Michelle Heward, Rebecca Mitchell, Jane Murphy, Michele Board
{"title":"A Walk Through Dementia: exploring the effects of a virtual reality app about dementia on students' knowledge and attitudes.","authors":"Michelle Heward, Rebecca Mitchell, Jane Murphy, Michele Board","doi":"10.7748/nop.2025.e1503","DOIUrl":"https://doi.org/10.7748/nop.2025.e1503","url":null,"abstract":"<p><strong>Background: </strong>A Walk Through Dementia (AWTD) is a learning resource that shows dementia from the perspective of people with the condition. Its three 360-degree simulation films depict a person with dementia in different everyday situations and can be viewed online or on a smartphone using an app.</p><p><strong>Aim: </strong>To evaluate how first-year undergraduate healthcare students react to the AWTD app, what they learn from it and the influence it has on their clinical practice during placements.</p><p><strong>Method: </strong>The app was used as a learning tool during two dementia training days attended by 414 students at Bournemouth University. Data were collected on the day via a post-training survey and four months later via two focus groups with a small purposive sample of students.</p><p><strong>Findings: </strong>The survey was completed by 271 of the 414 students (65% response rate) and 11 students participated in the focus groups. Survey respondents found the app easy to use and engaging. They reported a deeper understanding of dementia and felt that the app had changed their attitude towards people with dementia. Focus group participants discussed how they approached people with dementia with more awareness, more confidence and in a more person-centred manner.</p><p><strong>Conclusion: </strong>There are potential benefits of using the AWTD app in dementia education for undergraduate healthcare students, but further research is needed to confirm its effectiveness as a learning tool.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delivering safe, person-centred care for acutely unwell older people on virtual wards.","authors":"Melissa Angell","doi":"10.7748/nop.2025.e1482","DOIUrl":"https://doi.org/10.7748/nop.2025.e1482","url":null,"abstract":"<p><p>A virtual ward can provide hospital-level care for older people in their usual place of residence during an episode of acute illness. Care on a virtual ward may be delivered through a mix of in-person home visits, telephone or video calls and remote monitoring. This model of care can prevent unnecessary inpatient admissions, which in turn can prevent the development of associated complications in this patient population, such as deconditioning, delirium and hospital-acquired infections. However, there are barriers to the use of virtual wards in the care of older people. This article provides an overview of technology-enabled virtual wards and discusses some of the barriers to their use in older people's care as well as ways in which these can be addressed. The author also considers how nurses can help ensure that the care provided to an older person admitted to a virtual ward is person-centred and safe.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving meaningful activity and meaningful engagement for residents in long-term care settings.","authors":"Rosemary Bradley, Assumpta Ryan, Sarah Penney","doi":"10.7748/nop.2024.e1495","DOIUrl":"https://doi.org/10.7748/nop.2024.e1495","url":null,"abstract":"<p><p>During the coronavirus disease 2019 (COVID-19) pandemic, restrictions were placed on social contacts and group activities in long-term care settings. Evidence has suggested that social isolation can lead to the onset of health issues including depression and cognitive decline in older people. This article details a quality improvement project undertaken by the managers of nine long-term care settings in Northern Ireland that aimed to enhance meaningful activity and meaningful engagement for residents following the easing of COVID-19 restrictions. The findings suggest that improving meaningful activity and meaningful engagement can benefit residents in terms of nutrition and hydration, sleep patterns, use of medicines and number of falls.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring self-care health-related beliefs, values and attitudes with older patients.","authors":"Bob Price","doi":"10.7748/nop.2024.e1475","DOIUrl":"https://doi.org/10.7748/nop.2024.e1475","url":null,"abstract":"<p><p>Person-centred care is based on the notion that patients' independence and dignity is sustained during the care planning process. Negotiating person-centred care with the older person involves exploring their self-care beliefs, values and attitudes. This article discusses patient beliefs, values and attitudes in the context of self-care and suggests ways in which nurses might explore these as a collaborative enquiry. The author also describes the use of a simple reflective framework as a starting point for engaging in this exploration.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing older peoplePub Date : 2024-12-02Epub Date: 2024-07-03DOI: 10.7748/nop.2024.e1474
Jennie Walker, Nicola Payne
{"title":"Promoting musculoskeletal health and preventing ill health.","authors":"Jennie Walker, Nicola Payne","doi":"10.7748/nop.2024.e1474","DOIUrl":"10.7748/nop.2024.e1474","url":null,"abstract":"<p><p>Musculoskeletal conditions are highly prevalent among older adults and can have a significant impact on their quality of life. Musculoskeletal health is an important component of maintaining well-being and independence. A proactive approach is required, with nurses implementing strategies such as healthy diets and physical exercise that will support optimal health. This article considers the importance of musculoskeletal health, examines the risk factors for a decline in musculoskeletal health, and explores approaches that can improve outcomes and promote healthy ageing.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing older peoplePub Date : 2024-12-02Epub Date: 2024-10-02DOI: 10.7748/nop.2024.e1489
Julie Tyrer
{"title":"Implementing the PURPOSE T pressure ulcer risk assessment tool into clinical practice.","authors":"Julie Tyrer","doi":"10.7748/nop.2024.e1489","DOIUrl":"10.7748/nop.2024.e1489","url":null,"abstract":"<p><p>The first intervention in pressure ulcer prevention is often the completion of a pressure ulcer risk assessment, which aims to identify a patient's level of risk of developing a pressure ulcer. Appropriate care planning should then follow. There are several pressure ulcer risk assessment tools that nurses can use in their clinical practice, but it has not always been clear which is the most effective. One of these tools - the PURPOSE T (Pressure Ulcer Risk Primary or Secondary Evaluation Tool) - has recently been recommended in national guidelines and is now considered to be the only tool with an up-to-date evidence base. This article examines some of the risk assessment tools used to assess pressure ulcer risk, as well as providing an overview of the PURPOSE T and explaining its significance in pressure ulcer prevention.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing older peoplePub Date : 2024-12-02Epub Date: 2024-08-21DOI: 10.7748/nop.2024.e1478
