Wan-Ching Shen, Ling-Hui Chang, Ying-Che Huang, Jing-Jy Wang
Background
The population of people with dementia increases yearly, imposing a growing burden on family caregivers. Psychological distress impacts the mental health of family caregivers of people with dementia. Caregiver psychological distress can result in increased social resource utilisation and unmet multicare needs.
Purpose
The study explored the psychological distress of family caregivers of people with dementia and examined the impact on social resource utilisation and multicare needs.
Methods
A descriptive-correlational study collected data in Taiwan from a cross-sectional sample of family caregivers of people with dementia using a self-report questionnaire. Data were analysed using linear and logistic regression.
Results
A total of 301 caregivers provided data for analysis. Nearly two-thirds of caregivers were female with a mean age of 57 years old (SD = 12). Over half of the family caregivers of people with dementia experienced mild-to-moderate psychological distress. The greater the psychological distress, the greater the probability of using social resources (1.09 times per 1-point increase, p = 0.002). Psychological distress was positively associated with the number of caregivers' care needs (β = 0.371, p < 0.001).
Conclusions
Findings of this study can assist healthcare professionals in better understanding the psychological distress and care needs of caregivers. Services designed to meet the needs of family caregivers will improve psychological distress.
{"title":"Psychological Distress, Multicare Needs and Social Resource Utilisation of Family Caregivers of People With Dementia: A Descriptive-Correlational Study","authors":"Wan-Ching Shen, Ling-Hui Chang, Ying-Che Huang, Jing-Jy Wang","doi":"10.1111/opn.12624","DOIUrl":"10.1111/opn.12624","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The population of people with dementia increases yearly, imposing a growing burden on family caregivers. Psychological distress impacts the mental health of family caregivers of people with dementia. Caregiver psychological distress can result in increased social resource utilisation and unmet multicare needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The study explored the psychological distress of family caregivers of people with dementia and examined the impact on social resource utilisation and multicare needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive-correlational study collected data in Taiwan from a cross-sectional sample of family caregivers of people with dementia using a self-report questionnaire. Data were analysed using linear and logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 301 caregivers provided data for analysis. Nearly two-thirds of caregivers were female with a mean age of 57 years old (SD = 12). Over half of the family caregivers of people with dementia experienced mild-to-moderate psychological distress. The greater the psychological distress, the greater the probability of using social resources (1.09 times per 1-point increase, <i>p</i> = 0.002). Psychological distress was positively associated with the number of caregivers' care needs (<i>β</i> = 0.371, <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings of this study can assist healthcare professionals in better understanding the psychological distress and care needs of caregivers. Services designed to meet the needs of family caregivers will improve psychological distress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421495","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}
Fall hazards in bathroom spaces constitute one of the most critical issues in the daily lives of older adults. Bathroom falls are somewhat different and constrained in nature than those in other parts of a home environment.
Objectives
This study aimed to adopt a user-centred approach to explore older adults' general bathroom needs, with a specific focus on showers and bathtubs as the designated activity area.
Methods
The authors employed an extended importance–performance analysis (IPA) with a mixed-method research design. Three hundred and eleven older adults participated in a face-to-face IPA questionnaire for the quantitative phase of the study. The authors gathered the qualitative data through open-ended questions from 59 older adults.
Results
The authors found positive correlation between older adults' attitudes towards an older-friendly bathroom and the potential for their bathrooms to be fall-free. The IPA calculations identify three key items with higher ratings in both importance and performance: The presence of appropriate artificial lighting, efficient mechanical ventilation and an accessible inside towel rail. Thematic analysis yields four themes: comfort, ease of access, error-proof design and emergency management.
Conclusions
The IPA calculations and thematic analysis confirm that older adults' rankings of importance and performance and their corresponding priority levels within the overarching themes indicate the need for these aspects to perform well and justify ongoing investments. The study concludes that addressing fall prevention requires not only designing specific solutions but also utilising appropriate technology in bathing and toileting activities.
Implications for Practice
Practitioners in geriatric and gerontological nursing, design, architecture and health care can use the importance and performance priority levels of older adults to guide the development and implementation of fall-free bathroom design. Policymakers can leverage the insights from this research to inform guidelines and regulations related to building codes, accessibility standards and healthcare policies.
