International Journal of Older People Nursing最新文献

{"title":"Association between a malnutrition screening tool and mealtime observation checklist items in older people receiving oral intake support: A cross-sectional study of four long-term care facilities","authors":"Eri Nishioka MA, RD,&nbsp;Mayumi Iwata BA, RD,&nbsp;Noriko Kumai BA, RD,&nbsp;Yoshinari Matsumoto PhD, RD,&nbsp;Chika Momoki PhD, RD,&nbsp;Yoko Yasui MA, RD,&nbsp;Daiki Habu PhD, MD","doi":"10.1111/opn.12610","DOIUrl":"https://doi.org/10.1111/opn.12610","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Multiple nutritional screening tools are available for older people; however, few screening tools include specific eating behaviours as risk factors that could lead to poor food intake. The 24-item mealtime observation checklist (MOCL), developed by the Japanese Ministry of Health, Labour and Welfare in 2015, comprises signs, symptoms and conditions during mealtime that reflect eating and swallowing functions and oral conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine factors associated with malnutrition among the MOCL items in older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted using data from a retrospective cohort study conducted at four long-term care facilities in Japan. Among the older people residing in the facilities, 198 who received oral intake support were included in the analyses. Nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA^®-SF), and comparisons were made between ‘malnutrition’ and ‘at-risk or well-nourished’. The association between each MOCL item and malnutrition was assessed using multivariable logistic regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 198 participants, 98 (49.5%) were classified as ‘malnutrition’, 98 (49.5%) as ‘at-risk’ and 2 (1%) as ‘well-nourished’ by MNA^®-SF. After adjusting for participant characteristics such as age and sex, significant associations with malnutrition were observed for four items from the 24-item MOCL: ‘Has fatigue due to extended mealtime (odds ratio [OR] = 3.20, 95% confidence interval [CI]: 1.36–7.53)’, ‘Food residues in the oral cavity are conspicuous (OR = 2.77, 95% CI: 1.38–5.52)’, ‘Has difficulty swallowing food and takes time to swallow (OR = 3.78, 95% CI: 1.45–9.84)’ and ‘Assisted feeding is required (OR = 3.70, 95% CI: 1.73–7.91)’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The four signs, symptoms and conditions during mealtime identified in this study may be associated with malnutrition in older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>These may indicate the potential eating problems that can lead to malnutrition. By incorporating them into early intervention and prevention measures, health care providers may help prevent malnutrition and improve the nutritional status of older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140552927","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":"Development and validation of health-oriented personal evaluation for the community-dwelling older person based on the International Classification of Functioning, Disability and Health","authors":"Liang Zhou MD,&nbsp;Chun Feng DPT,&nbsp;Yue Lu MS,&nbsp;Li-Juan Zhong MS,&nbsp;Jing Gao MS,&nbsp;Na Liu MS,&nbsp;Feng Lin MD, PhD,&nbsp;Zhong-Li Jiang MD, PhD","doi":"10.1111/opn.12609","DOIUrl":"https://doi.org/10.1111/opn.12609","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;The International Classification of Functioning, Disability and Health (ICF) offers a standardized international terminology to operationalize function management across multiple domains, but the summary score of the ICF qualifier scale provides limited information on the comparison of personal abilities and functioning difficulties.&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 enhance the interpretative power of the ICF-based Health-oriented Personal Evaluation for the community-dwelling older person (iHOPE-OP) scale through the implementation of the item response theory (IRT) modelling.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This cross-sectional, multi-centre study administrated 161 ICF categories (58 on body functions, 15 on body structures, 60 on activities or participation and 28 on environmental factors) to evaluate the functional level of 338 older citizens (female = 158, male = 180) residing in community or supportive living facilities. The validation process encompassed assessing the IRT model fitness and evaluating the psychometric properties of the IRT-derived iHOPE-OP scale.&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 age of participants ranged from 60 to 94.57, with the mean age of 70. The analysis of non-parametric and parametric models revealed that the three-parameter logistic IRT model, with a dichotomous scoring principle, exhibited the best fit. The 53-item iHOPE-OP scale demonstrated high reliability (Cronbach's &lt;i&gt;α&lt;/i&gt; = 0.9729, Guttman's lambda-2 = 0.9749, Molenaar-Sijtsma Statistic = 0.9803, latent class reliability coefficient = 0.9882). There was a good validity between person abilities and the Barthel Index (&lt;i&gt;p&lt;/i&gt; &lt; .001, &lt;i&gt;r&lt;/i&gt; = .83), as well as instrumental activities of daily living (&lt;i&gt;p&lt;/i&gt; &lt; .001, &lt;i&gt;r&lt;/i&gt; = .84).