Natasha Alvarado, Lynn McVey, Nick Hardiker, Hadar Zaman, Dawn Dowding, Peter Gardner, Frances Healey, Rebecca Randell
{"title":"Strategies used by nurse leaders to support the delivery of falls prevention practices in hospitals.","authors":"Natasha Alvarado, Lynn McVey, Nick Hardiker, Hadar Zaman, Dawn Dowding, Peter Gardner, Frances Healey, Rebecca Randell","doi":"10.7748/nop.2024.e1478","DOIUrl":"10.7748/nop.2024.e1478","url":null,"abstract":"<p><p>Despite prevention efforts, falls in hospital are a common and ongoing safety concern, with older people more likely to fall and experience harm as a result of falls. Clinical guidelines recommend multifactorial falls risk assessment and multidomain, personalised interventions to reduce falls risks in hospitals. This article reflects on findings from a multi-site study on the implementation of multifactorial falls prevention practices that informed the development of actionable guidance. The discussion focuses on strategies used by nurse leaders, at different levels of seniority, that shaped practice on orthopaedic and older person wards. While falls risk assessment documentation was monitored routinely by senior leaders, in practice falls prevention often relied on risk screening and enhanced patient supervision. Findings suggest that nurses need to be empowered to lead practices that modify and mitigate individual falls risks where possible, with greater multidisciplinary and patient and carer involvement.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing older peoplePub Date : 2024-12-02Epub Date: 2024-08-07DOI: 10.7748/nop.2024.e1481
Sharon Waight, Michele Board
{"title":"How to undertake a holistic nutritional assessment with older people.","authors":"Sharon Waight, Michele Board","doi":"10.7748/nop.2024.e1481","DOIUrl":"10.7748/nop.2024.e1481","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Nutrition is a fundamental aspect of nursing care, however older people cared for in hospital, in a care home or in their own home do not always receive adequate support with their nutritional needs, which can leave them at risk of malnutrition. Using a holistic, biopsychosocial framework to support a comprehensive nutritional assessment that includes malnutrition screening can support the nurse to identify the older person's nutritional status and nutrition needs. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. • Malnutrition in older people can lead to a decline in functional ability, reduced muscle strength, fatigue, impaired immunity, suboptimal wound healing, increased risk of infection and increased risk of falls. • Screening for, and assessing the risk of, malnutrition is an important part of nursing assessments in any healthcare setting. • A holistic nutritional assessment should incorporate physiological, psychological, emotional, spiritual, social and cultural elements. REFLECTIVE ACTIVITY: ' How to' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when undertaking a holistic nutritional assessment with an older person. • How you could use this information to educate nursing students or your colleagues on the appropriate techniques and evidence base for undertaking a holistic nutritional assessment with an older person.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"23-27"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing older peoplePub Date : 2024-09-30Epub Date: 2024-06-12DOI: 10.7748/nop.2024.e1465
Gayle Madden, Beth Goss-Hill
{"title":"Using critical reflection to enhance the care of older people: a practice example.","authors":"Gayle Madden, Beth Goss-Hill","doi":"10.7748/nop.2024.e1465","DOIUrl":"10.7748/nop.2024.e1465","url":null,"abstract":"<p><p>Reflection is an essential aspect of nursing practice that facilitates continuing professional development and practice improvement. Critical reflection is a more in-depth form of reflection and can be described as a creative, dynamic and transformative learning process that enhances practice by promoting self-awareness and critical thinking. Older adults often present with complex and multiple healthcare needs. Engaging in critical reflection can assist nurses to provide the high-quality, person-centred care required to meet those needs, support older people to retain their independence and enhance their well-being. This article discusses critical reflection within the context of nursing older people and describes various models that can be used to support the reflective process. The authors use a practice example to illustrate how using critical reflection in practice can enable nurses to develop a deeper understanding of themselves and use what they have learned to enhance their delivery of person-centred care.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing older peoplePub Date : 2024-09-30Epub Date: 2024-07-17DOI: 10.7748/nop.2024.e1466
Qun Wang
{"title":"Assessing pain in older people with normal, mildly impaired or severely impaired cognition.","authors":"Qun Wang","doi":"10.7748/nop.2024.e1466","DOIUrl":"10.7748/nop.2024.e1466","url":null,"abstract":"<p><p>Pain is a relatively common experience among older people, but unrelieved pain has significant functional, cognitive and emotional consequences for this population. A comprehensive and accurate pain assessment is essential for effective pain management. Self-report tools are suitable to assess pain in older people with normal or mildly impaired cognition, while observational tools are suitable for use with those with significant cognitive impairment or communication difficulties. However, pain assessment in older people can be challenging. The use of one tool on its own is rarely sufficient and it is crucial to involve family carers in assessment of pain in older people with severe cognitive impairment. This article discusses different tools and strategies, including the benefits and limitations, for assessing pain in older people.</p>","PeriodicalId":94162,"journal":{"name":"Nursing older people","volume":" ","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}