Geriatric Nursing最新文献

{"title":"Motivational interviewing for fall prevention: Older adults’ experience","authors":"Hiroko Kiyoshi-Teo ,&nbsp;Shannon Sweeney ,&nbsp;Bryanna De Lima ,&nbsp;Ashley Roach","doi":"10.1016/j.gerinurse.2025.103640","DOIUrl":"10.1016/j.gerinurse.2025.103640","url":null,"abstract":"<div><div>Motivational interviewing (MI) can be used to promote older adults’ engagement in fall prevention. To examine this, we conducted semi-structured qualitative interviews with a purposively selected sample of ten older adults (age ≥65) at increased risk for falling who received MI for fall prevention. We used thematic analysis to analyze our qualitative interviews and compared the findings to quantitative changes in concerns about falling. All participants reported a positive study experience. MI raised participants’ awareness of fall prevention, which influenced how older adults engaged in fall prevention behaviors. We did not find clear alignment between the quantitative and qualitative reporting about concern about falling. MI had a positive impact on how older adults experience and engage in fall prevention behaviors. The relationship between awareness and concerns related to fall prevention needs to be explored.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103640"},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208602","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":"The experience of fatigue in older adults: a qualitative metasynthesis","authors":"Yiming Wei ,&nbsp;Mingzhu Lu ,&nbsp;Ruili Zhang ,&nbsp;Huijuan Li ,&nbsp;Jiahui Zhai ,&nbsp;Xiaohai Chen","doi":"10.1016/j.gerinurse.2025.103641","DOIUrl":"10.1016/j.gerinurse.2025.103641","url":null,"abstract":"<div><h3>Objective</h3><div>To better understand the lived experience of fatigue in older adults by systematically evaluating and integrating qualitative studies of fatigue in older adults.</div></div><div><h3>Methods</h3><div>A computer-based search of the Cochrane Library, PubMed, Embase, Web of Science, PsychINFO, CNKI, Wanfang Date, and VIP database was conducted for qualitative studies on fatigue experiences in older adults, and the search period was from the establishment of the databases to 27 August 2024. The qualitative research quality evaluation criteria of the Joanna Briggs Institute Evidence-based Health Care Center in Australia was used to evaluate quality of studies. The results were integrated by meta-integration method.</div></div><div><h3>Results</h3><div>A total of 8 papers were included. Data extracted from eligible studies resulted in 37 findings, which were then aggregated into ten categories based on the similarity in meaning. Four synthesized findings were generated: poor life experiences, negative emotional experiences, multiple coping styles, and unmet needs.</div></div><div><h3>Conclusion</h3><div>Fatigue is prevalent among older adults and affects their physical, psychological, and social functioning. This study reveals the complexity of fatigue experience in older adults. In the future, when making nursing plans for the elderly, researchers and healthcare workers should pay attention to their fatigue experience. They should help the elderly improve their ability to prevent and self-manage fatigue, reduce the impact of fatigue on them, and promote the improvement of their quality of life.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103641"},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208618","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":"Risk factors associated with pressure injury development among adult nursing home residents: A scoping review","authors":"Katie R. Brooks PhD, DNP, AGPCNP ,&nbsp;Jenny Alderden PhD, APRN, CCRN, CCNS, FAAN ,&nbsp;Susan M. Kennerly PhD, RN, CNE, WCC, FAAN ,&nbsp;Margaret Graton MSc, MLIS ,&nbsp;Tracey L. Yap PhD, RN, CNE, WCC, FGSA, FAAN","doi":"10.1016/j.gerinurse.2025.103644","DOIUrl":"10.1016/j.gerinurse.2025.103644","url":null,"abstract":"<div><div>Pressure injuries are prevalent in nursing homes, often with severe outcomes, yet little is known about the risk factors contributing to their development. This knowledge gap hinders effective prediction and prevention strategies. This scoping review aimed to synthesize evidence on risk factors for pressure injuries in nursing home residents, highlighting existing research and gaps.</div><div>Searches across six databases identified 3412 studies, of which 12 met inclusion criteria. Most studies focused on resident-level risk factors, such as demographics, health status, and skin condition, with minimal exploration of facility-level or broader contextual factors. Key findings included: a scarcity of nursing home-specific studies, similarities to other care settings, and limited understanding of multi-level influences. The results underscore a significant knowledge gap in risk factor identification specific to nursing home residents. Future research is essential to enhance understanding and develop targeted strategies to reduce pressure injury rates and improve outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103644"},"PeriodicalIF":2.