International Journal of Older People Nursing最新文献

{"title":"Attitudes of Nursing Home Managers Regarding Cognitively Stimulating Activities in People With Dementia: A Multicentre Cross-Sectional Study","authors":"Julie Guicheteau,&nbsp;Sascha Köpke,&nbsp;Ümran Sema Seven,&nbsp;Ann-Kristin Folkerts,&nbsp;Elke Kalbe,&nbsp;Martin N. Dichter","doi":"10.1111/opn.12645","DOIUrl":"https://doi.org/10.1111/opn.12645","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Group-based cognitive stimulation has shown short-term benefits for the cognitive outcomes of people with dementia living in nursing homes (NH). However, group participation can be a barrier for people with advanced dementia, bedridden people or isolated people. The CogStim24 project seeks to develop and implement a new psychosocial intervention based on cognitively stimulating (CS) activities integrated into daily nursing care. As part of the intervention development process, this study aimed to survey NH managers' attitudes and describe currently used approaches to CS activities in German NH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a multicentre cross-sectional study between September and December 2021 in randomly recruited NH in the German federal state of North Rhine-Westphalia. NH representatives were asked to fill in a self-developed online questionnaire. We analysed data descriptively, presenting means and standard deviations. For case scenario questions, we used a summative content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We contacted 354 NH and 106 agreed to participate. Representatives of 64 facilities completed the survey. Almost all stated to have implemented CS activities. Cognitive exercises (98%), physical and relaxation exercises (98%) and reminiscence therapy (95%) were most often used. The majority (96%) thought that CS activities could support people with dementia in maintaining their cognitive functions and that nurses should have a key role in the implementation of CS activities. More than half believed that regular CS activities were easy to implement alongside routine nursing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results indicate that CS activities are frequently applied in German NH. The positive attitude of NH managers regarding the implementation and effects of CS activities is an important implementation resource.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nursing staff should be more involved in providing CS activities for people with dementia. Training, information, and implementation material must be made available for nursing staff who wish to have an active role in providing CS activities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233226","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":"Towards Establishing Quality Standards on Human Rights for Services in Dementia Care","authors":"Nena Panagiotidou,&nbsp;Jesmine Dhooper,&nbsp;Michelle Funk,&nbsp;Nathalie Drew,&nbsp;Katrin Seeher,&nbsp;Tarun Dua,&nbsp;Martin Orrell","doi":"10.1111/opn.12643","DOIUrl":"https://doi.org/10.1111/opn.12643","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with dementia often experience violations of fundamental human rights and impeded access to healthcare. This study aims to investigate the views of experts regarding the use of the United Nations Convention on the Rights of People with Disabilities (CRPD) principles as quality standards for human rights–based care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-round Delphi e-consultation with 15 dementia experts was designed to evaluate each CRPD principle and collect feedback on their views about the application of the CRPD principles in dementia care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The CRPD principles were fully endorsed as quality standards; however, several experts commented on the complexities of the use of CRPD principles in relation to information disclosure, capacity assessment, stakeholders' involvement in decision-making, respecting needs and preferences, holistic approaches in care practice, and protection against abuse, neglect and discrimination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings indicate the CRPD quality standards were fully applicable for people with dementia although some clarification around interpretation could assist in their use. Future research should elaborate on further points of support and guidance for dementia care providing examples of good practice from across the globe, and develop a concordant, human rights–based scheme for the implementation and evaluation of dementia services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study suggests that the CRPD can serve as a benchmark for human rights-based practices in dementia services globally that could enhance nursing care practice. Nursing staff are encouraged to consider human rights in relation to the complexities associated with people with dementia, their caregivers, and other services involved in their care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12643","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169873","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":"Perceptions of Older People in Nursing Facilities About Advance Care Planning: A Systematic Review","authors":"Ting Liang,&nbsp;Jia Feng,&nbsp;Xiao-ning Feng,&nbsp;Tao Yang","doi":"10.1111/opn.12646","DOIUrl":"10.1111/opn.12646","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the ageing of the population intensifying, the implementation of advance care planning (ACP) in nursing facilities is especially crucial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to search and synthesise qualitative studies exploring the perspectives of older people in nursing facilities about ACP