Susanne Friis Søndergaard, Tina Skov, Anne Bendix Andersen
{"title":"The Experiences of Hospital Admission in a Single Room for Older Persons With Dementia and Their Families: A Scoping Review","authors":"Susanne Friis Søndergaard, Tina Skov, Anne Bendix Andersen","doi":"10.1111/opn.12626","DOIUrl":"10.1111/opn.12626","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>When older persons with dementia are admitted to hospital, they often feel disoriented and confused and their cognitive impairment may worsen, purely due to the sudden change in their environment. As such hospital design is recognised as an important aspect in the care and well-being of older persons with dementia. As the number of persons with dementia is increasing, the experience of admission to a hospital with, for example, single rooms is more relevant than ever.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim and Methods</h3>\u0000 \u0000 <p>This scoping review aimed to identify, explore and conceptually map the literature reporting on what older people with dementia and their families experienced during admission to a hospital with single room accommodation. We followed the Joanna Briggs Institute recommendations for undertaking a scoping review. In addition, we used the Preferred Reporting Items for Systematic reviews (PRISMA-ScR) Checklist, which assisted the development and reporting of this scoping review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We included 10 sources within a time frame of 23 years (1998–2021). The sources originate from Europe, Australia and Canada.</p>\u0000 \u0000 <p>We identified three conceptual maps: <i>Safety and security</i>, <i>Privacy and dignity</i> and <i>Sensorial stimulation</i>. Our review demonstrates that the themes of the three conceptual maps are experienced as mutually interdependent for the older persons with dementia and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We conclude that it is not merely the single room design that determines what the older persons with dementia and their families experience as important; the exposure to sensorial stimulation and the presence of well-trained staff taking a dignified patient-centred approach are also crucial for their experience of high-quality nursing care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545403","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}
Houqiang Huang, Jun Da, Roger Watson, Mark Hayter, Min Huang
{"title":"Development and Validation of an Evidence-Based Home Pursed Lip Breathing Protocol for Improving Health Outcomes in Patients With Chronic Obstructive Pulmonary Disease","authors":"Houqiang Huang, Jun Da, Roger Watson, Mark Hayter, Min Huang","doi":"10.1111/opn.12627","DOIUrl":"10.1111/opn.12627","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To develop and validate an evidence-based home pursed lip breathing (PLB) intervention protocol for improving related health outcomes (e.g., dyspnea and exercise capability) in patients with chronic obstructive pulmonary disease (COPD) and to present a detailed intervention development process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This home PLB intervention protocol employed phase one of the Medical Research Council (MRC) Framework for Developing and Evaluating Complex Interventions to guide the development process of the PLB intervention. We searched for research evidence on 5 July 2023 from several databases, including PubMed, Embase (via Ovid), Cochrane Library, Google Scholar and China Biology Medicine Disk (CBM). Using the content validity index, a panel of experts assessed the appropriateness of the PLB protocol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We developed the preliminary home PLB intervention protocol on the basis of several underlying rationales, which encompass the extension of expiration time, enhancement of respiratory muscle strength, augmentation of tidal volume and integration of the most reliable research evidence obtained from four systematic reviews, five RCTs, five clinical trials, and 10 recommendations. We structured the PLB intervention with a designated time ratio of inspiration to expiration, set at 1:2. Additionally, this study recommends that the training parameters of the PLB intervention were as follows: three sessions per day, each lasting for 10 min, over 8 weeks. Individualised PLB training intensity adjusted the inhalation component according to each participant's tolerance level while emphasising the exhalation phase to ensure the complete expulsion of air from the lungs. The home PLB intervention protocol established strong content validity through consensus, which was reached among all panel experts. The item-level and scale-level content validity indices (CVIs) reached a maximum score of 1.0, indicating a high level of agreement and credibility in the protocol's content as evaluated by the expert panel.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>An optimal evidence-based home PLB protocol has been adapted and developed to manage health-related outcomes of patients with COPD. The protocol is transparent and fully supported by relevant mechanisms, concrete evidence, recommendations and experts' consensus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>In this study, we consulted patients with COPD about the ‘Prepared Conditions Before PLB P","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471749","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":"The How and Why of Peer Review","authors":"Sarah H. Kagan","doi":"10.1111/opn.12625","DOIUrl":"10.1111/opn.12625","url":null,"abstract":"<p>Raise your hand if you've ever ignored, deleted or lost track of an invitation from an editor to review a manuscript. Peer review is both a process and a role that doesn't always work well for anyone involved. Editors hunt endlessly for scholars to invite to do peer review. Authors hope for thoughtful and understanding peer reviewers whenever they upload a manuscript for consideration by a journal. Peer reviewers? Well, they are often long-serving and somewhat beleaguered by invitations as word of their service spreads across journals. But those who could serve as reviewers often seem to be in hiding, perplexing editors and indirectly frustrating authors.