Geriatric Nursing最新文献

{"title":"The correlation between geriatric syndromes and perceived meaning in life among older adults","authors":"Hui-Chi Li RN, PhD ,&nbsp;Shu-chuan Liao EdD ,&nbsp;Kuei-Min Chen PhD, RN, FAAN ,&nbsp;Hsiu-Fen Hsieh RN, PhD","doi":"10.1016/j.gerinurse.2025.05.018","DOIUrl":"10.1016/j.gerinurse.2025.05.018","url":null,"abstract":"<div><div>Approximately 42% of older adults experience at least one geriatric syndrome. Meaning in life is essential in maintaining quality of life and well-being of older adults. This study aimed to develop a model illustrating the relationships between geriatric syndromes and meaning in life. The study included 386 community-dwelling older adults in Taiwan. In the geriatric syndromes model, nutritional status positively correlated with cognitive function and hand-grip strength (HGS). Depression negatively correlated with cognitive function, while cognitive function and HGS were mutually associated. In the meaning-in-life model based on geriatric syndromes, meaning in life was negatively associated with depression and positively associated with cognitive function and nutritional status. Cognitive function correlated with most of the variables. Overall, cognitive function, nutritional status, and depression demonstrated a significant correlation with perceived meaning in life. Cognitive functioning emerged as a central indicator of geriatric syndromes, substantially affecting meaning in life among older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"64 ","pages":"Article 103379"},"PeriodicalIF":2.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the realities of multinational surveys: Lessons learned and recommendations","authors":"Sameh Eltaybani PhD (Senior Lecturer)","doi":"10.1016/j.gerinurse.2025.04.020","DOIUrl":"10.1016/j.gerinurse.2025.04.020","url":null,"abstract":"<div><div>With global challenges, the need for multinational research has become more pronounced. This type of research is an intricate endeavor that demands meticulous planning and consideration of diverse challenges. Sharing the personal experiences of researchers engaged in multinational research offers real-world insights beyond theoretical knowledge, alerting researchers to potential challenges that may arise in diverse cultural and geographical contexts. In this article, we portray our personal experience in conducting a multinational, collaborative survey, shedding light on the intricacies of this collaborative process, unraveling lessons learned, and offering recommendations for fellow researchers worldwide. Specifically, we focus on our experience in establishing the research team, work coordination and communication, creating comparative questionnaires, and efficient and effective data collection. We further present our thoughts about choosing between within-country and cross-country surveys and how to consider the contextual factors to improve the analytical rigor, interpretation, and conclusions drawn from multinational surveys.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"64 ","pages":"Article 103347"},"PeriodicalIF":2.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience and health outcomes among elderly refugees: A nursing perspective on overcoming trauma and isolation","authors":"Walaa badawy PhD ,&nbsp;Abeer Mahfouz Mohmmed Al Mdawi PhD ,&nbsp;Hessah M AL Melweth PhD ,&nbsp;Mostafa Shaban PhD","doi":"10.1016/j.gerinurse.2025.05.006","DOIUrl":"10.1016/j.gerinurse.2025.05.006","url":null,"abstract":"<div><div>This study explores the resilience and health outcomes among elderly refugees, focusing on their experiences of trauma, social support, and cultural adaptation in Cairo, Egypt. Using a qualitative phenomenological approach, the study highlights the enduring psychological effects of displacement, including anxiety and post-traumatic stress disorder, and the significant role of social connections and religious practices in fostering resilience. Despite the profound challenges of displacement and cultural alienation, the findings reveal that social support and religious faith are critical in helping elderly refugees navigate their new environment and maintain their mental and physical well-being. The study underscores the need for culturally sensitive, long-term mental health interventions and social integration policies tailored to the specific needs of elderly refugees, emphasizing the role of healthcare providers in promoting resilience and improving health outcomes in this vulnerable population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"64 ","pages":"Article 103367"},"PeriodicalIF":2.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associated factors of falls in community-living older adults in a middle-income country.","authors":"Phanida Juntasopeepun, Donna Z Bliss","doi":"10.1016/j.gerinurse.2025.05.008","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.05.008","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103369"},"PeriodicalIF":2.