International Journal of Older People Nursing最新文献

{"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}

{"title":"The Association Between Home-Visit Nursing Use and the Incidence of Potentially Avoidable Hospitalisation and Its Duration Among Community-Dwelling Older People: A 12-Month Prospective Cohort Study","authors":"Asa Inagaki-Asano,&nbsp;Chie Fukui,&nbsp;Ayumi Igarashi,&nbsp;Mariko Sakka,&nbsp;Sameh Eltaybani,&nbsp;Maiko Noguchi-Watanabe,&nbsp;Yoshinori Takeuchi,&nbsp;Noriko Yamamoto-Mitani","doi":"10.1111/opn.70068","DOIUrl":"10.1111/opn.70068","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;Preventing potentially avoidable hospitalisation (PAH) and reducing its duration are crucial to allow community-dwelling older people to age at home. In Japan, homecare services, which include a variety of services such as home help, home-based rehabilitation and home-visit nursing, are covered by medical and long-term care insurance and coordinated by care managers. Although home-visit nursing is essential in homecare, studies investigating the association between the use of home-visit nursing and the incidence and duration of PAH remain limited.&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;To examine the association between home-visit nursing use and the incidence and duration of PAH among community-dwelling older people.&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;This was a 12-month prospective cohort study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Study Settings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;47 home-visit nursing agencies and 73 care management offices across Japan.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Older people (≥ 75 years) receiving homecare services.&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;Using online questionnaires, home-visit nurses and care managers reported older people's demographics, health status and PAH events over 12 months, as well as the state of using home-visit nursing (users or non-users). The incidence of PAH was dichotomised as either ‘none’ or ‘one and more’, due to heavy skewing. To examine PAH days, the rate of observed days was used due to the variability in the total observation period. Poisson regression and multivariate linear regression analyses were applied.&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;Of the 1450 participants initially recruited, 781 with complete dataset were included in the PAH incidence analysis. Of these, 81.0% were home-visit nursing users. Mean participant age was 85.3 years (standard deviation: 6.1; range: 75–103), and 58.8% were female. The incidence rate ratio (IRR) of PAH was lower among home-visit nursing users compared with non-users (IRR, 0.63; 95% confidence interval [CI]: 0.41–0.95). Among 110 participants with PAH, there was no statistically significant difference in the rate of PAH days between home-visit nursing users and non-users (&lt;i&gt;β&lt;/i&gt; = −","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379055","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":"How Do Older People Experience Hospital to Home Discharge? An Overview of Qualitative Reviews","authors":"Úna Kerin,&nbsp;Judith Dyson,&nbsp;Fiona Cowdell","doi":"10.1111/opn.70061","DOIUrl":"10.1111/opn.70061","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;Prolonged hospital stays can increase the risk of hospital-acquired adverse events among older people, and this can give rise to increasingly complex care needs following discharge from hospital. The unique experiences of older people are important to inform effective healthcare service design. This review aims to better understand our current knowledge regarding the experiences of older people during hospital to home discharge through examining (i) the characteristics of older people included in research regarding hospital to home discharge and (ii) older people's experiences of hospital to home discharge.&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;An overview of qualitative reviews methodology was applied. CINAHL, MEDLINE, PsycINFO and the Cochrane Library databases were systematically searched from inception to October 2024, using a combination of keywords and database specific terms and reporting followed PRISMA 2020 guidance. To estimate the extent of overlap among primary studies included in the reviews, the formula for calculated covered area (CCA) was applied. Data were extracted and analysed according to the aims of this review, and results were thematically synthesised.&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;Six qualitative reviews reporting on 98 international primary research studies were included. Analysis revealed mixed and somewhat limited reporting of older person characteristics including age, gender, ethnicity, health conditions and reasons for hospital admission. All studies offered some insight into older persons' experiences of hospital discharge; half included the views of lay carers and healthcare practitioners. Five core themes were derived from inductive analysis: (i) wanting to be at home, (ii) working together and communication, (iii) the system versus the person, (iv) failing to meet needs and (v) role of family carers. The overarching finding was older people want to be at home but feel uninvolved in planning and therefore poorly prepared for discharge.