Digital health literacy is a key long-term health determinant in the digital era, influencing outcomes by enabling individuals to access, evaluate and apply health information in ways that support their personal goals. However, no tool targets older adults to assess digital health literacy with self-regulation as a core component. Accordingly, we developed and validated a Self-Regulation-Incorporated Digital Health Literacy scale (SR-DHLs) for this population.
Methods
This conceptually grounded study included instrument development and psychometric validation phases. We generated 23 preliminary items after content and face validity evaluation. Psychometric testing involved item analysis and construct validity assessments conducted through exploratory and confirmatory factor analyses with 506 older adults. Convergent validity was examined using the Korean version of the eHealth Literacy Scale. Reliability was measured using Cronbach's α and the intraclass correlation coefficient.
Results
The SR-DHLs comprises 16 items across four factors: ‘Interaction with other users and systems’, ‘Regulated need-based selection’, ‘Willingness to actively engage’ and ‘Actualising informed decision-making’, explaining 63.617% of the variance. Construct validity and acceptable reliability were established.
Conclusions
The SR-DHLs is a valid and reliable tool for assessing digital health literacy in older adults. It integrates self-regulation and resource management—essential aspects for navigating digital environments.
Implications for Practice
The SR—DHLs could help nurses identify older adults' needs related to digital health and guide the design of accessible and equitable services.
{"title":"The Self-Regulation-Incorporated Digital Health Literacy Scale for Older Adults: Instrument Development and Validation","authors":"Suyeon Ban, Yirang Kim, GyeongAe Seomun","doi":"10.1111/opn.70058","DOIUrl":"https://doi.org/10.1111/opn.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Digital health literacy is a key long-term health determinant in the digital era, influencing outcomes by enabling individuals to access, evaluate and apply health information in ways that support their personal goals. However, no tool targets older adults to assess digital health literacy with self-regulation as a core component. Accordingly, we developed and validated a Self-Regulation-Incorporated Digital Health Literacy scale (SR-DHLs) for this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This conceptually grounded study included instrument development and psychometric validation phases. We generated 23 preliminary items after content and face validity evaluation. Psychometric testing involved item analysis and construct validity assessments conducted through exploratory and confirmatory factor analyses with 506 older adults. Convergent validity was examined using the Korean version of the eHealth Literacy Scale. Reliability was measured using Cronbach's <i>α</i> and the intraclass correlation coefficient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SR-DHLs comprises 16 items across four factors: ‘Interaction with other users and systems’, ‘Regulated need-based selection’, ‘Willingness to actively engage’ and ‘Actualising informed decision-making’, explaining 63.617% of the variance. Construct validity and acceptable reliability were established.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The SR-DHLs is a valid and reliable tool for assessing digital health literacy in older adults. It integrates self-regulation and resource management—essential aspects for navigating digital environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The SR—DHLs could help nurses identify older adults' needs related to digital health and guide the design of accessible and equitable services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145719544","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}
Jennifer Baumbusch, Sarah H. Kagan, G. J. Melendez-Torres
<p>As the year closes, we are looking back to 2024 and announcing our tenth annual <i>International Journal of Older People Nursing (IJOPN)</i> awards. We are, as editors, endlessly grateful to lead the wonderful <i>IJOPN</i> community of nurses and their colleagues. Members of this global community contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year, we recognise those making outstanding contributions during the prior year. This year, we celebrate the contributions made by the authors of three papers reporting noteworthy research. Likewise, we acknowledge the service of six notably dedicated peer reviewers and five of our superlative cadre of editorial board members. We are pleased to highlight the reflections of these scholars on their awards for you, our readers, as we applaud their contributions.</p><p>We recognized three outstanding papers published in 2024. Regarding the paper Wi, D., Park, C.G., Lee, J., Kim, E. and Kim, Y. (2025), A Network Analysis of Quality of Life Among Older Adults with Arthritis. <i>International Journal of Older People Nursing</i>, 20: e70010. https://doi.org/10.1111/opn.70010, first author Dahee Wi wrote on behalf of the author team that, ‘this research was inspired by our research team's desire to better understand the complex interplay of factors affecting quality of life in older adults with arthritis. As Korea faces rapid population aging, we wanted to provide evidence-based insights that could help healthcare professionals develop more targeted, holistic interventions for this vulnerable population. The network analysis approach allowed us to identify key indicators that could serve as intervention targets to improve overall well-being’.</p><p>For Stavrou, F., Adams, J., Patel, H., Vassilev, I. and Samuel, D. (2024), Exploring Older People's Experiences and Factors Associated With 30-Day Hospital Readmission: A Qualitative Study Using Interpretive Phenomenological Analysis. <i>International Journal of Older People Nursing</i>, 19: e12662. https://doi.org/10.1111/opn.12662, first author Fanis Stavrou said that ‘as both a researcher and a healthcare professional, I was inspired to undertake this study to gain a deeper understanding of how hospital readmissions impact older adults, the healthcare system, and the broader care network. The ageing of the world population is placing increasing pressure on health and social care services, with older people living longer with chronic conditions, workforce shortages, and rising hospital admissions creating significant challenges. Despite its frequency, hospital readmission among older people remains poorly understood, yet it carries substantial costs, affects well-being, and disrupts daily life. Focusing on patients’ perspectives in research is especially important, as the majority of studies on hospital readmission are based primarily on routinely collected hospital data. Relying solely on statistics limits our understandin