discussions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The researchers conducted searches of PubMed, Web of Science, Cochrane Library, CNKI, Wanfang, VIP and CBM between the time of inception and October 2023. The PICo model was used to build the inclusion and exclusion criteria. Following the inclusion and exclusion criteria, two researchers screened the literature, extracted data and then integrated the literature using the integrative synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 12 articles were included, 47 themes were extracted, and three research integrations were summarised: (1) understanding of ACP; (2) attitude towards ACP; and (3) influencing factors of participation in ACP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study offers guidance for the future development of ACP on the participation of older people in nursing facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>It is necessary to strengthen the education of ACP-related knowledge in conjunction with the cultural characteristics of different countries, to provide interdisciplinary support for older people through professional teamwork and to promote the development and improvement of ACP-related practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134255","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":"On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People","authors":"Ayele Semachew Kasa,&nbsp;Victoria Traynor,&nbsp;Shu-Chun Lee,&nbsp;Peta Drury","doi":"10.1111/opn.12644","DOIUrl":"10.1111/opn.12644","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;Frailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub-Saharan African (SSA) countries, especially Ethiopia.&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;To assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse-led community intervention on frailty and related health outcomes.&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;Data from 68 community-dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney &lt;i&gt;U&lt;/i&gt;-test for variables with two categories and Kruskal–Wallis for variables with three or more categories.&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;The mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (&lt;i&gt;r&lt;/i&gt;&lt;sub&gt;s&lt;/sub&gt; = −0.46, &lt;i&gt;p&lt;/i&gt; &lt; 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (&lt;i&gt;r&lt;/i&gt;&lt;sub&gt;s&lt;/sub&gt; = 0.39, &lt;i&gt;p &lt;&lt;/i&gt; 0.01). Depressed (&lt;i&gt;Md&lt;/i&gt; = 9, &lt;i&gt;n&lt;/i&gt; = 23) and non-depressed frail older people (&lt;i&gt;Md&lt;/i&gt; = 7, &lt;i&gt;n&lt;/i&gt; = 45) showed a significant difference in their overall frailty score, &lt;i&gt;U&lt;/i&gt; = 330.50, &lt;i&gt;z&lt;/i&gt; = &lt;i&gt;−&lt;/i&gt;2.49, &lt;i&gt;p&lt;/i&gt; = 0.01, &lt;i&gt;r&lt;/i&gt; = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (&lt;i&gt;r&lt;/i&gt;&lt;sub&gt;s&lt;/sub&gt; = &lt;i&gt;−&lt;/i&gt;0.44, &lt;i&gt;p &lt;&lt;/i&gt; 0.01), psychological (&lt;i&gt;r&lt;/i&gt;&lt;sub&gt;s&lt;/sub&gt; = &lt;i&gt;−&lt;/i&gt;0.45, &lt;i&gt;p &lt;&lt;/i&gt; 0.01), social relations (&lt;i&gt;r&lt;/i&gt;&lt;sub&gt;s&lt;/sub&gt; = &lt;i&gt;−&lt;/i&gt;0.29, &lt;i&gt;p &lt;&lt;/i&gt; 0.05) and environmental (&lt;i&gt;r&lt;/i&gt;&lt;sub&gt;s&lt;/sub&gt; = &lt;i&gt;−&lt;/i&gt;0.47, &lt;i&gt;p &lt;&lt;/i&gt; 0.01).&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 findings from this study were consistent with those from across middle-income and high-income countries.&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;This research indicates that older people living in communities who are identified as frail often suffer from a poor n","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12644","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120894","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":"Revisiting the Why of Peer Review: Sustainability of the Current System","authors":"Sameh Eltaybani","doi":"10.1111/opn.12642","DOIUrl":"10.1111/opn.12642","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113721","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":"Celebrating Our Eighth Annual International Journal of Older People Nursing Awards","authors":"Jennifer Baumbusch,&nbsp;Sarah H. Kagan,&nbsp;G. J. Melendez-Torres","doi":"10.1111/opn.12641","DOIUrl":"10.1111/opn.12641","url":null,"abstract":"&lt;p&gt;We are delighted to announce our eighth annual &lt;i&gt;International Journal of Older People Nursing&lt;/i&gt; (&lt;i&gt;IJOPN&lt;/i&gt;) Awards. As editors, we are very conscious that we guide a community of readers, authors, reviewers, social media editors and editorial board members. So many members of our community serve the journal and contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year at this time, we acknowledge outstanding contributions and service during the prior year. This year, we are celebrating the contributions made by three papers reporting research conducted in three different countries around the world. We are acknowledging the service of four peer reviewers, three of our outstanding cadre of editorial board members and our senior social media editor who is also a peer reviewer. We are pleased to highlight the thoughts of the scholars who received our 2023 &lt;i&gt;IJOPN&lt;/i&gt; Awards for you, our readers, as we celebrate their contributions.