With the ageing of the population intensifying, the implementation of advance care planning (ACP) in nursing facilities is especially crucial.
Objective
This study aimed to search and synthesise qualitative studies exploring the perspectives of older people in nursing facilities about ACP discussions.
Methods
The researchers conducted searches of PubMed, Web of Science, Cochrane Library, CNKI, Wanfang, VIP and CBM between the time of inception and October 2023. The PICo model was used to build the inclusion and exclusion criteria. Following the inclusion and exclusion criteria, two researchers screened the literature, extracted data and then integrated the literature using the integrative synthesis.
Results
A total of 12 articles were included, 47 themes were extracted, and three research integrations were summarised: (1) understanding of ACP; (2) attitude towards ACP; and (3) influencing factors of participation in ACP.
Conclusion
This study offers guidance for the future development of ACP on the participation of older people in nursing facilities.
Implications for Practice
It is necessary to strengthen the education of ACP-related knowledge in conjunction with the cultural characteristics of different countries, to provide interdisciplinary support for older people through professional teamwork and to promote the development and improvement of ACP-related practices.
{"title":"Perceptions of Older People in Nursing Facilities About Advance Care Planning: A Systematic Review","authors":"Ting Liang, Jia Feng, Xiao-ning Feng, Tao Yang","doi":"10.1111/opn.12646","DOIUrl":"10.1111/opn.12646","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the ageing of the population intensifying, the implementation of advance care planning (ACP) in nursing facilities is especially crucial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to search and synthesise qualitative studies exploring the perspectives of older people in nursing facilities about ACP discussions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The researchers conducted searches of PubMed, Web of Science, Cochrane Library, CNKI, Wanfang, VIP and CBM between the time of inception and October 2023. The PICo model was used to build the inclusion and exclusion criteria. Following the inclusion and exclusion criteria, two researchers screened the literature, extracted data and then integrated the literature using the integrative synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 12 articles were included, 47 themes were extracted, and three research integrations were summarised: (1) understanding of ACP; (2) attitude towards ACP; and (3) influencing factors of participation in ACP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study offers guidance for the future development of ACP on the participation of older people in nursing facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>It is necessary to strengthen the education of ACP-related knowledge in conjunction with the cultural characteristics of different countries, to provide interdisciplinary support for older people through professional teamwork and to promote the development and improvement of ACP-related practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134255","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}
Ayele Semachew Kasa, Victoria Traynor, Shu-Chun Lee, Peta Drury
<div> <section> <h3> Background</h3> <p>Frailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub-Saharan African (SSA) countries, especially Ethiopia.</p> </section> <section> <h3> Objectives</h3> <p>To assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse-led community intervention on frailty and related health outcomes.</p> </section> <section> <h3> Methods</h3> <p>Data from 68 community-dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney <i>U</i>-test for variables with two categories and Kruskal–Wallis for variables with three or more categories.</p> </section> <section> <h3> Results</h3> <p>The mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (<i>r</i><sub>s</sub> = −0.46, <i>p</i> < 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (<i>r</i><sub>s</sub> = 0.39, <i>p <</i> 0.01). Depressed (<i>Md</i> = 9, <i>n</i> = 23) and non-depressed frail older people (<i>Md</i> = 7, <i>n</i> = 45) showed a significant difference in their overall frailty score, <i>U</i> = 330.50, <i>z</i> = <i>−</i>2.49, <i>p</i> = 0.01, <i>r</i> = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (<i>r</i><sub>s</sub> = <i>−</i>0.44, <i>p <</i> 0.01), psychological (<i>r</i><sub>s</sub> = <i>−</i>0.45, <i>p <</i> 0.01), social relations (<i>r</i><sub>s</sub> = <i>−</i>0.29, <i>p <</i> 0.05) and environmental (<i>r</i><sub>s</sub> = <i>−</i>0.47, <i>p <</i> 0.01).</p> </section> <section> <h3> Conclusion</h3> <p>The findings from this study were consistent with those from across middle-income and high-income countries.</p> </section> <section> <h3> Implications for Practice</h3> <p>This research indicates that older people living in communities who are identified as frail often suffer from a poor n