&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;IRT methods generate the reliable and valid iHOPE-OP scale with the most discriminable and minimal items to represent the older person's functional performance at a comprehensive level. The use of the Wright map can aid in presby-functioning management by visualizing item difficulties and person abilities.&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;Considering the intricate and heterogeneous health status of older persons, a single functional assessment tool might not fulfil the need to fully understand the multifaceted health status. For use in conjunction with the IRT and ICF framework, ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140556165","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":"Adaptation of the Australian National University Alzheimer's Disease Risk Index-Short Form (ANU-ADRI-SF) into Turkish","authors":"Serap Bayram PhD,&nbsp;Özlem Altınbaş Akkaş PhD","doi":"10.1111/opn.12608","DOIUrl":"10.1111/opn.12608","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The ‘Australian National University Alzheimer's Disease Risk Index’ (ANU-ADRI) assesses the risk of developing Alzheimer's disease (AD) and is a potential tool for its prevention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study is to adapt the ANU-ADRI-SF (the short version of ANU-ADRI) into the Turkish language and Turkish cultural context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was methodological and involved the translation and intercultural adaptation of the ANU-ADRI-SF into the Turkish language. The study included 384 community-based participants from a province in the Western Black Sea Region of Türkiye. Data was collected via an online form prepared using Google Forms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The index was translated from its original language, English, into Turkish and then retranslated to English by bilingual translators. It was then reviewed and evaluated for possible issues related to translation and degrees of equivalence. When TR-ANU-ADRI-SF levels were compared according to sex, the mean risk scores were found to be 11.25 ± 7.02 for males and 11.69 ± 7.99 for females. After cross-cultural adaptation, the TR-ANU-ADRI-SF was conceptually intelligible to Turkish adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The TR-ANU-ADRI-SF is a valid and reliable AD risk assessment tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>Given the increase in AD and its impact on people's health, there is a great need for strategies to be implemented by health professionals to improve the lifestyle of the adult population. For use in conjunction with these strategies, a localised AD risk assessment tool that can be applied by clinicians or by individual patients has been adapted and introduced to the Turkish literature.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177228","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":"Anchoring our science with keywords","authors":"Sarah H. Kagan PhD, RN","doi":"10.1111/opn.12607","DOIUrl":"10.1111/opn.12607","url":null,"abstract":"&lt;p&gt;&lt;i&gt;Keywords&lt;/i&gt;. Not a topic that excites many readers, I imagine. But I would like to convince you that keywords are critical to advancing science and are thus quite exciting. Think of the roles that keywords play in science. Keywords place a research report in the context of a larger body of literature. Keywords tie one research report to others addressing the same and closely related topics. Evidence syntheses are built on a foundation of keywords. Every search begins with a carefully delimited set of keywords, some of which are subject headings and others are keywords determined by the investigators. In publishing, both authors and reviewers each declare keywords. Authors list them for themselves as scholars and for their manuscript. Reviewers select them to define their expertise. Editors go on to match reviewers to manuscripts and authors to journals. In short, both science and scientific literature are anchored by keywords. Great and thanks for that overview, you think. So, what more is there to say? Quite a lot, actually.&lt;/p&gt;&lt;p&gt;Concerningly, keywords are commonly ineffectively or inappropriately used within gerontological nursing and beyond. Keywords appear prosaic and familiar to most of us. How hard can it be, we think to ourselves, to list a few words like ‘older people’ or ‘gerontological nursing’ when submitting our manuscripts or completing our peer reviewer accounts and then tick that task off as complete. That approach typically results in imprecise and incomplete lists of keywords, often overlooking connections to subject headings. Confusion about keywords and subject headings lies at the core of where our use of keywords commonly goes wrong.&lt;/p&gt;&lt;p&gt;Keywords on a manuscript may include subject headings from one or more taxonomies. But not all keywords are subject headings. Some topics may be too novel or culturally specific to have amassed sufficient science and gained recognition in one or more taxonomies. Keywords, subject headings and their use are hardly a common lecture topic made clear through robust discussion. Importantly, the correct term is ‘keywords’ and not ‘key words’. Know that, if this surprises you, you are not alone. Few of us are explicitly taught about keywords in a manner that makes using them effectively easy.