{"title":"Celebrating Our 10th Annual International Journal of Older People Nursing Awards","authors":"Jennifer Baumbusch, Sarah H. Kagan, G. J. Melendez-Torres","doi":"10.1111/opn.70055","DOIUrl":"10.1111/opn.70055","url":null,"abstract":"<p>As the year closes, we are looking back to 2024 and announcing our tenth annual <i>International Journal of Older People Nursing (IJOPN)</i> awards. We are, as editors, endlessly grateful to lead the wonderful <i>IJOPN</i> community of nurses and their colleagues. Members of this global community contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year, we recognise those making outstanding contributions during the prior year. This year, we celebrate the contributions made by the authors of three papers reporting noteworthy research. Likewise, we acknowledge the service of six notably dedicated peer reviewers and five of our superlative cadre of editorial board members. We are pleased to highlight the reflections of these scholars on their awards for you, our readers, as we applaud their contributions.</p><p>We recognized three outstanding papers published in 2024. Regarding the paper Wi, D., Park, C.G., Lee, J., Kim, E. and Kim, Y. (2025), A Network Analysis of Quality of Life Among Older Adults with Arthritis. <i>International Journal of Older People Nursing</i>, 20: e70010. https://doi.org/10.1111/opn.70010, first author Dahee Wi wrote on behalf of the author team that, ‘this research was inspired by our research team's desire to better understand the complex interplay of factors affecting quality of life in older adults with arthritis. As Korea faces rapid population aging, we wanted to provide evidence-based insights that could help healthcare professionals develop more targeted, holistic interventions for this vulnerable population. The network analysis approach allowed us to identify key indicators that could serve as intervention targets to improve overall well-being’.</p><p>For Stavrou, F., Adams, J., Patel, H., Vassilev, I. and Samuel, D. (2024), Exploring Older People's Experiences and Factors Associated With 30-Day Hospital Readmission: A Qualitative Study Using Interpretive Phenomenological Analysis. <i>International Journal of Older People Nursing</i>, 19: e12662. https://doi.org/10.1111/opn.12662, first author Fanis Stavrou said that ‘as both a researcher and a healthcare professional, I was inspired to undertake this study to gain a deeper understanding of how hospital readmissions impact older adults, the healthcare system, and the broader care network. The ageing of the world population is placing increasing pressure on health and social care services, with older people living longer with chronic conditions, workforce shortages, and rising hospital admissions creating significant challenges. Despite its frequency, hospital readmission among older people remains poorly understood, yet it carries substantial costs, affects well-being, and disrupts daily life. Focusing on patients’ perspectives in research is especially important, as the majority of studies on hospital readmission are based primarily on routinely collected hospital data. Relying solely on statistics limits our understandin","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543334","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}
Noora Narsakka, Riitta Suhonen, Johanna Finskas, Minna Stolt
Introduction
Older adults living in institutional long-term care benefit from engaging in physical activity adapted to their functioning. Despite evidence of solutions to promote physical activity, recurrent evidence shows that older adults spend their time sedentary. More in-depth knowledge is needed about the current state of promoting the physical activity of older adults in institutional long-term care for improved practice in the future. We aimed to increase the understanding of older adults' physical activity promotion in institutional long-term care by investigating how, how much and by whom older adults' physical activity is promoted.
Methods
This is a concurrent mixed-method case study using data from a larger research project performed in an institutional, full-time, long-term care unit in Finland. Thirteen older adults and 12 staff members participated. Data were collected through focus groups, interviews, patient record transcripts and actigraphy between May and October 2023. A mixed-method analysis was conducted using the framework ‘Following a thread’. Separate analyses of datasets were conducted, including analyses of qualitative and quantitative data using reflexive thematic analysis and descriptive statistics. Analytical questions were identified and further explored using all datasets to synthesise findings.
Results
Four themes were developed: (1) lack of physical activity, (2) plans for physical activity promotion, (3) nurses' role in activity promotion and (4) accessibility and freedom of movement.
Conclusion
Current activity promotion is not sufficient for older adults to achieve the benefits of physical activity for their health and functioning. Improvements are needed in delivering sufficient physical activities. Nurses' role in activity promotion should be developed to include care-integrated activities, spontaneous and organised activities and instrumental activities of daily living for older adults. Interprofessional work to promote activity could be used more. Stimulating elements in the physical environment and increasing freedom of movement could produce improvements in physical activity. Improvements in activity promotion can potentially be achieved with simple strategies and low additional costs.
