Geriatric NursingPub Date : 2025-01-25DOI: 10.1016/j.gerinurse.2025.01.013
Qingyang Hu BS , Yixuan Zeng BS , Lingying Cai BS , Hong Liang PhD , Juan Lv MSN, RN , Jingjing Luo PhD , Yan Liang PhD.
{"title":"Exploring geriatric syndromes among physically disabled older adults: A network analysis","authors":"Qingyang Hu BS , Yixuan Zeng BS , Lingying Cai BS , Hong Liang PhD , Juan Lv MSN, RN , Jingjing Luo PhD , Yan Liang PhD.","doi":"10.1016/j.gerinurse.2025.01.013","DOIUrl":"10.1016/j.gerinurse.2025.01.013","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the network structure of common geriatric syndromes and conditions in physically disabled older adults.</div></div><div><h3>Methods</h3><div>We chose fourteen common geriatric syndromes and conditions from the dataset and estimated networks with the partial correlation network method. We tested the stability and accuracy of the network using the package “bootnet” in R software.</div></div><div><h3>Results</h3><div>The common geriatric syndromes and conditions were positively connected within the network, and strong connections emerged between chronic pain and dyspnea, and urinary incontinence and vision impairment. Polypharmacy, chronic pain, cognitive impairment and urinary incontinence were strongly and directly connected with the network.</div></div><div><h3>Conclusion</h3><div>Healthcare professionals, caregivers, and older adults should pay more attention to the occurrence and development of these four syndromes as well as the interactions between the different syndromes during intervention planning. Interventions targeting multiple geriatric syndromes or a factor common to various syndromes may be more feasible and more effective.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 54-61"},"PeriodicalIF":2.5,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048807","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}
Geriatric NursingPub Date : 2025-01-24DOI: 10.1016/j.gerinurse.2025.01.003
Ke Tang , Jin Yao , Run Wang , Weiqing Ruan , Xianhong Chen , Lingli Yang , Yueping Li , Rui Zhang , Chunlan Zhou
{"title":"Corrigendum to “factors influencing proactive health behaviors in pre-frailty older adults: A qualitative study based on theory of planned behavior” [Geriatric Nursing, Volume 60, November–December 2024, Pages 671-676]","authors":"Ke Tang , Jin Yao , Run Wang , Weiqing Ruan , Xianhong Chen , Lingli Yang , Yueping Li , Rui Zhang , Chunlan Zhou","doi":"10.1016/j.gerinurse.2025.01.003","DOIUrl":"10.1016/j.gerinurse.2025.01.003","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Page 34"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043593","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}
Geriatric NursingPub Date : 2025-01-24DOI: 10.1016/j.gerinurse.2025.01.010
Ji Won Lee PhD , Christine DeForge PhD, RN, CCRN , Bridget Morse-Karzen MPH , Patricia W. Stone PhD , Laurent G. Glance MD , Andrew W. Dick PhD , Ashley Chastain DrPH , Denise D. Quigley PhD , Jingjing Shang PhD
{"title":"Racial and ethnic disparities in post-acute care service utilization after stroke","authors":"Ji Won Lee PhD , Christine DeForge PhD, RN, CCRN , Bridget Morse-Karzen MPH , Patricia W. Stone PhD , Laurent G. Glance MD , Andrew W. Dick PhD , Ashley Chastain DrPH , Denise D. Quigley PhD , Jingjing Shang PhD","doi":"10.1016/j.gerinurse.2025.01.010","DOIUrl":"10.1016/j.gerinurse.2025.01.010","url":null,"abstract":"<div><div>Evidence examining disparities in post-acute care (PAC) utilization among various racial and ethnic groups after stroke and the influence of social determinants of health (SDOH) in these decisions is lacking. Thus, we searched the literature from January 2000 to November 2023 regarding PAC among individuals after stroke through: 1) Pubmed, 2) Scopus, 3) Web of Science, 4) Embase, and 5) CINAHL. We found 14 studies. Black individuals were more likely than White individuals to be discharged home with home health (HH) and skilled nursing facilities (SNF). Hispanic individuals were more likely than White individuals to be discharged home with HH, but less likely to be discharged to institutions. Lower socioeconomic status, Medicaid insurance, urban residence, area PAC supply and hospital characteristics were associated with increased institutional discharges among racial and ethnic minority individuals. Future policy should improve access to appropriate PAC commensurate with an individual's medical/social complexity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 35-47"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043594","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}
