International Journal of Older People Nursing最新文献

{"title":"When snowball sampling leads to an avalanche of fraudulent participants in qualitative research","authors":"Justine S. Sefcik PhD, RN,&nbsp;Zachary Hathaway MPH,&nbsp;Rose Ann DiMaria-Ghalili PhD, RN, FASPEN, FAAN, FGSA","doi":"10.1111/opn.12572","DOIUrl":"10.1111/opn.12572","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fraudulent research participants create negative consequences for the rigour and soundness of research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>A case study is presented from a qualitative study where the research team believed several fraudulent participants fabricated information during an interview about being a caregiver for a person living with dementia and chronic wounds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>Participants were recruited through a free online research registry. Individual semi-structured interviews were held virtually.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study was paused after the nurse scientist with qualitative methodology experience identified that participants were giving illogical and repetitive responses across interviews. The team developed a revised screening tool to help reduce fraudulent participants from enrolling in the study. None of the data collected were used for analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Information is provided on how the team dealt with the situation, lessons learned for future studies, and recommendations for gerontological nurse researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Researchers should be aware that some participants are misrepresenting themselves for financial incentives and this can compromise the soundness of findings. Thorough screening tools are one way to identify and prevent fraud.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10448799","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":"Older family caregivers' diet-related disparities: Cross-sectional evidence from Finland","authors":"Roosa-Maria Savela MSc,&nbsp;Irma Nykänen PhD,&nbsp;Sohvi Koponen MHSc,&nbsp;Anna Liisa Suominen PhD,&nbsp;Ursula Schwab PhD,&nbsp;Tarja Välimäki PhD","doi":"10.1111/opn.12570","DOIUrl":"10.1111/opn.12570","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Some older family caregivers experience financial vulnerabilities due to their caregiving role, which may affect their ability to afford appropriate food. This study aimed to assess the extent to which there are diet-related disparities among older family caregivers in Eastern Finland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study is based on the multidisciplinary LifEstyle, NutriTion and Oral health in caregivers (LENTO) study. In total, 125 family caregivers were included. Data were collected between June and December 2019. Participants were assessed on health, nutritional status and sociodemographic factors. The associations and predictors of diet-related disparities were assessed using the independent samples <i>t</i>-test, ANOVA-test, <i>χ</i>²-tests and binary logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of family caregivers was 74 years (SD = 8). Most were female (72%), 20% had malnutrition risk and 30% reported having ‘moderately enough money’ or less, which was identified as ‘subjective poverty’. Family caregivers experiencing subjective poverty were less likely to consume two or more portions of fruit and vegetables daily and were more likely overweight. Study participants' diet-related disparities were further associated with several health inequalities, including comorbidity, depression, diabetes (Type I or II) and osteoporosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older family caregivers have diet-related disparities, further associated with health inequalities. Family caregivers' diet-related disparities require increasing attention in healthcare. Addressing family caregivers' food insecurity risk would enhance their health equity. Lack of assessment of diet-related disparities will only deepen health inequalities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12570","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10374705","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 evaluation of the Indonesian version of the Person-centered Care Assessment Tool","authors":"Woro Mustika Weni MHS,&nbsp;Megumi Shimizu RN, PHN, PhD,&nbsp;Chiaki Ando-Ohmura RN, PhD,&nbsp;Yuki Ohashi RN, PHN, PhD,&nbsp;David Edvardsson RN, PhD,&nbsp;Annica Backman RN, PhD,&nbsp;Rebecca Baxter RN, PhD,&nbsp;Noortje Kloos PhD,&nbsp;Akiko Ozaki RN, PHN, PhD","doi":"10.1111/opn.12565","DOIUrl":"10.1111/opn.12565","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The number of Indonesian care staff working in hospitals and long-term care facilities caring for persons with dementia in Japan is increasing; however, there is no instrument available in the Indonesian language to assess their dementia care practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to translate the Person-centered Care Assessment Tool (P-CAT) and evaluate its psychometric properties in a sample of Indonesian care staff working in dementia care and long-term care facilities in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a descriptive, methodological, and