背景：虚弱是一种多方面的老年综合症，与身体、心理和社会变化有关。在撒哈拉以南非洲（SSA）国家，尤其是埃塞俄比亚，有关虚弱的研究还很少：目的：评估埃塞俄比亚老年人体弱、营养状况、抑郁和 QOL（生活质量）之间的初步相关性，这些老年人随后被纳入一项研究，探讨由护士主导的社区干预措施对体弱和相关健康结果的影响：方法：收集了 68 名 60 岁或以上社区居民的数据。虚弱程度使用阿姆哈拉语版的蒂尔堡虚弱指标进行测量。统计分析包括斯皮尔曼等级相关系数（Spearman's rank correlation coefficient for degrees of association）、曼-惠特尼 U 检验（Mann-Whitney U-test for variables with two categories）和 Kruskal-Wallis 检验（Kruskal-Wallis for variables with three or more categories）：参与者的平均虚弱评分为 7.3（±1.9）分。虚弱评分越高的参与者营养状况越差（rs = -0.46，P s = 0.39，P s = -0.44，P s = -0.45，P s = -0.29，P s = -0.47，P 结论：虚弱评分越高的参与者营养状况越差：本研究的结果与中等收入和高收入国家的研究结果一致：这项研究表明，生活在社区中被认定为体弱的老年人往往营养不良、抑郁和生活质量下降。研究表明，撒哈拉以南国家的医疗保健专业人员应认识到这一人群的虚弱状况，并制定旨在改善营养、心理健康和整体福祉的干预措施，从而从中受益。
{"title":"On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People","authors":"Ayele Semachew Kasa, Victoria Traynor, Shu-Chun Lee, Peta Drury","doi":"10.1111/opn.12644","DOIUrl":"10.1111/opn.12644","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Frailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub-Saharan African (SSA) countries, especially Ethiopia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse-led community intervention on frailty and related health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from 68 community-dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney <i>U</i>-test for variables with two categories and Kruskal–Wallis for variables with three or more categories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (<i>r</i><sub>s</sub> = −0.46, <i>p</i> < 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (<i>r</i><sub>s</sub> = 0.39, <i>p <</i> 0.01). Depressed (<i>Md</i> = 9, <i>n</i> = 23) and non-depressed frail older people (<i>Md</i> = 7, <i>n</i> = 45) showed a significant difference in their overall frailty score, <i>U</i> = 330.50, <i>z</i> = <i>−</i>2.49, <i>p</i> = 0.01, <i>r</i> = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (<i>r</i><sub>s</sub> = <i>−</i>0.44, <i>p <</i> 0.01), psychological (<i>r</i><sub>s</sub> = <i>−</i>0.45, <i>p <</i> 0.01), social relations (<i>r</i><sub>s</sub> = <i>−</i>0.29, <i>p <</i> 0.05) and environmental (<i>r</i><sub>s</sub> = <i>−</i>0.47, <i>p <</i> 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings from this study were consistent with those from across middle-income and high-income countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This research indicates that older people living in communities who are identified as frail often suffer from a poor n","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12644","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120894","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}
{"title":"Revisiting the Why of Peer Review: Sustainability of the Current System","authors":"Sameh Eltaybani","doi":"10.1111/opn.12642","DOIUrl":"10.1111/opn.12642","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113721","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
We are delighted to announce our eighth annual International Journal of Older People Nursing (IJOPN) Awards. As editors, we are very conscious that we guide a community of readers, authors, reviewers, social media editors and editorial board members. So many members of our community serve the journal and contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year at this time, we acknowledge outstanding contributions and service during the prior year. This year, we are celebrating the contributions made by three papers reporting research conducted in three different countries around the world. We are acknowledging the service of four peer reviewers, three of our outstanding cadre of editorial board members and our senior social media editor who is also a peer reviewer. We are pleased to highlight the thoughts of the scholars who received our 2023 IJOPN Awards for you, our readers, as we celebrate their contributions.