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201996","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":"Key determinants and usage patterns of mobile device proficiency in older adults","authors":"Hye Seung Choi PhD, RN, Postdoctoral Fellow,&nbsp;Hee-Jung Song PhD, Associate Professor and Extension Specialist","doi":"10.1016/j.gerinurse.2025.103645","DOIUrl":"10.1016/j.gerinurse.2025.103645","url":null,"abstract":"<div><div>This study investigated key factors affecting mobile device proficiency and usage patterns among community-dwelling older adults with chronic diseases. Cross-sectional data from 164 older adults in a hypertension management program were utilized. Mobile device proficiency was measured using the Mobile Device Proficiency Questionnaire. Age, education, and food insecurity were negatively associated with the mobile device proficiency score, whereas self-rated health showed a significantly positive association. Mobile device proficiency varied across subscales, highlighting distinct usage patterns. While most participants reported being proficient in basic device navigation and internet use, fewer than 30 % indicated proficiency in data management. Older adults demonstrated varying levels of mobile device proficiency, with significant gaps in advanced functions like data management. These findings emphasize the need for early digital exposure, literacy-appropriate educational resources, and tailored support for older adults to promote health management and well-being. Healthcare policies should allocate resources to community-based initiatives addressing digital access gaps.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103645"},"PeriodicalIF":2.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157885","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":"Comparison of pre- and post-surgery cardiac depression and perceived stress levels in heart patients undergoing different types of surgery","authors":"Osama Sawalha ,&nbsp;Patrocinio Ariza-Vega ,&nbsp;Fadwa Alhalaiqa ,&nbsp;Rasha Dabbour ,&nbsp;Dulce Romero-Ayuso","doi":"10.1016/j.gerinurse.2025.103635","DOIUrl":"10.1016/j.gerinurse.2025.103635","url":null,"abstract":"<div><div>It is an established fact that depression and stress are prevalent among patients who have undergone cardiac surgery. This cross-sectional study, conducted in 2019 over a period of two months, aimed to assess patients' perceptions of stress and depression before and after Coronary Artery Bypass Graft (CABG) surgery in Jordan. Data were collected at two time points: pre-operatively following hospital admission and at one-month post-operatively,using the Cardiac Depression Scale (CDS) and Perceived Stress Scale (PSS). The paired t-test was used to analyse pre-post differences in depression and stress scales, and correlations were calculated through Spearman's and Pearson's correlation tests as appropriate.The mean PSS pre-test scores. A total of 60 patients participated in the study, with 36 (60%) undergoing scheduled surgery and 24 (40%) undergoing urgent surgery High levels of perceived depression were observed both pre- and post-surgery; however, no statistically significant differences were found between the two periods (t=1.63; p=0.108). However, there was a statistically significant decrease in perceived stress one month after surgery (t= -3.43; p=0.001). The mean PSS pre-test scores showed a statistically significant difference between patients in the scheduled surgery group (M = 21.19, SD = 4.76) and those in the urgent surgery group (M = 17.91, SD = 5.63); t [58] = -2.427, p = 0.018).To mitigate the prevalence and adverse effects of stress and depression among CABG patients, these conditions should be managed prior to surgery. Healthcare professionals are recommended to provide preoperative psychological and emotional support to reduce stress and depression levels. Furthermore, patients should be provided with resources and support services to help them cope with any postoperative issues. This study underscores the importance of preoperative and postoperative care in managing stress and depression among CABG patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103635"},"PeriodicalIF":2.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157886","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":"Elderly ICU patients' and their family members' experiences of post-operative delirium: A qualitative study","authors":"Shu-Jun Zhang MS ,&nbsp;Jiao Zong ,&nbsp;Lu-Lu Gu MS ,&nbsp;Ping Yu MS","doi":"10.1016/j.gerinurse.2025.103637","DOIUrl":"10.1016/j.gerinurse.2025.103637","url":null,"abstract":"<div><h3>Background</h3><div>Delirium affects up to 80 % of elderly patients in intensive care units (ICUs), creating significant distress for both patients and families.