{"title":"Promoting the Physical Activity of Older Adults in Institutional Long-Term Care: A Mixed-Method Case Study","authors":"Noora Narsakka, Riitta Suhonen, Johanna Finskas, Minna Stolt","doi":"10.1111/opn.70053","DOIUrl":"10.1111/opn.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Older adults living in institutional long-term care benefit from engaging in physical activity adapted to their functioning. Despite evidence of solutions to promote physical activity, recurrent evidence shows that older adults spend their time sedentary. More in-depth knowledge is needed about the current state of promoting the physical activity of older adults in institutional long-term care for improved practice in the future. We aimed to increase the understanding of older adults' physical activity promotion in institutional long-term care by investigating how, how much and by whom older adults' physical activity is promoted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a concurrent mixed-method case study using data from a larger research project performed in an institutional, full-time, long-term care unit in Finland. Thirteen older adults and 12 staff members participated. Data were collected through focus groups, interviews, patient record transcripts and actigraphy between May and October 2023. A mixed-method analysis was conducted using the framework ‘Following a thread’. Separate analyses of datasets were conducted, including analyses of qualitative and quantitative data using reflexive thematic analysis and descriptive statistics. Analytical questions were identified and further explored using all datasets to synthesise findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were developed: (1) lack of physical activity, (2) plans for physical activity promotion, (3) nurses' role in activity promotion and (4) accessibility and freedom of movement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Current activity promotion is not sufficient for older adults to achieve the benefits of physical activity for their health and functioning. Improvements are needed in delivering sufficient physical activities. Nurses' role in activity promotion should be developed to include care-integrated activities, spontaneous and organised activities and instrumental activities of daily living for older adults. Interprofessional work to promote activity could be used more. Stimulating elements in the physical environment and increasing freedom of movement could produce improvements in physical activity. Improvements in activity promotion can potentially be achieved with simple strategies and low additional costs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543371","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}
Brighide Lynch, Assumpta Ryan, Sonja McIlfatrick, Sarah Penney, Rosemary Bradley, Marie O'Neill, Claire McCauley, Esther-Ruth Beck, Anthony Curran, Una Hume, Deborah Muldrew, Paul Slater
<div> <section> <h3> Background</h3> <p>Older people are entering care homes with more complex conditions and higher levels of physical and cognitive impairment than in previous years. Internationally, it is recognised that there is a need for high-performing leaders who can inspire and support colleagues to use their initiative and respond to the needs of an increasingly frail population in long-term care. The My Home Life Leadership Support Programme is specifically designed to meet the unique needs of care home managers and other staff with leadership roles in their care homes. The programme is grounded in relational, appreciative and collaborative approaches to creating a positive culture of mutually respectful relationships. These relationships include those that are between individuals who use services, their families and care home staff, and between care homes and the wider community.</p> </section> <section> <h3> Aim</h3> <p>To explore participating care home leaders' perspectives of the impact of the My Home Life Leadership Support Programme on people who live in care homes and their families.</p> </section> <section> <h3> Methods</h3> <p>A qualitative descriptive approach drawing on two different data sources was used in the study. Qualitative summative data were collected at the end of the programme using one-to-one semi-structured interviews with participants (<i>n</i> = 56), and detailed field notes were captured by the My Home Life facilitators over the course of the programme. Thematic analysis was used to analyse interview data. Conventional content analysis was used to analyse the facilitators' documentary evidence. The two analytical techniques were combined for the final results using the process of cognitive mapping.</p> </section> <section> <h3> Results</h3> <p>Three key themes were identified by care home leaders as mattering most to residents and their families. These were (1) supporting residents and families to share their feelings; (2) enhancing relationships between residents, relatives and staff; and (3) involving residents and families in decision-making.</p> </section> <section> <h3> Conclusions</h3> <p>The study provides significant evidence of the impact of the My Home Life Leadership Programme on care home leaders' ability to enhance the care experience of residents and relatives and create a relationship-centred culture.</p> </section> <section>
{"title":"The Impact of a Leadership Support Programme on Care Home Residents and Their Families: A Qualitative Study From the Perspective of Participating Care Home Leaders","authors":"Brighide Lynch, Assumpta Ryan, Sonja McIlfatrick, Sarah Penney, Rosemary Bradley, Marie O'Neill, Claire McCauley, Esther-Ruth Beck, Anthony Curran, Una Hume, Deborah Muldrew, Paul Slater","doi":"10.1111/opn.70054","DOIUrl":"10.1111/opn.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Older people are entering care homes with more complex conditions and higher levels of physical and cognitive impairment than in previous years. Internationally, it is recognised that there is a need for high-performing leaders who can inspire and support colleagues to use their initiative and respond to the needs of an increasingly frail population in long-term care. The My Home Life Leadership Support Programme is specifically designed to meet the unique needs of care home managers and other staff with leadership roles in their care homes. The programme is grounded in relational, appreciative and collaborative approaches to creating a positive culture of mutually respectful relationships. These relationships include those that are between individuals who use services, their families and care home staff, and between care homes and the wider community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore participating care home leaders' perspectives of the impact of the My Home Life Leadership Support Programme on people who live in care homes and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive approach drawing on two different data sources was used in the study. Qualitative summative data were collected at the end of the programme using one-to-one semi-structured interviews with participants (<i>n</i> = 56), and detailed field notes were captured by the My Home Life facilitators over the course of the programme. Thematic analysis was used to analyse interview data. Conventional content analysis was used to analyse the facilitators' documentary evidence. The two analytical techniques were combined for the final results using the process of cognitive mapping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three key themes were identified by care home leaders as mattering most to residents and their families. These were (1) supporting residents and families to share their feelings; (2) enhancing relationships between residents, relatives and staff; and (3) involving residents and families in decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study provides significant evidence of the impact of the My Home Life Leadership Programme on care home leaders' ability to enhance the care experience of residents and relatives and create a relationship-centred culture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534572","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}
Wi, D., C.G. Park, J. Lee, E. Kim, and Y. Kim. 2025, “A Network Analysis of Quality of Life Among Older Adults With Arthritis.” International Journal of Older People Nursing 20, no 1: e70010. https://doi.org/10.1111/opn.70010.
