Simon Krutter, Chiara Muzzana, Maria Flamm, Bernhard Iglseder, Giuliano Piccoliori, Ingrid Ruffini, Patrick Kutschar, Dietmar Ausserhofer
{"title":"[Multiprofessional perspectives on intersectoral collaboration for the prevention of postoperative delirium in older patients-A qualitative study].","authors":"Simon Krutter, Chiara Muzzana, Maria Flamm, Bernhard Iglseder, Giuliano Piccoliori, Ingrid Ruffini, Patrick Kutschar, Dietmar Ausserhofer","doi":"10.1007/s00391-025-02442-4","DOIUrl":"https://doi.org/10.1007/s00391-025-02442-4","url":null,"abstract":"<p><strong>Background: </strong>The prevention of postoperative delirium (POD) in older adults requires interprofessional collaboration among all healthcare professionals (HCP) involved in the continuum of care.</p><p><strong>Objective: </strong>This study investigated the question of how HCPs experience the interprofessional prevention of POD in older adults within the continuum of care. Additionally, it examined the challenges and desired changes in the intersectoral communication and collaboration for prevention of POD.</p><p><strong>Methods: </strong>This multicenter study was carried out with a qualitative research approach. To explore the experiences of HCPs a total of 21 semistructured expert interviews were conducted with general practitioners, geriatricians, anesthesiologists, surgeons and nurses across the 2 study regions Salzburg County and South Tyrol. The interviews were analyzed using content analysis.</p><p><strong>Results: </strong>The results show that the interviewed HCPs already implement measures to prevent POD but these predominantly focus on identifying patients at risk in the inpatient sector. Information about risk factors is not systematically shared between disciplines or across the intersectoral continuum of care. Structures and processes for intersectoral communication and collaboration in the prevention of POD over the continuum of care are largely missing.</p><p><strong>Conclusion: </strong>To improve the prevention of POD in older adults efforts should be made to enhance intersectoral and interprofessional collaboration and communication between the HCPs involved. The development of a shared instrument for the systematic identification and documentation of relevant risk factors across the continuum of care could support the prevention of POD.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043324","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":"Mitteilungen der DGG.","authors":"","doi":"10.1007/s00391-025-02432-6","DOIUrl":"https://doi.org/10.1007/s00391-025-02432-6","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"58 3","pages":"243-247"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The concept of community development and community organization : An interest-oriented approach to social work with old people].","authors":"Monika Alisch","doi":"10.1007/s00391-025-02418-4","DOIUrl":"10.1007/s00391-025-02418-4","url":null,"abstract":"<p><strong>Background: </strong>There is great diversity within the group of old people and the socioeconomic resources of income, formal education and occupational status are unevenly distributed. A low socioeconomic status means high risks for health and poverty, disadvantageous housing situations and fewer opportunities for social participation.</p><p><strong>Aim/question: </strong>In social space-oriented approaches, the possibilities for strengthening the social participation of marginalized older people still appear to be limited. What should a professional concept look like in order to make weak interests heard?</p><p><strong>Concept: </strong>The concept of social space development and social space organization as an instrument for professional promotion of highlighting and realization of own and mutual interests is presented. It was developed in social work in the context of participatory social space research and examples are presented in this article. Social space development aims to enable groups of people who are connected by mutual interests to meet not only in special places created for the care of older people or community work but also in public places in the spaces that are important for themselves and to appropriate spaces for the representation of their own life designs. In the second step, different interest groups are brought into a moderated negotiation process. Social space organization describes how professional work provides access to the resources of the welfare system for the realization of the interests brought forth in the processes of social space development.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"192-196"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598319","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":"Dank an die Gutachterinnen und Gutachter 2024.","authors":"","doi":"10.1007/s00391-025-02406-8","DOIUrl":"10.1007/s00391-025-02406-8","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"231-232"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060966","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}
Bianca Berger, Fabian Graeb, Manfred Baumann, Sven Reuther
{"title":"[Bed confinement in old people-A literature review].","authors":"Bianca Berger, Fabian Graeb, Manfred Baumann, Sven Reuther","doi":"10.1007/s00391-024-02350-z","DOIUrl":"10.1007/s00391-024-02350-z","url":null,"abstract":"<p><strong>Background: </strong>Particularly older people are affected by mobility restrictions and can go through the process of gradually becoming bedridden. This can potentially lead to extensive consequences for the individuals involved, which must be considered in their care.</p><p><strong>Aims: </strong>To bundle nursing implications related to the phenomenon of being bedridden in the field of long-term care and to provide impulses for research in nursing science.</p><p><strong>Methods: </strong>Research in relevant specialist databases (2003-2023) based on the criteria of a scoping review.</p><p><strong>Results: </strong>In Germany there is a standard for maintaining and promoting mobility that addresses bed and local confinements but German language studies on these phenomena are rare. In the international context, these issues are researched more intensively, focussing on risk factors for the development of immobility and the negative consequences for those affected. The publications focus on the reduction of these factors, while less attention is paid to the organization of life in bed and the participation and involvement of those affected.</p><p><strong>Discussion: </strong>The complexity of the phenomenon is not fully illustrated in current research. In order to develop a nursing perspective research projects that also include aspects of life in bed are a central aspect in order to take greater account of the reality of bedridden people's lives and their potential for participation and involvement.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"209-213"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127148","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}
