International Journal of Older People Nursing最新文献

{"title":"Role of a Dementia Virtual Reality App in Developing Situated Empathy, Attitude and Person-Centred Care—A Qualitative Approach","authors":"Chin Pei Tan, Dora C. Howes, Ambelorfam Manikam, Sok Mui Lim","doi":"10.1111/opn.70012","DOIUrl":"10.1111/opn.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The demands of any health education programme including nurse education would benefit from innovative ways to support students learning in an effective and efficient manner. Such approaches resonate particularly when caring for older people living with dementia, due to multifactorial manifestations of the condition, patients' difficulty in articulating their needs and the potential for negative care outcomes. Empathy is an important part of understanding dementia and is also recognised as a complex and multidimensional concept.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigated the impact of undergraduate nursing students' 15-min use of the Experience Dementia in Singapore (EDIS) virtual reality app in their tutorial lesson for developing their empathy, changing their attitude and increasing their sensitivity for person-centred care of people with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We carried out content and thematic analysis of data anonymously collected via the in-class learning activities at the start and at the end of the lesson.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All participating students (<i>n</i> = 89, 89% response rate) achieved their learning goal to experience a first-person perspective and gain insights into needs and care for persons living with dementia. The results showed students transitioned from having mainly knowledge foremost in their mind, to more empathetic and care related thoughts when delivering care to persons living with dementia. The experience made more students aware of how they could communicate care, make environmental modifications to support and develop an attitude of person-centred care for persons living with dementia and their families. The analysis resulted in four themes: (1) immersive learning—walking in the shoes of the person living with dementia (2) feelings evoked from the first-person perspective (3) little things, big impact; little things, positive impact; and (4) communicating care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The EDIS virtual reality app was an efficient and effective way for students to develop essential elements, especially empathy, as well as positive attitudes and sensitivity towards person-centred care for those living with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The first-hand experience the VR app offers allows students to challenge pre-conceived perceptions about older pe","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081653","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":"Shifting Student Attitudes of Gerontology Nursing: A Quasi-Experimental Evaluation of a Clinical Educator Programme","authors":"Ellie Cutmore, Amanda Henderson","doi":"10.1111/opn.70011","DOIUrl":"10.1111/opn.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Enduring shortages in the gerontology nursing workforce are projected to increase as demand for services for older persons grows. Recruitment of Registered Nurses in gerontology is further hindered by negative perceptions held by students towards nursing older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To determine whether a professional development activity designed to assist clinical supervisors to build the mentorship capacity of care staff in residential aged care facilities could positively improve their clinical learning environment and improve student attitudes towards working with older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A quasi-experimental, non-equivalent pretest–posttest control group design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Settings</h3>\u0000 \u0000 <p>Clinical settings in which participants were undertaking an older person–focused clinical placement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>A purposive sample of 466 first-year undergraduate nursing students. Forty-seven students responded to both the pre- and post-placement surveys.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The intervention comprised four professional development sessions delivered to clinical supervisors supervising nursing students during clinical placement across three residential aged care facilities. Pre- and post-placement surveys measured Student Perceptions of Working with Older People (SPWOP). The modified Clinical Learning Environment Inventory (CLEI) was included in the post-placement survey to measure student perceptions of the clinical placement learning environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Control group participants reported higher pre-placement SPWOP scores yet showed no significant improvement in score post-placement; however, the intervention group reported a statistically significant increase in SPWOP score post-placement. Modified CLEI results revealed the control group reported higher levels of engagement in the learning environment, yet the intervention group reported greater motivation to learn.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>An intervention de","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014589","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":"Efficacy of Auricular Therapy for Motor Impairment After Stroke: A Systematic Review and Meta-Analysis","authors":"Yingqi Mao, Donghan Xu, Peiyu Yan, Yu Li, Jiaan Du, Yi Zheng, Qibiao Wu, Lili Yu, Tao Qiu","doi":"10.1111/opn.70006","DOIUrl":"10.1111/opn.