International Journal of Older People Nursing最新文献

{"title":"Older individuals' perspectives on the prerequisites for living at home: A mixed-methods systematic review","authors":"Minna Ylönen PhD, RN,&nbsp;Minna Stolt PhD,&nbsp;Dominika Kohanová PhD, RN,&nbsp;Riitta Suhonen PhD, RN, FEANS, MAE","doi":"10.1111/opn.12603","DOIUrl":"https://doi.org/10.1111/opn.12603","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Living at home for as long as possible is a central ageing policy goal. Older individuals usually expect to stay at home, if possible, and their goals regarding living at home generally include holistic wellness, prevention and treatment of ageing effects and the retention of satisfaction. Previous research on older individuals living at home has mostly focused on their physical performance, usually evaluated by healthcare professionals. However, there is limited research on older individuals' identification of the prerequisites for living at home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The aim was to identify older individuals' views on the prerequisites for living at home. We conducted a mixed-methods systematic review with a data-based convergent design. We carried out a computerized search in MEDLINE (1966 to the end of August 2021) and CINAHL (1982 to the end of August 2021). All types of study designs were included. We evaluated the methodological quality of the included articles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 1052 articles identified, 28 were eligible. The prerequisites for older individuals to be able to live at home include lifestyle and self-care capability and physical, psychosocial, environmental and socio-economic components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The review provided knowledge that can be used to inform measures for supporting independent at-home living. Older individuals' perspectives on prerequisites for at-home living are unique and individually specific. A checklist can be developed to detect individuals' singularity and the strengths and limitations impacting independent living. Therefore, assessments of each older individual's own perspective are needed to better identify the prerequisites for at-home living.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139700675","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":"Staff-based measurement instruments of person-centredness in settings of care for older people: A systematic review","authors":"Tinna Elfstrand Corlin PhD,&nbsp;Ali Kazemi PhD","doi":"10.1111/opn.12601","DOIUrl":"https://doi.org/10.1111/opn.12601","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;Person-centred care is widely endorsed as a promising approach for delivering high-quality care to older people. However, the multitude of existing definitions and measurement tools, coupled with the continuous emergence of new tools, can create confusion and hinder precision in assessing this concept. This review was undertaken with a recognition of the crucial role that assessment quality plays in evaluations and improvements, particularly within the context of person-centred care for older people.&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 aimed to systematically review staff-based measures of person-centredness in settings of care for older people. More specifically, the objectives were to provide description, methodological evaluation and synthesis of diverse conceptual understandings of person-centredness encapsulated in these measurement tools.&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 the Cinahl, PsycInfo, PubMed, Scopus and Web of Science databases for English peer-reviewed journal articles between 2000 and 2021. These articles discussed the creation of staff-based questionnaires designed to assess the extent of person-centred care. We excluded questionnaires meant for clients, patients or families, as well as non-questionnaire scales. The measures were described, and their interpretations of person-centred care were synthesised through a critical interpretive synthesis method. We evaluated methodological quality using a condensed COSMIN risk of bias checklist and adhered to PRISMA guidelines.&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 review identified a total of 14 staff-based measures. These measures exhibited varying levels of comprehensiveness, encompassing anywhere between 2 and 17 components. Furthermore, the number of items within the measures ranged from 11 to 62, and the sample sizes exhibited significant diversity, spanning from 58 to 1428. In terms of the components scrutinised by the scales regarding person-centred care, our synthesis revealed the emergence of four distinct conceptual categories: care process, supportive care environment, relations and communication, and knowledge and attitudes. As for the methodological quality of the scales, it exhibited a notable degree of variation (i.e. from inadequate to very good).