Geriatric NursingPub Date : 2025-01-24DOI: 10.1016/j.gerinurse.2025.01.004
Wenbo He , Wei Feng , Liang Du , Wei Zhang
{"title":"The Chinese version of the patients’ experiences scale for older inpatients in the medical group: Instrument development and cross-sectional validation study","authors":"Wenbo He , Wei Feng , Liang Du , Wei Zhang","doi":"10.1016/j.gerinurse.2025.01.004","DOIUrl":"10.1016/j.gerinurse.2025.01.004","url":null,"abstract":"<div><div>Value-based healthcare is increasingly emphasizing attention to patients' self-reported experiences. However, due to the lack of effective tools, older patients in China lack feedback on the comprehensive care experience. Based on the psychometric assessment procedure, we developed a new geriatric inpatient experience scale (GIES). The study comprised two stages: (1) instrument development and (2) empirical testing. Through literature screening and Delphi methods, 26 preliminary items were identified. The content and facial validity tests then produced 23 items across eight factors: ‘Doctor-patient communication’, ‘Engagement’, ‘Privacy’, ‘Right to know’, ‘Services timeliness’, ‘Continuity care’, ‘Visiting environment’, and ‘Overall satisfaction’. Using reliability analysis, exploratory and confirmatory factor analysis to evaluate psychometric characteristics, GIES showed good reliability and structural validity. As a multidimensional instrument for the experience of older patients, the application of GIES in clinical practice can assist healthcare providers in identifying areas for improvement to improve care experiences and outcomes for older patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 26-33"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043595","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}
Geriatric NursingPub Date : 2025-01-21DOI: 10.1016/j.gerinurse.2025.01.005
Jingwen Song MNS , Chunping Qin RN , Simeng Su RN , Rong Wei RN , Ting Zhang RN , Yifan Deng RN , Jin Liang RN , Hua Lin MNS RN
{"title":"Analysis of promotion and obstacles in long-term care grading services for home-based older adults with disabilities in China","authors":"Jingwen Song MNS , Chunping Qin RN , Simeng Su RN , Rong Wei RN , Ting Zhang RN , Yifan Deng RN , Jin Liang RN , Hua Lin MNS RN","doi":"10.1016/j.gerinurse.2025.01.005","DOIUrl":"10.1016/j.gerinurse.2025.01.005","url":null,"abstract":"<div><div>Long-term care (LTC) grading services refers to professional assessors using specific tools to systematically evaluate people with long-term care needs,develop and implement graded service standards that align with the care needs of individuals based on their varying levels of disability.It has been nearly a decade since China initiated home-based long-term care for the disabled elderly; however, challenges remain, such as the lack of detailed graded service standards and inadequate allocation of medical and nursing resources. This study aimed to gain insights into factors about influencing the current system by understanding the perspectives of those directly involved in providing care and to promote LTC services for older adults with disabilities in China.Using purposive sampling, nurses and certified nursing assistants were selected as participants for this qualitative study. Data were analysed using deductive method, guided by the Association Standard for Long-Term Care Grading Services for the Elderly, the Consolidated Framework for Implementation Research, and the Capability, Opportunity, and Motivation-Behavior (COM-B) model.This study identifies five themes—innovation, external and internal environmental factors, personal characteristics, and implementation process—along with five promoting and six obstacle factors. It explores nurses and certified nursing assistants perspectives on home-based long-term care grading for individuals with disabilities, offering a theoretical basis for a Chinese-specific long-term care model.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 19-25"},"PeriodicalIF":2.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025911","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}