cross-sectional study. The P-CAT was translated into the Indonesian language. The draft was administered to Indonesian care staff (<i>n</i> = 218) working at long-term care facilities in Japan. Data were analysed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), known-group validity, internal consistency, and test–retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EFA showed three-factor and CFA of the three-factor indicated that the model had an acceptable fit (chi-squared statistics/degree of freedom = 1.78, comparative fit index = 0.94, root mean square error of approximation = 0.06) with a slightly different structure compared to the original P-CAT. Regarding known-group validity, the P-CAT total score was significantly higher for those who had training in dementia, who knew about person-centred care, and who showed satisfaction in the job. Internal consistency (Cronbach's <i>α</i>) of the total scale was 0.68 which is considered acceptable, and the test–retest reliability intraclass correlation coefficient was 0.61 which is considered moderate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Indonesian P-CAT indicated sound validity and reliability to measure person-centred care among Indonesian care staff working in dementia care and long-term care facilities in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Practice</h3>\u0000 \u0000 <p>The development of Indonesian P-CAT allows the evaluation of dementia care, promotes and further improves person-centred care for persons with dementia provided by Indonesian care staff working in long-term care facilities in Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367844","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":"Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey","authors":"Subhash Chandran Kuppadakkath BSc (N), MSN, PGDM (Health), PhD,&nbsp;Jahar Bhowmik BSc (Hons), MSc, MPhil, Grad Cert Higher Ed, PhD,&nbsp;Michael Olasoji RN, BN (Hons.), PhD,&nbsp;Loretta Garvey RN, BN (Hons.), PhD","doi":"10.1111/opn.12567","DOIUrl":"10.1111/opn.12567","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Medication errors are common in residential aged care facilities (RACFs) due to several factors. Effective medication management is essential to prevent medication errors among older people particularly due to the complexity of co-morbidities they can experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to examine and quantify the contributing factors of medication errors from nurses' perspectives and the prevention strategies to reduce medication errors among older adults living in RACFs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A survey with 140 completed responses from registered nurses (RNs) and endorsed enrolled nurses (EENs) working in RACFs across Australia were included in the study. The survey had 24 items, related to contributing factors of medication errors, and the prevention strategies. Descriptive statistics and exploratory factor analysis were used in the data analysis process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study identified medication errors are caused by contributing factors such as use of agency staffing (70.4%) and delays in receipt of laboratory results (94.3%). However, it also identified suggestions to reduce medication errors in RACFs, for example use of electronic alerts (88.3%), and efficient laboratory communication (91.8%). Our results revealed three key factors for causes (workload, interprofessional involvement and interruptions) and suggestions (medication safety alerts, medication process improvement and effective reporting).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Medication errors in RACFs are a global problem being one of the leading causes of morbidity and mortality. The knowledge and awareness of the factors associated with medication errors and the prevention strategies can guide potential quality improvement plans and contribute to minimisation of risk associated with medication safety in RACFs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>The study recommends strategies for best practices in medication management such as interprofessional collaboration, implementing standardised policies and electronic alerts to reduce medication errors in RACFs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12567","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10005020","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 experience of eating for older nursing home residents with dysphagia: A qualitative descriptive study","authors":"Wen-Ching Hsu NP, MSN,&nbsp;Hsiu-Hsin Tsai RN, PhD,&nbsp;Li-Cheng Weng RN, PhD,&nbsp;Yi-Wen Wang RN, PhD","doi":"10.1111/opn.12566","DOIUrl":"10.1111/opn.12566","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Understanding the experience of eating for nursing home residents with dysphagia is essential for developing effective and holistic compensatory intervention programmes for older adults with dysphagia. However, there is a lack of studies on the experience of eating for older adults with dysphagia, especially for individuals in Asian cultures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to understand the experience of eating for older nursing home residents who have difficulty swallowing (dysphagia), which is