International Journal of Older People Nursing最新文献

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148085918","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148085919","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148079327","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148080274","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148073126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Different Exercise-Led Strategies on Mental, Nutritional, Physical and Cognitive Health in Community-Dwelling Older Adults: A Quasi-Experimental Study","authors":"Hui-Chuan Liao,&nbsp;Chia-Ni Chou,&nbsp;Wen-Yi Chao","doi":"10.1111/opn.70071","DOIUrl":"10.1111/opn.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Exercise interventions are widely used to promote physical and psychosocial health in community-dwelling older adults; however, the comparative effects of human-guided and artificial intelligence (AI)-based exercise delivery on sleep and cognitive outcomes remain insufficiently understood. This study compared the effects of human-guided versus AI-based exercise programmes on multiple health domains in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 12-week quasi-experimental study was conducted with two groups: a human-guided exercise programme (HGEP) and an AI-based exercise programme (AIEP). Outcomes included depression, sleep quality, well-being, nutritional status, sarcopenia risk and cognitive function, assessed using validated instruments. Generalised estimating equation models were applied to examine time effects and group-by-time interactions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant main effects of time were observed for depression, well-being, sarcopenia risk, sleep quality and cognitive function, indicating overall post-intervention improvement. Notably, significant group-by-time interactions favoured the AIEP for sleep quality and cognitive function. Improvements in sleep quality should be interpreted cautiously due to a floor effect in the human-guided group, whereas the cognitive benefit observed in the AI-based group may reflect additional attentional and executive demands associated with real-time feedback and performance monitoring.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both exercise delivery strategies yielded beneficial effects across multiple health domains. AIEPs may provide added advantages for sleep and cognitive outcomes, highlighting their potential role as a complementary approach in community-based exercise interventions for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>These findings support integrating AI-assisted exercise into community and nursing practice as a scalable, accessible alternative to instructor-led programs, enhancing reach and providing flexible, personalized support for older adults’ health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reframing Negative Understandings of Ageing Populations: Updating Our Nursing Perspective","authors":"Sarah H. Kagan","doi":"10.1111/opn.70072","DOIUrl":"10.1111/opn.70072","url":null,"abstract":"&lt;p&gt;Frail, vulnerable, a burden. This sequence of thoughts feels omnipresent as we consider older people and ageing populations. Many nurse researchers and their colleagues leverage frailty, vulnerability and interpersonal or societal burden in some combination to outline problem statements, frame studies and anchor programmes of research. Certainly, some use approaches like strength-based nursing that rebalance such negativistic language. But we are, in general, far more likely to see gerontological nursing research predicated on the problematic.&lt;/p&gt;&lt;p&gt;Emphasising the negative and anticipating decline as the inevitable consequence of growing older is a proverbial slippery slope. When we gerontological nurses view growing older and ageing demography in the negative terms of loss and decline, we invest in a nihilistic perspective. That nihilism involves believing that older people and aged communities pose the eventual prospect of societal downfall. Diverse age demographics are, like all societal diversity, invaluable to individuals and communities alike. Thus, viewing ageing and older people foremost as problems needing to be managed by younger people is unrealistic, auguring deleterious consequences for people of all ages.&lt;/p&gt;&lt;p&gt;Suggesting that older people are, as individuals and groups, needy and burdensome conflicts with our current global reality. A variety of indicators reflect that our older fellows contribute to our communities and societies in important and essential ways. Older people are involved in both paid and unpaid work in large numbers. Critically, older people often need to work for themselves and their families to subsist, a reality reflected in the high numbers of people aged 65 and older who work for pay in low- and middle-income societies (World Health Organization &lt;span&gt;2026&lt;/span&gt;). Older women frequently spend a sizeable portion of their days engaged in unpaid labour, most often caring for others (UN Women &lt;span&gt;2023&lt;/span&gt;). For example, huge numbers of older people now care for their own grandchildren is many societies around the world. The work of older people is broadly essential to intergenerational family well-being.&lt;/p&gt;&lt;p&gt;The paid and unpaid work undertaken by older members of our societies offers vital support to families, helps secure younger people's employment and provides the older people themselves with key benefits like financial independence, social engagement and well-being. These benefits point out the strengths and advantages exhibited by older people. By contrast, a closer look at the ideas of frailty, vulnerability and burdensomeness reveals the full extent of our biases. When we believe these concepts define older people, instead of seeing the extent to which older individuals may experience one or more of them at different times in their lives, we miss the strengths and advantages that older people simultaneously possess at the same time that they are frail or vulnerable.&lt;/p&gt;&lt;p&gt;Understanding frailty a","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older Spouses' Decision-Making on Intubation for Older Patients: A Qualitative Study","authors":"Janyagarn Jiwnoy,&nbsp;Watchara Tabootwong,&nbsp;Waree Kangchai","doi":"10.1111/opn.70073","DOIUrl":"10.1111/opn.