</p><p>Despite complex logistics, peer review is a favourite topic of mine. In critical ways, the quality of our science—any science—rests on high-quality peer review. Peer reviewers deserve far more recognition than they receive. The Associate Editors here at the <i>International Journal of Older People Nursing</i> (<i>IJOPN</i>) and I enjoy honouring our most outstanding peer reviewers with our annual awards. There, peer reviewers rank right alongside authors and editorial board members, enjoying our accolades. Our annual editorial announcing those awards is truly a special one to celebrate each year. Watch for the editorial about our 2023 awards later this year!</p><p>Peer reviewers are different from authors, editorial board members and editors in one important way. Peer reviewers are the only group who are anonymous. They remain anonymous until we single them out for recognition and, even then, what they reviewed is known only to them and to us as editors. Although some journals do now include the names of reviewers who wish to be known when publishing the manuscript they have reviewed. Their role in disseminating high-quality science must remain invisible to both authors and readers in a journal like this one that employs double-blind review. So called double- and single-blind—or anonymised—reviews offer distinct advantages over open peer reviews. Both reviewer and author are not known to each other in the doubly anonymised version and the reviewer is not known to the author, though the author is typically known to the reviewer, in the single version. Anonymising the review process helps limit implicit bias, supporting better inclusion in publishing and providing editors, who cannot be blinded, with valuable insights and critical evaluation of any manuscript they deem ready for peer review.</p><p>Beyond our editorials announcing our annual awards, peer review has been my focus in several other editorials. I've written about the relationship of peer reviewers to authors and editors (Kagan <span>2019</span>), giving credit for peer review (Kagan <span>2022</span>), and offered specific tips to reviewers as well as authors (Kagan <span>2024a</span>, <span>2024b</span>). In all these editorials, I aim to improve the peer review process here at <i>IJOPN</i> by strengthening peer reviewers' sk","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460138","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}
Wan-Ching Shen, Ling-Hui Chang, Ying-Che Huang, Jing-Jy Wang
{"title":"Psychological Distress, Multicare Needs and Social Resource Utilisation of Family Caregivers of People With Dementia: A Descriptive-Correlational Study","authors":"Wan-Ching Shen, Ling-Hui Chang, Ying-Che Huang, Jing-Jy Wang","doi":"10.1111/opn.12624","DOIUrl":"10.1111/opn.12624","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The population of people with dementia increases yearly, imposing a growing burden on family caregivers. Psychological distress impacts the mental health of family caregivers of people with dementia. Caregiver psychological distress can result in increased social resource utilisation and unmet multicare needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The study explored the psychological distress of family caregivers of people with dementia and examined the impact on social resource utilisation and multicare needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive-correlational study collected data in Taiwan from a cross-sectional sample of family caregivers of people with dementia using a self-report questionnaire. Data were analysed using linear and logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 301 caregivers provided data for analysis. Nearly two-thirds of caregivers were female with a mean age of 57 years old (SD = 12). Over half of the family caregivers of people with dementia experienced mild-to-moderate psychological distress. The greater the psychological distress, the greater the probability of using social resources (1.09 times per 1-point increase, <i>p</i> = 0.002). Psychological distress was positively associated with the number of caregivers' care needs (<i>β</i> = 0.371, <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings of this study can assist healthcare professionals in better understanding the psychological distress and care needs of caregivers. Services designed to meet the needs of family caregivers will improve psychological distress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421495","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 the Importance and Performance Priorities of Older Adults With a User-Centred Approach to Create a Fall-Free Bathroom","authors":"Yasemin Afacan, Billur Barshan","doi":"10.1111/opn.12623","DOIUrl":"10.1111/opn.12623","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fall hazards in bathroom spaces constitute one of the most critical issues in the daily lives of older adults. Bathroom falls are somewhat different and constrained in nature than those in other parts of a home environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to adopt a user-centred approach to explore older adults' general bathroom needs, with a specific focus on showers and bathtubs as the designated activity area.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The authors employed an extended importance–performance analysis (IPA) with a mixed-method research design. Three hundred and eleven older adults participated in a face-to-face IPA questionnaire for the quantitative phase of the study. The authors gathered the qualitative data through open-ended questions from 59 older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The authors found positive correlation between older adults' attitudes towards an older-friendly bathroom and the potential for their bathrooms to be fall-free. The IPA calculations identify three key items with higher ratings in both importance and performance: The presence of appropriate artificial lighting, efficient mechanical ventilation and an accessible inside towel rail. Thematic analysis yields four themes: comfort, ease of access, error-proof design and emergency management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The IPA calculations and thematic analysis confirm that older adults' rankings of importance and performance and their corresponding priority levels within the overarching themes indicate the need for these aspects to perform well and justify ongoing investments. The study concludes that addressing fall prevention requires not only designing specific solutions but also utilising appropriate technology in bathing and toileting activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Practitioners in geriatric and gerontological nursing, design, architecture and health care can use the importance and performance priority levels of older adults to guide the development and implementation of fall-free bathroom design. Policymakers can leverage the insights from this research to inform guidelines and regulations related to building codes, accessibility standards and healthcare policies.