Within the ‘Abstract’ section, the following text, “Sejong-si, South Korea: Implications for Practice. This study highlights the importance of multidimensional care plans to improve the quality of life for older adults with arthritis. Healthcare professionals should adopt care strategies that simultaneously address the key psychological and physical indicators to effectively enhance overall quality of life.” was mistakenly duplicated at the end of the “Conclusion” paragraph and there were some minor typographical errors.
These have now been rectified in the current version.
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Naomi Howell, Nicole Marsh, Matt Mason, Alison Craswell
<div> <section> <h3> Introduction</h3> <p>Peripheral intravenous catheter insertion is the most frequently performed invasive procedure in healthcare. Age-related physiological factors and chronic health conditions can influence how older people experience catheter-related complications, underscoring the need for clinical practices that address diverse needs. Although peripheral intravenous catheters are widely used in hospitalised populations, research specifically exploring their use, outcomes, and associated experiences in older people remains limited. This scoping review addresses this gap by mapping the available literature on peripheral intravenous catheter use in hospitalised older people to identify the characteristics of the existing evidence and opportunities for future research.</p> </section> <section> <h3> Methods</h3> <p>This scoping review followed the Joanna Briggs Institute methodology and was reported to have applied the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Reviews. An electronic medical database search was conducted including MEDLINE (Web of Science), CINAHL Complete (EbscoHost), PubMed (NCBI), Scopus (Elsevier), Emcare (Ovid) and the Cochrane Central Register of Controlled Trials. A systematic grey literature search was also undertaken. The review was limited to publications since the year 2000.</p> </section> <section> <h3> Results</h3> <p>Thirty sources from 12 different countries were included. The evidence types consisted of observational studies (<i>n</i> = 15), experimental studies (<i>n</i> = 2), education summaries (<i>n</i> = 7), clinical practice guidelines (<i>n</i> = 2), a scoping review (<i>n</i> = 1), a bibliographic review of guidelines (<i>n</i> = 1), a book chapter (<i>n</i> = 1) and a letter to the editor (<i>n</i> = 1). Most studies were observational with small sample sizes. The review identified key topics relating to older people including peripheral intravenous catheter insertion, complications, clinician practices, physiological ageing and patient experiences. Pain and satisfaction were the only two experience measures identified. Definitions of ‘older people’ varied, and no qualitative evidence related to experiences specific to this population was identified.</p> </section> <section> <h3> Conclusion</h3> <p>Although a range of evidence types exists, substantial knowledge gaps remain. The literature is dominated by small observational studies, underscoring the need for robust experimental research. The absence of qualitative studies highlights a critical gap in understanding patient experience.</p> </section>
外周静脉置管是医疗保健中最常见的侵入性手术。与年龄相关的生理因素和慢性健康状况会影响老年人经历导管相关并发症的方式，因此需要针对不同需求的临床实践。尽管外周静脉导管在住院人群中广泛使用，但专门探讨其在老年人中的使用、结果和相关经验的研究仍然有限。本综述通过绘制关于住院老年人外周静脉导管使用的现有文献来确定现有证据的特征和未来研究的机会，从而解决了这一空白。方法本综述采用乔安娜布里格斯研究所的方法，并应用了系统评价和元分析-范围评价的首选报告项目指南。电子医学数据库检索包括MEDLINE （Web of Science）、CINAHL Complete （EbscoHost）、PubMed （NCBI）、Scopus （Elsevier）、Emcare （Ovid）和Cochrane Central Register of Controlled Trials。还进行了系统的灰色文献检索。该审查仅限于2000年以来的出版物。结果纳入来自12个不同国家的30个来源。证据类型包括观察性研究（n = 15）、实验研究（n = 2）、教育总结（n = 7）、临床实践指南（n = 2）、范围综述（n = 1）、指南书目综述（n = 1）、图书章节（n = 1）和给编辑的一封信（n = 1）。大多数研究都是小样本量的观察性研究。审查确定了与老年人有关的关键主题，包括外周静脉导管插入、并发症、临床医生做法、生理衰老和患者经历。疼痛和满意度是唯一确定的两种体验衡量标准。“老年人”的定义各不相同，并且没有确定与该人群特定经历相关的定性证据。尽管存在一系列证据类型，但仍存在大量知识空白。文献以小型观察性研究为主，强调了强有力的实验研究的必要性。缺乏定性研究突出了理解患者经验的关键差距。未来的研究应采用高质量的定量和定性方法来支持以患者为中心、以证据为基础的住院老年人外周静脉导管实践的发展。