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A high number of stroke patients cannot recover fully from motor impairment despite early rehabilitation. Auricular therapies, usually given by acupuncture doctors or nurses, have been widely used among these post-stroke patients. Potential benefits of auricular therapies were shown in recent clinical trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The purpose of this review was to systematically evaluate the clinical effects of auricular therapy in the treatment of post-stroke motor impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Chinese Biological Medicine (CBM), Chinese National Knowledge Infrastructure (CNKI) and Wanfang databases were searched from their inception to May 2023. Randomised controlled trials of auricular therapy for the treatment of post-stroke motor impairment met the screening criteria. The primary outcome was the Fugl-Meyer Assessment Scale (FMA). The secondary outcomes included the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), Chinese Stroke Scale (CSS), clinical efficacy and the Barthel Index Scale (BI). Meta-analysis was carried out using RevMan software 5.3.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-eight RCTs with 1993 patients were included. The meta-analysis results suggested that compared with conventional treatment, auricular therapy combined with conventional treatment significantly improved the FMA score (MD: 15.07, 95% CI, 12.56 to 17.59), the FMA-UE score (MD: 6.49, 95% CI, 5.54 to 7.45), the clinical efficacy (RR: 1.20, 95% CI, 1.12 to 1.29) and the BI score (MD: 10.26, 95% CI, 9.11 to 11.40), while the combination treatment significantly decreased the CSS score (MD: −2.98, 95% CI, −4.38 to −1.59).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Auricular therapy, as an adjunctive treatment to the conventional treatment, improved post-stroke motor impairment and self-care ability. Early auricular therapy of the patients in the early disease stage may lead to better improvement. Further well-designed, large-size clinical studies are needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study suggested that auricular therapy could be used as a complementary therapy with conventional treatment for improving motor impairment and self-care ability among post-stroke patients with motor impairment in hospitals, long-term care fa","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957111","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":"Translation, Reliability and Validity of the Chinese Version of the Confidence in Dementia Scale for Clinical Nursing: A Cross-Sectional Study","authors":"Qianqian Jiang, Na Li, Dong Kong, Yan Zhai, Haiwen Chen, Jinfeng Liu, Ping Xiao, Yanan Chen, Wenjian Pei, Jie Song","doi":"10.1111/opn.70008","DOIUrl":"10.1111/opn.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To translate the 9-item Confidence in Dementia (CODE) scale into Chinese (Confidence in Dementia-Chinese, CODE-C) and evaluate its psychometric properties among clinical nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the rapidly ageing population, an increasing number of patients with dementia will be cared for in hospitals. Clinical nurses' confidence in dementia care is crucial to provide quality care. A reliable and valid assessment tool is urgently needed to measure confidence in dementia and identify educational needs in hospitals. The CODE applies to other societies, and this study aims to standardise this scale for China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was a cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following the principles of Brislin bidirectional translation, literal translation, back-translation, expert consultation, cognitive debriefing and preliminary testing were performed, and the CODE-C was preliminarily revised. Internal consistency and test–retest reliabilities with a 2-week interval were tested, and an item analysis was conducted using the Pearson correlation coefficient method. Validity was evaluated, including content, construct, convergent, discriminant and criterion validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 452 Chinese-speaking nurses from three hospitals in Jinan, China, completed the survey. The scores of each item and the total score of the CODE-C were positively correlated (<i>r</i> = 0.626–0.802, <i>p</i> < 0.05). The difference between the high-score group and the low-score group for each item of the CODE-C was significant (<i>p</i> < 0.05). The Cronbach's α coefficient, Spearman–Brown coefficient and Guttman split-half coefficient of the CODE-C were 0.894, 0.842 and 0.838, respectively, and the test–retest reliability was 0.892. The scale- and item-level content validity indices were both 1.00. The confirmatory factor analysis model only marginally supported the three-factor structure. Positive correlations were noted between the CODE-C and the General Self-Efficacy Scale (<i>r</i> = 0.476, <i>p</i> < 0.01), suggesting acceptable concurrent validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The CODE-C showed acceptable reliability and validity and can be applied to measure the level of confidence in dementia and the outcome of educational interventions aimed at enhancing dementia care among Chinese clinical nu","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899397","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":"A Network Analysis of Quality of Life Among Older Adults With Arthritis","authors":"Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim","doi":"10.1111/opn.70010","DOIUrl":"10.1111/opn.