</div></div><div><h3>Aim</h3><div>To explore the lived experiences of elderly ICU patients with delirium episodes and their family members who witnessed these experiences.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with eight elderly patients (≥65 years, mean age 76) who experienced ICU delirium and their family members. Interviews were analyzed using interpretative phenomenological analysis.</div></div><div><h3>Results</h3><div>Six themes emerged: (1) Navigating Through a Strange Reality, (2) Physical and Emotional Distress, (3) The Aftermath Journey, (4) Family Members' Emotional Turmoil, (5) Communication Barriers and Bridges, and (6) Finding Ways to Cope.</div></div><div><h3>Conclusions</h3><div>Findings highlight the need for enhanced pre-episode education, emotional support, and improved communication strategies between healthcare providers, patients, and families.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103637"},"PeriodicalIF":2.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157888","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":"Effects of a program based on everyday cognition on healthy older adults: A randomized clinical trial","authors":"Susana Sáez ROT, MOT (Researcher) ,&nbsp;Celia Sánchez PhD (Professor) ,&nbsp;Javier Martín MD,PhD (Professor) ,&nbsp;Natalia Sánchez PhD (Professor) ,&nbsp;Fausto J. Barbero PhD (Researcher) ,&nbsp;Eduardo J. Fernández PhD (Researcher)","doi":"10.1016/j.gerinurse.2025.103634","DOIUrl":"10.1016/j.gerinurse.2025.103634","url":null,"abstract":"<div><h3>Objectives</h3><div>The main objective of the study was to evaluate the effectiveness of an intervention based on everyday cognition versus traditional cognitive stimulation for improving functionality, frailty, cognitive, and emotional states in healthy older adults.</div></div><div><h3>Design</h3><div>This study was designed as a controlled, stratified, double-blind clinical trial with group randomization; it featured two parallel arms with fixed assignment to the two intervention groups, control and experimental (NCT05688163). The planned sample size (n=99) was based on prior studies reporting significant effects on everyday cognition.</div></div><div><h3>Participants</h3><div>The participants were non-institutionalized older adults over 60 years old, residing in Salamanca, who voluntarily decided to participate in the occupational therapy program, organized by the University of Salamanca in collaboration with the City Council of Salamanca.</div></div><div><h3>Intervention</h3><div>The control group received a traditional cognitive stimulation program, while the experimental group received an everyday cognition-based intervention</div></div><div><h3>Measurements</h3><div>Sociodemographic variables included age, sex, educational level, and marital status. The following assessments were administered: PA-IADL, MoCA, Yesavage, Lawton and Brody, FIM and FRAIL.</div></div><div><h3>Results</h3><div>The final study sample (n=101) comprised 85.1% women and 14.9% men, with a mean age of 76.98(±6.03) years. Statistically significant differences (p&lt;0.001) were observed in the experimental group in everyday cognition, emotional status, and frailty, compared to the control group. Regarding the variables of basic activities of daily living and basic cognitive functions, both groups achieved statistically significant differences (p&lt;0.001) upon completing both interventions.</div></div><div><h3>Conclusions</h3><div>The use of programs based on everyday cognition as a neurocognitive intervention in healthy older adults is effective in preserving functional, cognitive, and emotional capacity in healthy older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103634"},"PeriodicalIF":2.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157887","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":"Evaluation of the acute care for elders (ACE) care model in elderly patients with chronic obstructive pulmonary disease","authors":"Huan Chen,&nbsp;Lunji Zhang,&nbsp;Wenling Han,&nbsp;Yangqiong He,&nbsp;Fukun Lu,&nbsp;Huiping Yan","doi":"10.1016/j.gerinurse.2025.103633","DOIUrl":"10.1016/j.gerinurse.2025.103633","url":null,"abstract":"<div><h3>Background</h3><div><strong>:</strong> Chronic obstructive pulmonary disease (COPD) significantly impacts the elderly. The Acute Care for Elders (ACE) model may enhance management outcomes, but its efficacy for COPD remains unclear.</div></div><div><h3>Objective</h3><div><strong>:</strong> To assess whether the ACE model improves outcomes for elderly COPD patients compared to standard care, focusing on COPD knowledge, symptom burden, functional status, exercise capacity, and satisfaction.