This year we are citing three papers, representing work done in the United States, Taiwan and Türkiye that made significant impressions on our awards committee. That committee includes both associate editors and colleagues who are a past award winner, Hiromi Hirata, and one of the journal's long-serving editorial board members, Ruth Ludwick. Kelly Doran received the 2023 IJOPN Award for Outstanding Contribution to Gerontological Nursing Research for the paper Doran, K., S. Witmer, K. L. Yoon, E. R. Fischer, A. Ebangwese, S. Sharma, G. S. C. Duggirala, and L. K. Chen. 2024. “Gauging the Stress of Long-Term Care Nursing Assistants Using Ecological Momentary Assessment, Wearable Sensors and End of Day Reconstruction.” International Journal of Older People Nursing, 19, e12592. https://doi.org/10.1111/opn.12592. On receiving the award, Dr. Doran said “We decided to undertake this research to reduce the stress/burnout experienced by long-term care workers. This stress not only impacts the health of long-term care workers but also resident outcomes and long-term care organizations. This paper details our first step in our collaborative research effort using our expertise to uncover novel interventions to ameliorate stress within long-term care communities.”
Huei-Chin Teng received the 2023 IJOPN Student Award for Outstanding Contribution to Gerontological Nursing Research for the paper Teng, H.-C., Y.-I. Shyu, J. Liang, and K. Teppo. 2023. “Strategies for Managing Group Caregiving Following Hip-Fracture Surgery Among Family Members: A Grounded Theory Study.” International Journal of Older People Nursing, 18, e12552. https://doi.org/10.1111/opn.12552 and Dr. Teng shared that “My inspiration primarily stemmed from my first-hand experiences in clinical practice when I began my research studies with Professor Lotus Shyu. While caring for patients following hip fracture surgery, it became apparent that family members in Taiwan were faced with sev
{"title":"Celebrating Our Eighth Annual International Journal of Older People Nursing Awards","authors":"Jennifer Baumbusch, Sarah H. Kagan, G. J. Melendez-Torres","doi":"10.1111/opn.12641","DOIUrl":"10.1111/opn.12641","url":null,"abstract":"<p>We are delighted to announce our eighth annual <i>International Journal of Older People Nursing</i> (<i>IJOPN</i>) Awards. As editors, we are very conscious that we guide a community of readers, authors, reviewers, social media editors and editorial board members. So many members of our community serve the journal and contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year at this time, we acknowledge outstanding contributions and service during the prior year. This year, we are celebrating the contributions made by three papers reporting research conducted in three different countries around the world. We are acknowledging the service of four peer reviewers, three of our outstanding cadre of editorial board members and our senior social media editor who is also a peer reviewer. We are pleased to highlight the thoughts of the scholars who received our 2023 <i>IJOPN</i> Awards for you, our readers, as we celebrate their contributions.</p><p>This year we are citing three papers, representing work done in the United States, Taiwan and Türkiye that made significant impressions on our awards committee. That committee includes both associate editors and colleagues who are a past award winner, Hiromi Hirata, and one of the journal's long-serving editorial board members, Ruth Ludwick. Kelly Doran received the 2023 <i>IJOPN</i> Award for Outstanding Contribution to Gerontological Nursing Research for the paper Doran, K., S. Witmer, K. L. Yoon, E. R. Fischer, A. Ebangwese, S. Sharma, G. S. C. Duggirala, and L. K. Chen. 2024. “Gauging the Stress of Long-Term Care Nursing Assistants Using Ecological Momentary Assessment, Wearable Sensors and End of Day Reconstruction.” <i>International Journal of Older People Nursing</i>, 19, e12592. https://doi.org/10.1111/opn.12592. On receiving the award, Dr. Doran said “We decided to undertake this research to reduce the stress/burnout experienced by long-term care workers. This stress not only impacts the health of long-term care workers but also resident outcomes and long-term care organizations. This paper details our first step in our collaborative research effort using our expertise to uncover novel interventions to ameliorate stress within long-term care communities.”</p><p>Huei-Chin Teng received the 2023 <i>IJOPN</i> Student Award for Outstanding Contribution to Gerontological Nursing Research for the paper Teng, H.-C., Y.-I. Shyu, J. Liang, and K. Teppo. 2023. “Strategies for Managing Group Caregiving Following Hip-Fracture Surgery Among Family Members: A Grounded Theory Study.” <i>International Journal of Older People Nursing</i>, 18, e12552. https://doi.org/10.1111/opn.12552 and Dr. Teng shared that “My inspiration primarily stemmed from my first-hand experiences in clinical practice when I began my research studies with Professor Lotus Shyu. While caring for patients following hip fracture surgery, it became apparent that family members in Taiwan were faced with sev","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12641","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001032","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}
Burnout syndrome can have a negative impact on people who work in occupations that require close interaction with others, contributing to a decline in their psychological well-being. This study aimed to examine the effectiveness of Group Interpersonal Therapy (IPT-G) in reducing burnout among care workers for older adults in a Turkish long-term care facility.