&lt;/p&gt;&lt;p&gt;This year we are citing three papers, representing work done in the United States, Taiwan and Türkiye that made significant impressions on our awards committee. That committee includes both associate editors and colleagues who are a past award winner, Hiromi Hirata, and one of the journal's long-serving editorial board members, Ruth Ludwick. Kelly Doran received the 2023 &lt;i&gt;IJOPN&lt;/i&gt; Award for Outstanding Contribution to Gerontological Nursing Research for the paper Doran, K., S. Witmer, K. L. Yoon, E. R. Fischer, A. Ebangwese, S. Sharma, G. S. C. Duggirala, and L. K. Chen. 2024. “Gauging the Stress of Long-Term Care Nursing Assistants Using Ecological Momentary Assessment, Wearable Sensors and End of Day Reconstruction.” &lt;i&gt;International Journal of Older People Nursing&lt;/i&gt;, 19, e12592. https://doi.org/10.1111/opn.12592. On receiving the award, Dr. Doran said “We decided to undertake this research to reduce the stress/burnout experienced by long-term care workers. This stress not only impacts the health of long-term care workers but also resident outcomes and long-term care organizations. This paper details our first step in our collaborative research effort using our expertise to uncover novel interventions to ameliorate stress within long-term care communities.”&lt;/p&gt;&lt;p&gt;Huei-Chin Teng received the 2023 &lt;i&gt;IJOPN&lt;/i&gt; Student Award for Outstanding Contribution to Gerontological Nursing Research for the paper Teng, H.-C., Y.-I. Shyu, J. Liang, and K. Teppo. 2023. “Strategies for Managing Group Caregiving Following Hip-Fracture Surgery Among Family Members: A Grounded Theory Study.” &lt;i&gt;International Journal of Older People Nursing&lt;/i&gt;, 18, e12552. https://doi.org/10.1111/opn.12552 and Dr. Teng shared that “My inspiration primarily stemmed from my first-hand experiences in clinical practice when I began my research studies with Professor Lotus Shyu. While caring for patients following hip fracture surgery, it became apparent that family members in Taiwan were faced with sev","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12641","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001032","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 Effectiveness of Group Interpersonal Therapy on Burnout Among Long-Term Care Workers","authors":"Meltem Oral,&nbsp;Nurgül Karakurt","doi":"10.1111/opn.12639","DOIUrl":"10.1111/opn.12639","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;Burnout syndrome can have a negative impact on people who work in occupations that require close interaction with others, contributing to a decline in their psychological well-being. This study aimed to examine the effectiveness of Group Interpersonal Therapy (IPT-G) in reducing burnout among care workers for older adults in a Turkish long-term care facility.&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;The study employed a pretest–post-test randomised experimental design. Fifty care workers scoring 27 or above on emotional exhaustion and 10 or above on depersonalisation subscales of the Maslach Burnout Inventory (MBI) were randomly assigned to the intervention or control group for 8 weeks. The study utilised the World Health Organization (WHO) Group Interpersonal Therapy for Depression manual as a guide. The post-test was conducted immediately after the last session 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;In comparing pre- and post-test scores of the intervention group, a statistically significant difference was found in overall burnout scores (pretest &lt;i&gt;M&lt;/i&gt; = 74.10, post-test &lt;i&gt;M&lt;/i&gt; = 63.08, &lt;i&gt;p&lt;/i&gt; &lt; 0.001; &lt;i&gt;d&lt;/i&gt; = 1.12). Additionally, emotional exhaustion scores (pretest &lt;i&gt;M&lt;/i&gt; = 30.99, post-test &lt;i&gt;M&lt;/i&gt; = 24.89, &lt;i&gt;p&lt;/i&gt; &lt; 0.001; &lt;i&gt;d&lt;/i&gt; = 1.11) and depersonalisation scores (pretest &lt;i&gt;M&lt;/i&gt; = 12.76, post-test &lt;i&gt;M&lt;/i&gt; = 8.53, &lt;i&gt;p&lt;/i&gt; &lt; 0.001; &lt;i&gt;d&lt;/i&gt; = 1.69) exhibited significant differences. However, no significant difference was observed in personal accomplishment scores (&lt;i&gt;p&lt;/i&gt; &gt; 0.05). The control group had no significant differences concerning the overall burnout scores and all three subscales (&lt;i&gt;p&lt;/i&gt; &gt; 0.05).&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 IPT-G used in this study effectively decreased burnout among care workers in a long-term care facility in Türkiye. In addition, the participants reported high satisfaction with the IPT-G program.&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;Our results support the usefulness of the IPT-G program for care workers in long-term care facilities considering adding it to their occupational health management. This research aimed to determine whether IPT-G successfully decreased care worker burnout. Future research focusing on various types of healthcare workers in long-term care facilities and examining factors such as burnout, job satisfaction and self-efficacy could ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12639","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989240","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 Perceptions and Experiences of Older People Living in the Aftermath of Lombok Earthquakes, Indonesia: A Qualitative Study","authors":"Gading Ekapuja Aurizki,&nbsp;Ferry Efendi,&nbsp;Retno Indarwati,&nbsp;Firma Andriani,&nbsp;Dianis Wulan Sari,&nbsp;Maiko Noguchi-Watanabe","doi":"10.1111/opn.12640","DOIUrl":"10.1111/opn.12640","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Despite the growing knowledge of people's vulnerability following natural disasters, the perspective of older people has received limited attention. This study aimed to explore the perceptions and experiences of older people encountering the 2018 Lombok earthquakes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This exploratory qualitative study involved 16 older people living in one of the villages most affected by the 2018 earthquakes in Lombok Island, Nusa Tenggara Barat, Indonesia. The data were collected in June 2019 using semi-structured interviews. Participants' responses were digitally recorded and transcribed verbatim for analysis. The data were analysed using qualitative content analysis managed in NVivo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From older people's perspectives, three themes were generated: surviving the disaster, dealing with life changes and navigating through challenges and hope. Each theme comprised two categories, which reflected the journey of older people from the early to the later phase of the disaster.