{"title":"Peripheral Intravenous Catheters for Hospitalised Older People: A Scoping Review","authors":"Naomi Howell, Nicole Marsh, Matt Mason, Alison Craswell","doi":"10.1111/opn.70049","DOIUrl":"https://doi.org/10.1111/opn.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Peripheral intravenous catheter insertion is the most frequently performed invasive procedure in healthcare. Age-related physiological factors and chronic health conditions can influence how older people experience catheter-related complications, underscoring the need for clinical practices that address diverse needs. Although peripheral intravenous catheters are widely used in hospitalised populations, research specifically exploring their use, outcomes, and associated experiences in older people remains limited. This scoping review addresses this gap by mapping the available literature on peripheral intravenous catheter use in hospitalised older people to identify the characteristics of the existing evidence and opportunities for future research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This scoping review followed the Joanna Briggs Institute methodology and was reported to have applied the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Reviews. An electronic medical database search was conducted including MEDLINE (Web of Science), CINAHL Complete (EbscoHost), PubMed (NCBI), Scopus (Elsevier), Emcare (Ovid) and the Cochrane Central Register of Controlled Trials. A systematic grey literature search was also undertaken. The review was limited to publications since the year 2000.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty sources from 12 different countries were included. The evidence types consisted of observational studies (<i>n</i> = 15), experimental studies (<i>n</i> = 2), education summaries (<i>n</i> = 7), clinical practice guidelines (<i>n</i> = 2), a scoping review (<i>n</i> = 1), a bibliographic review of guidelines (<i>n</i> = 1), a book chapter (<i>n</i> = 1) and a letter to the editor (<i>n</i> = 1). Most studies were observational with small sample sizes. The review identified key topics relating to older people including peripheral intravenous catheter insertion, complications, clinician practices, physiological ageing and patient experiences. Pain and satisfaction were the only two experience measures identified. Definitions of ‘older people’ varied, and no qualitative evidence related to experiences specific to this population was identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although a range of evidence types exists, substantial knowledge gaps remain. The literature is dominated by small observational studies, underscoring the need for robust experimental research. The absence of qualitative studies highlights a critical gap in understanding patient experience.</p>\u0000 </section>\u0000 \u0000","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145407483","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}
Min Xie, Ruth E. Taylor-Piliae, Chang Yang, Xinran Peng, Qianqian Yang, Qi Zhang
Background
Falls are a serious complication often associated with stroke in the older population. However, a comprehensive review of risk factors specific to falls in older stroke patients is currently lacking.
Aims
To fill this gap by synthesising prospective studies and providing evidence-based insights into the risk factors for falls and recurrent falls in older stroke survivors.
Design
Systematic review and meta-analysis following PRISMA statement.
Methods
Two researchers independently screened eligible references and assessed their quality. Pooled summary effects, in the form of odds ratios with 95% confidence intervals, were calculated using a random-effects model.
Data Sources
A systematic search of PubMed, Cochrane Library, Embase, Web of Science, Scopus, PsycINFO and CINAHL up to 4 January 2025.
Results
Our systematic review and meta-analysis included 22 studies. We identified five key domains predicting falls: (1) balance and mobility, encompassing impaired mobility, impaired balance, motor impairment and disability in self-care; (2) environmental factors, particularly the use of walking aids; (3) psychological factors, notably depression status; (4) medication factors, including the use of medications; and (5) sociodemographic factors, such as a history of falls. Importantly, a history of falls significantly increases the risk of recurrent falls.
Conclusions
Falls are a pressing concern in older stroke patients, with key risk factors including balance and mobility problems, use of walking aids, depression and medication. Future research should focus on mechanistic insights and tailored prevention strategies for this vulnerable group.
