International Journal of Older People Nursing最新文献

{"title":"Japanese Adult Day Service Nurses' Bathing Decisions for Persons Requiring Long-Term Care: A Focused Ethnography","authors":"Kanako Miyoshi,&nbsp;Keiko Mori","doi":"10.1111/opn.70052","DOIUrl":"10.1111/opn.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adult day services in Japan operate under the Long-Term Care Insurance Law, and care is provided mainly by caregivers. However, because doctors are often not on site, nurses manage the health of the person requiring long-term care. Adult day services provide bathing and functional training; however, although Japanese-style bathing relieves fatigue and brings a sense of well-being, it also entails the risk of bathing accidents for those in need of care. To continue living at home, those in need of care who have difficulty bathing at home must be provided with safe bathing during adult day services and supported in returning home safely. Nurses are responsible for accurately assessing the health status of users and implementing safe bathing. This study aimed to identify how nurses working in adult day services make bathing decisions for home-dwelling persons requiring long-term care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Qualitative manifest and latent content analyses were performed using a focused ethnography.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Six themes were identified: ‘gather information to compare with baseline’, ‘make observations based on information from others to understand the big picture’, ‘give persons time to get in shape’, ‘consideration of life at home’, ‘determining the need for medical institutions’ and ‘devise ways to communicate to promote collaboration’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adult day service nurses' decisions about whether to bathe persons requiring care are characterised by their emphasis on information from others, consideration of the home living conditions of persons requiring care and their wishes regarding bathing. In addition, based on their observations, they determine the need for cooperation with medical institutions and communicate this information to family members and multiple professions.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12703052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758050","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":"Combatting Stigma Toward Individuals With Alzheimer's Disease and Related Disorders: The Role of Nostalgia","authors":"Rhiannon N. Turner,&nbsp;Tim Wildschut,&nbsp;Constantine Sedikides","doi":"10.1111/opn.70056","DOIUrl":"10.1111/opn.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There is limited evidence on how to tackle stigma toward individuals with Alzheimer's Disease and Related Disorders (ADRD). This study addressed this issue by examining how nostalgia (a sentimental longing for a personally experienced past) for experiences involving people with ADRD can be used to harness more positive attitudes and behavioral tendencies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>One hundred student nurses were randomly assigned to either recall a nostalgic or (in the control condition) an ordinary interaction involving a person with ADRD, before completing questionnaire measures of inclusion of people with ADRD (i.e., an outgroup) in the self (IOGS), stigma toward those with ADRD, and tendency to approach those with ADRD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found that experimentally induced nostalgia led to higher inclusion of people with ADRD in the self (IOGS; <i>F</i> [1, 98] = 5.69, <i>p</i> = 0.02, <i>η</i>² = 0.06) which was in turn linked to reduced stigma toward people with ADRD (<i>F</i> [, 98] = 8.07, <i>p</i> = 0.005, <i>η</i>² = 0.08) and a greater tendency to approach them (<i>F</i> [1, 98] = 4.35, <i>p</i> = 0.04, <i>η</i>² = 0.06).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Induced nostalgia can reduce stigma and promote approach behavioral tendencies toward people within a medical context by promoting inclusion of people with ADRD in the self. These findings have interventional potential in a context where negative perceptions of people with ADRD can be problematic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752242","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 Self-Regulation-Incorporated Digital Health Literacy Scale for Older Adults: Instrument Development and Validation","authors":"Suyeon Ban,&nbsp;Yirang Kim,&nbsp;GyeongAe Seomun","doi":"10.1111/opn.70058","DOIUrl":"https://doi.org/10.1111/opn.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Digital health literacy is a key long-term health determinant in the digital era, influencing outcomes by enabling individuals to access, evaluate and apply health information in ways that support their personal goals. However, no tool targets older adults to assess digital health literacy with self-regulation as a core component. Accordingly, we developed and validated a Self-Regulation-Incorporated Digital Health Literacy scale (SR-DHLs) for this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This conceptually grounded study included instrument development and psychometric validation phases. We generated 23 preliminary items after content and face validity evaluation. Psychometric testing involved item analysis and construct validity assessments conducted through exploratory and confirmatory factor analyses with 506 older adults. Convergent validity was examined using the Korean version of the eHealth Literacy Scale. Reliability was measured using Cronbach's <i>α</i> and the intraclass correlation coefficient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SR-DHLs comprises 16 items across four factors: ‘Interaction with other users and systems’, ‘Regulated need-based selection’, ‘Willingness to actively engage’ and ‘Actualising informed decision-making’, explaining 63.617% of the variance. Construct validity and acceptable reliability were established.