&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;Diverse measures of person-centredness vary in terms of compreh","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655305","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":"Experiences of interventions to reduce hospital stay for older adults following elective treatment: Qualitative evidence-synthesis","authors":"Debbie Kinsey PhD,&nbsp;Daniele Carrieri PhD,&nbsp;Simon Briscoe PhD,&nbsp;Sam Febrey BSc,&nbsp;Dylan Kneale PhD,&nbsp;Chris Lovegrove MClinRes, BSc,&nbsp;Michael Nunns PhD,&nbsp;Jo Thompson Coon PhD,&nbsp;John McGrath BM, BS, FRCS, MD,&nbsp;Anthony Hemsley BMedSci, MD, FRCP,&nbsp;Liz Shaw DClinPsy","doi":"10.1111/opn.12602","DOIUrl":"https://doi.org/10.1111/opn.12602","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Hospitals streamline treatment pathways to reduce the length of time older adults admitted for planned procedures spend in hospital. However patient perspectives have been poorly evaluated. This systematic review aimed to understand the experiences of older patients, carers, families and staff of multi-component interventions intended to improve recovery following elective treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Research Design and Methods</h3>\u0000 \u0000 <p>Bibliographic databases searched in June 2021 included MEDLINE ALL, HMIC, CENTRAL, CINAHL, AMED and ProQuest Dissertations and Theses. We conducted citation searching and examined reference lists of reviews. Two reviewers independently undertook screening and data extraction, resolving disagreements through discussion. We used an adapted Wallace checklist for quality appraisal and meta-ethnography to synthesise data. Clinician, carer and patient views were incorporated throughout the review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-five papers were included in the synthesis. Thirteen studies were conducted in the UK, with patient views the most frequently represented. We identified six overarching constructs: ‘Home as preferred environment for recovery’, ‘Feeling safe’, ‘Individualisation of structured programme’, ‘Taking responsibility’, ‘Essential care at home’ and ‘Outcomes’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Implications</h3>\u0000 \u0000 <p>Findings explore the support patients, families and carers need throughout hospital admission, and may inform commissioning of services to ensure patients and carers receive appropriate follow-up support after hospital discharge. The findings may help hospital and community-based health and social care staff provide person-centred care based upon assessments of emotional and physical wellbeing of patients and family/carers. Research is needed to establish a core-set of patient-reported outcome measures which capture aspects of recovery which are meaningful to patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643909","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":"Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care and factors associated with it","authors":"Merja Hoffrén-Mikkola PhD,&nbsp;Sini Eloranta PhD,&nbsp;Sari Teeri PhD,&nbsp;Tuula Mikkola PhD,&nbsp;Marjatta Komulainen MSc","doi":"10.1111/opn.12604","DOIUrl":"https://doi.org/10.1111/opn.12604","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;Telehomecare in older adults' home care in Finland is mainly video-mediated check-up and reminder calls with home care clients. Home care workers have reported mixed attitudes and feelings towards utilisation of technologies and remote services in their work.&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;The aim of this cross-sectional study was to investigate Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care. Another aim was to examine what factors are associated with this satisfaction.&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;The data were collected with an electronic quantitative email survey. Five Finnish older adults' home care organisations participated as the target organisations of the study. Two of the organisations were located in large cities, one in a medium-sized provincial centre and two in rural municipalities. Three organisations provided telehomecare services with centralised service models and two with decentralised service models. In total, the organisations had 103 telehomecare workers to whom the survey was directed.&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 telehomecare workers were mostly satisfied with (55.8%) or felt neutral about (20.9%) the inclusion of telehomecare in older adults' home care. Satisfaction was strongly related to the workers' experience of telehomecare making their work easier, improving interaction and enhancing relationships of trust with clients as well as decreasing workload. Application of telehomecare to overcome the workers' physical restrictions, and also their perceptions of being able to influence whether to start working in telehomecare, were strongly related to their satisfaction with the inclusion of telehomecare in home care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The results confirm that telehomecare job positions function well as relocated job positions in home care when workers have musculoskeletal problems or injuries. However, it is important that workers' willingness to work in telehomecare is also respected. From the telehomecare workers' perspective, good interaction and trustful relationships with clients are important factors that produce good care and increase satisfaction with telehomecare.