often a problem for this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative descriptive study recruited older nursing home residents with dysphagia from facilities in central Taiwan. Residents were recruited by purposive sampling. Data were collected through individual in-depth semistructured face-to-face interviews. Interviews were audio-recorded and transcribed interview data were analysed with content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 20 residents participated in the study; the mean age was 78.7 years (standard deviation = 8.54 years); male and female residents were equally represented. The main core theme describing the experience of eating for nursing home residents with dysphagia was irregular coughing, which often occurred spontaneously. Three subthemes described how residents responded: making adjustments to eating and swallowing, receiving assistance from NH staff and fear of eating.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings can serve as an evidence-based reference for clinical care aimed at nursing home residents with dysphagia. Support programmes that provide safe swallowing skills and emotional support for managing dysphagia are recommended.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>Nursing home residents with dysphagia should receive interventions focussed on self-supporting care, training in swallowing skills and emotional support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 6","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10009230","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 yoga on physical and psychological health among community-dwelling older adults: A systematic review and meta-analysis","authors":"Ka-yan Ko,&nbsp;Zoe Ching Man Kwok MSc,&nbsp;Helen Yue-Lai Chan PhD","doi":"10.1111/opn.12562","DOIUrl":"10.1111/opn.12562","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To synthesise and critically appraise the quality of existing evidence about the effects of yoga on physical and psychological outcomes among older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Participants aged 60 and above.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Nine English and two Chinese electronic bibliographic databases, including MEDLINE OvidSP, PsycINFO, AMED, EMBASE, Global Health, PubMed, Scopus, CINAHL, Cochrane Library, Hyread and WanFang databases, were searched. Randomised controlled trials (RCT) of yoga on physical and psychological outcomes among older adults were included. Meta-analysis was conducted for outcomes studied in three or more studies, otherwise narrative synthesis was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen studies were included for review. The results of meta-analysis after sensitivity analysis showed that yoga significantly improved balance (SMD = 0.81, 95% CI: 0.48–1.14, <i>p</i> &lt; .001, I<i>I</i>² = 59%), flexibility (SMD = 0.38, 95% CI: 0.07–0.68, <i>p</i> = .020, I<i>I</i>² 34%), muscle strength (SMD = 0.49, 95% CI: 0.18–0.79, <i>p</i> = .002, <i>I</i>² 43%) and depressive symptoms (SMD = 0.50, 95% CI = 0.09–0.91, <i>p</i> = .01, I² 0%). There was insufficient data for meta-analysis on gait and other psychological outcomes. Narrative synthesis suggested that yoga has positive effects on reducing anxiety, but its effects on improving gait and reducing stress among older adults were inconclusive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results of this review supported the beneficial effects of yoga on physical outcomes among older adults, but the heterogeneity across studies was relatively high. Evidence related to the effect on psychological outcomes was limited.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10208464","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":"Celebrating and recollecting our impact: Announcing the 2022 IJOPN awards","authors":"Jennifer Baumbusch PhD, RN, FAAN, FCAN,&nbsp;Sarah H. Kagan PhD, RN,&nbsp;G. J. Melendez-Torres PhD, RN, FAAN","doi":"10.1111/opn.12571","DOIUrl":"10.1111/opn.12571","url":null,"abstract":"&lt;p&gt;Here at the &lt;i&gt;International Journal of Older People Nursing&lt;/i&gt; (&lt;i&gt;IJOPN&lt;/i&gt;), we always look forward to our awards season as an opportunity to celebrate the excellent work our authors, reviewers and editorial members do. Such work is vital to ensuring that IJOPN continues to be the forum for excellent research in older people nursing and a force for improvement in health and social care for older populations. We—this journal's community that includes editors, authors, reviewers and readers—have worked over many years to shape this journal as it is today. These awards recognize significant contributions to it.&lt;/p&gt;&lt;p&gt;This year, we present three awards for excellent research published in &lt;i&gt;IJOPN&lt;/i&gt; during 2022. Our panel selecting these awards included Associate Editor Prof Jennifer Baumbusch, as well as longstanding friends of &lt;i&gt;IJOPN&lt;/i&gt; Dr Ruth Ludwick and Dr Hiromi Hirata. So, without further ado, may we present the award winners!