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The SR-DHLs is a valid and reliable tool for assessing digital health literacy in older adults. It integrates self-regulation and resource management—essential aspects for navigating digital environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The SR—DHLs could help nurses identify older adults' needs related to digital health and guide the design of accessible and equitable services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145719544","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 10th Annual International Journal of Older People Nursing Awards","authors":"Jennifer Baumbusch,&nbsp;Sarah H. Kagan,&nbsp;G. J. Melendez-Torres","doi":"10.1111/opn.70055","DOIUrl":"10.1111/opn.70055","url":null,"abstract":"&lt;p&gt;As the year closes, we are looking back to 2024 and announcing our tenth annual &lt;i&gt;International Journal of Older People Nursing (IJOPN)&lt;/i&gt; awards. We are, as editors, endlessly grateful to lead the wonderful &lt;i&gt;IJOPN&lt;/i&gt; community of nurses and their colleagues. Members of this global community contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year, we recognise those making outstanding contributions during the prior year. This year, we celebrate the contributions made by the authors of three papers reporting noteworthy research. Likewise, we acknowledge the service of six notably dedicated peer reviewers and five of our superlative cadre of editorial board members. We are pleased to highlight the reflections of these scholars on their awards for you, our readers, as we applaud their contributions.&lt;/p&gt;&lt;p&gt;We recognized three outstanding papers published in 2024. Regarding the paper Wi, D., Park, C.G., Lee, J., Kim, E. and Kim, Y. (2025), A Network Analysis of Quality of Life Among Older Adults with Arthritis. &lt;i&gt;International Journal of Older People Nursing&lt;/i&gt;, 20: e70010. https://doi.org/10.1111/opn.70010, first author Dahee Wi wrote on behalf of the author team that, ‘this research was inspired by our research team's desire to better understand the complex interplay of factors affecting quality of life in older adults with arthritis. As Korea faces rapid population aging, we wanted to provide evidence-based insights that could help healthcare professionals develop more targeted, holistic interventions for this vulnerable population. The network analysis approach allowed us to identify key indicators that could serve as intervention targets to improve overall well-being’.&lt;/p&gt;&lt;p&gt;For Stavrou, F., Adams, J., Patel, H., Vassilev, I. and Samuel, D. (2024), Exploring Older People's Experiences and Factors Associated With 30-Day Hospital Readmission: A Qualitative Study Using Interpretive Phenomenological Analysis. &lt;i&gt;International Journal of Older People Nursing&lt;/i&gt;, 19: e12662. https://doi.org/10.1111/opn.12662, first author Fanis Stavrou said that ‘as both a researcher and a healthcare professional, I was inspired to undertake this study to gain a deeper understanding of how hospital readmissions impact older adults, the healthcare system, and the broader care network. The ageing of the world population is placing increasing pressure on health and social care services, with older people living longer with chronic conditions, workforce shortages, and rising hospital admissions creating significant challenges. Despite its frequency, hospital readmission among older people remains poorly understood, yet it carries substantial costs, affects well-being, and disrupts daily life. Focusing on patients’ perspectives in research is especially important, as the majority of studies on hospital readmission are based primarily on routinely collected hospital data. Relying solely on statistics limits our understandin","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543334","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":"Promoting the Physical Activity of Older Adults in Institutional Long-Term Care: A Mixed-Method Case Study","authors":"Noora Narsakka,&nbsp;Riitta Suhonen,&nbsp;Johanna Finskas,&nbsp;Minna Stolt","doi":"10.1111/opn.70053","DOIUrl":"10.1111/opn.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Older adults living in institutional long-term care benefit from engaging in physical activity adapted to their functioning. Despite evidence of solutions to promote physical activity, recurrent evidence shows that older adults spend their time sedentary. More in-depth knowledge is needed about the current state of promoting the physical activity of older adults in institutional long-term care for improved practice in the future. We aimed to increase the understanding of older adults' physical activity promotion in institutional long-term care by investigating how, how much and by whom older adults' physical activity is promoted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a concurrent mixed-method case study using data from a larger research project performed in an institutional, full-time, long-term care unit in Finland. Thirteen older adults and 12 staff members participated. Data were collected through focus groups, interviews, patient record transcripts and actigraphy between May and October 2023. A mixed-method analysis was conducted using the framework ‘Following a thread’. Separate analyses of datasets were conducted, including analyses of qualitative and quantitative data using reflexive thematic analysis and descriptive statistics. Analytical questions were identified and further explored using all datasets to synthesise findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were developed: (1) lack of physical activity, (2) plans for physical activity promotion, (3) nurses' role in activity promotion and (4) accessibility and freedom of movement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Current activity promotion is not sufficient for older adults to achieve the benefits of physical activity for their health and functioning. Improvements are needed in delivering sufficient physical activities. Nurses' role in activity promotion should be developed to include care-integrated activities, spontaneous and organised activities and instrumental activities of daily living for older adults. Interprofessional work to promote activity could be used more. Stimulating elements in the physical environment