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenging symptoms of persons living with dementia in integrated medical and care institutions: A multilevel analysis.","authors":"Hanxiao Lv, Dan Yang, Huilan Xu, Tianjiao Li, Xinya Tu, Jianwu Wang","doi":"10.1016/j.gerinurse.2025.04.021","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.04.021","url":null,"abstract":"<p><p>This study aimed to explore the potential factors associated with challenging symptoms. A questionnaire survey was conducted on 823 persons living with dementia in 13 integrated medical and care institutions in Hunan Province, China. The challenging symptoms score was 5.0 (2.0, 8.0). Higher symptom scores were associated with longer dementia duration (b=0.17, P=0.030), moderate dementia (b=1.19, P<0.001), significantly impaired activities of daily living (b=3.20, P=0.012), and risk for abuse (b=3.53, P<0.001). At the caregiver level, anxiety (b=0.12, P=0.044) and the greater the number of persons living with dementia in their care (b=0.24, P<0.001) also increased challenging symptoms. In addition, we reported for the first time the unintended effects of the older adult's cerebrovascular disease (b=-0.83, P=0.007) and psychotropic medications use (b=1.17, P<0.001). The older adult's multiple adverse health-related conditions and the caregiver's negative emotions have an impact on challenging symptoms. The role of psychotropic medications warrants further study.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103348"},"PeriodicalIF":2.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal transitions in intrinsic capacity profiles and their associations with subsequent adverse outcomes among Chinese older adults: A nationwide prospective cohort study.","authors":"Meng Zhao, Chen Wu, Sha Sha, Yafei Si, Sijing Peng, Ming Li, Kefang Wang","doi":"10.1016/j.gerinurse.2025.04.024","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.04.024","url":null,"abstract":"<p><strong>Aims: </strong>To characterize longitudinal transitions in intrinsic capacity (IC) profiles and investigate their associations with adverse outcomes.</p><p><strong>Methods: </strong>Data from three waves of the Chinese Longitudinal Healthy Longevity Survey were utilized. Latent profile and transition analyses identified IC profiles and their changes between the 2011 and 2014 waves. Cox proportional hazards and logistic regression models explored the associations of profile transitions with mortality, activities of daily living disability, instrumental activities of daily living disability, and recurrent severe diseases in the 2018 wave.</p><p><strong>Results: </strong>Two IC profiles were identified: high IC without physio-cognitive decline (HPCD) and low IC with mainly physio-cognitive decline (LPCD). Approximately 85.89% of participants' profiles remained stable, 12.53% transitioned to LPCD, and 1.58% transitioned to HPCD. Groups remaining in or transitioning to LPCD had increased risks of adverse outcomes compared to those with consistent HPCD profiles. Groups with transitions to HPCD profiles reported similar outcomes to that of consistent HPCD profiles.</p><p><strong>Conclusions: </strong>Consistent monitoring and targeted preventative strategies are crucial to optimize IC profiles and reduce economic and public health burdens.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103351"},"PeriodicalIF":2.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the meaning of and barriers to quality of care for people living with dementia through the perspective of care home staff: A qualitative study.","authors":"Kiera Kenny, Helen Odell-Miller, Ming-Hung Hsu","doi":"10.1016/j.gerinurse.2025.04.018","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.04.018","url":null,"abstract":"<p><strong>Aims: </strong>The prevalence of dementia diagnoses means the demand for quality social care services is growing. This paper is an exploratory study of the larger project 'Music4theMind.' 'Music4theMind' is an intervention trial looking at the feasibility of music therapy in care homes to enhance care quality through the needs and symptom management of people living with dementia. This paper aims to understand the meaning of and barriers to delivering high-quality standards of care from the perspective of care home staff. Insights provided by staff will help to develop effective interventions in care homes for both residents and staff.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with fourteen care home staff (M age = 35, SD = 14) working on dementia specialist units at a not-for-profit care organisation across five care homes. The care homes were in the North and South of England and located in urban and rural areas. Interviews were carried out either in person or on Microsoft Teams between July 2022 and January 2023.</p><p><strong>Results: </strong>An inductive thematic approach was used to identify themes from the data. Eight overarching themes and four sub-themes emerged. How care staff understand and practice quality care was (1) Caring for the health and well-being of residents' needs (1.1 physical care, 1.2 psychosocial care, 1.3 person-centred care), (2) Enabling residents to make choices and (3) Carer qualities. Staff reported that the help needed to deliver good quality care was (4) Information, learning opportunities and wider support, (5) Having enough staff on shift and (6) Resources for activities. The barriers to delivering high-quality care were (7) Behavioural and Psychological Symptoms of Dementia and (8) Time constraints (8.1 staffing factors).</p><p><strong>Conclusions: </strong>This research provides insights into how care home staff understand and deliver quality care for residents living with dementia. It highlights factors needed to help staff deliver good quality care for residents and the frequent challenges faced during care practice. Care organisations, policymakers, stakeholders, and researchers should address the needs of care staff to ensure that high standards of quality care are delivered sustainably to residents living with dementia. The findings can be incorporated into future care home interventions to enhance care quality delivery.