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Arthritis, one of the most common chronic diseases among older people, greatly impairs quality of life through a variety of physical and psychological challenges. This study used network analysis to gain a deeper understanding of the relationships between the indicators of quality of life in older adults with arthritis depending on duration of disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study used data from 874 older adults with osteoarthritis and/or rheumatoid arthritis who answered the eighth (2019–2021) Korea National Health and Nutrition Examination Survey. We used network analyses of these data to investigate eight indicators of quality of life (pain, climbing stairs, vitality, working, depression, sleep, happiness and memory loss). Participants were divided into two groups depending on the duration of their arthritis (group A: < 10 years, group B: ≥ 10 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>For group A, depression, working and climbing stairs were the most central indicators affecting quality of life. For group B, the most central quality of life indicators were depression, working, happiness, pain and sleep. In group A, the strongest associations were between depression and happiness, pain and climbing stairs and working and climbing stairs. The same strong associations were observed in group B, along with additional strong associations between depression and memory loss, sleep and happiness, pain and working and happiness and vitality. The bootstrap analyses showed that the networks were very stable and the edge weights accurately estimated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that healthcare professionals should routinely screen for depressive symptoms and activities of daily living, especially for older people with 10 or more years of arthritis. Both psychological and physical indicators should be prioritised as key factors in self-management interventions that aim to improve quality of life for older adults with arthritis. Sejong-si, South Korea: Implications for Practice. This study highlights the importance of multidimensionalcare plans to improve the quality of life for older adults with arthritis. Healthcareprofessionals should adopt care strategies that simultaneously address the key psychologicaland physical indicators to effectively enhance overall quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study highlights the importance of multidimensional care plans to improve the ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899368","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":"Interventions Intended to Improve the Well-Being at Work of Nurses Working in Care Settings for Older People—A Systematic Review","authors":"Johanna Wiisak,&nbsp;Arja Suikkala,&nbsp;Helena Leino-Kilpi,&nbsp;Minna Stolt,&nbsp;Riitta Suhonen,&nbsp;Sanna Koskinen","doi":"10.1111/opn.70005","DOIUrl":"10.1111/opn.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses' well-being at work (WAW) is important for overall health care outcomes. Nurses often navigate complex roles, contending with time constraints, ethical challenges and societal undervaluation, underscoring the necessity of addressing their WAW.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The aim of this systematic review was to analyse the interventions that potentially improve nurses' WAW in care settings for older people. The ultimate goal is to provide an understanding of this field and advance the development of WAW interventions. We performed a systematic review which was registered in PROSPERO and conducted according to PRISMA guideline. We conducted a comprehensive literature search across five scientific databases and one platform in February 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 5975 records, we included 21 full-text articles in the review. Interventions were typically complex and focused on (a) nurses' health, (b) nursing care, (c) care facilities and (d) management. Interventions resulted in a range of outcomes on the (a) physical, (b) psychosocial and (c) environmental dimensions of WAW, with most interventions leading to positive outcomes, albeit with instances of negative and neutral results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Interventions focusing on nurses' health or care facilities can be promising to improve WAW of nurses working in care settings for older people. Interventions aimed at improving the WAW have focused on various aspects. Despite the mainly positive outcomes, some interventions can also compromise nurses' WAW.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Strategies and interventions aimed at improving nurses’ WAW are needed in practice as nurses’ WAW is crucial in recruiting to and retaining nurses in care settings for older people. Promoting WAW also contributes to the quality of care for older people and the provision of ethically high-quality health services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The review protocol was registered in the International Prospective Register of Systematic Reviews, PROSPERO (CRD42023399478)</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899392","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":"Capitalising on the Co-Benefits of Age Friendliness and Planet Friendliness","authors":"Sarah H. Kagan","doi":"10.1111/opn.70009","DOIUrl":"10.1111/opn.70009","url":null,"abstract":"&lt;p&gt;Gerontological nurses around the world are increasingly and acutely aware