&lt;/p&gt;&lt;p&gt;Keywords are terms that describe topics represented by the content and methods used in a research project and its dissemination. They can also be applied to other types of manuscripts like commentaries and editorials. Keywords are not key or essential words used in a manuscript nor are they words simply associated with a given journal. Consequently, manuscripts submitted to this journal should not simply be identified with keywords like ‘older people’ or ‘older people nursing’ without directly studying either or both of those topics. Importantly, keywords are not structured by an organisation with formal authority to make keywords official. Rather, keywords emerge organically as authors publish ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How is family health related to health-related quality of life among middle-aged and older adults in rural China? A cross-sectional study","authors":"Jiangyun Chen PhD,&nbsp;Yibo Wu PhD,&nbsp;Lehuan Li,&nbsp;Feiying He PhD,&nbsp;Biqing Zou,&nbsp;Yishan Zhuang,&nbsp;Yusupujiang Tuersun,&nbsp;Jiao Yang,&nbsp;Fangjing Wu,&nbsp;Yifan Kan,&nbsp;Ke Lyu,&nbsp;Yefeng Lu MD,&nbsp;Wai-Kit Ming PhD,&nbsp;Xinying Sun PhD,&nbsp;Dong Wang PhD","doi":"10.1111/opn.12605","DOIUrl":"10.1111/opn.12605","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Health-related quality of life (HRQOL) is unequal between countries and regions, and the emphasis on HRQOL of populations of low-income countries and regions is unprecedented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine the association between family health and HRQOL among middle-aged and older adults in rural China, and determine whether this association differs by age, gender and chronic disease subgroup.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional survey carried out from July to September 2021. The participants were 1059 people aged 46 and over living in rural China. We used the European Quality of Life Five Dimension Five Level (EQ-5D-5L) and Family Health Scale-Short Form (FHS-SF) to assess health-related quality of life (HRQOL) and family health, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean EQ-VAS was 75.66, the mean EQ index score was 0.92, and the mean FHS was 37.90 in rural middle-aged and older adults. After Bonferroni correction, generalised linear regression models showed that FHS was significantly associated with the EQ-VAS (β = 0.829; 95% confidence interval [CI]: 0.660 to 0.997; <i>p</i> &lt; .001) and the EQ index score (β = 0.003; 95%CI: 0.001 to 0.004; <i>p</i> &lt; .001). Binary logistic regression models showed that FHS was associated with three dimensions of HRQOL (mobility, self-care and usual activities) (<i>p</i> &lt; .01). Based on subgroup analyses, the effect of FHS on EQ-VAS and the EQ index score was significant in three subgroups after Bonferroni correction (<i>p</i> &lt; .01), but the association between FHS and the dimensions of HRQOL differed by age, gender and chronic disease group (<i>p</i> &gt; .01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study is the first to explore that family health and its dimensions are significant positive predictors of HRQOL among middle-aged and older adults in rural China. Family-based measures may have more potential and value because better family health significantly improves HRQOL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>In the health strategy, the government and primary health care workers should include family health as an indicator and assess it before and after the implementation of the strategy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906714","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":"Correction to Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from ‘online’ supportive conversations and reflection sessions","authors":"","doi":"10.1111/opn.12606","DOIUrl":"https://doi.org/10.1111/opn.12606","url":null,"abstract":"<p>By Hockley, J., Watson, J., Johnston, L., &amp; Shenkin, S. D. (2024). Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from “online” supportive conversations and reflection sessions. International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598</p><p>The authors of this article, first published on [7 January 2024] in Wiley Online Library (wileyonlinelibrary.com), have informed the editors of the below errors that they wish to correct.</p><p>In the summary box, the heading:</p><p>‘What are the implications for this knew knowledge for nursing care with older people?’ was incorrect.</p><p>This should have read:</p><p>‘What are the implications of this new knowledge for nursing care with older people?’</p><p>In the third bullet point:</p><p>‘Specialist palliative care facilitators and care home practicer educators are well placed to facilitate OSCaRS but delivery and sustainability is challenging’ was incorrect.</p><p>This should have read:</p><p>‘Specialist palliative care facilitators and care home practice educators are well placed to facilitate OSCaRS, but delivery and sustainability is challenging’.</p><p>In Box 2a, the heading ‘Record of OSCaRS teaching points at one sessions [CH2]’ was incorrect.</p><p>This should have read ‘Record of OSCaRS teaching points at one session [CH2]’.</p><p>We apologize for these errors.</p><p>REFERENCE</p><p>Hockley, J., Watson, J., Johnston, L., &amp; Shenkin, D. S. (2024). Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from “online” supportive conversations and reflection sessions. International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12606","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139719858","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":"Older individuals' perspectives on the prerequisites for living at home: A mixed-methods systematic review","authors":"Minna Ylönen PhD, RN,&nbsp;Minna Stolt PhD,&nbsp;Dominika Kohanová PhD, RN,&nbsp;Riitta Suhonen PhD, RN, FEANS, MAE","doi":"10.1111/opn.12603","DOIUrl":"https://doi.org/10.1111/opn.12603","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Living at home for as long as possible is a central ageing policy goal. Older individuals usually expect to stay at home, if possible, and their goals regarding living at home generally include holistic wellness, prevention and treatment of ageing effects and the retention of satisfaction. Previous research on older individuals living at home has mostly focused on their physical performance, usually evaluated by healthcare professionals. However, there is limited research on older individuals' identification of the prerequisites for living at home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The aim was to identify older individuals' views on the prerequisites for living at home. We conducted a mixed-methods systematic review with a data-based convergent design. We carried out a computerized search in MEDLINE (1966 to the end of August 2021) and CINAHL (1982 to the end of August 2021). All types of study designs were included. We evaluated the methodological quality of the included articles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 1052 articles identified, 28 were eligible. The prerequisites for older individuals to be able to live at home include lifestyle and self-care capability and physical, psychosocial, environmental and socio-economic components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The review provided knowledge that can be used to inform measures for supporting independent at-home living. Older individuals' perspectives on prerequisites for at-home living are unique and individually specific. A checklist can be developed to detect individuals' singularity and the strengths and limitations impacting independent living. Therefore, assessments of each older individual's own perspective are needed to better identify the prerequisites for at-home living.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139700675","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":"Staff-based measurement instruments of person-centredness in settings of care for older people: A systematic review","authors":"Tinna Elfstrand Corlin PhD,&nbsp;Ali Kazemi PhD","doi":"10.1111/opn.12601","DOIUrl":"https://doi.org/10.1111/opn.12601","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;Person-centred care is widely endorsed as a promising approach for delivering high-quality care to older people. However, the multitude of existing definitions and measurement tools, coupled with the continuous emergence of new tools, can create confusion and hinder precision in assessing this concept. This review was undertaken with a recognition of the crucial role that assessment quality plays in evaluations and improvements, particularly within the context of person-centred care for older people.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to systematically review staff-based measures of person-centredness in settings of care for older people. More specifically, the objectives were to provide description, methodological evaluation and synthesis of diverse conceptual understandings of person-centredness encapsulated in these measurement tools.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We systematically searched the Cinahl, PsycInfo, PubMed, Scopus and Web of Science databases for English peer-reviewed journal articles between 2000 and 2021. These articles discussed the creation of staff-based questionnaires designed to assess the extent of person-centred care. We excluded questionnaires meant for clients, patients or families, as well as non-questionnaire scales. The measures were described, and their interpretations of person-centred care were synthesised through a critical interpretive synthesis method. We evaluated methodological quality using a condensed COSMIN risk of bias checklist and adhered to PRISMA guidelines.&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 review identified a total of 14 staff-based measures. These measures exhibited varying levels of comprehensiveness, encompassing anywhere between 2 and 17 components. Furthermore, the number of items within the measures ranged from 11 to 62, and the sample sizes exhibited significant diversity, spanning from 58 to 1428. In terms of the components scrutinised by the scales regarding person-centred care, our synthesis revealed the emergence of four distinct conceptual categories: care process, supportive care environment, relations and communication, and knowledge and attitudes. As for the methodological quality of the scales, it exhibited a notable degree of variation (i.e. from inadequate to very good).