International Journal of Older People Nursing最新文献

{"title":"Best Evidence Summary for Management of Older People With Type 2 Diabetes Mellitus Using ‘Internet Plus Nursing Services’","authors":"Litian Hu, Hua Chen, Wanying Mo, Yuebing Han, Hongyu Sun","doi":"10.1111/opn.12657","DOIUrl":"10.1111/opn.12657","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate and summarise the evidence for the management of older people with Type 2 diabetes mellitus (T2DM) using ‘Internet Plus nursing services (IPNS)’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study was conducted as an evidence summary, adhering strictly to the evidence summary reporting standards established by Fudan University Center for Evidence-based Nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We systematically searched for the best available evidence pertaining to the management of older people with T2DM using the IPNS. The literature types encompassed clinical guidelines, expert consensuses, systematic reviews, evidence summaries and original research studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>In order to gather pertinent information, we conducted a comprehensive search across various databases, including UpToDate, BMJ Best Practice, Joanna Briggs Institute, Guidelines International Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, Scottish Intercollegiate Guidelines Network, the Cochrane Library, PubMed, Web of Science, Yi Maitong Guidelines Network, SinoMed, CNKI, WanFang database, Chinese Biomedical Literature Database and China Science and Technology Journal Database. The search spanned from the inception of each database up to July 2023, ensuring an extensive coverage of relevant resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>After rigorous screening and evaluation, our study ultimately identified 19 articles with high-quality research outcomes. These articles consisted of three guidelines, two expert consensus documents, three systematic reviews and eleven original research studies. Through collaborative and in-depth discussions, we extracted and synthesised 27 pieces of evidence related to the application of the IPNS to enhance the T2DM management for older people. We categorised the evidence into five primary themes: mobile terminal design, team building, health education design, interaction and social support, and information feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In designing the IPNS for older people with T2DM, utmost attention should be paid to the intricacies of Internet module development preceded by comprehensive guidance. It is imperative to establish multidisciplinary teams to oversee the curation of patient educational content, ensuring its relevance and effectiveness. Leveraging Internet-based","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478200","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":"Far More Than Burnout and Burden: Gerontological Nurses and Care Partners","authors":"Sarah H. Kagan","doi":"10.1111/opn.12661","DOIUrl":"https://doi.org/10.1111/opn.12661","url":null,"abstract":"<p>Nurse burnout. Caregiver burden. The corrosive experiences of burnout and burden are everywhere today, threatening to blot out the very purposes of nursing and caregiving. Nurses and care partners support us all at various points in our lives and especially so in later life.</p><p>The terms burnout and burden have become shorthand characterisations of the contemporary state of our roles. Nurses are burned out; caregivers are overburdened. The words are draining, connoting a sense of hollow actions and brittle responses lacking both purpose and relationship. Yet, the work that nurses and care partners do separately and together is vital to any society.</p><p>Defining vital social roles like those held by nurses and care partners in the negative is detrimental. Our roles—many of us are both nurses in our professional lives and care partners in our personal lives—are fundamentally relational and reciprocal. Relationships within these roles and the rewards we find within them sustain nurses and care partners alike. Relationships central to the scope of these roles anchor our responsibilities with a sense of meaning and feelings of fulfilment. Examination of problems and dissatisfaction without consideration of other elements entailed in these roles quickly erodes the understanding of purposes, key features and benefits. We all know that feeling dissatisfied in any role rapidly dissolves into feelings of being trapped or wanting to simply leave. Departure from nursing and caregiving roles, where possible, may offer some relief to that person but can provide no substantive means to redress the causes. Gestures offered by institutions that espouse self-care and resilience skirt the underlying causes of burnout and burden, risking a sense of tokenism among their nursing workforces as well as care partners who receive healthcare there. Thus, these reactions are not solutions and instead further damage both the identities and purposiveness of nursing and caregiving.