Geriatric NursingPub Date : 2025-01-17DOI: 10.1016/j.gerinurse.2024.12.015
Júlia Maria Armelin , Maria Jasmine Gomes da Silva , Andrea Rodrigues de Amorim Molina , Samara Aline de Assis Ferreira , Victor Matheus Queiroz de Paz , Larissa Pires Andrade , Juliana Hotta Ansai , Grace Angélica de Oliveira Gomes
{"title":"Adherence to a telehealth program for older adults with dementia and their caregivers: A mixed-methods study","authors":"Júlia Maria Armelin , Maria Jasmine Gomes da Silva , Andrea Rodrigues de Amorim Molina , Samara Aline de Assis Ferreira , Victor Matheus Queiroz de Paz , Larissa Pires Andrade , Juliana Hotta Ansai , Grace Angélica de Oliveira Gomes","doi":"10.1016/j.gerinurse.2024.12.015","DOIUrl":"10.1016/j.gerinurse.2024.12.015","url":null,"abstract":"<div><div>The objectives were to analyze the association between the cognitive performance of older adults/caregivers, adherence to a telehealth program and investigate reasons for dropouts, retention and adherence. A mixed-methods study was conducted involving 41 older adults diagnosed with dementia who participated in a 12-week telehealth program that offered physical exercises for the older adults and psychoeducation for the caregivers. Cognitive performance, adherence rates, benefits and reasons for withdrawal, retention and adherence were determined with the aid of questionnaires, field records, and focus groups. No significant association was found between the adherence rate and cognitive performance. The main reason for dropouts was the occurrence of illness during the intervention. The reasons for adherence were the convenience of the online program and the fact that the program was free of cost. The benefits were improvements in the wellbeing, mood of the older adults and the mitigation of progressive symptoms of dementia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 13-18"},"PeriodicalIF":2.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017069","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}
Geriatric NursingPub Date : 2025-01-11DOI: 10.1016/j.gerinurse.2024.12.041
Xuhui Dong , Defeng Chen , Wanlin Peng , Bei LI , Mengxin He , Jiabao LI , Yang Yang
{"title":"Meta-analysis of risk factors for oral frailty in older adults","authors":"Xuhui Dong , Defeng Chen , Wanlin Peng , Bei LI , Mengxin He , Jiabao LI , Yang Yang","doi":"10.1016/j.gerinurse.2024.12.041","DOIUrl":"10.1016/j.gerinurse.2024.12.041","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the risk factors for oral frailty in the elderly by Meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic search of China Knowledge,Wanfang,China Biomedical Service System, Pubmed,Embase,and Cochrane Library,to search for eligible studies published from the time of library construction up to November 2023,and risk factors on oral frailty were included and analysed by Meta-analysis.</div></div><div><h3>Results</h3><div>A total of 12 studies were included,including 26 risk factors. Statistically significant risk factors for oral frailty included age (OR=1.33,95% <em>CI</em>:1.03–1.72), physical frailty (OR=2.57,95%<em>CI</em>:1.25–5.32),and precorporeal frailty (OR=1.85,95% <em>CI</em>: 1.34–2.54).</div></div><div><h3>Conclusion</h3><div>Older adults who are physically frail or have preexisting conditions are more likely to develop oral frailty.Therefore, it is important to assess these risk factors early and emphasize prevention to reduce the incidence of oral frailty in older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 7-12"},"PeriodicalIF":2.5,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973479","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}
Geriatric NursingPub Date : 2025-01-10DOI: 10.1016/j.gerinurse.2024.12.036
Chunyu Wang , Dandan Liao , Xiangjun Yang , Tingting Fu , Jin Yan , Chenjuan Ma