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103345"},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-pharmacological interventions to reduce neuropsychiatric symptoms in hospitalised patients for behavioural crises with cognitive impairment: A systematic review.","authors":"Eliane Baumberger, Simone Beeri, Stefan Klöppel, Sandra Zwakhalen, Sabine Hahn","doi":"10.1016/j.gerinurse.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.04.006","url":null,"abstract":"<p><p>Non-pharmacological interventions are pivotal to reducing neuropsychiatric symptoms (NPS) in patients with cognitive impairment. This systematic review assessed the effectiveness of non-pharmacological interventions applicable by nursing staff to reduce NPS in older patients with cognitive impairment hospitalised for behavioural crises. Six databases were searched for randomised or non-randomised controlled trials. Two authors screened full-texts and assessed the quality of the studies using the Modified Downs and Black Checklist. Results were presented narratively using the PRISMA guideline. Only five studies could be included, all were conducted in geriatric psychiatry. Three studies showed significant effects on NPS. They tested physical exercise, behavioural activation for meaningful activity and listening to individualised music and were of good, moderate and low quality, respectively. The best evidence was found for physical exercise. Due to the small number of studies with heterogeneous quality, the results must be interpreted with caution, limiting the scope of conclusions. While more research is needed, we recommend that non-pharmacological interventions in clinical practice be adjusted to patient characteristics, contextual factors and existing care practices.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103333"},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between social support from adult children and successful aging among older adults in Jinan, China: A cross sectional study.","authors":"Feifei Song, Jie Yu, Kangming Sun, Wenzhong Zhang, Hong Ji","doi":"10.1016/j.gerinurse.2025.04.014","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.04.014","url":null,"abstract":"<p><strong>Objective: </strong>To explore the current status of successful aging (SA) and its associations with support provided by adult children among older adults in Jinan, China.</p><p><strong>Methods: </strong>This cross-sectional study enrolled older adults (age > 60 years) of 10 communities across Jinan between January 2021 and December 2022. Data were collected using successful aging inventory (SAI), the accepting support scale (SSA) and bringing support scale (SSB). Univariate analysis and multiple linear regression analysis were employed.</p><p><strong>Results: </strong>A total of 197 older adults were included. The average SAI scores were 51.39 ± 0.552. Both SSA and SSB scores were significantly positively correlated with SA scores (all p < 0.01, r = 0.507 and 0.359, respectively). Multiple linear regression analysis showed that the dimensions of accepting emotional support (p = 0.001), accepting material support (p = 0.001) and bringing service support (p = 0.028) were independently associated with SA score.</p><p><strong>Conclusions: </strong>Older adults had moderate degrees of SA in Jinan. Accepting emotional support, accepting material support and bringing service support were significantly associated with SA. The results of the study may provide a reference for parents and children to develop care plans, new ideas for policy makers and caregivers to conduct geriatric care education and health maintenance.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103341"},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences of patients in advance care directives provide key steps for concordance of end-of-life care.","authors":"Sarah Yeun-Sim Jeong, Peter Cleasby, Se Ok Ohr, Tomiko Barrett","doi":"10.1016/j.gerinurse.2025.04.028","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.04.028","url":null,"abstract":"<p><p>Although advance care planning (ACP) has been widely promoted to enhance future provision of end-of-life care, there continues to be a need to better understand the ways in which individuals engage with ACP processes and their perceptions of resultant documentation (e.g. completed advance care directives (ACDs)). The aim of the study was to shed light on the views of patients participating in an RN-led ACP service. Data were collected from 85 completed ACDs and 43 surveys completed by patients and their carers. Diversity was demonstrated across the choice of substitute decision makers, preferred place of care, impact of future limitations, storage and communication of completed documentation. The findings provide clinicians, researchers and policy makers with insights into what matters to people in life and at the very end of life, and how to orientate services towards the preferences for care documented in ACDs. REGISTRATION: The study was retrospectively registered on 8/10/2018 with the Australian New Zealand Clinical Trials Registry (Trial ID: ACTRN12618001627246).</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103355"},"PeriodicalIF":2.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}