&lt;/p&gt;&lt;p&gt;IJOPN depends on excellent reviewers to be able to publish excellent research. This year, we recognise Emma Adams, Joanne Brooke, Samuel Lapkin and Vanessa Trinca for their notable contributions in providing consistently superlative peer reviews in service to IJOPN and our authors. We asked each of them to share something about what motivates them to undertake peer review. Emma Adams said, ‘&lt;i&gt;I'm inspired to peer review because it provides opportunity to engage with emerging research, helps researchers to improve their work, and expands my own knowledge’&lt;/i&gt;. Joanne Brooke told us ‘&lt;i&gt;I strongly believe any academic who publishes their work in journals should also contribute to the peer review process. I am genuinely interested in the work of others, especially in the fields of my expertise. The peer review process is also a productive way to ensure my knowledge remains contemporary. My aim is always to be supportive and constructive when reviewing a paper, to ensure I am enabling the authors to develop their work to a publishable standard’&lt;/i&gt;. Sam Lapkin noted that ‘&lt;i&gt;Receiving the 2022 International Journal of Older People Nursing (IJOPN) Peer Review Award is a true honour, and I am deeply grateful for recognising my contributions to the journal's mission. The opportunity to engage in the peer review process seamlessly aligns with my fervour for advancing evidence-based practices and innovative approaches within gerontological nursing research, practice, and education. Moreover, serving as a Peer Reviewer for IJOPN allows me to contribute to the nursing community and the broader health research sphere. This recognition further underscores my commitment to upholding exceptional standards in peer review and fostering the exchange of ideas that drive the progression of gerontological nursing. I eagerly anticipate continuing this journey of discovery, learning, and collaboration with the journal's community and beyond’&lt;/i&gt;. Vanessa Trinca shared ‘&lt;i&gt;I feel inspired as a Peer Reviewer because I am privil","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12571","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199721","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":"Adaptation and validation of the Abrams geriatric self-neglect assessment scale among older Chinese people admitted to the hospital","authors":"Qiongying Xu BS, RN,&nbsp;Liuqing Xu MS, RN,&nbsp;Jingrui Tao BS, RN,&nbsp;Xuewei Chen BS, RN,&nbsp;Yao Zhang BS, RN,&nbsp;Sisi Jiang MS, RN,&nbsp;Chaoqun Dong PhD. RN","doi":"10.1111/opn.12569","DOIUrl":"10.1111/opn.12569","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Elder self-neglect is a global public health problem, and older people admitted to the hospital may have a higher risk of self-neglect due to their deteriorating health conditions. This study aimed to translate, adapt and validate the Abrams geriatric self-neglect assessment scale (AGSS) among older Chinese people admitted to the hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were derived from a cross-sectional survey of a convenience sample of 452 older people admitted to a general hospital. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the structural validity of the AGSS. Content validity, criterion validity, internal consistency reliability, and test–retest reliability were also conducted to assess the psychometric properties of the scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EFA yielded a 6-item one-factor model, which was supported by CFA and explained 44.74% of the total variance. The internal consistency was acceptable (Cronbach <i>α</i> = 0.740), and the test–retest reliability with a 14-day interval was good (intraclass correlation coefficient, ICC = 0.966). Significantly positive correlations with the caregiver-rated elder self-neglect assessment scale (<i>r</i> = 0.648) supported the concurrent validity of the scale. Significant differences in scores between respondents with different ages, marital statuses, educational levels and numbers of chronic diseases demonstrated the discriminative validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Chinese version of the AGSS is an easy-to-use, reliable and valid measure with satisfactory psychometric properties. Future studies should recruit a more representative sample of older people in China to verify the applicability of the scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The Chinese version of the AGSS enables clinical staff to accurately screen for and assess elder self-neglect upon hospital admission, which can inform the development of specific interventions and assignment of additional guardianship to those at risk of elder self-neglect.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199725","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":"Observation of urinary tract infection signs and symptoms in nursing home residents with impaired awareness or ability to communicate signs and symptoms: The development of supportive tools","authors":"Jorna van Eijk RN MSc,&nbsp;Jeanine J. S. Rutten MD,&nbsp;Cees M. P. M. Hertogh MD PhD,&nbsp;Martin Smalbrugge MD PhD,&nbsp;Laura W. van Buul PhD","doi":"10.1111/opn.12560","DOIUrl":"10.1111/opn.12560","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;Antibiotics are often inappropriately prescribed for urinary tract infections (UTIs) in nursing home (NH) residents. Research emphasises the importance of prescribing antibiotics only if there are UTI-related signs and symptoms (S&amp;S). However, for many NH residents it is challenging to find out whether such S&amp;S are present, for example due to cognitive disorders.