&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 review exposes limited research addressing the older persons' gender, ethnicity, existing health conditions and reason for admission suggesting gaps in our understandings of the older person and their unique home context in existing research. More detailed reporting of older persons' individual characteristics and greater attention to direct reports from older persons would enrich our understanding of older persons' unique hospital to home discharge experience in dif","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221601","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":"Development and Validation of a Resilience Scale for Nursing Home Staff","authors":"Sung Ok Chang,&nbsp;Eun Young Kim","doi":"10.1111/opn.70069","DOIUrl":"10.1111/opn.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nursing home staff experience sustained emotional and physical stress. Existing resilience scales, developed for the general population or hospital-based, do not capture the specific demands of nursing home care, including chronic staffing shortages, emotional labour and end-of-life care complexities. This study developed and validated a resilience scale tailored to nursing home staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following DeVellis's scale development guidelines, 26 preliminary items were generated and refined to 21 through expert content validation. Data were collected from 302 nursing home staff (registered nurses, nurse assistants and care workers) employed at 25 nursing homes in Seoul, South Korea, between 1 July and 31 August, 2023. The validity and reliability were examined using exploratory and confirmatory factor analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final scale comprised 17 items across four factors: Emotional Self-Regulation and Self-Efficacy; Meaning and Personal Growth through Caregiving; Support-Seeking and Meaning-Based Coping; and Professional Growth Orientation. The model demonstrated good fit (CMIN/DF = 1.76, CFI = 0.95, RMSEA = 0.07; SRMR = 0.08), strong internal consistency (<i>α</i> = 0.88) and significant correlation with CD-RISC (<i>r</i> = 0.68, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This validated context-specific scale reflects the unique resilience of nursing home practices and offers a tool for assessing and strengthening psychological resources among staff in nursing home settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183116","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":"What Is Essential for Older People With Multi-Morbidity During Discharge Planning? A Qualitative Study","authors":"Sara Shamim,&nbsp;Mette Geil Kollerup,&nbsp;Gitte Bunkenborg,&nbsp;Connie Berthelsen","doi":"10.1111/opn.70065","DOIUrl":"10.1111/opn.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>For older people with multi-morbidity, discharge planning is crucial to manage their healthcare needs at home. Knowledge of their perspectives is important so that their essential needs are included during discharge planning. This study aimed to understand what is essential for them during discharge planning in two medical hospital departments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a hermeneutic approach grounded in Gadamerian philosophy and conducted 15 semi-structured interviews in two medical departments. We audio-recorded, transcribed and analysed the interviews using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two themes were identified: <i>practical discharge preparation</i> and <i>personal discharge preparation</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is essential for older people to get health-related information and personal contact with healthcare professionals. However, limited contact with healthcare professionals and practical preparation hindered the fulfilment of these needs. Future discharge initiatives must find ways to better accommodate the personal needs of older people and also fit into the healthcare environment of medical departments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144232","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":"Launching the New Year With Vision: Battling 21st Century Ageism in Gerontological Nursing and Beyond","authors":"Sarah H. Kagan","doi":"10.1111/opn.70066","DOIUrl":"10.1111/opn.70066","url":null,"abstract":"&lt;p&gt;As we enter the middle of the 21st century with this New Year, I personally would love to imagine that we nurses have made strides in dismantling ageism worldwide. Abolishing ageism is essential to ensuring health, function and well-being with and for today's and tomorrow's older people. But, as I survey the clinical and scientific landscapes around me, I am increasingly concerned that we are losing ground in the global battle with ageism rather than making progress.&lt;/p&gt;&lt;p&gt;Gerontological nurses have been talking about ageism for decades. Famed American geriatrician Robert N. Butler coined the term ageism more than 50 years ago (Columbia University &lt;span&gt;2022&lt;/span&gt;). We nurses picked up the conversation a few years later. Many nurses were writing strongly about ageing then and projecting what the future might hold for older people. Their works shed much needed light on ageism in the 20th century. For example, noted nurse scholar Maria Phaneuf presciently pointed out what we now call negative age-related self-stereotyping and societal or structural ageism (Phaneuf &lt;span&gt;1981&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;In Phaneuf's landmark essay &lt;i&gt;Reflections: the Aged Today and Tomorrow&lt;/i&gt;, she pointed up the value that nurses placed on health and—by my contemporary extension—on function and well-being. Phaneuf outlined the dialectical nature of health and illness in later life, saying in part ‘…the aged (sic) who are ill are in some measure healthy or they would not be alive, and the aged who are ostensibly well are not necessarily free of health-related problems’ (p. 276) as she called on nurses to specialise in caring for older people. Forty-five years on and too little about ageism has changed. Older people still possess the manifold strengths of health and well-being along with other resources while they may be contending with illnesses and injuries. We nurses still find it difficult to recruit students and colleagues to care for older people. And, concerningly, we continue to express ageist beliefs and stereotypes in our research and clinical practice. But now we often do so in ways that distort principles of good science and effective communication.