背景：跌倒是老年人中风的一种严重并发症。然而，目前缺乏对老年中风患者跌倒的具体危险因素的全面审查。目的通过综合前瞻性研究和提供老年中风幸存者跌倒和复发性跌倒的危险因素的循证见解来填补这一空白。设计PRISMA声明后的系统评价和荟萃分析。方法由两位研究者独立筛选符合条件的文献，并对文献质量进行评价。以95%置信区间的优势比形式计算汇总汇总效应，使用随机效应模型。系统检索PubMed， Cochrane Library, Embase, Web of Science, Scopus， PsycINFO和CINAHL，截止到2025年1月4日。我们的系统综述和荟萃分析包括22项研究。我们确定了预测跌倒的五个关键领域：(1)平衡和行动能力，包括行动能力受损、平衡能力受损、运动障碍和自我护理障碍；(2)环境因素，特别是助行器的使用；(3)心理因素，尤其是抑郁状态；(4)用药因素，包括用药情况；(5)社会人口因素，如跌倒史。重要的是，有跌倒史的人再次跌倒的风险显著增加。老年脑卒中患者跌倒是一个迫切需要关注的问题，其主要危险因素包括平衡和行动问题、助行器的使用、抑郁和药物治疗。未来的研究应侧重于对这一弱势群体的机制见解和量身定制的预防策略。
{"title":"Risk Factors for Falls and Recurrent Falls in Older Stroke Survivors: A Systematic Review and Meta-Analysis of Prospective Studies","authors":"Min Xie, Ruth E. Taylor-Piliae, Chang Yang, Xinran Peng, Qianqian Yang, Qi Zhang","doi":"10.1111/opn.70050","DOIUrl":"https://doi.org/10.1111/opn.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Falls are a serious complication often associated with stroke in the older population. However, a comprehensive review of risk factors specific to falls in older stroke patients is currently lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To fill this gap by synthesising prospective studies and providing evidence-based insights into the risk factors for falls and recurrent falls in older stroke survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review and meta-analysis following PRISMA statement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two researchers independently screened eligible references and assessed their quality. Pooled summary effects, in the form of odds ratios with 95% confidence intervals, were calculated using a random-effects model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>A systematic search of PubMed, Cochrane Library, Embase, Web of Science, Scopus, PsycINFO and CINAHL up to 4 January 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our systematic review and meta-analysis included 22 studies. We identified five key domains predicting falls: (1) balance and mobility, encompassing impaired mobility, impaired balance, motor impairment and disability in self-care; (2) environmental factors, particularly the use of walking aids; (3) psychological factors, notably depression status; (4) medication factors, including the use of medications; and (5) sociodemographic factors, such as a history of falls. Importantly, a history of falls significantly increases the risk of recurrent falls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Falls are a pressing concern in older stroke patients, with key risk factors including balance and mobility problems, use of walking aids, depression and medication. Future research should focus on mechanistic insights and tailored prevention strategies for this vulnerable group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145375282","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}
Tanja Gustafsson, Elisabeth Lindberg, Hanna Maurin Söderholm, Lena Hedén, Sandra van dulmen, Annelie J. Sundler
Introduction
Communication between older persons and nursing assistants is important in providing high-quality, person-centred home care. While previous research has reported on older persons' emotional concerns during home care conversations, there is a need to gain an in-depth understanding of emotional concerns' role in such conversations and how to support the older persons' comfort and well-being. Therefore, this study aimed to explore the nature and focus of emotional communication between older persons and nursing assistants in home care.
Methods
A descriptive qualitative design using observational data from 83 audio-recorded home care visits was used to identify and analyse sequences of distressing emotional communication, analysed through thematic analysis.
Results
In this study, four themes were described illustrating how emotional communication between older persons and nursing assistants during home care visits creates opportunities for empathy: (1) recognising empathic opportunities, (2) identifying subtle and vague signs of emotional distress, (3) expressing needs for emotional support, and (4) striving to restore comfort in challenging conversations.
Conclusions
Conversations about older persons' emotions and worries can be complex. The findings indicate a fine line between meaningfulness and discomfort in emotional sequences. Expressions of emotional distress provide empathic opportunities that call for attentiveness and sensitivity from nursing assistants, implying a need for education and training in person-centred communication.
Implications for Practice
Emotional communication acknowledging empathic opportunities enhances person-centred care by promoting trust, comfort, and well-being. Ultimately, emotional communication reinforces the importance of empathy in home care and creates space for emotional interactions, leading to more supportive relationships.