Methods
The study employed a pretest–post-test randomised experimental design. Fifty care workers scoring 27 or above on emotional exhaustion and 10 or above on depersonalisation subscales of the Maslach Burnout Inventory (MBI) were randomly assigned to the intervention or control group for 8 weeks. The study utilised the World Health Organization (WHO) Group Interpersonal Therapy for Depression manual as a guide. The post-test was conducted immediately after the last session of the intervention.
Results
In comparing pre- and post-test scores of the intervention group, a statistically significant difference was found in overall burnout scores (pretest M = 74.10, post-test M = 63.08, p < 0.001; d = 1.12). Additionally, emotional exhaustion scores (pretest M = 30.99, post-test M = 24.89, p < 0.001; d = 1.11) and depersonalisation scores (pretest M = 12.76, post-test M = 8.53, p < 0.001; d = 1.69) exhibited significant differences. However, no significant difference was observed in personal accomplishment scores (p > 0.05). The control group had no significant differences concerning the overall burnout scores and all three subscales (p > 0.05).
Conclusion
The IPT-G used in this study effectively decreased burnout among care workers in a long-term care facility in Türkiye. In addition, the participants reported high satisfaction with the IPT-G program.
Implications for Practice
Our results support the usefulness of the IPT-G program for care workers in long-term care facilities considering adding it to their occupational health management. This research aimed to determine whether IPT-G successfully decreased care worker burnout. Future research focusing on various types of healthcare workers in long-term care facilities and examining factors such as burnout, job satisfaction and self-efficacy could
{"title":"The Effectiveness of Group Interpersonal Therapy on Burnout Among Long-Term Care Workers","authors":"Meltem Oral, Nurgül Karakurt","doi":"10.1111/opn.12639","DOIUrl":"10.1111/opn.12639","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Burnout syndrome can have a negative impact on people who work in occupations that require close interaction with others, contributing to a decline in their psychological well-being. This study aimed to examine the effectiveness of Group Interpersonal Therapy (IPT-G) in reducing burnout among care workers for older adults in a Turkish long-term care facility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study employed a pretest–post-test randomised experimental design. Fifty care workers scoring 27 or above on emotional exhaustion and 10 or above on depersonalisation subscales of the Maslach Burnout Inventory (MBI) were randomly assigned to the intervention or control group for 8 weeks. The study utilised the World Health Organization (WHO) Group Interpersonal Therapy for Depression manual as a guide. The post-test was conducted immediately after the last session of the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In comparing pre- and post-test scores of the intervention group, a statistically significant difference was found in overall burnout scores (pretest <i>M</i> = 74.10, post-test <i>M</i> = 63.08, <i>p</i> < 0.001; <i>d</i> = 1.12). Additionally, emotional exhaustion scores (pretest <i>M</i> = 30.99, post-test <i>M</i> = 24.89, <i>p</i> < 0.001; <i>d</i> = 1.11) and depersonalisation scores (pretest <i>M</i> = 12.76, post-test <i>M</i> = 8.53, <i>p</i> < 0.001; <i>d</i> = 1.69) exhibited significant differences. However, no significant difference was observed in personal accomplishment scores (<i>p</i> > 0.05). The control group had no significant differences concerning the overall burnout scores and all three subscales (<i>p</i> > 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The IPT-G used in this study effectively decreased burnout among care workers in a long-term care facility in Türkiye. In addition, the participants reported high satisfaction with the IPT-G program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Our results support the usefulness of the IPT-G program for care workers in long-term care facilities considering adding it to their occupational health management. This research aimed to determine whether IPT-G successfully decreased care worker burnout. Future research focusing on various types of healthcare workers in long-term care facilities and examining factors such as burnout, job satisfaction and self-efficacy could ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12639","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989240","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}
Gading Ekapuja Aurizki, Ferry Efendi, Retno Indarwati, Firma Andriani, Dianis Wulan Sari, Maiko Noguchi-Watanabe
Introduction
Despite the growing knowledge of people's vulnerability following natural disasters, the perspective of older people has received limited attention. This study aimed to explore the perceptions and experiences of older people encountering the 2018 Lombok earthquakes.
