aged Care Facilities: Development, Validation and Use of a Novel Knowledge Translation Framework’. <i>International Journal of Older People Nursing</i> 20, no. 5: e70044. https://doi.org/10.1111/opn.70044.</p><p>Please join us in congratulating the wonderful colleagues who received our 2025 <i>International Journal of Older People</i> Awards. Their commitment to excellence and their dedication to gerontological nursing and to the journal benefits all nurses, scholars and clinicians in other disciplines, and—most importantly—today's and tomorrow's older people around the world. Please share your messages of celebration fo","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Older People's Disaster Preparedness Capacity: A Systematic Review","authors":"Seo-Jin Lee,&nbsp;Yujin Hur","doi":"10.1111/opn.70099","DOIUrl":"https://doi.org/10.1111/opn.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Although disaster preparedness is an important issue for older people as disasters can affect their health, daily functioning and access to support, factors influencing their disaster preparedness capacity have not been comprehensively reviewed. Accordingly, we aimed to systematically review these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review adhered to the PRISMA 2020 guidelines and focused on quantitative research that examined factors influencing older people's disaster preparedness capacity. We conducted a comprehensive search of PubMed, CINAHL, Scopus and MEDLINE and identified 11 studies published up to September 2025 that met the inclusion criteria for final analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Individual, social and environmental factors were associated with older people's disaster preparedness capacity. Individual factors included demographic characteristics (age, education, income), health-related factors (health status, cognitive function) and psychological factors (self-efficacy, risk perception, prior disaster experience). Social factors included living arrangements, family discussions, community involvement and trust in local authorities and the media. Environmental factors included neighbourhood walkability, housing safety and access to information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Older people's disaster preparedness capacity is influenced not only by individual functional and psychological conditions but also by social relationships and environmental conditions. A comprehensive nursing approach is needed to strengthen older people's disaster preparedness capacity by addressing individual capacities, as well as social and environmental factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nurses should consider older people’s health, cognitive and functional needs, social support, home environment, and access to information when helping them prepare for disasters. Education should be tailored to each person's circumstances and, where appropriate, involve family members and community services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration Number</h3>\u0000 \u0000 <p>PROSPERO: CRD420251148721.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148785134","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":"Factors Influencing Older People's Disaster Preparedness Capacity: A Systematic Review","authors":"Seo-Jin Lee,&nbsp;Yujin Hur","doi":"10.1111/opn.70099","DOIUrl":"https://doi.org/10.1111/opn.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Although disaster preparedness is an important issue for older people as disasters can affect their health, daily functioning and access to support, factors influencing their disaster preparedness capacity have not been comprehensively reviewed. Accordingly, we aimed to systematically review these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review adhered to the PRISMA 2020 guidelines and focused on quantitative research that examined factors influencing older people's disaster preparedness capacity. We conducted a comprehensive search of PubMed, CINAHL, Scopus and MEDLINE and identified 11 studies published up to September 2025 that met the inclusion criteria for final analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Individual, social and environmental factors were associated with older people's disaster preparedness capacity. Individual factors included demographic characteristics (age, education, income), health-related factors (health status, cognitive function) and psychological factors (self-efficacy, risk perception, prior disaster experience). Social factors included living arrangements, family discussions, community involvement and trust in local authorities and the media. Environmental factors included neighbourhood walkability, housing safety and access to information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Older people's disaster preparedness capacity is influenced not only by individual functional and psychological conditions but also by social relationships and environmental conditions. A comprehensive nursing approach is needed to strengthen older people's disaster preparedness capacity by addressing individual capacities, as well as social and environmental factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nurses should consider older people’s health, cognitive and functional needs, social support, home environment, and access to information when helping them prepare for disasters. Education should be tailored to each person's circumstances and, where appropriate, involve family members and community services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration Number</h3>\u0000 \u0000 <p>PROSPERO: CRD420251148721.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784791","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":"Views on Everyday Life and Reflections on Future Death and Dying Among Older Persons Residing in Nursing Homes: A Meta-Ethnographic Synthesis","authors":"Peter Lundberg,&nbsp;Jane Österlind,&nbsp;Malin Olsson","doi":"10.1111/opn.70097","DOIUrl":"10.1111/opn.