&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 provide insight into the assessment of UTI-related S&amp;S in NH residents with impaired awareness or ability to communicate S&amp;S, and to develop supportive tools for the observation of UTI-related S&amp;S in this subgroup of NH residents, by nursing staff.&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 performed a practice-based study using mixed methods. Data of 295 cases of suspected UTI were analysed to determine how often UTI-related S&amp;S were ‘not assessed/non-assessable’ in residents with and without dementia. Barriers and facilitators in observing UTI-related S&amp;S in NH residents with impaired awareness or ability to communicate S&amp;S were derived from interviews and focus groups with nursing staff. Literature review, focus group data, additional telephone interviews and questionnaires with nursing staff were used in a step-by-step process, including pilot testing, to develop supportive tools for the observation of UTI-related S&amp;S.&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;UTI-related S&amp;S were assessable in the majority of NH residents with dementia. The proportion ‘not assessed/non-assessable’ S&amp;S in residents with dementia increased with increasing severity of dementia. In residents with very severe dementia, up to 58% of the S&amp;S were ‘not assessed/non-assessable’. Knowing the resident, working methodologically, and being sufficiently skilled to interpret observations in residents facilitate the assessment of UTI-related S&amp;S. Insights acquired during the different study elements resulted in the development of an observation checklist and a 24-h observation tool.&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 more NH residents have impaired awareness of ability to communicate S&amp;S, the more difficult it seems to be to assess UTI-related S&amp;S. The observation checklist and 24-h observation tool developed in the current study may support nursing staff in their observation of UTI-related S&amp;S in this group of NH residents.&lt;/p&gt;\u0000 ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10206441","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":"Communities of practice in residential aged care: A rapid review","authors":"Martin Read BBMed,&nbsp;Sanne Peters BEd, MEd, PostGradDipT, PhD,&nbsp;Noleen Bennett RN, MPH, PhD,&nbsp;Jill J. Francis BA, BMus, GDACP, PhD,&nbsp;Deirdre Fetherstonhaugh RN, MA, PhD,&nbsp;Wen Kwang Lim MBBS, FRACP, MD,&nbsp;Joanne Tropea BPhty, MPH, PhD","doi":"10.1111/opn.12563","DOIUrl":"10.1111/opn.12563","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Communities of practice (CoPs) have the potential to help address the residential aged care system's need for continuing education and quality improvement. CoPs have been used in healthcare to improve clinical practice; however, little is known about their application to the unique residential aged care context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This rapid review of CoPs for residential aged care was conducted to summarise the features of CoPs, how they are developed and maintained, and assess their effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>MEDLINE and CINAHL databases were searched for studies published from January 1991 to November 2022 about CoPs in residential aged care. Data were extracted regarding the CoPs' three key features of ‘domain’, ‘community’ and ‘practice’ as described by Wenger and colleagues. Kirkpatrick's four levels of evaluation (members' reactions, learning, behaviour and results) was used to examine studies on the effectiveness of CoPs. The Mixed Methods Appraisal Tool was used for quality appraisal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen articles reported on 13 residential aged care CoPs. Most CoPs aimed to improve care quality (<i>n</i> = 9, 69%) while others aimed to educate members (<i>n</i> = 3, 23%). Membership was often multidisciplinary (<i>n</i> = 8, 62%), and interactions were in-person (<i>n</i> = 6, 46%), online (<i>n</i> = 3, 23%) or both (<i>n</i> = 4, 31%). Some CoPs were developed with the aid of a planning group (<i>n</i> = 4, 31%) or as part of a larger collaborative (<i>n</i> = 4, 31%), and were maintained using a facilitator (n = 7, 54%) or adapted to member feedback (<i>n</i> = 2, 15%). Thirteen (81%) studies evaluated members' reactions, and three (24%) studies assessed members' behaviour. The heterogeneity of studies and levels of reporting made it difficult to synthesise findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review revealed the variation in why, and how, CoPs have been used in residential aged care, which is consistent with previous reviews of CoPs in healthcare. While these findings can inform the development of CoPs in this context, further research is needed to understand how CoPs, including the membership makeup, delivery mode, facilitator type and frequency of meetings, impact quality of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"18 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211778","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}