and increasing freedom of movement could produce improvements in physical activity. Improvements in activity promotion can potentially be achieved with simple strategies and low additional costs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543371","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 Impact of a Leadership Support Programme on Care Home Residents and Their Families: A Qualitative Study From the Perspective of Participating Care Home Leaders","authors":"Brighide Lynch,&nbsp;Assumpta Ryan,&nbsp;Sonja McIlfatrick,&nbsp;Sarah Penney,&nbsp;Rosemary Bradley,&nbsp;Marie O'Neill,&nbsp;Claire McCauley,&nbsp;Esther-Ruth Beck,&nbsp;Anthony Curran,&nbsp;Una Hume,&nbsp;Deborah Muldrew,&nbsp;Paul Slater","doi":"10.1111/opn.70054","DOIUrl":"10.1111/opn.70054","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;Older people are entering care homes with more complex conditions and higher levels of physical and cognitive impairment than in previous years. Internationally, it is recognised that there is a need for high-performing leaders who can inspire and support colleagues to use their initiative and respond to the needs of an increasingly frail population in long-term care. The My Home Life Leadership Support Programme is specifically designed to meet the unique needs of care home managers and other staff with leadership roles in their care homes. The programme is grounded in relational, appreciative and collaborative approaches to creating a positive culture of mutually respectful relationships. These relationships include those that are between individuals who use services, their families and care home staff, and between care homes and the wider community.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore participating care home leaders' perspectives of the impact of the My Home Life Leadership Support Programme on people who live in care homes and their families.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A qualitative descriptive approach drawing on two different data sources was used in the study. Qualitative summative data were collected at the end of the programme using one-to-one semi-structured interviews with participants (&lt;i&gt;n&lt;/i&gt; = 56), and detailed field notes were captured by the My Home Life facilitators over the course of the programme. Thematic analysis was used to analyse interview data. Conventional content analysis was used to analyse the facilitators' documentary evidence. The two analytical techniques were combined for the final results using the process of cognitive mapping.&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;Three key themes were identified by care home leaders as mattering most to residents and their families. These were (1) supporting residents and families to share their feelings; (2) enhancing relationships between residents, relatives and staff; and (3) involving residents and families in decision-making.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study provides significant evidence of the impact of the My Home Life Leadership Programme on care home leaders' ability to enhance the care experience of residents and relatives and create a relationship-centred culture.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534572","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":"Correction to “A Network Analysis of Quality of Life Among Older Adults With Arthritis”","authors":"","doi":"10.1111/opn.70051","DOIUrl":"https://doi.org/10.1111/opn.70051","url":null,"abstract":"<p>Wi, D., C.G. Park, J. Lee, E. Kim, and Y. Kim. 2025, “A Network Analysis of Quality of Life Among Older Adults With Arthritis.” <i>International Journal of Older People Nursing</i> 20, no 1: e70010. https://doi.org/10.1111/opn.70010.</p><p>Within the ‘Abstract’ section, the following text, “Sejong-si, South Korea: Implications for Practice. This study highlights the importance of multidimensional care plans to improve the quality of life for older adults with arthritis. Healthcare professionals should adopt care strategies that simultaneously address the key psychological and physical indicators to effectively enhance overall quality of life.” was mistakenly duplicated at the end of the “Conclusion” paragraph and there were some minor typographical errors.</p><p>These have now been rectified in the current version.</p><p>We apologize for this error.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145406582","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":"Peripheral Intravenous Catheters for Hospitalised Older People: A Scoping Review","authors":"Naomi Howell,&nbsp;Nicole Marsh,&nbsp;Matt Mason,&nbsp;Alison Craswell","doi":"10.1111/opn.70049","DOIUrl":"https://doi.org/10.1111/opn.70049","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;Peripheral intravenous catheter insertion is the most frequently performed invasive procedure in healthcare. Age-related physiological factors and chronic health conditions can influence how older people experience catheter-related complications, underscoring the need for clinical practices that address diverse needs. Although peripheral intravenous catheters are widely used in hospitalised populations, research specifically exploring their use, outcomes, and associated experiences in older people remains limited. This scoping review addresses this gap by mapping the available literature on peripheral intravenous catheter use in hospitalised older people to identify the characteristics of the existing evidence and opportunities for future research.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This scoping review followed the Joanna Briggs Institute methodology and was reported to have applied the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Reviews. An electronic medical database search was conducted including MEDLINE (Web of Science), CINAHL Complete (EbscoHost), PubMed (NCBI), Scopus (Elsevier), Emcare (Ovid) and the Cochrane Central Register of Controlled Trials. A systematic grey literature search was also undertaken. The review was limited to publications since the year 2000.