&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;Telehomecare may have a positive impact on the home care workers’ job satisfaction. The homecare workers need training in the use of","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643910","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 the multidimensionality of home-based dementia caregiving and related challenges based on digital journaling and interviews","authors":"Rebecca Davidsson MSW, MS,&nbsp;David Baker MS,&nbsp;Sameeksha Chintakrindi,&nbsp;Jung-Ah Lee PhD, RN, FGSA, FAAN,&nbsp;Patricia Kinser PhD, WHNP-BC, RN, FAAN,&nbsp;Mustafa Ozkaynak PhD,&nbsp;Jane Chung PhD, RN","doi":"10.1111/opn.12600","DOIUrl":"https://doi.org/10.1111/opn.12600","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;Home-based dementia caregiving is often complicated and may be fragmented due to differences in caregiver roles, needs, preferences and caregiving circumstances. The complex structure of informal caregiving and inadequate support result in negative health outcomes among informal caregivers. Prior methodologies appear to lack a systematic capture of the critical features and intricate structures of home-based dementia caregiving.&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;To characterize dimensions and delivery frequencies of dementia caregiving tasks provided by family members and explore how caregivers framed their everyday challenges related to providing dementia care and support at home. We evaluated the value of digital journaling (caregiver journaling with a messenger app) as a novel data collection technique to better characterize informal dementia caregiving in the home setting.&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 incorporated multiple data sources from family caregivers, including qualitative interviews, digital journals over four weeks and self-report caregiver and care recipient characteristics to characterize dimensions, types and frequencies of home-based dementia care tasks and explore caregivers’ challenges and coping to adapt to the changing caregiving situations. Ten family caregivers completed qualitative interviews and digital journaling.&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 content analysis of 124 journal entries and a thematic analysis of 20 qualitative interviews show that caregivers offered assistance that extended far beyond activities of daily living (ADL) and instrumental ADL. The key themes identified centred around how caregivers shape caregiving tasks, their personas and caregiving strategies while performing multiple roles, as well as the emotional toll of being a caregiver in the face of maintaining coping and resilience.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study suggests the use of novel methodology to characterize home-based dementia caregiving and to identify day-to-day care delivery challenges to increase our understanding of how to better support family caregivers.&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;Nursing interventions aimed at improving informal caregivers’ well-being need to focus on understandi","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643881","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":"Transitional care for older adults with chronic illness: A qualitative inquiry","authors":"Chandrani Isac Master of Science in Nursing,&nbsp;Premila Lee Dr","doi":"10.1111/opn.12599","DOIUrl":"https://doi.org/10.1111/opn.12599","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;Improved public health strategies and medical advancements have expanded older adults' survival after acute insults from chronic diseases. The resultant increase in disability and care requirements among older adults is significant. However, transitional care interventions to support the efficient transition from acute care settings to home are primitive in developing countries like India.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This qualitative survey aimed to estimate the transitional care requirements of older adults with chronic illness discharged from acute care facilities.&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;Descriptive phenomenological approach was utilised for this qualitative study. The older adult-family caregiver dyads fulfilling the inclusion criteria were interviewed until the achievement of information saturation. The transcribed narratives between the researcher, older adults and their caregivers were thematically analysed. Consolidated Criteria for Reporting Qualitative Research (COREQ) served as the framework for reporting this research.&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;Thirteen older adult-caregiver dyads participated in the semi-structured interview, which yielded six themes. Older adults have a hidden self with characteristics ranging between a continuum of ‘insistence’ to ‘giving up’. Caregiver attributes identified from this inquiry were exhaustion, engagement and empowerment. The remaining four themes which constitute the framework for the ‘transitional care progression’ model include ‘complications are mature when identified among older adults’, ‘medication knowledge is proportionate with its compliance’, ‘ignorance of supportive care increases caregiver burden’ and ‘deficient follow-up practices compromise health’.&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;Transitional care for older adults with chronic illness is premature in developing countries. However, the needs of older adults with chronic disease and their caregivers evolved from the present study align with global perspectives. Themes generated from the current qualitative interview, blended with evidence-based interventions, yielded the transitional care progression model, which serves as the only available framework for implementing transitional care in the region.