{"title":"The chain mediating role of social support and coping strategy: Type D personality and psychological distress among Chinese COPD patients","authors":"Chunyu Wang , Dandan Liao , Xiangjun Yang , Tingting Fu , Jin Yan , Chenjuan Ma","doi":"10.1016/j.gerinurse.2024.12.036","DOIUrl":"10.1016/j.gerinurse.2024.12.036","url":null,"abstract":"<div><div>This study examines how coping strategies and social support mediate the relationship between type D personality and psychological distress in COPD patients. A sample of 351 patients completed surveys on demographics, psychological distress (Kessler Psychological Distress Scale), social support (Social Support Self-Rating Scale), coping strategies (Chinese version of Medical Coping Modes Questionnaire), and type D personality (Type D Personality Scale). Using structural equation modeling (SEM) via AMOS 23.0 and SPSS, results showed that confrontation and acceptance-resignation coping strategies, as well as type D personality, were positively correlated with psychological distress, while social support was negatively correlated. SEM estimates revealed a chain mediating effect of social support and coping strategies between type D personality and psychological distress. Enhancing social support and coping strategies is crucial for reducing psychological distress, especially in COPD patients with type D personality.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 1-6"},"PeriodicalIF":2.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973481","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":"Health literacy and successful aging in older adults: A predictive correlational design","authors":"Hülya Kulakçı-Altıntaş RN, PhD (Assoc. Prof.) , Sultan Ayaz-Alkaya RN, PhD (Prof.)","doi":"10.1016/j.gerinurse.2024.12.003","DOIUrl":"10.1016/j.gerinurse.2024.12.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to measure health literacy and successful aging level and their predisposing factors among older adults.</div></div><div><h3>Methods</h3><div>A predictive correlational design was performed. The study was completed with 450 older individuals, resulting in a participation rate of 94.9 %.</div></div><div><h3>Results</h3><div>The risk of inadequate and limited health literacy was higher in older adults who were single (3.4 times), those with chronic diseases (2.93 times), and those with medium/poor health perception (3.1 times). A multiple regression model consisting of age, health perception, and health literacy level explained 22 % of the variance in successful aging.</div></div><div><h3>Conclusion</h3><div>The study concluded that health literacy and successful aging were predictive factors of each other. Marital status, education level, having chronic disease, regular medication use, and health perception predicted the health literacy level. Moreover, age, health perception, and health literacy level are significant predictors of successful aging.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 408-413"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848552","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}
Geriatric NursingPub Date : 2025-01-01DOI: 10.1016/j.gerinurse.2024.12.007
Zhonghong Zhao BSN , Huiying Gao MSN , Feifei Chen MSN , Hong Dong MEM
{"title":"The mediating effect of job burnout on perceived stress and presenteeism among geriatric caregivers in long-term care facilities","authors":"Zhonghong Zhao BSN , Huiying Gao MSN , Feifei Chen MSN , Hong Dong MEM","doi":"10.1016/j.gerinurse.2024.12.007","DOIUrl":"10.1016/j.gerinurse.2024.12.007","url":null,"abstract":"<div><div>This study aimed to explore the relationship between perceived stress and presenteeism among geriatric caregivers in long-term care facilities (LTCFs), as well as to examine the mediating role of job burnout. A total of 272 geriatric caregivers in LTCFs were recruited. A cross-sectional survey was conducted using Perceived Stress Scale-10 (PSS-10), Maslach Burnout Inventory-General Survey (MBI-GS) and the Stanford Presenteeism Scale-6 (SPS-6). The mediating effect of job burnout between perceived stress and presenteeism was tested using the PROCESS macro model 4. The results indicated that job burnout partially mediated the relationship between perceived stress and presenteeism (<em>B</em> = 0.280, 95 %<em>CI</em>: [0.108, 0.186]), accounting for 39.05 % of the total effect. The findings suggest that LTCF managers should take proactive measures to reduce work-related stress of geriatric caregivers, improve their job burnout, and consequently reduce the occurrence of presenteeism.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 538-543"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}