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Life issues relating to identity, meaning and dignity are inherent to human existence and remain significant throughout the entire lifespan. To meet the needs of older persons residing in nursing homes, it is essential to understand their views on everyday life, particularly regarding the proximity of death, reflections on future death and dying, and the potential for meaning in everyday life. However, these views have received limited attention in research. The aim of this study was therefore to explore older persons' views regarding everyday life and reflections on their future death and dying while residing in nursing homes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A meta-ethnographic synthesis was conducted by searching CINAHL, PubMed and PsycINFO supplemented with manual searches, guided by the SPIDER tool. The synthesis focused on peer-reviewed empirical research papers published in English, between 1 January 2000 and 7 April 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen studies were identified and analysed based on older persons' expressed experiences and views on everyday life in nursing homes. Studies with proxy perspectives or mixed-method designs were included; however, only qualitative data representing older persons' own views were extracted and analysed, primarily from participants able to engage in interviews. Three analytic themes were formulated: <i>Loss of the Familiar World, Trying to Maintain Personal Identity</i>, <i>Death as Close and Tangible</i>. An overarching metaphor was synthesised: <i>Maintaining and Shaping a Living Space for a Visible Future</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Living in a nursing home involves an everyday life marked by losses and an ongoing awareness of future death and dying. At the same time, older persons actively strive to uphold identity, personal dignity and meaningful relationships. Understanding these processes is essential for supporting older persons in everyday nursing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nursing staff should make time for regular conversations about resident' lives and concerns, including thoughts about death and dying, and support activities that help them maintain their sense of self.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713933","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":"Comparative Efficacy of Non-Pharmacological Multicomponent Interventions in Community-Dwelling Older Adults With Frailty or Prefrailty: A Systematic Review and Network Meta-Analysis","authors":"Huanyu Gao,&nbsp;Xuan Li,&nbsp;Minmin Leng,&nbsp;Zhen Wang","doi":"10.1111/opn.70096","DOIUrl":"https://doi.org/10.1111/opn.70096","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;The purpose of this study was to compare the efficacy of different non-pharmacological multicomponent interventions in community-dwelling older adults with frailty or prefrailty and to determine the most effective non-pharmacological multicomponent interventions.&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;Frailty or prefrailty is highly prevalent among community-dwelling older adults and contributes to significant distress among older adults and increases the caregiver burden. Non-pharmacological multicomponent interventions are recommended for first-line management; however, the comparative efficacy among interventions remains unclear.&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 electronic literature search was performed in the PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, Chinese National Knowledge Infrastructure (CNKI), Wanfang, VIP and Sinomed databases up to July 1, 2025. Randomized controlled trials (RCTs) evaluating the efficacy of non-pharmacological multicomponent interventions compared with routine care or other interventions in community-dwelling older adults with frailty or prefrailty were included. A random effects model based on restricted maximum likelihood (REML) estimation was used for the network meta-analysis. Efficacy was assessed via standardized mean differences with 95% credible intervals, and interventions were ranked via surface under the cumulative ranking curve (SUCRA) probabilities.&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;Twenty-two RCTs were included in the analysis. For overall frailty level, exercise + cognitive intervention achieved the highest rank (SUCRA = 84.7%), followed by exercise + cognitive + social support intervention (SUCRA = 83%) and exercise + nutritional intervention (SUCRA = 72%). With respect to motor ability, exercise + nutrition + psychological intervention was the most effective intervention (SUCRA = 77.1%).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Non-pharmacological multicomponent interventions have a positive effect on improving the physical condition of community-dwelling older adults with frailty or prefrailty. Nurses and care managers should actively prioritize the integration of the above two interventions into personalized frailty or prefrailty care plans, maximizing the efficacy of non-pharmacological management.&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;Exercise + cognitive intervention is likely the most effective non-pharma","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148662165","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":"Comparative Efficacy of Non-Pharmacological Multicomponent Interventions in Community-Dwelling Older Adults With Frailty or Prefrailty: A Systematic Review and Network Meta-Analysis","authors":"Huanyu Gao,&nbsp;Xuan Li,&nbsp;Minmin Leng,&nbsp;Zhen Wang","doi":"10.1111/opn.70096","DOIUrl":"https://doi.org/10.1111/opn.70096","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;The purpose of this study was to compare the efficacy of different non-pharmacological multicomponent interventions in community-dwelling older adults with frailty or prefrailty and to determine the most effective non-pharmacological multicomponent interventions.&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;Frailty or prefrailty is highly prevalent among community-dwelling older adults and contributes to significant distress among older adults and increases the caregiver burden. Non-pharmacological multicomponent interventions are recommended for first-line management; however, the comparative efficacy among interventions remains unclear.&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 electronic literature search was performed in the PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, Chinese National Knowledge Infrastructure (CNKI), Wanfang, VIP and Sinomed databases up to July 1, 2025. Randomized controlled trials (RCTs) evaluating the efficacy of non-pharmacological multicomponent interventions compared with routine care or other interventions in community-dwelling older adults with frailty or prefrailty were included. A random effects model based on restricted maximum likelihood (REML) estimation was used for the network meta-analysis. Efficacy was assessed via standardized mean differences with 95% credible intervals, and interventions were ranked via surface under the cumulative ranking curve (SUCRA) probabilities.&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;Twenty-two RCTs were included in the analysis. For overall frailty level, exercise + cognitive intervention achieved the highest rank (SUCRA = 84.7%), followed by exercise + cognitive + social support intervention (SUCRA = 83%) and exercise + nutritional intervention (SUCRA = 72%). With respect to motor ability, exercise + nutrition + psychological intervention was the most effective intervention (SUCRA = 77.1%).