&lt;/p&gt;&lt;p&gt;Misuse of theories and concepts is often employed to convey ageism in science today. Self-neglect is the misapplied concept catching my attention most often these days. The number of concept analyses, commentary papers and research reports involving self-neglect is growing. The assumption that older people should for some intrinsic reason neglect themselves always stops me in my tracks. A prime example of ‘othering’ older people, self-neglect is quickly becoming paradigmatic of our current ageism. In today's commonplace use, the ageism of self-neglect is cloaked with this term borrowed from the study of abuse and mistreatment of older people. In ageist applications, self-neglect is incorporated into the study of a wide range of phenomena from loneliness to personal hygiene. These applications reach far beyond th","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133373","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":"Patient Engagement in Mobile Health for Community-Dwelling Older Adults: A Systematic Review","authors":"Yun-Hee Kim,&nbsp;Yi Kyung Ha","doi":"10.1111/opn.70062","DOIUrl":"10.1111/opn.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mobile health (mHealth) is being actively developed for healthcare and can be an effective intervention through active engagement. However, despite the rapidly growing older adult population, mHealth is often designed for younger populations, and there is a need to explore engagement strategies that are appropriate for older adults. Therefore, this systematic review aimed to summarise the evidence for improving older adult engagement in community-based mHealth intervention studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were community-dwelling older adults. Interventions included mHealth for self-care, self-management, health promotion or health education with no restriction on type. Eligible studies were randomised controlled trials, excluding those involving hospitalised older adults, focusing solely on treatment compliance or symptom monitoring without reporting mHealth engagement outcomes or published in non-English languages. Searches were conducted in Cochrane CENTRAL, PubMed, EMBASE and CINAHL to identify studies on December 1, 2023 (date of last searched studies). Risk of bias in the included studies was assessed using the RoB 2 tool. The focus was on presenting engagement strategies for community-dwelling older adults in a summary of findings table.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten studies with 1293 participants were included. Delivery modes varied, with the most engagement-associated outcome being improved physical functioning. Participant dropout rates ranged from 0% to 28%. While 10 studies employed strategies to encourage ongoing engagement, none included ‘engage as early as possible’ or ‘include a plan for evaluation’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While mHealth interventions show potential, their engagement strategies remain underdeveloped. Limitations include heterogeneity in study designs and the inability to perform meta-analysis. Future research should incorporate comprehensive engagement plans and evaluation systems to optimise the use of mHealth for community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The findings highlight the need to strengthen nurses’ digital health competencies and implement tailored clinical strategies, such as early support and ongoing feedback, to promote sustained engagement and adherence to mHealth among community-dwelling older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042050","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":"Finnish and Japanese Nursing Students' Attitudes Toward Older Adults: A Comparative Study","authors":"Sini Eloranta,&nbsp;Auvo Rauhala,&nbsp;Susanna Mört,&nbsp;Yasuko Kato,&nbsp;Rie Konno","doi":"10.1111/opn.70063","DOIUrl":"10.1111/opn.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Understanding nursing students' attitudes toward older adults is important as these attitudes influence their career choices and the quality of future gerontological care for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The aim of this study was to explore and compare attitudes toward older adults among nursing students in Finland and Japan. A cross-sectional comparative design was employed. Data were collected in 2024 using a structured questionnaire, which included demographic variables and Kogan's Attitude toward Old People Scale (KAOP). The participants consisted of 65 nursing students from Finland and 74 nursing students from Japan. Data were analysed using descriptive and comparative methods, and regression analysis to examine associations between KAOP scores and background factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Japanese nursing students had more positive attitudes and greater score variability (KAOP mean 127.0, SD 10.9) than Finnish nursing students (KAOP mean 115.9, SD 5.9). The mean difference of 11.1 (95% CI: 8.2–14.0) was statistically highly significant <i>p</i> &lt; 0.001, with a large Cohen's <i>d</i> effect size (1.27).