&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;Diverse measures of person-centredness vary in terms of compreh","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655305","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":"Experiences of interventions to reduce hospital stay for older adults following elective treatment: Qualitative evidence-synthesis","authors":"Debbie Kinsey PhD,&nbsp;Daniele Carrieri PhD,&nbsp;Simon Briscoe PhD,&nbsp;Sam Febrey BSc,&nbsp;Dylan Kneale PhD,&nbsp;Chris Lovegrove MClinRes, BSc,&nbsp;Michael Nunns PhD,&nbsp;Jo Thompson Coon PhD,&nbsp;John McGrath BM, BS, FRCS, MD,&nbsp;Anthony Hemsley BMedSci, MD, FRCP,&nbsp;Liz Shaw DClinPsy","doi":"10.1111/opn.12602","DOIUrl":"https://doi.org/10.1111/opn.12602","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Hospitals streamline treatment pathways to reduce the length of time older adults admitted for planned procedures spend in hospital. However patient perspectives have been poorly evaluated. This systematic review aimed to understand the experiences of older patients, carers, families and staff of multi-component interventions intended to improve recovery following elective treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Research Design and Methods</h3>\u0000 \u0000 <p>Bibliographic databases searched in June 2021 included MEDLINE ALL, HMIC, CENTRAL, CINAHL, AMED and ProQuest Dissertations and Theses. We conducted citation searching and examined reference lists of reviews. Two reviewers independently undertook screening and data extraction, resolving disagreements through discussion. We used an adapted Wallace checklist for quality appraisal and meta-ethnography to synthesise data. Clinician, carer and patient views were incorporated throughout the review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-five papers were included in the synthesis. Thirteen studies were conducted in the UK, with patient views the most frequently represented. We identified six overarching constructs: ‘Home as preferred environment for recovery’, ‘Feeling safe’, ‘Individualisation of structured programme’, ‘Taking responsibility’, ‘Essential care at home’ and ‘Outcomes’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Implications</h3>\u0000 \u0000 <p>Findings explore the support patients, families and carers need throughout hospital admission, and may inform commissioning of services to ensure patients and carers receive appropriate follow-up support after hospital discharge. The findings may help hospital and community-based health and social care staff provide person-centred care based upon assessments of emotional and physical wellbeing of patients and family/carers. Research is needed to establish a core-set of patient-reported outcome measures which capture aspects of recovery which are meaningful to patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643909","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":"Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care and factors associated with it","authors":"Merja Hoffrén-Mikkola PhD,&nbsp;Sini Eloranta PhD,&nbsp;Sari Teeri PhD,&nbsp;Tuula Mikkola PhD,&nbsp;Marjatta Komulainen MSc","doi":"10.1111/opn.12604","DOIUrl":"https://doi.org/10.1111/opn.12604","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;Telehomecare in older adults' home care in Finland is mainly video-mediated check-up and reminder calls with home care clients. Home care workers have reported mixed attitudes and feelings towards utilisation of technologies and remote services in their work.&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;The aim of this cross-sectional study was to investigate Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care. Another aim was to examine what factors are associated with this satisfaction.&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 data were collected with an electronic quantitative email survey. Five Finnish older adults' home care organisations participated as the target organisations of the study. Two of the organisations were located in large cities, one in a medium-sized provincial centre and two in rural municipalities. Three organisations provided telehomecare services with centralised service models and two with decentralised service models. In total, the organisations had 103 telehomecare workers to whom the survey was directed.&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 telehomecare workers were mostly satisfied with (55.8%) or felt neutral about (20.9%) the inclusion of telehomecare in older adults' home care. Satisfaction was strongly related to the workers' experience of telehomecare making their work easier, improving interaction and enhancing relationships of trust with clients as well as decreasing workload. Application of telehomecare to overcome the workers' physical restrictions, and also their perceptions of being able to influence whether to start working in telehomecare, were strongly related to their satisfaction with the inclusion of telehomecare in home care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The results confirm that telehomecare job positions function well as relocated job positions in home care when workers have musculoskeletal problems or injuries. However, it is important that workers' willingness to work in telehomecare is also respected. From the telehomecare workers' perspective, good interaction and trustful relationships with clients are important factors that produce good care and increase satisfaction with telehomecare.&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;Telehomecare may have a positive impact on the home care workers’ job satisfaction. The homecare workers need training in the use of","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643910","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}