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older people experienced critical conditions and difficulties both physically and mentally. They also experienced various emotional responses before accepting living situations following a disaster. Nurses should play a role in fulfilling the physical and mental health needs of older people in post-disaster conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study can inform nurses and other key stakeholders about the needs of older people during and after natural disasters. Nurses need to be equipped with the skills and abilities to identify and meet the needs of older people in difficult situations and with limited resources.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12640","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989241","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 Complexity of Care in the Home Care Setting Instrument (COMID) in Italian Language","authors":"Sara Levati,&nbsp;Loris Bonetti,&nbsp;Cesarina Prandi,&nbsp;Monica Bianchi","doi":"10.1111/opn.12637","DOIUrl":"10.1111/opn.12637","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To test the psychometric properties of the complexity assessment instrument for home nursing practice (COMID) Italian version.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Internal consistency was determined using Cronbach's alpha, whilst the two-way mixed effects, absolute agreement, single measure intraclass correlation coefficient (ICC 3.1) was calculated to evaluate the inter-rater reliability both on individual factors and the overall score. Registered Nurses enrolled at the MSc in Nursing at the University of Applied Sciences and Arts of Southern Switzerland and homecare nurses working for several home care institutions were involved in the data collection process following ad hoc training on the use of the COMID assessment instrument.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 220 questionnaires were completed by 36 nurses. Cronbach's alpha was 0.764, in line with the original study. The inter-rater reliability ranged from good (factor 6 ICC = 0.85) to excellent (factors 1–5 ICC &gt; 91), with the ICC assessed on the total score of the COMID also excellent (ICC = 0.95).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The COMID Italian version is a valid and reliable instrument for homecare nurses to assess complex situations according to the tests performed on a sample of older people receiving home care in Southern Switzerland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The use of such an instrument will enable the identification of the most relevant areas of complexity to be discussed by the nursing and multidisciplinary team to plan and deliver personalised caring interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976996","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":"Carer Perspectives About the Acceptability and Usability of the TRANSITION Tool to Support Preparation for Older Adult Care Transitions: A Qualitative Study","authors":"Jacqueline Allen,&nbsp;Michelle Lobchuk,&nbsp;Patricia M. Livingston,&nbsp;Gail Roberts,&nbsp;Alison M. Hutchinson","doi":"10.1111/opn.12638","DOIUrl":"10.1111/opn.12638","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Transitional care of older adults can be highly stressful for informal carers (carers) particularly when they are not involved in preparation and planning with health practitioners. This study aimed to ascertain carer perspectives about the potential acceptability and usability of a tool entitled the TRANSITION tool to support preparation and planning for the transition of an older adult from hospital to home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Exploratory qualitative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were undertaken between March 2020 and October 2021. A focus group was conducted in July 2022 to seek additional information and support data saturation. A total of 23 participants took part. Data were thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Participants explained their perspectives about the tool in four themes: (1) the TRANSITION tool has value, but health practitioners ask the questions; (2) the TRANSITION tool would be useful and acceptable, but not for all carers; (3) interacting with health practitioners is a barrier to using the tool and to communication; and (4) recognising us as part of the care team.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the tool was found to have potential value and utility, it would only be expected to support carers when they are valued and respected by health practitioners. Leadership is required in healthcare organisations to support genuine care for older adults and their carers, and to enable health practitioners to have time for transitional care communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The findings from the study suggest that the TRANSITION tool could support carers by prompting them about important areas of care to include in communication with health practitioners during discharge preparation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12638","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972126","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}