</p><p>In every context, the language we use represents our beliefs and perceptions. For example, the term caregiving and its companion label of caregiver specifically underscore a naïve impression that roles like ours are about giving to others without reward. The use of these words misrepresents relationships where one person needs specific care from another and reciprocates to them in other ways. Indeed, the word caregiver sufficiently frustrates people in that role that there is now a movement to replace the word caregiver with the more accurate and inclusive phrase care partner. While care partners are working towards a better understanding of their role, I am concerned that we in nursing are not doing the same.</p><p>With abundant references to burnout and burden, those looking on from outside our world of gerontological nursing or at nursing more broadly might be forgiven for thinking that our role is ultimately thankless. Around the world, nurses are researching burnout and, when we c","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12661","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447699","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":"Preparing Graduate Registered Nurses for Independence in Aged Care","authors":"Diane Piper,&nbsp;Sandra E. Carr,&nbsp;Elisabeth Ruth Jacob","doi":"10.1111/opn.12660","DOIUrl":"https://doi.org/10.1111/opn.12660","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Graduate registered nurses (RNs) start their careers working in a variety of clinical areas including aged care. However, they may not be fully prepared to work in aged care settings that often require them to work independently as the only RN on the premises. A list of essential clinical skills is crucial for supporting the development and effective transition of graduate nurses into aged care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To identify and rank a list of essential clinical skills for graduate RNs working in aged care settings on commencement of practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An explanatory sequential mixed-methods design was applied and included a modified Delphi Study and semi-structured interviews. Five expert aged care RNs engaged in the three iterative Delphi rounds and five graduate aged care RNs were interviewed to confirm the clinical skills and ranking from their perspective. Quantitative data were presented through descriptive statistics. Qualitative data were analysed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-six essential clinical skills for graduate RNs working in aged care settings were identified and ranked by the experienced aged care RNs. Graduate RNs supported this list of essential clinical skills on commencement and identified palliative care as an additional skill required by graduate RNs working in aged care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The derived essential skills offer aged care a guided approach to ensure that graduate RNs are work-ready, safe practitioners and supported to work independently.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The study recommends the essential clinical skills for graduate nurses transitioning in their role as RNs in aged care that will support safe, quality clinical care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142443399","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 Medical Outcomes Study Social Support Survey in Brazilian Older People Psychometric Evaluation of MOS-SSS","authors":"Tábatta Renata Pereira de Brito,&nbsp;Lilian Miranda Belineli,&nbsp;Greiciane da Silva Rocha,&nbsp;Ligiana Pires Corona,&nbsp;Carolina Neves Freiria,&nbsp;Celi Macedo Polo,&nbsp;Rogério Donizeti Reis,&nbsp;Daniela Braga Lima,&nbsp;Daniella Pires Nunes,&nbsp;Wanderson Roberto da Silva","doi":"10.1111/opn.12654","DOIUrl":"https://doi.org/10.1111/opn.12654","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate the psychometric properties of different factorial models of the <i>Medical Outcomes Study Social Support Survey</i> (MOS-SSS) and screen the frequency of social support in older Brazilians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Methodological study. Five factorial models of the MOS-SSS were tested for their validity and reliability using three Brazilian samples from different locations in the country. The factorial invariance was assessed across locations using multigroup analysis. The global average score was calculated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1574 older people participated in the study. For all models, there was adequate factorial and convergent validity and good reliability; the discriminant validity was not achieved. Therefore, a second-order hierarchical model was proposed and showed validity, reliability and