{"title":"Exploring Emotional Communication Between Older Persons and Nursing Assistants in Home Care: A Qualitative Study","authors":"Tanja Gustafsson, Elisabeth Lindberg, Hanna Maurin Söderholm, Lena Hedén, Sandra van dulmen, Annelie J. Sundler","doi":"10.1111/opn.70048","DOIUrl":"10.1111/opn.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Communication between older persons and nursing assistants is important in providing high-quality, person-centred home care. While previous research has reported on older persons' emotional concerns during home care conversations, there is a need to gain an in-depth understanding of emotional concerns' role in such conversations and how to support the older persons' comfort and well-being. Therefore, this study aimed to explore the nature and focus of emotional communication between older persons and nursing assistants in home care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive qualitative design using observational data from 83 audio-recorded home care visits was used to identify and analyse sequences of distressing emotional communication, analysed through thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this study, four themes were described illustrating how emotional communication between older persons and nursing assistants during home care visits creates opportunities for empathy: (1) recognising empathic opportunities, (2) identifying subtle and vague signs of emotional distress, (3) expressing needs for emotional support, and (4) striving to restore comfort in challenging conversations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Conversations about older persons' emotions and worries can be complex. The findings indicate a fine line between meaningfulness and discomfort in emotional sequences. Expressions of emotional distress provide empathic opportunities that call for attentiveness and sensitivity from nursing assistants, implying a need for education and training in person-centred communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Emotional communication acknowledging empathic opportunities enhances person-centred care by promoting trust, comfort, and well-being. Ultimately, emotional communication reinforces the importance of empathy in home care and creates space for emotional interactions, leading to more supportive relationships.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138946","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}
Osuolale John Makanjuola, Winnie Baphumelele Ngcobo
Background
Schizophrenia is a chronic health condition that poses unique challenges for patients and their family caregivers. This study assessed the association between caregiver burden, sociodemographic characteristics and psychological factors among family caregivers of older persons with schizophrenia.
Methods
A mixed methods design was employed in this study. Three hundred and forty respondents were purposively selected to participate in the quantitative aspect of the survey, whereas 20 caregivers were purposively selected to participate in the qualitative phase. The Zarit Burden Interview Scale and Hospital Anxiety and Depression Scale were used to collect quantitative data from family caregivers, and qualitative data were collected through face-to-face, in-depth interviews using a semi-structured interview question guide. The qualitative responses were audio-recorded and transcribed, and the cleaned transcribed data were transferred to Atlas.ti Scientific version 24 for coding the themes and subthemes. SPSS version 29 was used to analyse the cleaned, sorted and coded quantitative data at a statistically significant level of p ≤ 0.05.
Results
The results showed that most family caregivers (60%) were female, aged between 17 and 64 years. Over half (52.6%) of the caregivers experienced severe caregiver burden. An ordinal logistic regression analysis to predict caregiver burden found that several factors were linked to lower caregiver burden, including older age (OR = 0.75, p = 0.042), certain living arrangements (OR = 0.51, p = 0.037) and longer caregiving duration (OR = 0.65, p < 0.001). In contrast, higher burden was strongly associated with depression (OR = 10.39, p < 0.001), anxiety (OR = 2.99, p < 0.001) and being married (OR = 1.65, p = 0.028). Qualitative findings revealed that caregivers experienced profound emotional distress, including anxiety and depression, and significant financial strain due to medication costs and transportation expenses. Qualitative interviews have highlighted emotional distress, financial strain and social isolation as core challenges.
Conclusion
There is a need to provide psychological and social support for family caregivers of older persons with schizophrenia. The government should consider subsidising medication and care costs, similar to existing models for TB and HIV treatments in Nigeria.
背景：精神分裂症是一种慢性健康状况，对患者及其家庭照顾者提出了独特的挑战。本研究评估了老年精神分裂症家庭照顾者的照顾者负担、社会人口学特征和心理因素之间的关系。方法：采用混合方法设计。有目的地选择340名受访者参与调查的定量方面，而有目的地选择20名护理人员参与定性阶段。采用Zarit负担访谈量表和医院焦虑抑郁量表收集家庭照顾者的定量数据，采用半结构化访谈问题指南进行面对面深度访谈，收集定性数据。对定性反应进行录音和转录，并将清理后的转录数据传输到Atlas。用于编写主题和子主题的科学版24。采用SPSS version 29对清洗、整理、编码后的定量资料进行分析，p≤0.05为统计学显著水平。结果：家庭照顾者以女性居多（60%），年龄在17 ~ 64岁之间。超过一半（52.6%）的照顾者经历了严重的照顾者负担。通过有序logistic回归分析预测照顾者负担，发现年龄较大（OR = 0.75, p = 0.042）、特定的生活安排（OR = 0.51, p = 0.037）和照顾时间较长（OR = 0.65, p）与照顾者负担降低有关。结论：需要为老年精神分裂症患者家庭照顾者提供心理和社会支持。政府应该考虑补贴药物和护理费用，类似于尼日利亚现有的结核病和艾滋病治疗模式。对实践的影响：家庭照顾者，特别是妇女和年龄在53-64岁之间的人，承受着严重的负担。提供心理支持服务，如咨询和压力管理，可以帮助减轻情绪困扰。
{"title":"Caregiver Burden and the Related Factors Among Family Caregivers of Older Persons With Schizophrenia: A Mixed Methods Study","authors":"Osuolale John Makanjuola, Winnie Baphumelele Ngcobo","doi":"10.1111/opn.70047","DOIUrl":"10.1111/opn.