Methods
This exploratory qualitative study involved 16 older people living in one of the villages most affected by the 2018 earthquakes in Lombok Island, Nusa Tenggara Barat, Indonesia. The data were collected in June 2019 using semi-structured interviews. Participants' responses were digitally recorded and transcribed verbatim for analysis. The data were analysed using qualitative content analysis managed in NVivo.
Results
From older people's perspectives, three themes were generated: surviving the disaster, dealing with life changes and navigating through challenges and hope. Each theme comprised two categories, which reflected the journey of older people from the early to the later phase of the disaster.
Conclusions
Older people experienced critical conditions and difficulties both physically and mentally. They also experienced various emotional responses before accepting living situations following a disaster. Nurses should play a role in fulfilling the physical and mental health needs of older people in post-disaster conditions.
Implications for Practice
This study can inform nurses and other key stakeholders about the needs of older people during and after natural disasters. Nurses need to be equipped with the skills and abilities to identify and meet the needs of older people in difficult situations and with limited resources.
{"title":"The Perceptions and Experiences of Older People Living in the Aftermath of Lombok Earthquakes, Indonesia: A Qualitative Study","authors":"Gading Ekapuja Aurizki, Ferry Efendi, Retno Indarwati, Firma Andriani, Dianis Wulan Sari, Maiko Noguchi-Watanabe","doi":"10.1111/opn.12640","DOIUrl":"10.1111/opn.12640","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Despite the growing knowledge of people's vulnerability following natural disasters, the perspective of older people has received limited attention. This study aimed to explore the perceptions and experiences of older people encountering the 2018 Lombok earthquakes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This exploratory qualitative study involved 16 older people living in one of the villages most affected by the 2018 earthquakes in Lombok Island, Nusa Tenggara Barat, Indonesia. The data were collected in June 2019 using semi-structured interviews. Participants' responses were digitally recorded and transcribed verbatim for analysis. The data were analysed using qualitative content analysis managed in NVivo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From older people's perspectives, three themes were generated: surviving the disaster, dealing with life changes and navigating through challenges and hope. Each theme comprised two categories, which reflected the journey of older people from the early to the later phase of the disaster.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older people experienced critical conditions and difficulties both physically and mentally. They also experienced various emotional responses before accepting living situations following a disaster. Nurses should play a role in fulfilling the physical and mental health needs of older people in post-disaster conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study can inform nurses and other key stakeholders about the needs of older people during and after natural disasters. Nurses need to be equipped with the skills and abilities to identify and meet the needs of older people in difficult situations and with limited resources.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12640","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989241","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}
Sara Levati, Loris Bonetti, Cesarina Prandi, Monica Bianchi
Aim
To test the psychometric properties of the complexity assessment instrument for home nursing practice (COMID) Italian version.
Design
Cross-sectional study.
Methods
Internal consistency was determined using Cronbach's alpha, whilst the two-way mixed effects, absolute agreement, single measure intraclass correlation coefficient (ICC 3.1) was calculated to evaluate the inter-rater reliability both on individual factors and the overall score. Registered Nurses enrolled at the MSc in Nursing at the University of Applied Sciences and Arts of Southern Switzerland and homecare nurses working for several home care institutions were involved in the data collection process following ad hoc training on the use of the COMID assessment instrument.
Results
A total of 220 questionnaires were completed by 36 nurses. Cronbach's alpha was 0.764, in line with the original study. The inter-rater reliability ranged from good (factor 6 ICC = 0.85) to excellent (factors 1–5 ICC > 91), with the ICC assessed on the total score of the COMID also excellent (ICC = 0.95).
Conclusion
The COMID Italian version is a valid and reliable instrument for homecare nurses to assess complex situations according to the tests performed on a sample of older people receiving home care in Southern Switzerland.
Implications for Practice
The use of such an instrument will enable the identification of the most relevant areas of complexity to be discussed by the nursing and multidisciplinary team to plan and deliver personalised caring interventions.