invariance across samples. In the three Brazilian samples, participants presented high frequency of social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A second-order hierarchical model was fitted the Brazilian samples, allowing the calculation of the global score of social support, which was high among the participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The MOS-SSS assesses social support levels among older individuals in community or clinical settings. Nurses can tailor interventions based on scale outcomes for personalised care for older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439053","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":"Perception of Utility and Efficacy of Implementation of TEC-MED Model of Care for Frail Older People and Their Caregivers: A Qualitative Study","authors":"Marzia Lommi,&nbsp;Fabio D'Agostino,&nbsp;Giuseppe Esposito,&nbsp;Romina Belsito,&nbsp;Fausto Ciccacci,&nbsp;Maria Concetta Pellicciari,&nbsp;Ana Maria Porcel-Gálvez,&nbsp;Marta Lima-Serrano,&nbsp;Noemi Giannetta,&nbsp;Dhurata Ivziku","doi":"10.1111/opn.12658","DOIUrl":"https://doi.org/10.1111/opn.12658","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The global population is ageing, and healthcare systems continue to adopt outdated social models of ageing that do not respond to older people's needs. The aim of this study was to explore the experiences of participants in the implementation of the Transcultural social-ethical-care (TEC-MED) model for integrated community care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A qualitative descriptive research study was conducted. Qualitative data were collected through individual interviews and focus groups with purposive sampling.&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;We gathered experiences from five older people, five informal caregivers, two training agents (nurses), six healthcare professionals and eight stakeholders (senior management of businesses, public administrators, researchers and educators). Four themes were extracted: TEC-MED as a new model of home care, TEC-MED model outcome, key role of training agent and platform and resources. Overall, all the participants were satisfied with the model and various positive outcomes were found. The TEC-MED model of care was inclusive and personalised and bridged the communication and integration gaps between different services for the care of dependent older people and their caregivers in the community. Recommendations were made for improvements to the model.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;New models of care that are inclusive, personalised and integrated are necessary to respond to the multiple needs of the older people. A model that integrates the multiple skills of healthcare professionals is an optimum solution in the care of the older people and their caregivers in Mediterranean countries. Similar research is imperative for other healthcare systems to help them prepare adequately to respond effectively to the needs of present and new generations of older people.&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;The TEC-MED model presents a promising approach to addressing the complex care needs of older people and their caregivers by fostering inclusivity, personalisation and integration across services. For nursing practice, this model emphasizes the importance of multidisciplinary collaboration and the role of nurses in facilitating the adoption of new care strategies. Implementing such models in everyday practice could improve the quality of care provided to older adults, enhancing communication between healthcare providers and ensuring that care is more aligned with the individual needs of patients. Furthermore,","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435528","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":"Examining the Safety of Dorsogluteal and Ventrogluteal Sites for Intramuscular Injection in Older Adults","authors":"Nurdan Yalcin Atar,&nbsp;Melis Deniz Altan,&nbsp;Erhan Kaymaz","doi":"10.1111/opn.12655","DOIUrl":"10.1111/opn.12655","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;Muscle, subcutaneous tissue and total tissue thicknesses are important factors in successful intramuscular injection. Muscle mass decreases and subcutaneous tissue increases with age. This may negatively affect the safety and effectiveness of intramuscular injection in older adults by increasing the risk of bone contact and subcutaneous drug administration. Intramuscular injection sites should be evaluated in this respect, but no previous study has evaluated the most appropriate sites for safe and effective intramuscular injection in older adults.&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 examine the safety of dorsogluteal and ventrogluteal injection sites in older adults.