&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;Thirty sources from 12 different countries were included. The evidence types consisted of observational studies (&lt;i&gt;n&lt;/i&gt; = 15), experimental studies (&lt;i&gt;n&lt;/i&gt; = 2), education summaries (&lt;i&gt;n&lt;/i&gt; = 7), clinical practice guidelines (&lt;i&gt;n&lt;/i&gt; = 2), a scoping review (&lt;i&gt;n&lt;/i&gt; = 1), a bibliographic review of guidelines (&lt;i&gt;n&lt;/i&gt; = 1), a book chapter (&lt;i&gt;n&lt;/i&gt; = 1) and a letter to the editor (&lt;i&gt;n&lt;/i&gt; = 1). Most studies were observational with small sample sizes. The review identified key topics relating to older people including peripheral intravenous catheter insertion, complications, clinician practices, physiological ageing and patient experiences. Pain and satisfaction were the only two experience measures identified. Definitions of ‘older people’ varied, and no qualitative evidence related to experiences specific to this population was identified.&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;Although a range of evidence types exists, substantial knowledge gaps remain. The literature is dominated by small observational studies, underscoring the need for robust experimental research. The absence of qualitative studies highlights a critical gap in understanding patient experience.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145407483","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":"Risk Factors for Falls and Recurrent Falls in Older Stroke Survivors: A Systematic Review and Meta-Analysis of Prospective Studies","authors":"Min Xie,&nbsp;Ruth E. Taylor-Piliae,&nbsp;Chang Yang,&nbsp;Xinran Peng,&nbsp;Qianqian Yang,&nbsp;Qi Zhang","doi":"10.1111/opn.70050","DOIUrl":"https://doi.org/10.1111/opn.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Falls are a serious complication often associated with stroke in the older population. However, a comprehensive review of risk factors specific to falls in older stroke patients is currently lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To fill this gap by synthesising prospective studies and providing evidence-based insights into the risk factors for falls and recurrent falls in older stroke survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review and meta-analysis following PRISMA statement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two researchers independently screened eligible references and assessed their quality. Pooled summary effects, in the form of odds ratios with 95% confidence intervals, were calculated using a random-effects model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>A systematic search of PubMed, Cochrane Library, Embase, Web of Science, Scopus, PsycINFO and CINAHL up to 4 January 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our systematic review and meta-analysis included 22 studies. We identified five key domains predicting falls: (1) balance and mobility, encompassing impaired mobility, impaired balance, motor impairment and disability in self-care; (2) environmental factors, particularly the use of walking aids; (3) psychological factors, notably depression status; (4) medication factors, including the use of medications; and (5) sociodemographic factors, such as a history of falls. Importantly, a history of falls significantly increases the risk of recurrent falls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Falls are a pressing concern in older stroke patients, with key risk factors including balance and mobility problems, use of walking aids, depression and medication. Future research should focus on mechanistic insights and tailored prevention strategies for this vulnerable group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145375282","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 Emotional Communication Between Older Persons and Nursing Assistants in Home Care: A Qualitative Study","authors":"Tanja Gustafsson,&nbsp;Elisabeth Lindberg,&nbsp;Hanna Maurin Söderholm,&nbsp;Lena Hedén,&nbsp;Sandra van dulmen,&nbsp;Annelie J. Sundler","doi":"10.1111/opn.70048","DOIUrl":"10.1111/opn.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Communication between older persons and nursing assistants is important in providing high-quality, person-centred home care. While previous research has reported on older persons' emotional concerns during home care conversations, there is a need to gain an in-depth understanding of emotional concerns' role in such conversations and how to support the older persons' comfort and well-being. Therefore, this study aimed to explore the nature and focus of emotional communication between older persons and nursing assistants in home care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive qualitative design using observational data from 83 audio-recorded home care visits was used to identify and analyse sequences of distressing emotional communication, analysed through thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this study, four themes were described illustrating how emotional communication between older persons and nursing assistants during home care visits creates opportunities for empathy: (1) recognising empathic opportunities, (2) identifying subtle and vague signs of emotional distress, (3) expressing needs for emotional support, and (4) striving to restore comfort in challenging conversations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Conversations about older persons' emotions and worries can be complex. The findings indicate a fine line between meaningfulness and discomfort in emotional sequences. Expressions of emotional distress provide empathic opportunities that call for attentiveness and sensitivity from nursing assistants, implying a need for education and training in person-centred communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Emotional communication acknowledging empathic opportunities enhances person-centred care by promoting trust, comfort, and well-being. Ultimately, emotional communication reinforces the importance of empathy in home care and creates space for emotional interactions, leading to more supportive relationships.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138946","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}