</div></div><div><h3>Methods</h3><div><strong>:</strong> This randomized controlled trial involved 84 COPD patients (60–80 years) admitted to a geriatric ward. Patients were assigned to the ACE group (<em>n</em> = 42) or standard care (<em>n</em> = 42). Outcomes, including COPD knowledge, CAT scores, Barthel Index, 6MWD, and satisfaction, were evaluated at admission, discharge, and 30 days post-discharge.</div></div><div><h3>Results</h3><div><strong>:</strong> The ACE group demonstrated significant improvements in all outcomes at 30 days post-discharge, with superior COPD knowledge, reduced symptom burden, and enhanced functional status.</div></div><div><h3>Conclusion</h3><div><strong>:</strong> The ACE model effectively improves outcomes for elderly COPD patients, supporting its implementation in geriatric wards.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103633"},"PeriodicalIF":2.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157889","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":"Development of nursing guidelines for early exercise combined with pulmonary rehabilitation for the patient whom are older and bedridden: A Delphi study","authors":"Xuting Lu BM","doi":"10.1016/j.gerinurse.2025.103642","DOIUrl":"10.1016/j.gerinurse.2025.103642","url":null,"abstract":"<div><h3>Introduction</h3><div>Develop a graded scheme for early exercise and lung rehabilitation for patients whom are older and bedridden, using the Barthel Index as a foundation, to guide clinical nurses and support the creation of standardized nursing guidelines.</div></div><div><h3>Materials and methods</h3><div>An interdisciplinary geriatric team (GIT) developed an early exercise and pulmonary rehabilitation program for older bedridden adults within a medical consortium model. The initial plan was informed by a systematic literature review and clinical guidelines, and stratified by functional status using the modified Barthel Index (MBI). Two rounds of Delphi consultations with multidisciplinary experts were conducted to refine the content and reach consensus. Iterative revisions ensured high agreement, resulting in an evidence- and expert-informed intervention framework.</div></div><div><h3>Results</h3><div>After two rounds of Delphi consultation with 10 multidisciplinary experts, a structured early exercise and pulmonary rehabilitation program for older bedridden adults was developed. The final framework consists of 24 items across four domains, informed by high expert authority (Cr = 0.91–0.99) and strong consensus. Experts demonstrated statistically significant agreement (Kendall’s W = 0.418–0.539, both <em>P</em> &lt; 0.05), with high mean importance scores (4.15–5.00) and acceptable full-score rates. Key revisions included expanded exercise components, integration of limb-specific instructions, and incorporation of music therapy in advanced stages. The program is delivered over 8 weeks, with 5 sessions per week, each lasting approximately 50 minutes.</div></div><div><h3>Conclusion</h3><div>The integrated early exercise and lung rehabilitation program is scientifically sound and reliable, contributing to uniform nursing quality and serving as a valuable reference for related research and practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103642"},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121200","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":"Allowing natural death in end-of-life decision-making","authors":"Jodi Erickson PhD, RN, CNL, CNE ,&nbsp;Mary Ann Cantrell PhD, RN, CNE, ANEF,FAAN ,&nbsp;Meredith MacKenzie Greenle PhD, RN, ANP-BC, CNE","doi":"10.1016/j.gerinurse.2025.103625","DOIUrl":"10.1016/j.gerinurse.2025.103625","url":null,"abstract":"<div><div>There are currently 2 primary terms used in end-of-life (EOL) discussions when people do not desire life-saving measures: <em>Do Not Resuscitate</em> (DNR) and <em>Allow Natural Death</em> (AND). As a newer term, less is known about how AND influences EOL decision-making. This article reviews the extant empirical literature regarding the use of AND in EOL decision-making. ProQuest PsycINFO, CINAHL, and PubMed were searched through March 2024 for empirical studies on AND in the English language. Eight publications dated 2008–2018 were reviewed and synthesized. Overall, individuals’ decisions regarding EOL scenarios are influenced using AND. However, AND does not carry consistent meaning among healthcare providers or individuals, most of whom were surrogate decision-makers. Further research regarding how healthcare providers, surrogate decision-makers, patients, and healthy adults perceive the terms AND is indicated to better understand whether and how AND can be used to improve communication in EOL decision-making.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103625"},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121201","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}