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This cross-sectional study included 171 older adults who presented to the radiology clinic of a hospital between November 2022 and February 2023. We collected the study data using a descriptive characteristics form and an ultrasonographic measurement form. To complete the descriptive characteristics form, we interviewed the participants and measured their waist circumference, hip circumference, weight and height. Muscle, subcutaneous tissue and total tissue thicknesses at the ventrogluteal and dorsogluteal sites were determined by ultrasonography. This study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline.&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;At the ventrogluteal and dorsogluteal sites, respectively, total tissue thicknesses were 59.43 ± 11.21 and 48.78 ± 9.68 mm, subcutaneous tissue thicknesses were 20.07 ± 6.64 and 22.97 ± 7.40 mm and muscle thicknesses were 40.13 ± 5.59 and 25.61 ± 4.30 mm. Tissue thicknesses at both sites differed according to sex, weight, hip circumference and waist circumference (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). Although both sites were acceptable according to the tissue thickness thresholds for intramuscular injection given in the literature (subcutaneous tissue &lt; 25 mm, total tissue &gt; 35 mm), the ventrogluteal site was more advantageous in terms of greater muscle thickness and lower subcutaneous tissue thickness.&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 of this study indicated that both the ventrogluteal and dorsogluteal sites are safe for intramuscular injections in older adults in terms of tissue thickness. However, the ventrogluteal site may be safer for older adult","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12655","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394372","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":"Improving Nursing Oral Care Practice for Community-Dwelling Care-Dependent Older People","authors":"Keiko Oda,&nbsp;Nazahiah N. Bakri,&nbsp;Sarah Majeed,&nbsp;Shennae Bartlett,&nbsp;Murray W. Thomson,&nbsp;John Parsons,&nbsp;Michal Boyd,&nbsp;Anna C. Ferguson,&nbsp;Moira Smith","doi":"10.1111/opn.12656","DOIUrl":"10.1111/opn.12656","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Oral care is one of the most neglected nursing practices owing to a lack of training, standard nursing oral care guidelines and low confidence and skills. There is little evidence to inform the development of oral care training and guidelines, which ideally should be done in collaboration with oral health professionals. Further, there is a lack of research, particularly in New Zealand, with nursing staff caring for care-dependent older people, including those ageing in their own homes. This pilot study aimed to determine the impact of oral care training on nursing staff knowledge, attitudes and confidence in supporting community-dwelling older peoples' oral care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Mixed methods design comprising delivery of an oral healthcare and assessment training intervention by a team comprising nursing and oral health professionals, pre- and post-intervention questionnaires (<i>N</i> = 14) and a post-intervention focus group with community-based nursing staff (<i>N</i> = 5).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Staff knowledge significantly improved (<i>p</i> = 0.046) following interprofessional collaborative training, but attitude and confidence scores did not (<i>p</i> = 0.127), although focus group responses suggested that participants' confidence was heightened. Participants expressed the need to implement oral care practices to benefit clients' health, clarify roles and identify oral care as a core competency. They sought to make individual- and organisational-level practice changes accordingly.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Oral care training based on interprofessional collaboration and education enhances nursing staff knowledge but not their confidence in oral care provision. Ongoing, hands-on practical training for nursing staff in collaboration with oral health professionals has the potential to advance nursing oral-care practice and improve care-dependent older peoples' oral care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Practice</h3>\u0000 \u0000 <p>Oral care training and education with oral health professionals is effective to enhance nursing staff knowledge and awareness in oral health care. However, transforming knowledge into nursing oral care practice requires hands on practical training and ongoing collaboration with oral health professionals to improve care-dependent older people's oral health care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356415","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":"Impact and Needs in Caregiving for Individuals With Dementia and Comorbid Posttraumatic Stress Disorder Living in Nursing Homes","authors":"Demi C. D. Havermans,&nbsp;Monica Cations,&nbsp;Jelte S. Woudsma,&nbsp;Isabelle Janssen,&nbsp;Janine Collet,&nbsp;Debby L. Gerritsen,&nbsp;Chris M. Hoeboer,&nbsp;Miranda Olff,&nbsp;Sjacko Sobczak","doi":"10.1111/opn.12653","DOIUrl":"10.1111/opn.12653","url":null,"abstract":"&lt;p&gt;Exposure to potential traumatic events (PTE) can result in long-lasting psychological disorders, such as posttraumatic stress disorder (PTSD). Most knowledge about PTSD is based on research on adults in specific survivor groups, including veterans and women who were in abusive relationships. In later life, cognitive and functional decline can make it harder to cope with PTE, resulting in delayed-onset PTSD symptoms.