that health and social care must become age friendly. The manifold, cascading effects of structural ageism and lack of gerontological competence in health and social care professions and systems are now widely recognised (Fulmer et al. &lt;span&gt;2020&lt;/span&gt;). Thus, many of us are fighting for age friendly transformation of health and social care systems in countries around the world. Ever more, many gerontological nurses see similar concerns with planet friendliness and the negative impact of the healthcare industry on the health of the planet. Growing numbers of gerontological nurses and others are concerned that the healthcare industry worldwide is a major producer of greenhouse gases and a significant contributor to plastic pollution (Rizan et al. &lt;span&gt;2020&lt;/span&gt;; Rodríguez-Jiménez et al. &lt;span&gt;2023&lt;/span&gt;). Nurses everywhere, along with their colleagues in other disciplines, want to help mitigate the greenhouse gas and plastic pollution that the healthcare industry—in which most of them work and all of them use as patients and care partners—produces. As our recognition of these threats to the planet and its population builds, few of us stop to think about how naturally age friendliness and planet friendliness fit together.&lt;/p&gt;&lt;p&gt;Simply said, what is age friendly is most often planet friendly and vice versa. Pause and consider what we know about healthful ageing and what healthcare must do to support it. Supporting healthful ageing and respecting the person as they grow older both lie at the centre of age friendliness. The core elements of age friendliness are most often described with words beginning with M, forming a mnemonic to enhance recall and application. The M's used most often are knowing the person and what matters to them, promoting mobility and fitness, supporting mentation and brain health, and avoiding overuse and misuse of medications. Careful examination reveals that each of these elements is fundamentally planet friendly. Knowing the person is foundational, helping to avoid misplaced and excessive healthcare, especially that which is carbon intensive including all but the most imperative use of emergency, acute, and critical care. Mobility and fitness easily align with avoiding use of fossil fuel powered transportation while spending more time in nature moving under our own power. Brain health and physical fitness are inextricably linked, highlighting that fit bodies and fit brains rely on consistent physical exercise and lifelong social engagement. Finally, avoiding excessive and misapplied medications limits both greenhouse gas emissions and plastic waste used in producing and packaging drugs while simultaneously reducing risks of potential medication-related complications. Together, each domain of age friendly healthcare benefits our shared planetary environment.&lt;/p&gt;&lt;p&gt;Conversely, planet friendly healthcare easily promotes age friendliness. The acute","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882973","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":"Feedback Survey for an Online Learning Module: Developing and Validating a Scale to Measure Nursing Students' Self-Assessed Knowledge and Perceptions of Older People and Confidence in Working With Them","authors":"Sherry Dahlke,&nbsp;Kathleen F. Hunter,&nbsp;Jeffrey I. Butler,&nbsp;Matthew Pietrosanu","doi":"10.1111/opn.70007","DOIUrl":"https://doi.org/10.1111/opn.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To determine if an online learning module on older people's care improved nursing students' self-assessed knowledge, and perceptions of older people, we developed a brief Feedback Survey. The aim of this study was to examine the internal consistency (a type of reliability) and construct validity of the feedback survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>Secondary analysis of data from the Awakening Canadian's to Ageism and McCalla e-learning intervention studies for postsecondary nursing students. Factor analysis and reliability analysis (via standardised Cronbach's alpha) were performed on the four-question, five-point Likert-type Feedback Survey, which was included in both intervention studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factor analysis yielded one factor interpretable as general satisfaction in students' experience with the module and perceived benefits of having completed it. Standardised Cronbach's alpha for this scale was high at 0.92, which suggests excellent internal consistency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The feedback survey is a convenient and time-efficient measure to examine student nurses' self-assessed improvements in knowledge, perceptions about older people. The survey has potential for adaptation to measure perceived outcomes of other nursing student- focused education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868816","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 Effect of Reminiscence Therapy on the Assessment of Depression, Anxiety and Self-Esteem in Community-Dwelling Older Adults: An Intervention Study","authors":"Renáta Zeleníková,&nbsp;Jiřina Hosáková,&nbsp;Radka Kozáková,&nbsp;Katka Bobčíková,&nbsp;Radka Bužgová","doi":"10.1111/opn.70004","DOIUrl":"10.1111/opn.