{"title":"Psychometric Evaluation of the Complexity of Care in the Home Care Setting Instrument (COMID) in Italian Language","authors":"Sara Levati, Loris Bonetti, Cesarina Prandi, Monica Bianchi","doi":"10.1111/opn.12637","DOIUrl":"10.1111/opn.12637","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To test the psychometric properties of the complexity assessment instrument for home nursing practice (COMID) Italian version.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Internal consistency was determined using Cronbach's alpha, whilst the two-way mixed effects, absolute agreement, single measure intraclass correlation coefficient (ICC 3.1) was calculated to evaluate the inter-rater reliability both on individual factors and the overall score. Registered Nurses enrolled at the MSc in Nursing at the University of Applied Sciences and Arts of Southern Switzerland and homecare nurses working for several home care institutions were involved in the data collection process following ad hoc training on the use of the COMID assessment instrument.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 220 questionnaires were completed by 36 nurses. Cronbach's alpha was 0.764, in line with the original study. The inter-rater reliability ranged from good (factor 6 ICC = 0.85) to excellent (factors 1–5 ICC > 91), with the ICC assessed on the total score of the COMID also excellent (ICC = 0.95).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The COMID Italian version is a valid and reliable instrument for homecare nurses to assess complex situations according to the tests performed on a sample of older people receiving home care in Southern Switzerland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The use of such an instrument will enable the identification of the most relevant areas of complexity to be discussed by the nursing and multidisciplinary team to plan and deliver personalised caring interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976996","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}
Jacqueline Allen, Michelle Lobchuk, Patricia M. Livingston, Gail Roberts, Alison M. Hutchinson
Introduction
Transitional care of older adults can be highly stressful for informal carers (carers) particularly when they are not involved in preparation and planning with health practitioners. This study aimed to ascertain carer perspectives about the potential acceptability and usability of a tool entitled the TRANSITION tool to support preparation and planning for the transition of an older adult from hospital to home.
Design
Exploratory qualitative.
Methods
Semi-structured interviews were undertaken between March 2020 and October 2021. A focus group was conducted in July 2022 to seek additional information and support data saturation. A total of 23 participants took part. Data were thematically analysed.
Findings
Participants explained their perspectives about the tool in four themes: (1) the TRANSITION tool has value, but health practitioners ask the questions; (2) the TRANSITION tool would be useful and acceptable, but not for all carers; (3) interacting with health practitioners is a barrier to using the tool and to communication; and (4) recognising us as part of the care team.
Conclusions
While the tool was found to have potential value and utility, it would only be expected to support carers when they are valued and respected by health practitioners. Leadership is required in healthcare organisations to support genuine care for older adults and their carers, and to enable health practitioners to have time for transitional care communication.
Implications for Practice
The findings from the study suggest that the TRANSITION tool could support carers by prompting them about important areas of care to include in communication with health practitioners during discharge preparation.
{"title":"Carer Perspectives About the Acceptability and Usability of the TRANSITION Tool to Support Preparation for Older Adult Care Transitions: A Qualitative Study","authors":"Jacqueline Allen, Michelle Lobchuk, Patricia M. Livingston, Gail Roberts, Alison M. Hutchinson","doi":"10.1111/opn.12638","DOIUrl":"10.1111/opn.12638","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Transitional care of older adults can be highly stressful for informal carers (carers) particularly when they are not involved in preparation and planning with health practitioners. This study aimed to ascertain carer perspectives about the potential acceptability and usability of a tool entitled the TRANSITION tool to support preparation and planning for the transition of an older adult from hospital to home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Exploratory qualitative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were undertaken between March 2020 and October 2021. A focus group was conducted in July 2022 to seek additional information and support data saturation. A total of 23 participants took part. Data were thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Participants explained their perspectives about the tool in four themes: (1) the TRANSITION tool has value, but health practitioners ask the questions; (2) the TRANSITION tool would be useful and acceptable, but not for all carers; (3) interacting with health practitioners is a barrier to using the tool and to communication; and (4) recognising us as part of the care team.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the tool was found to have potential value and utility, it would only be expected to support carers when they are valued and respected by health practitioners. Leadership is required in healthcare organisations to support genuine care for older adults and their carers, and to enable health practitioners to have time for transitional care communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The findings from the study suggest that the TRANSITION tool could support carers by prompting them about important areas of care to include in communication with health practitioners during discharge preparation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12638","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972126","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}
Handgrip strength and the 5-time chair-stand test are the two important muscle strength measures run through the whole sarcopenia diagnosis algorithm. There is a lack of evidence to confirm which muscle strength measures have a higher detection rate of sarcopenia among Chinese older adults, which is a challenge for community workers to choose the muscle strength measures and to identify more sarcopenia in clinical practice.