</p>\u0000 </sec","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12623","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421450","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 a dementia educational programme using virtual reality on nurses in an acute care hospital: A pre-post comparative study","authors":"Jinyan Wu MHS, RN, Ayumi Igarashi PhD, RN, Haruno Suzuki MHS, RN, Hiroshige Matsumoto PhD, RN, PHN, Haruna Kugai PhD, RN, Manami Takaoka PhD, RN, Noriko Yamamoto-Mitani PhD, RN, GNP","doi":"10.1111/opn.12616","DOIUrl":"10.1111/opn.12616","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Poor awareness of dementia care by healthcare professionals affects the quality of care for people living with dementia in acute care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study examined the effectiveness of a virtual reality-based educational programme for dementia for nurses working in acute care hospitals in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A dementia education programme for nurses was designed. The programme comprised short movies, virtual reality videos based on the short movies, a lecture, discussions and role-playing based on the experimental learning model. Virtual reality video content was created to promote empathy for people living with dementia through a first-person experience of dementia. The educational programme involved nurses working in an acute care hospital in the Tokyo Metropolitan area. Before and after the programme, we employed structured questionnaires using validated instruments to assess participants' attitudes towards people living with dementia, their intentions of helping behaviour and their confidence in providing dementia care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy-six nurses participated in and completed the pre- and post-tests. The mean age was 34.9 ± 9.2 years, and 90.8% of the participants were female. A paired <i>t</i>-test showed significant before-after improvement in the participants’ attitudes towards people living with dementia (41.9 ± 5.1 vs. 44.5 ± 4.8), intentions of helping behaviour towards people living with dementia (10.8 ± 2.5 vs. 12.8 ± 2.1) and confidence in providing dementia care (25.9 ± 6.7 vs. 29.2 ± 6.0).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The programme effectively improved nurses’ attitudes towards people living with dementia and confidence in providing dementia care in acute care settings. Future research is important to explore the long-term effects of this programme and its effects on actual dementia care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>The dementia education programme may promote person-centred care in acute hospitals. Future studies should consider the provision of more flexible programs so that nurses can more easily participate in them.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072130","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}
Alice Farrelly RN, BSc Nursing, MSc Advanced Practice, Louise Daly RN, RNT, PhD
{"title":"Older persons' experiences of frailty: A systematic review","authors":"Alice Farrelly RN, BSc Nursing, MSc Advanced Practice, Louise Daly RN, RNT, PhD","doi":"10.1111/opn.12611","DOIUrl":"10.1111/opn.12611","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The objective of this study was to synthesise the evidence of older persons’ experiences of frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The world's population is ageing with those aged over 60 years expected to total 2 billion by 2050. Although not exclusive to ageing, there is a higher prevalence of frailty in older adults, with corresponding demand for related healthcare. While definitions of frailty are debated, there is emerging consensus that sole reliance on biomedical conceptualisations is inadequate to capture the complex needs of older persons living with frailty. In addition, the voices of older persons have largely been excluded from frailty discourses. There is a consequent need for an expanded approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A meta-synthesis was conducted of the literature on older persons' experiences of frailty. CINAHL, Medline, Embase and ASSIA databases were systematically searched up to January 2024. Reference lists of retrieved sources and grey literature were also searched. Studies were independently evaluated for inclusion by two reviewers using predetermined inclusion criteria. Included studies were quality appraised using a standardised tool, and extracted data were thematically analysed and synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight hundred and thirteen studies were identified as potentially relevant. Following title and abstract review, 52 studies were selected for full-text review. Thirty-four studies were subsequently excluded as they did not address the systematic review question, leaving 17 included in the final review. An additional two studies were identified via grey literature sources. Older persons' experiences of frailty were synthesised with reference to three themes: (i) living with frailty: a multidimensional experience; (ii) living with frailty: acceptability and associations; and (iii) living with frailty: resisting and adapting and losing control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older persons' experiences of frailty revealed a resistance to the biomedical use of the term generally used in clinical practice. Instead, a more nuanced and multidimensional understanding of frailty was identified in the experiences of older