Katrin Lehner, Vera Gallistl, Rebekka Steinlechner, Sophie Kellerberger, Gerhard Paulinger, Franz Kolland
{"title":"[How older people are learning through artificial intelligence-assisted health technologies : Cute seals and nervous fall sensors].","authors":"Katrin Lehner, Vera Gallistl, Rebekka Steinlechner, Sophie Kellerberger, Gerhard Paulinger, Franz Kolland","doi":"10.1007/s00391-025-02425-5","DOIUrl":"10.1007/s00391-025-02425-5","url":null,"abstract":"<p><strong>Background: </strong>With the growing use of artificial intelligence (AI) in various areas of life, AI technologies are increasingly being developed for the nursing and care of older people and are intended to contribute to greater safety for older people in need of care and to relieve the burden on caregivers; however, research into the attitudes and practices of older people in need of care towards AI is only just beginning.</p><p><strong>Objective: </strong>The aim of the article is to ask which learning processes emerge as older nursing home residents interact with AI technologies and how these can be supported with concepts from geragogy.</p><p><strong>Material and methods: </strong>The data consist of 10 guideline-assisted interviews with older nursing home residents aged 83-96 years and records of participant observations (75 h). Data collection took place in summer 2022 and fall 2023 in two nursing homes that use AI-based fall sensors and social robots. The material was analyzed using situation analysis.</p><p><strong>Results: </strong>Nursing home residents showed an active interest in engaging with AI technologies, for example, by trying to relate experiences with AI technologies with experiences from their life course (biography-oriented learning practices) and engaging with AI technologies in everyday life (everyday-oriented learning practices). Residents are therefore interested actors in processes of technology implementation but rarely perceive themselves as competent in the context of AI.</p><p><strong>Conclusion: </strong>The article shows the learning practices and potentials of residents and discusses possibilities of a geragogical approach for a differentiated understanding of AI technologies in nursing.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"186-191"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722286","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}
Fabian Graeb, Bianca Berger, Frank Alf, Petra Reiber, Gundula Essig, Reinhold Wolke
{"title":"[Medication supply and polypharmacy in long-term care : An overview of possible interventions and the question of a functioning concept].","authors":"Fabian Graeb, Bianca Berger, Frank Alf, Petra Reiber, Gundula Essig, Reinhold Wolke","doi":"10.1007/s00391-024-02340-1","DOIUrl":"10.1007/s00391-024-02340-1","url":null,"abstract":"<p><strong>Background: </strong>Polypharmacy and the resulting problems lead to considerable consequences for those affected. There are also considerable problems with the medication management.</p><p><strong>Objective: </strong>Which interventions and programs for optimizing the supply of medication are available for nursing homes and which implementation problems can be expected?</p><p><strong>Material and method: </strong>A literature search was carried out for interventional studies in nursing homes in Germany, with a focus on improving medication safety.</p><p><strong>Results: </strong>A total of six programs were identified for which evaluation results are available. Despite a mostly multimodal approach with several pillars of intervention (e.g., medication reviews, further education and training, development of aids), the results are largely disappointing. The effects on the number of prescriptions in general, specific medication groups or outcome parameters such as hospital admissions could only be shown in one study, whereby, selection bias could also be at least partly responsible for this. Interdisciplinary collaboration and the implementation of medication recommendations formulated in reviews by the responsible physicians are the main problem areas. At the same time, too little attention is paid to the central role of nurses in the entire process and they are not actively promoted enough. This could be one of the reasons for the difficulties in implementation in practice.</p><p><strong>Conclusion: </strong>There are nearly no significant changes as a result of the interventions implemented in the studies reviewed. In particular, interprofessional cooperation, especially the skills of nurses and the reluctance on the part of physicians, should probably be given more attention.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"214-219"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972180","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":"[Health literacy in old age : Associations between educational processes, biography and environment].","authors":"Nadine Konopik","doi":"10.1007/s00391-025-02426-4","DOIUrl":"10.1007/s00391-025-02426-4","url":null,"abstract":"<p><p>Increasing loss of health in old age leads to particular challenges in this phase of life. In response to this, there are support services predominantly aimed at dealing with the resulting changes in living conditions; however, these mostly do not address the subjective view of individuals. With a biographically guided view of health literacy in old age, the article focuses on educational processes in the lives of older people regarding their health experience and actions and questions the environmental influences. The empirical data of the article are based on 12 qualitative interviews conducted with people aged 73-92 years. The analyses show that the two heuristics of biography and environment can be used to reconstruct relevant educational processes over the life span that shape health experience and action in old age. A definition of biographical health literacy derived from this and a model of health literacy in old age are presented. The article concludes with specific recommendations for action in the practice.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"172-179"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665191","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}