Objective
We aimed to investigate the prevalence and diagnostic agreement of sarcopenia based on handgrip strength and the 5-time chair-stand test among Chinese community-dwelling older adults.
Methods
This cross-sectional study sampled 1027 community-dwelling older adults from Hunan, China. We used handgrip strength and the 5-time chair-stand test to assess participants' muscle strength and used gait speed and bioimpedance analysis (BIA) to assess physical performance and skeletal muscle mass, respectively. The kappa values of the agreement test were used to evaluate the agreement of handgrip strength and 5-time chair-stand tests in the assessment of sarcopenia.
Results
A total of 1027 participants were included in this analysis including 337 males and 690 females with an average age of 70.35 ± 7.24 years. The prevalence of possible sarcopenia, confirmed sarcopenia and severe sarcopenia based on handgrip strength was 50.8%, 20.3% and 14.5% respectively, while the corresponding prevalence for using the 5-time chair-stand test was 27.6%, 10.8% and 10.9%. The kappa value of the consistency test between handgrip strength and 5-time chair-stand test in the assessment of possible sarcopenia, confirmed and severe sarcopenia was 0.26, 0.51 and 0.62, respectively (p < 0.001 for all).
Conclusions
The prevalence of possible sarcopenia, confirmed sarcopenia and severe sarcopenia based on handgrip strength was significantly higher than that of the 5-time chair-stand test. We recommend handgrip strength as the preferred method of muscle strength measurement for Chinese community-dwelling older adults and use 5-time chair-stand tests when handgrip strength is not available.
Implications for Practice
The findings provide information and suggestions to healthcare providers for choosing the muscle strength measures to detect more s
{"title":"Prevalence and Diagnostic Agreement of Sarcopenia Based on Handgrip Strength and 5-Time Chair-Stand Test Among Chinese Community-Dwelling Older Adults","authors":"Yu-Hua Li, Xiu-Hua Wang, Shi Ya","doi":"10.1111/opn.12635","DOIUrl":"10.1111/opn.12635","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Handgrip strength and the 5-time chair-stand test are the two important muscle strength measures run through the whole sarcopenia diagnosis algorithm. There is a lack of evidence to confirm which muscle strength measures have a higher detection rate of sarcopenia among Chinese older adults, which is a challenge for community workers to choose the muscle strength measures and to identify more sarcopenia in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We aimed to investigate the prevalence and diagnostic agreement of sarcopenia based on handgrip strength and the 5-time chair-stand test among Chinese community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study sampled 1027 community-dwelling older adults from Hunan, China. We used handgrip strength and the 5-time chair-stand test to assess participants' muscle strength and used gait speed and bioimpedance analysis (BIA) to assess physical performance and skeletal muscle mass, respectively. The kappa values of the agreement test were used to evaluate the agreement of handgrip strength and 5-time chair-stand tests in the assessment of sarcopenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1027 participants were included in this analysis including 337 males and 690 females with an average age of 70.35 ± 7.24 years. The prevalence of possible sarcopenia, confirmed sarcopenia and severe sarcopenia based on handgrip strength was 50.8%, 20.3% and 14.5% respectively, while the corresponding prevalence for using the 5-time chair-stand test was 27.6%, 10.8% and 10.9%. The kappa value of the consistency test between handgrip strength and 5-time chair-stand test in the assessment of possible sarcopenia, confirmed and severe sarcopenia was 0.26, 0.51 and 0.62, respectively (<i>p</i> < 0.001 for all).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The prevalence of possible sarcopenia, confirmed sarcopenia and severe sarcopenia based on handgrip strength was significantly higher than that of the 5-time chair-stand test. We recommend handgrip strength as the preferred method of muscle strength measurement for Chinese community-dwelling older adults and use 5-time chair-stand tests when handgrip strength is not available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The findings provide information and suggestions to healthcare providers for choosing the muscle strength measures to detect more s","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903306","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}
Jill Koechl, Albert Banerjee, George Heckman, Heather Keller
Background
Comfort-focused nutrition orders are recommended to manage eating changes among long-term care (LTC) residents nearing the end of life, though little is known about their current use. This investigation aims to describe current practices and identify resident-level and time-dependent factors associated with comfort-focused nutrition orders in this context.