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>When older patients are intubated, their older spouses often play an important role in making difficult decisions to assist them. Therefore, this study was conducted to understand how older spouses experienced making decisions on intubation for older patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive qualitative design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifteen participants were recruited using purposive sampling. Face-to-face semi-structured interviews were employed to interview participants. Data were analysed using the content analysis method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Four themes identified were as follows: (1) Reasons for making decisions—believing in doctors' recommendation, enhancing the survival of older patients without suffering and performing intubation because of their love for, and attachment to, their spouse; (2) Consequences of decision-making—worry about the survival of older patients and effects of prolonged intubation, fear of signs of deterioration and complication, but happiness to see spouses' survival; (3) Requiring assistance—they required assistance from physicians, nurses and family members in decision-making for spouses with regards to intubation; and (4) Selected treatment—they selected treatments for older patients with utmost treatment, symptomatic treatment and avoidance of suffering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Spouses of older patients were often eager to help choose treatments, including intubation, for them. However, they faced both positive and negative consequences in decision-making, which highlighted their need for assistance from healthcare professionals. These challenges resulted from a lack of knowledge and experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>To address these challenges, basic information can be utilised to create a decision-making program that supports spouses of older patients in their choices in managing intubation for them.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Effectiveness of Training in Improving Nurses' Level of Knowledge and Attitudes Towards Dementia Care in Acute Care Settings: A Mixed-Method Study","authors":"Melina Evripidou,&nbsp;Evridiki Papastavrou,&nbsp;Andreas Charalambous,&nbsp;Savvas Zannetos,&nbsp;Anastasios Merkouris","doi":"10.1111/opn.70067","DOIUrl":"10.1111/opn.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The rapid epidemiological growth of dementia predisposes the urgent need to prepare nurses for a massive wave of hospitalised patients with dementia. The study aimed to evaluate the effectiveness of a modified nursing training programme by analysing nurses' acquired knowledge and attitudes towards dementia care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-method study consisting of three stages. The first stage is a descriptive study to assess the level of knowledge and attitudes of medical and surgical nurses regarding the care of patients diagnosed with dementia (<i>N</i> = 416, RR = 88.5%). A convenience sampling method is applied, and the assessment is based on two questionnaires. In the second stage, we carry out an observational study of the care of 13 hospitalised patients with dementia. Over the course of 91 h, we observe care behaviours, identify nursing omissions and monitor the overall mood of dementia patients whilst in care. Based on the findings of the above two stages, we modify and deliver a training programme to two groups of nurses (intervention and control group <i>n</i> = 68) with one pre (T1) and two post-measurements (immediately after the programme termination: T2, three months post: T3). The study lasted 2 years, from 2018 to 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results of the descriptive stage detect predominantly low levels of knowledge (M = 12.8/21) and non-positive attitudes (99.06/140), while the observation reveal inappropriate caring behaviours. Regarding the training, the first measurements indicate a low level of knowledge (M = 11.64) and non-positive attitudes (M = 105.97). During T2, the results show an increase for both variables (knowledge M = 15.38, attitudes M = 110.72). The intervention group indicates higher scores at T3 (knowledge M = 16.25, attitudes M = 110.47) than the control group (knowledge M = 13.39, attitudes M = 103.03).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses' low levels of knowledge and non-favourable attitudes greatly influence inappropriate care behaviours and nursing omissions. The modified training programme proves that those issues can be mitigated, enhancing the nursing practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Staff Perspectives on the Feasibility of Integrating the Environmental Components of a Novel Intervention for Hydration in Long-Term Care","authors":"Sophia Werden Abrams,&nbsp;Safura Syed,&nbsp;Ashwini Namasivayam-MacDonald,&nbsp;Raksha Aravind,&nbsp;Kristina Devlin,&nbsp;Wen Liu,&nbsp;Christina Lengyel,&nbsp;Phyllis Gaspar,&nbsp;Janet Mentes,&nbsp;Susan E. Slaughter,&nbsp;Minn N. Yoon,&nbsp;Heather Keller","doi":"10.1111/opn.70070","DOIUrl":"10.1111/opn.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Long-term care (LTC) residents are prone to dehydration, which has many serious effects on health. A multicomponent intervention is required to mitigate dehydration in LTC; however, previous research has not explored the experiences of staff who deliver interventions. The purpose of this study was to explore staff perspectives on the feasibility of implementing the environmental components of a novel multicomponent hydration intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The intervention was enacted over 4 weeks on an urban LTC unit in Ontario, Canada. The components were large drinking glasses (300 mL) and a purpose-built beverage trolley. Observations of workflow by research assistants were conducted throughout the intervention. Personal support staff participated in post-intervention semi-structured interviews, framed using the Behaviour Change Wheel, to determine the perceived factors influencing implementation. Reflexive thematic analysis was used to generate qualitative themes from interview transcripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight staff members participated in post-intervention interviews. Ages ranged from 20 to 49 years, with 1–25 years of experience in LTC. While some minor improvements were suggested, staff were accepting of the environmental strategies and integrated them into the workflow consistently. Four major themes were generated via qualitative analysis and categorised using the Behaviour Change Wheel: (1) optimising efficiency (physical opportunity, reflective motivation), (2) adapting to change (reflective motivation and social opportunity), (3) knowing the resident (reflective motivation, psychological capability) and (4) supporting hydration (physical opportunity, psychological capability, reflective motivation).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The results of this study indicate that LTC staff perceive the environmental components of a novel hydration intervention to be feasible and useful in supporting resident hydration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12972859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}