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Schizophrenia is a chronic health condition that poses unique challenges for patients and their family caregivers. This study assessed the association between caregiver burden, sociodemographic characteristics and psychological factors among family caregivers of older persons with schizophrenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed methods design was employed in this study. Three hundred and forty respondents were purposively selected to participate in the quantitative aspect of the survey, whereas 20 caregivers were purposively selected to participate in the qualitative phase. The Zarit Burden Interview Scale and Hospital Anxiety and Depression Scale were used to collect quantitative data from family caregivers, and qualitative data were collected through face-to-face, in-depth interviews using a semi-structured interview question guide. The qualitative responses were audio-recorded and transcribed, and the cleaned transcribed data were transferred to Atlas.ti Scientific version 24 for coding the themes and subthemes. SPSS version 29 was used to analyse the cleaned, sorted and coded quantitative data at a statistically significant level of <i>p</i> ≤ 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that most family caregivers (60%) were female, aged between 17 and 64 years. Over half (52.6%) of the caregivers experienced severe caregiver burden. An ordinal logistic regression analysis to predict caregiver burden found that several factors were linked to lower caregiver burden, including older age (OR = 0.75, <i>p</i> = 0.042), certain living arrangements (OR = 0.51, <i>p</i> = 0.037) and longer caregiving duration (OR = 0.65, <i>p</i> < 0.001). In contrast, higher burden was strongly associated with depression (OR = 10.39, <i>p</i> < 0.001), anxiety (OR = 2.99, <i>p</i> < 0.001) and being married (OR = 1.65, <i>p</i> = 0.028). Qualitative findings revealed that caregivers experienced profound emotional distress, including anxiety and depression, and significant financial strain due to medication costs and transportation expenses. Qualitative interviews have highlighted emotional distress, financial strain and social isolation as core challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is a need to provide psychological and social support for family caregivers of older persons with schizophrenia. The government should consider subsidising medication and care costs, similar to existing models for TB and HIV treatments in Nigeria.</p>\u0000 ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081857","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}
Belinda Evelyn Lincoln, Christina Aggar, Samuel Lapkin
Background
Managing pain in older people with hip fractures and cognitive impairment, such as dementia or delirium, presents unique challenges in acute care settings. Cognitive impairment can complicate pain assessment and management, making nurses' roles in identifying and addressing pain particularly critical in this population.
Aim
To review the existing research on nurses' experiences in pain management of cognitively impaired older people with a fractured hip in the acute setting.
Design
An integrative review.
Methods
Four databases were searched using the PRISMA framework to guide the search and screening. Eligible studies were identified and the quality of each was evaluated using the Mixed Method Appraisal Tool. Thematic analysis was conducted to identify and analyse key themes across all articles.
Results
Nine studies examined nurses' experiences in managing pain for cognitively impaired older people with a fractured hip in the acute setting. Three key themes were identified: communication challenges, the importance of person-specific knowledge and complexities in analgesia administration.
Conclusion
Nurses recognise the importance of pain management in cognitively impaired older people with a fractured hip. There is a reliance on opioid analgesia balanced with the potential for side effects. Effective pain management is challenged by communication barriers and the need for person-specific knowledge, underscoring the complexity of delivering optimal care in this setting.
Relevance to Clinical Practice
Managing pain in cognitively impaired older people following a hip fracture can be challenging. Nurses are well placed to contribute to and support quality pain assessment and management in cognitively impaired older people with a fractured hip in the acute setting.
Patient or Public Contribution
No direct patient or public contribution to the review.
{"title":"Nurses' Experiences in Pain Management of Cognitively Impaired Older People With a Fractured Hip in the Acute Setting—An Integrative Review","authors":"Belinda Evelyn Lincoln, Christina Aggar, Samuel Lapkin","doi":"10.1111/opn.70045","DOIUrl":"https://doi.org/10.1111/opn.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Managing pain in older people with hip fractures and cognitive impairment, such as dementia or delirium, presents unique challenges in acute care settings. Cognitive impairment can complicate pain assessment and management, making nurses' roles in identifying and addressing pain particularly critical in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To review the existing research on nurses' experiences in pain management of cognitively impaired older people with a fractured hip in the acute setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An integrative review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four databases were searched using the PRISMA framework to guide the search and screening. Eligible studies were identified and the quality of each was evaluated using the Mixed Method Appraisal Tool. Thematic analysis was conducted to identify and analyse key themes across all articles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine studies examined nurses' experiences in managing pain for cognitively impaired older people with a fractured hip in the acute setting. Three key themes were identified: communication challenges, the importance of person-specific knowledge and complexities in analgesia administration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses recognise the importance of pain management in cognitively impaired older people with a fractured hip. There is a reliance on opioid analgesia balanced with the potential for side effects. Effective pain management is challenged by communication barriers and the need for person-specific knowledge, underscoring the complexity of delivering optimal care in this setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Clinical Practice</h3>\u0000 \u0000 <p>Managing pain in cognitively impaired older people following a hip fracture can be challenging. Nurses are well placed to contribute to and support quality pain assessment and management in cognitively impaired older people with a fractured hip in the acute setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient or Public Contribution</h3>\u0000 \u0000 <p>No direct patient or public contribution to the review.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038037","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}
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