persons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Health and social care personnel should therefore consider an expanded approach in practice that incorporates the perspective of","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923649","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":"Gerontological nursing, plastics and the planet: A call for research in sustainable care for older people","authors":"Sarah H. Kagan PhD, RN","doi":"10.1111/opn.12612","DOIUrl":"10.1111/opn.12612","url":null,"abstract":"<p>Every year, April and May bring two important days of commemoration. Earth Day we typically recognize in our communities and at home. We celebrate International Nurses Day in our workplaces and professional societies. But this year these international fetes fit together in a distinct and valuable way. The themes for Earth Day and International Nurses Day are as intertwined as Florence Nightingale—our first nurse data scientist—expressed the profound interconnections among nursing, environment and health over 160 years ago.</p><p>This year, Earth Day on April 22 recognized the need to address the frail health of our planet with a critical focus. The theme of this year's Earth Day was <i>Planet</i> vs. <i>Plastics</i> (https://www.earthday.org). International Nurses Day addressed a similarly essential focus. Nurses around the world, remembering Florence Nightingale's birthday on May 12, celebrated the day with the theme of <i>Our Nurses. Our Future. The economic power of care</i>. (https://www.icn.ch/news/international-nurses-day-2024-theme-announced-our-nurses-our-future-economic-power-care). Each theme's relevance for us as nurses and for the communities and populations in our care is undeniable. Together, these themes send a clear message to us as gerontological nurses and all nurses around the world. Restoring a healthy planet and the critical need for sustainable healthcare mandate that we must address plastics and plastic pollution in our research, education, practice and policy.</p><p>Plastic pollution is endangering the clean air, clean water and nutritious food supplies that Florence Nightingale and many other nurses who followed her advanced as fundamental to health. While legions of nurses have echoed Nightingale's emphasis on health and the environment, our profession has been slow to contend with the specific threat that plastics pose to our planet and to human health. Healthcare is a significant plastics polluter just as it is with greenhouse gases. Worldwide, the healthcare industry contributes about five per cent of gases that cause global warming (Eckelman et al., <span>2020</span>; Lenzen et al., <span>2020</span>). Plastic pollution, like greenhouse gases, places our world, human health and healthful aging in peril through a variety of mechanisms (Tang et al., <span>2024</span>). Moreover, both plastics and greenhouse gases are tied to fossil fuel use, so plastics are also contributing directly to global warming.</p><p>Curbing plastic pollution and greenhouse gases requires limiting use of plastics to only that which is essential, searching for alternative materials that do not rely on fossil fuels for composition and production, and redesigning waste management for essential plastics. While the proportion of plastic waste attributable to healthcare is presently unmeasured, the magnitude of plastic use in healthcare is easy for us as nurses to see. Plastics, both in single-use and reusable products, abound in every healthcare ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913234","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}
Robert L. Atenstaedt MA, MPhil, MSc, MPH, MBBS, DPhil
{"title":"Should nurses caring for older people be promoting the Five Ways to Wellbeing?","authors":"Robert L. Atenstaedt MA, MPhil, MSc, MPH, MBBS, DPhil","doi":"10.1111/opn.12615","DOIUrl":"10.1111/opn.12615","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140903492","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":"The well-being equation: How inner fulfilment drives the impact of older persons on the Ghanaian society","authors":"Joseph Kojo Oduro PhD","doi":"10.1111/opn.12614","DOIUrl":"https://doi.org/10.1111/opn.12614","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Understanding and managing the complex processes of ageing is a critical function of gerontological nursing, especially when it comes to older people’s well-being and their contributions to society. Globally, older persons contribute in many ways to families and communities. However, the relationship between older person’s overall well-being and their propensity to contribute to society remains an important gap in research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The study examined the association between well-being and the impact of older persons on Ghanaian society.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A secondary analysis of longitudinal survey data of the 2014/15 Study on Global Ageing and Adult Health (SAGE Wave 2) conducted by the World Health Organization was used. The multilevel logistic regression technique was used to examine four dimensions of well-being and their associations with high social contribution among older persons. The output was reported as odds ratios (OR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results show that older persons who had high physical and psychological well-being were more likely to contribute to society (OR = 1.25, 95% CI = 0.93, 1.68), (OR = 1.75, 95% CI = 1.32, 2.33). However, those with high levels of emotional and spiritual well-being were less likely to make social contributions (OR = 0.66, 95% CI = 0.49, 0.88), (OR = 0.88, 95% CI = 0.66, 1.18).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study shows a positive association between well-being and older persons’ societal impact. Good mental and physical health encourage societal involvement among older persons, while high emotional and spiritual well-being may lead to less societal contribution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>These findings are important for nursing policies promoting social contribution and well-being among older persons 60 years and over in Ghana.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140844754","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}