&lt;/p&gt;&lt;p&gt;There is limited information about the prevalence of PTSD in individuals with dementia, but recent research suggests it to be between 4.7% and 7.8% (Sobczak et al. &lt;span&gt;2021&lt;/span&gt;). It is difficult to diagnose PTSD in this population due to a lack of appropriate tools (Havermans et al. &lt;span&gt;2023&lt;/span&gt;). As the global dementia population triples by 2050, there is a critical need to improve the identification and treatment of PTSD in individuals with dementia.&lt;/p&gt;&lt;p&gt;The clinical manifestation of PTSD in individuals with dementia may differ from those without dementia (van Dongen et al. &lt;span&gt;2022&lt;/span&gt;). PTSD symptoms can be difficult to distinguish from neuropsychiatric symptoms. For example, it is possible that ‘screaming’ is a fear response to a flashback that the individual is experiencing and, thus, a potential PTSD symptom. Another example is ‘resistance against caregivers’ due to a history of violence or sexual abuse, and ‘wandering’ as a form of avoidance behaviour. Earlier research showed that the DSM-5 PTSD symptoms of re-experiencing, anxiety and sleep disturbances are commonly reported in individuals with dementia, while avoidance behaviour was less commonly seen (Amano and Toichi &lt;span&gt;2014&lt;/span&gt;; Martinez-Clavera et al. &lt;span&gt;2017&lt;/span&gt;). This difference in clinical manifestation could lead to misinterpretation and misdiagnosis, potentially resulting in ineffective treatment.&lt;/p&gt;&lt;p&gt;Let us remember that nursing staff are facing challenges with individuals who suffer from PTE-related neuropsychiatric symptoms. It is time to improve trauma-sensitive care for these individuals. This can be achieved by: recognising possible PTSD, improving treatment and personalising an approach. The ultimate goal is to improve quality of life for people who have PTE-related symptoms in dementia. This approach will definitely promote staff and patient safety.&lt;/p&gt;&lt;p&gt;&lt;b&gt;Demi C.D. Havermans:&lt;/b&gt; conceptualization, methodology, writing – original draft preparation. &lt;b&gt;Monica Cations:&lt;/b&gt; writing – original draft preparation, writing – reviewing and editing. &lt;b&gt;Jelte S. Woudsma:&lt;/b&gt; writing – original draft preparation, writing – reviewing and editing. &lt;b&gt;Isabelle Janssen:&lt;/b&gt; writing – reviewing and editing. &lt;b&gt;Janine Collet:&lt;/b&gt; writing – reviewing and editing. &lt;b&gt;Debby L. Gerritsen:&lt;/b&gt; writing – reviewing and editing. &lt;b&gt;Chris M. Hoeboer:&lt;/b&gt; methodology, supervision, writing – reviewing and editing. &lt;b&gt;Miranda Olff:&lt;/b&gt; methodology, supervision, writing – reviewing and editing. &lt;b&gt;Sjacko Sobczak:&lt;/b&gt; methodology, supervision, wr","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12653","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356414","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 Hospitalisation for People Living With Dementia: A Qualitative Exploration of How Context Shapes Experiences","authors":"Elaine Moody,&nbsp;Gianisa Adisaputri,&nbsp;Heather McDougall,&nbsp;Lori E. Weeks,&nbsp;Anne Belliveau,&nbsp;Patricia Bilski,&nbsp;Kata Koller","doi":"10.1111/opn.12651","DOIUrl":"10.1111/opn.12651","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Dementia has become an increasingly pressing issue in healthcare systems, and acute care settings such as hospitals have been shown to be particularly problematic for people living with dementia. People living with dementia are hospitalised at higher rates than those without and often have poor experiences and outcomes of hospitalisation. To support the evolution of hospital systems to better meet the needs of people living with dementia, it is important to consider the relationship between the context of the hospital and the experiences of people living with dementia and their caregivers. The term context refers to the environment and conditions that shape experiences and includes elements such as policies, procedures, design and social norms. A greater understanding of the relationship between the hospital context and the experiences of people living with dementia will support the future development of interventions to modify contextual elements to improve the experiences of people living with dementia. Our aim was to explore the relationship between the experiences of people living with dementia and their caregivers in hospital, and the contextual elements of the hospital.