Methods
Data were retrospectively extracted from resident charts of decedents (≥65 years at death, admitted ≥6 months) in 18 LTC homes from two sampling frames across southern Ontario, Canada. Observations occurred at 6 months (baseline), 3 months, 1 month and 2 weeks prior to death. Extracted data included functional measures (e.g. cognitive performance, health instability) at baseline, formalised restorative and comfort-focused nutrition care interventions at each timepoint and eating changes reported in the progress notes in 2 weeks following each timepoint. Logistic regression and time-varying logistic regression models determined resident-level (e.g. functional characteristics) and time-dependent factors (e.g. eating changes) associated with receiving a comfort-focused nutrition order.
Results
Less than one-third (30.5%; n = 50) of 164 participants (61.0% female; mean age = 88.3 ± 7.5 years) received a comfort-focused nutrition order, whereas most (99%) received at least one restorative nutrition intervention to support oral food intake. Discontinuation of nutrition interventions was rare (8.5%). Comfort orders were more likely with health instability (OR [95% CI] = 4.35 [1.49, 13.76]), within 2 weeks of death (OR = 5.50 [1.70, 17.11]), when an end-of-life conversation had occurred since the previous timepoint (OR = 5.66 [2.83, 11.33]), with discontinued nutrition interventions (OR = 6.31 [1.75, 22.72]), with co-occurrence of other care plan modifications (OR = 1.48 [1.10, 1.98]) and with a greater number of eating changes (OR = 1.19 [1.02, 1.38]), especially dysphagia (OR = 2.59 [1.09, 6.17]), at the preceding timepoint.
Conclusions
Comfort-focused nutrition orders were initiated for less than one-third of decedents and most often in the end stages of life, possibly representing missed opportunities to support the quality of life for this vulnerable population. An increase in eating changes, including new dysphagia, may signal a need for proactive end-of-life conversations involving comfort nutrition care options.
{"title":"Factors Associated With the Initiation of Comfort-Focused Nutrition Care Orders for Long-Term Care Residents at End of Life","authors":"Jill Koechl, Albert Banerjee, George Heckman, Heather Keller","doi":"10.1111/opn.12634","DOIUrl":"10.1111/opn.12634","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Comfort-focused nutrition orders are recommended to manage eating changes among long-term care (LTC) residents nearing the end of life, though little is known about their current use. This investigation aims to describe current practices and identify resident-level and time-dependent factors associated with comfort-focused nutrition orders in this context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were retrospectively extracted from resident charts of decedents (≥65 years at death, admitted ≥6 months) in 18 LTC homes from two sampling frames across southern Ontario, Canada. Observations occurred at 6 months (baseline), 3 months, 1 month and 2 weeks prior to death. Extracted data included functional measures (e.g. cognitive performance, health instability) at baseline, formalised restorative and comfort-focused nutrition care interventions at each timepoint and eating changes reported in the progress notes in 2 weeks following each timepoint. Logistic regression and time-varying logistic regression models determined resident-level (e.g. functional characteristics) and time-dependent factors (e.g. eating changes) associated with receiving a comfort-focused nutrition order.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Less than one-third (30.5%; <i>n</i> = 50) of 164 participants (61.0% female; mean age = 88.3 ± 7.5 years) received a comfort-focused nutrition order, whereas most (99%) received at least one restorative nutrition intervention to support oral food intake. Discontinuation of nutrition interventions was rare (8.5%). Comfort orders were more likely with health instability (OR [95% CI] = 4.35 [1.49, 13.76]), within 2 weeks of death (OR = 5.50 [1.70, 17.11]), when an end-of-life conversation had occurred since the previous timepoint (OR = 5.66 [2.83, 11.33]), with discontinued nutrition interventions (OR = 6.31 [1.75, 22.72]), with co-occurrence of other care plan modifications (OR = 1.48 [1.10, 1.98]) and with a greater number of eating changes (OR = 1.19 [1.02, 1.38]), especially dysphagia (OR = 2.59 [1.09, 6.17]), at the preceding timepoint.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Comfort-focused nutrition orders were initiated for less than one-third of decedents and most often in the end stages of life, possibly representing missed opportunities to support the quality of life for this vulnerable population. An increase in eating changes, including new dysphagia, may signal a need for proactive end-of-life conversations involving comfort nutrition care options.</p>\u0000 ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12634","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890635","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}
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