&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;Future research to establish the feasibility and validity of the ‘transitional care","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139494510","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":"Making kindness our hallmark","authors":"Sarah H. Kagan PhD, RN","doi":"10.1111/opn.12597","DOIUrl":"https://doi.org/10.1111/opn.12597","url":null,"abstract":"&lt;p&gt;Those who correspond with me directly may notice a few quotes beneath my contact details in my email signature. The words I took time to include there mean a great deal to me. Ralph Waldo Emerson and Dorothy Day are among those represented. The quotations from their works talk about kindness, time, and being. Their words are among those by which I strive to act each day. As this New Year 2024 stretches before us, I'd like to share their words with you as I reflect on how fundamental kindness is to what we aim to achieve as nurses, scholars, and most importantly—human beings.&lt;/p&gt;&lt;p&gt;Emerson and Day are individuals separated by time whose words are complementary to one another in important respects. Emerson was a 19th century essayist, poet, and philosopher (https://plato.stanford.edu/entries/emerson/). He said, “You cannot do kindness too soon, for you never know how soon it will be too late.” Day was a 20th century journalist and activist (https://catholicworker.org/life-and-spirituality-dorothy-day/). She wrote “We are communities in time and in a place, I know, but we are communities of faith as well—and sometimes time can stop shadowing us. Our lives are touched by those who lived centuries ago, and we hope our lives will mean something to people who won't be alive until centuries from now. It's a “great chain of being” … I think our job is to do the best we can to hold up our small segment of the chain, doing our best to keep that chain connected, unbroken.” I sometimes pause amid a workday just to take in the signification of Emerson's and Day's words today.&lt;/p&gt;&lt;p&gt;Read together, Emerson's and Day's words speak to me as a person and as a nurse. They say to me that kindness allows us to transcend the travails of daily life. That transcendence comes in remembering that, in our fleetingly short lives, other people matter most. Kindness recalls us to our precious shared humanity, despite trying circumstances. In any given moment, being kind reinforces the value of our personhood within that shared humanity. We are each individual people in our own right and universally human at the same time. Every one of us needs and craves kindness. We recoil when kindness is absent and are too often surprised when we encounter it. One of my fondest hopes is that kindness becomes so commonplace that we revel in it surrounding us instead of being surprised by it.&lt;/p&gt;&lt;p&gt;Kindness is many things, things that surpass our many differences. Kindness is gratitude, thanks, and simple communion with another human being. Kindness is honesty, offered with empathy and consideration for the other. My experience shows me that kindness commonly means most in small gestures. The pace of our lives as people, professionals, and scholars typically presses us to forgo the small gesture. Think of how often you leave an encounter without ever hearing “how are you?” or receive email messages devoid of a salutation, a farewell, or both. Conversely, consider the last time a genuine co","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12597","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139400125","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":"Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from “online” supportive conversations and reflection sessions","authors":"Jo Hockley RN PhD,&nbsp;Julie Watson RN PhD,&nbsp;Lucy Johnston MSc,&nbsp;Susan D. Shenkin MD","doi":"10.1111/opn.12598","DOIUrl":"10.1111/opn.12598","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Deaths in care homes and “at home” are anticipated to account for a third of UK deaths by 2040. Currently, palliative and end of life care are not part of statutory training in care homes. Reflective practice is a tool that can facilitate practice-based learning and support. Following a feasibly study to test “online” supportive conversations and reflection sessions (OSCaRS) to support care home staff in relation to death/dying during the first months of the COVID pandemic, a one-year practice development follow-up project was undertaken with the aim to create a team of NHS/specialist palliative care (SPC)-based facilitators to lead and support OSCaRS provision in up to 50 care homes in one region in Scotland—the focus of this paper.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty care home managers attended an on-line session explaining the project, with a similar session held for 19 NHS/SPC-based nurses external to care homes. Those interested in facilitating OSCaRS then attended three education sessions. Data collected: records of all activities; reflective notes on OSCaRS organised/delivered; a summary of each OSCaRS reflection/learning points; final interviews with NHS/SPC trainee facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 19 NHS/SPC facilitators delivered one or more OSCaRS in 22 participating care homes. However, as of January 2022 only six trained facilitators remained active. Out of the 158 OSCaRS arranged, 96 took place with a total of 262 staff attending. There were three important aspects that emerged: the role, remit, and resources of NHS/SPC supporting OSCaRS; requirements within care homes for establishing OSCaRS; and, the practice-based learning topics discussed at each OSCaRS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Attempts to establish a team of NHS/SPC facilitators to lead OSCaRS highlights that end