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Reminiscence therapy (RT) is a widely used approach to promote well-being among older adults and is an effective intervention method for older adults with diverse health conditions, including community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of the study was to determine the impact of group RT on assessments of depression, anxiety and self-esteem in older adults living in the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We implemented sessions of group simple RT. The sample consisted of 24 older adults living in the community who attended a 12-week RT course. The duration of each reminiscence session was 60 min. The average age of the sample was 74.7 years. We used the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Rosenberg self-esteem scale, the Older adults' Quality of Life—Brief version and the Sense of Coherence scale to assess mental health outcomes before and after intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After intervention, we observed statistically significant improvements in assessments of depression (<i>p</i> &lt; 0.001), anxiety (<i>p</i> = 0.011), self-esteem (<i>p</i> = 0.007) and the comprehensibility dimension of the sense of coherence scale (<i>p</i> = 0.039). Depression showed the largest effect size (Cohen's <i>d</i> = 0.870; 95% CI: 0.392 to 1.335), indicating a large effect, followed by self-esteem (Cohen's <i>d</i> = 0.612; 95% CI: −1.044 to −0.170) and anxiety (Cohen's <i>d</i> = 0.543; 95% CI: 0.108 to 0.967), both of which demonstrated a moderate effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found group RT to be effective for several outcomes among older adults. Reminiscence is a good non-invasive treatment for the promotion of mental health in community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>As research has now established RT to be an essential component of activities for older adults in senior care facilities, we should also offer it to those living in the community as an effective activity for the promotion of healthy aging among older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830576","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":"Nothing Feels Better Than Home: Why Must Nursing-Led Integrated Care Interventions for Older People With Chronic Conditions in Hospital-At-Home Be Considered?","authors":"Rachid Akrour,&nbsp;Henk Verloo,&nbsp;Philip Larkin,&nbsp;Patrizia D'Amelio","doi":"10.1111/opn.70002","DOIUrl":"10.1111/opn.70002","url":null,"abstract":"&lt;p&gt;Hospitalisation of older adults with a chronic conditions is associated with higher risk of nosocomial infections, delirium, falls, functional decline and even early mortality (Richardson &lt;span&gt;2006&lt;/span&gt;; Sharek et al. &lt;span&gt;2011&lt;/span&gt;; Shepperd et al. &lt;span&gt;2017&lt;/span&gt;; Sprivulis et al. &lt;span&gt;2006&lt;/span&gt;; Vasilevskis et al. &lt;span&gt;2012&lt;/span&gt;). Hospital-at-Home (HaH) interventions provide acute care treatments of a predetermined duration in the patient's home as an alternative to traditional hospital care. These interventions could shorten a hospital stay by enabling an early discharge or even becoming a complete substitution for hospital care. This would allow for continuity of acute care at home over a proscribed period of time (Gonçalves-Bradley et al. &lt;span&gt;2017&lt;/span&gt;; Shepperd et al. &lt;span&gt;2016&lt;/span&gt;; Shepperd and Iliffe &lt;span&gt;1998&lt;/span&gt;). HaH interventions were developed to minimise, or even avoid, the potential iatrogenic effects of hospitalisation, improve patient and caregiver satisfaction, and reduce healthcare costs (Leong, Lim, and Lai &lt;span&gt;2021&lt;/span&gt;). There is growing evidence from systematic reviews demonstrating the effectiveness of HaH interventions on patient outcomes with lower mortality, reduced readmissions and lengths of stay, lower risk of long-term care admission, lower depression and anxiety reduced costs, and improved patient satisfaction (Arsenault-Lapierre et al. &lt;span&gt;2021&lt;/span&gt;; Caplan et al. &lt;span&gt;2012&lt;/span&gt;; Conley et al. &lt;span&gt;2016&lt;/span&gt;; Leong, Lim, and Lai &lt;span&gt;2021&lt;/span&gt;). Patients with chronic diseases who presented to emergency departments and then received HaH interventions had lower risks of readmission and long-term admission. They also showed lower rates of depression and anxiety than patients who had received inpatient care (Arsenault-Lapierre et al. &lt;span&gt;2021&lt;/span&gt;). Moreover, a meta-analysis and a scoping review showed that patients and caregivers had positive perceptions and experiences with HaH services (Chua et al. &lt;span&gt;2022&lt;/span&gt;; Wang, Stewart, and Lee &lt;span&gt;2024&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Older people with chronic conditions are prone to multiple specialist follow-ups, thereby generating significant care fragmentation (Le Couteur, Flicker, and Hilmer &lt;span&gt;2022&lt;/span&gt;; Sadler et al. &lt;span&gt;2023&lt;/span&gt;). Care fragmentation leads to adverse health outcomes and undermines patient's care experiences (Duan-Porter et al. &lt;span&gt;2020&lt;/span&gt;), and contributes also to risks of medication errors (Daunt, Curtin, and O'Mahony &lt;span&gt;2023&lt;/span&gt;; Squires et al. &lt;span&gt;2020&lt;/span&gt;). Deficiencies in prioritising patient-centred care and in the multidisciplinary continuity of care have, nevertheless, been identified (Wang, Stewart, and Lee &lt;span&gt;2024&lt;/span&gt;). In fact, the complex needs of an older people with multiple chronic conditions cannot be adequately addressed by a single healthcare professional; they require coordination and multidisciplinary collaboration (Araujo de Carvalho et al. &lt;span&gt;2017&lt;/span&gt;","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824840","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}