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The observed differences may be influenced by the cultural and structural contexts of aged care in Finland and Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999406","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":"‘Shelter From the Storm’: A FINGER-Like Five-Domain Lifestyle Intervention to Promote Cognitive Health and Well-Being in Older Adults in Taiwan","authors":"Pai-Lin Lee,&nbsp;Chih-Kun Huang,&nbsp;Hui-Hsiang Chang,&nbsp;Min-Wei Huang,&nbsp;Chun-Hua Cheng,&nbsp;Luan-Chen Lin,&nbsp;Wen-Chen Cheng","doi":"10.1111/opn.70060","DOIUrl":"10.1111/opn.70060","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to promote cognitive health and emotional well-being in older adults by implementing a culturally adapted Five-Domain Lifestyle Intervention (FDLI) in Taiwan. Building upon the internationally recognised Finnish FINGER model, the FDLI included core components—nutritional guidance, physical activity, cognitive training and cardiometabolic risk management—while integrating nostalgic music as a culturally meaningful fifth domain to enhance emotional engagement.&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;An 8-month quasi-experimental intervention study was conducted among 38 community-dwelling older adults (aged ≥ 65 years) with mild cognitive impairment (MCI) in Southern Taiwan. Participants were non-randomly assigned to either an experimental group (&lt;i&gt;n&lt;/i&gt; = 20) or a control group (&lt;i&gt;n&lt;/i&gt; = 18) based on residential community. The experimental group received the FDLI intervention; the control group received no intervention. Outcomes were assessed using validated measures of cognition (MoCA), well-being, positive emotion and depression, analysed using linear mixed models.&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;Compared to controls, participants in the intervention group demonstrated significant improvements in global cognitive function, well-being and depressive symptoms over time. Although positive emotion scores did not change significantly, the multi-domain intervention yielded holistic benefits across cognitive and emotional domains.&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;The FDLI effectively improved cognitive and emotional outcomes among Taiwanese older adults with MCI. By incorporating culturally grounded strategies like nostalgic music, this study contributes to international gerontological nursing by demonstrating the feasibility and benefits of nurse-led, context-specific, non-pharmacological interventions in underrepresented regions. Findings have practical implications for nursing care planning and dementia prevention in aging societies.&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 FDLI model emphasises the practical role of gerontological nurses in implementing community-based interventions that promote healthy ageing. It can be readily adapted for other cultural contexts and applied in low-resource settings. Training programs for health professionals can incorporate FDLI principles to support person-centred care, especially in underserved populations. Policy-makers may consider supporting the integration of lifestyle interventions into comm","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935395","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":"Validation of Distress Thermometer for Family Caregivers of Community-Dwelling Older People With Functional Impairment in China","authors":"Xiaoling Bai,&nbsp;Yutian Niu,&nbsp;Shihong Guo,&nbsp;Jingjing Huang,&nbsp;Xue Jiang,&nbsp;Ting Lou,&nbsp;Anni Wang","doi":"10.1111/opn.70059","DOIUrl":"10.1111/opn.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychological Distress Among Family Caregivers of Older People With Functional Impairment Are a Significant Concern. However, the Lack of Simple and Rapid Tools to Assess Psychological Distress in These Caregivers Delays Timely Intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim was to examine the convergent validity and retest reliability of the Chinese version of the Distress Thermometer (DT) and document the cut-off score in family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a diagnostic accuracy study and descriptive cross-sectional survey to examine the validity of the DT. The cut-off score was determined by using receiver operating characteristic analysis with the Depression Anxiety Stress Scale (DASS-21) as the reference standard in a sample of 248 family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Good convergent validity with the DASS-21 (0.72–0.75) and good retest reliability (<i>r</i> = 0.93) were both illustrated for the DT. At a cut-off score of five, the sensitivity, specificity, Youden index, positive predictive value and negative predictive value were most satisfactory, and area under the curve values demonstrated significantly excellent discrimination. 37.1% of participants scoring higher than the cut-off score experienced a significant number of problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>DT is a reliable tool for measuring the distress of family caregivers of older people with functional impairment. It is advisable for nurses to routinely employ DT to assess the distress of family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Imlications for Practice</h3>\u0000 \u0000 <p>Healthcare professionals can use the DT as a routine screening tool to identify caregivers with psychological distress at an early stage, which facilitates the timely implementation of supportive interventions for caregivers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758045","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}