of life care education in care homes does not clearly fall within the contractual remit of either group or risks being missed due to more pressing priorities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139398343","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 a Turkish version of the social activities scale for community-dwelling older people requiring support","authors":"Sevinc Tastan RN, PhD,&nbsp;Hatice Bebis RN, PhD","doi":"10.1111/opn.12593","DOIUrl":"10.1111/opn.12593","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Social activities decelerate the deterioration of mental capacity in older people and improve their physical and psychosocial health. Valid and reliable measurement tools are needed to determine the social activity status of older people and plan health services to protect their mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to adapt the Social Activities Scale for Community-Dwelling Older People Requiring Support (SASOS) into Turkish.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This methodological study was conducted in Northern Cyprus between January and June 2022. Convenience sampling was used to recruit 155 community-dwelling older people who needed support. Expert opinion, item-content validity index, and scale-content validity index were used to evaluate content validity. Internal consistency and test–retest reliability tests were used to evaluate reliability. Exploratory factor analysis was used to evaluate construct validity. The Loneliness Scale for Elderly was used to evaluate concurrent validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Cronbach's alpha of SASOS was 0.90. Additionally, correlation coefficients of all items ranged between 0.61 and 0.79. Exploratory factor analysis revealed a three-factor structure. ‘Interactions with friends and neighbors’ was the factor that explained the highest variance (46%). There was a negative, weak, and statistically significant relationship between the scores obtained from the social loneliness subscale of LSE and all three subscales of SASOS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Turkish version of SASOS is a valid, reliable instrument to evaluate social activities in community-dwelling older people who needed support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>The SASOS has been identified as a valuable measure for assessing the social support needs of older individuals. It serves as a guide for both planning and evaluating interventions to enhance their health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139068586","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":"Spanish version of the Maastricht Personal Autonomy Questionnaire: A validation study among community-dwelling older adults with chronic multimorbidity","authors":"José Manuel Hernández-Padilla RN, MSc, PhD,&nbsp;Iria Dobarrio-Sanz RN, MSc, PhD,&nbsp;Matías Correa-Casado RN, MSc, PhD,&nbsp;María del Mar Jiménez-Lasserrotte RN, MSc, PhD,&nbsp;Cayetano Fernández-Sola RN, MA, PhD,&nbsp;María Dolores Ruiz-Fernández RN, MSc, PhD","doi":"10.1111/opn.12595","DOIUrl":"10.1111/opn.12595","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Loss of personal autonomy in older adults with chronic multimorbidity is associated with worsened biopsychosocial health. In order to facilitate the standardised assessment of personal autonomy in older adults with chronic conditions, nurses could use the Maastricht Personal Autonomy Questionnaire (MPAQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To translate, culturally adapt and psychometrically assess the Spanish version of the MPAQ in community-dwelling older adults with chronic multimorbidity (MPAQ-Sp).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Observational cross-sectional study. A convenience sample of 884 community-dwelling older adults was recruited from 10 community centres in five health districts in southeastern Spain. Data were collected between January 2021 and September 2022. The study was completed in four phases. Phase 1: The MPAQ was translated into Spanish. Phase 2: A pilot test of reliability and content validity was conducted. Phase 3: To test the dimensionality of the tool, an exploratory factor analysis (EFA) was conducted. Phase 4: a final validation study was conducted which included a confirmatory factor analysis (CFA) and assessed the validity (content, criterion and construct), reliability and readability of the MPAQ-Sp.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average age of the sample was 75.89 years (SD = ±8.04). Their mean number of chronic conditions was 4.84 (SD = ±2.19) and 67% were women. The MPAQ-Sp is comprised of 16 items distributed in four subscales: [1] the ‘Degree of autonomy’ scale, [2] the ‘Working on autonomy’ scale, [3] the ‘Dilemmas: health over preferences’ scale and [4] the ‘Dilemmas: preferences over health’ scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Spanish version of the MPAQ-Sp is a valid and reliable instrument to assess personal autonomy in Spanish-speaking, community-dwelling older adults with chronic multimorbidity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The use of the MPAQ-Sp would allow researchers and healthcare professionals to identify a loss of personal autonomy among Spanish-speaking community-dwelling older adults with chronic multimorbidity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12595","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138714658","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}