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Non-pharmacological multicomponent interventions have a positive effect on improving the physical condition of community-dwelling older adults with frailty or prefrailty. Nurses and care managers should actively prioritize the integration of the above two interventions into personalized frailty or prefrailty care plans, maximizing the efficacy of non-pharmacological management.&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;Exercise + cognitive intervention is likely the most effective non-pharma","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148662166","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":"Tackling the Ageism We Wage Against Ourselves","authors":"Sarah H. Kagan","doi":"10.1111/opn.70095","DOIUrl":"10.1111/opn.70095","url":null,"abstract":"&lt;p&gt;To paraphrase the now classic British film, &lt;i&gt;Love Actually&lt;/i&gt; (https://www.imdb.com/title/tt0314331/), ageism is within and all around us. You might guffaw at my cultural reference, but I urge you to stop and reflect. How often do we hear ‘I'm too old for…’ or ‘Ignore me, I'm having a senior moment’? We might even utter these platitudes ourselves. As nurses, we hear these critical self-appraisals more than most. Such exclamations punctuate our everyday clinical practice, research and education as well as likely filtering into our home lives. Rarely is this sort of self-appraisal of ageing and being older positive. We don't hear things like ‘I'm too old to bow to peer pressure or social convention. I'm going to do what I wish to!’ nearly as often as we contend with the self-directed discrimination that is commonplace today. The ageism we wage against ourselves is harsh, harmful and costly.&lt;/p&gt;&lt;p&gt;Self-directed ageism—what is sometimes incompletely labelled age-related self-stereotyping—trends toward the negative. It appears to arise in self-concept, health behaviours, lifestyle choices and healthcare decisions at some indeterminate point in adulthood, likely in later mid-life but possibly earlier. We really do not know much about this process. The need for research into the intrapersonal and social onset and persistence of insidious representations of ageing and being older in our beliefs, thoughts and actions remains unmet. Professions and industries like healthcare often even codify this consequential form of ageism with policies and practices. Consider how many guidelines take effect or address people at the age of 60 or 65 but without rationale beyond chronological age.&lt;/p&gt;&lt;p&gt;We learn early in childhood to attach chronological age to our identities and most aspects of daily life. After childhood, the word old applied to people, as opposed to objects, commonly characterizes sentiments of decline and loss in vernacular English. Old becomes synonymous with weakness, lethargy, fatigue and discomfort. ‘I'm feeling so old today!’ is a popular example heard across most English-speaking societies. Our socially acquired understanding of old paints personal and social images of ageing with layers of negative connotations. What results thwarts health, function and well-being for individuals, families and communities, promoting societal health inequities. Sadly, self-directed ageism goes largely unnoticed or is blatantly ignored by most of us. Worse yet, it is blindly accepted by older people as a code for their identity and way of being in later life.&lt;/p&gt;&lt;p&gt;As we approach the end of the United Nations Decade of Healthy Ageing (https://www.decadeofhealthyageing.org/), we gerontological nurses must refresh our knowledge of ageism, especially that which we direct inward, and develop a forward thinking research agenda to help secure the aim of this global initiative. The World Health Organization (WHO) reminds us that ageism is how we &lt;i&gt;think&lt;/i&gt; or fo","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608926","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":"Challenges and Strategies of Informal Caregivers in Medication Management for Older Adults: A Mixed Method Systematic Review","authors":"Daniela Avgustini,&nbsp;Mayra Veronese,&nbsp;Anna Brugnolli,&nbsp;Matteo Danielis,&nbsp;Jessica Longhini","doi":"10.1111/opn.70094","DOIUrl":"10.1111/opn.70094","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;As populations age worldwide, older adults increasingly face polypharmacy and medication adherence challenges. Informal caregivers often assume primary responsibility for medication management, yet their experiences remain underexplored beyond dementia care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review aimed to synthesize the experiences of informal caregivers in managing medications for older adults.&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 method systematic review was conducted following the Joanna Briggs Institute (JBI) methodology. Four databases (PubMed, CINAHL, PsycINFO and Scopus) were searched for studies published between January 2015 and January 2025. Eligible studies included qualitative, quantitative or mixed methods research addressing medication management by informal caregivers of older adults (≥ 65 years) living at home. Data were qualitized and integrated through a convergent synthesis approach.&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;Sixteen studies met the inclusion criteria, comprising 11 qualitative and five cross-sectional designs across diverse countries. Two integrated findings were identified from the analysis. First, &lt;i&gt;perceiving and enacting medication management responsibilities&lt;/i&gt;: caregiver involvement often began after acute health events or functional decline and intensified with increased dependency, especially in co-residing contexts. Their involvement ranged from supervisory support to full responsibility and included obtaining medications, organizing pillboxes, administering doses and monitoring adherence and potential side effects. Medication management was frequently perceived as burdensome, particularly among women, younger caregivers and those managing complex regimens or parenteral therapies. Second, &lt;i&gt;facing and addressing challenges in medication management&lt;/i&gt;: caregivers reported difficulties with polypharmacy, complex formulations, patient resistance, systemic barriers and limited access to guidance and support from healthcare professionals. Strategies included pill organizers, reminder systems (e.g., alarms or smartphone apps), handwritten medication lists and individualized routines, though many caregivers reported errors and reliance on unverified information sources.&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;Informal caregivers play a critical yet demanding role in medication management for older adults, often without ade","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425673","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}