&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;In this interpretive descriptive study, we conducted interviews with people living with dementia and caregivers of people living with dementia about their experiences in hospital. Interviews were conducted with people living with dementia (&lt;i&gt;n&lt;/i&gt; = 3), caregivers of people living with dementia (&lt;i&gt;n&lt;/i&gt; = 8) and one dyad of a person living with dementia and their caregiver (&lt;i&gt;n&lt;/i&gt; = 1) about the hospitalisation of the person living with dementia. Using inductive and deductive methods of analysis, we describe contextual factors that shape their experiences.&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;Our findings demonstrate how the hospital context shaped the experiences of people living with dementia and their caregivers while the person living with dementia was hospitalised. The themes reflect elements of the hospital context: communication systems, the value of caregivers, the focus on acute physical needs, staff capacity, the physical environment and normalised practices. The findings suggest that there are aspects of the hospital context that can be modified to influence the experiences of people living with dementia and their caregivers.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study demonstrates how the context of hospital shapes the experiences of people living wi","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 6","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12651","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356416","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":"Effects of Tactile Massage in Improving Older Residents' Psychological Health in Long-Term Care Facilities: A Randomised Controlled Trial","authors":"Pi-Hua Huang,&nbsp;Wan-Pin Chien,&nbsp;Ya-Chun Lin,&nbsp;Min-Huey Chung,&nbsp;Pi-Chu Lin,&nbsp;Yueh-Kuei Lin,&nbsp;Yeu-Hui Chuang","doi":"10.1111/opn.12652","DOIUrl":"10.1111/opn.12652","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;Loneliness, anxiety and depressive symptoms are common among older residents in long-term care facilities (LTCFs), which can negatively impact their quality of life and increase mortality rates. Addressing these psychological health issues is an important task for nursing staff. There is a need for easy and accessible interventions to improve older residents' negative emotions. Tactile massage (TM) is a form of touch therapy that induces oxytocin, which can help individuals feel relaxed, experience pleasure and reduce anxiety. TM can also provide a sense of security and care for individuals.&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 study aimed to evaluate the effects of TM in improving older residents' psychological health in LTCFs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In this study, we applied a two-arm randomised controlled trial research design.&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 used convenience sampling to enrol 55 older residents in three long-term care facilities who were randomly assigned to an intervention group and a comparison group. The intervention group received TM by research assistants on both hands for 15 min per time, twice a week for 4 weeks and the comparison group received regular care. Data were collected before and after the intervention. Generalised estimating equations (GEEs) were used to evaluate the effectiveness of the intervention.&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;There were no significant differences in loneliness, anxiety, depressive symptoms, happiness, ear temperature, heart rate or diastolic blood pressure between the two groups after the intervention. However, the intervention group had significant improvements in comfort (&lt;i&gt;B =&lt;/i&gt; 0.86, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), relaxation (&lt;i&gt;B&lt;/i&gt; = 1.00, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), respiratory rate (&lt;i&gt;B&lt;/i&gt; = −0.16, &lt;i&gt;p&lt;/i&gt; = 0.021) and systolic blood pressure (&lt;i&gt;B =&lt;/i&gt; − 4.17, &lt;i&gt;p&lt;/i&gt; = 0.002) compared to the control group.&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;TM can help older residents who live in LTCFs feel relaxed and comfortable.&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;TM can be easily implemented as it requires no tools. We recommend that nursing staff and healthcare professionals incorporate TM as part of their care routines. They also can encourage family members to perform TM on residents dur","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308842","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}