{"title":"Exploring the Importance and Performance Priorities of Older Adults With a User-Centred Approach to Create a Fall-Free Bathroom","authors":"Yasemin Afacan, Billur Barshan","doi":"10.1111/opn.12623","DOIUrl":"10.1111/opn.12623","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fall hazards in bathroom spaces constitute one of the most critical issues in the daily lives of older adults. Bathroom falls are somewhat different and constrained in nature than those in other parts of a home environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to adopt a user-centred approach to explore older adults' general bathroom needs, with a specific focus on showers and bathtubs as the designated activity area.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The authors employed an extended importance–performance analysis (IPA) with a mixed-method research design. Three hundred and eleven older adults participated in a face-to-face IPA questionnaire for the quantitative phase of the study. The authors gathered the qualitative data through open-ended questions from 59 older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The authors found positive correlation between older adults' attitudes towards an older-friendly bathroom and the potential for their bathrooms to be fall-free. The IPA calculations identify three key items with higher ratings in both importance and performance: The presence of appropriate artificial lighting, efficient mechanical ventilation and an accessible inside towel rail. Thematic analysis yields four themes: comfort, ease of access, error-proof design and emergency management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The IPA calculations and thematic analysis confirm that older adults' rankings of importance and performance and their corresponding priority levels within the overarching themes indicate the need for these aspects to perform well and justify ongoing investments. The study concludes that addressing fall prevention requires not only designing specific solutions but also utilising appropriate technology in bathing and toileting activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Practitioners in geriatric and gerontological nursing, design, architecture and health care can use the importance and performance priority levels of older adults to guide the development and implementation of fall-free bathroom design. Policymakers can leverage the insights from this research to inform guidelines and regulations related to building codes, accessibility standards and healthcare policies.</p>\u0000 </sec","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12623","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421450","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}
Poor awareness of dementia care by healthcare professionals affects the quality of care for people living with dementia in acute care settings.
Objectives
This study examined the effectiveness of a virtual reality-based educational programme for dementia for nurses working in acute care hospitals in Japan.
Methods
A dementia education programme for nurses was designed. The programme comprised short movies, virtual reality videos based on the short movies, a lecture, discussions and role-playing based on the experimental learning model. Virtual reality video content was created to promote empathy for people living with dementia through a first-person experience of dementia. The educational programme involved nurses working in an acute care hospital in the Tokyo Metropolitan area. Before and after the programme, we employed structured questionnaires using validated instruments to assess participants' attitudes towards people living with dementia, their intentions of helping behaviour and their confidence in providing dementia care.
Results
Seventy-six nurses participated in and completed the pre- and post-tests. The mean age was 34.9 ± 9.2 years, and 90.8% of the participants were female. A paired t-test showed significant before-after improvement in the participants’ attitudes towards people living with dementia (41.9 ± 5.1 vs. 44.5 ± 4.8), intentions of helping behaviour towards people living with dementia (10.8 ± 2.5 vs. 12.8 ± 2.1) and confidence in providing dementia care (25.9 ± 6.7 vs. 29.2 ± 6.0).
Conclusion
The programme effectively improved nurses’ attitudes towards people living with dementia and confidence in providing dementia care in acute care settings. Future research is important to explore the long-term effects of this programme and its effects on actual dementia care.
Implications for practice
The dementia education programme may promote person-centred care in acute hospitals. Future studies should consider the provision of more flexible programs so that nurses can more easily participate in them.
背景医护人员对痴呆症护理的认识不足会影响急症护理机构对痴呆症患者的护理质量：本研究探讨了基于虚拟现实技术的痴呆症教育项目对在日本急症医院工作的护士的有效性：方法：设计了一项针对护士的痴呆症教育计划。该课程包括短片、基于短片的虚拟现实视频、讲座、讨论和基于实验学习模式的角色扮演。制作虚拟现实视频内容的目的是通过痴呆症患者的亲身经历，促进对痴呆症患者的同情。东京都内一家急症护理医院的护士参与了该教育项目。在课程前后，我们使用经过验证的工具进行了结构化问卷调查，以评估参与者对痴呆症患者的态度、帮助行为的意图以及提供痴呆症护理的信心：76名护士参加并完成了前后测试。平均年龄为 34.9 ± 9.2 岁，90.8% 的参与者为女性。配对 t 检验显示，参与者对痴呆症患者的态度（41.9 ± 5.1 vs. 44.5 ± 4.8）、对痴呆症患者的帮助行为意向（10.8 ± 2.5 vs. 12.8 ± 2.1）和提供痴呆症护理的信心（25.9 ± 6.7 vs. 29.2 ± 6.0）在前后均有明显改善：该项目有效改善了护士对痴呆症患者的态度以及在急症护理环境中提供痴呆症护理的信心。未来的研究对于探索该计划的长期效果及其对实际痴呆症护理的影响非常重要：对实践的启示：痴呆症教育计划可促进急症医院开展以人为本的护理。未来的研究应考虑提供更灵活的计划，使护士更容易参与其中。
{"title":"Effects of a dementia educational programme using virtual reality on nurses in an acute care hospital: A pre-post comparative study","authors":"Jinyan Wu MHS, RN, Ayumi Igarashi PhD, RN, Haruno Suzuki MHS, RN, Hiroshige Matsumoto PhD, RN, PHN, Haruna Kugai PhD, RN, Manami Takaoka PhD, RN, Noriko Yamamoto-Mitani PhD, RN, GNP","doi":"10.1111/opn.12616","DOIUrl":"10.1111/opn.12616","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Poor awareness of dementia care by healthcare professionals affects the quality of care for people living with dementia in acute care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study examined the effectiveness of a virtual reality-based educational programme for dementia for nurses working in acute care hospitals in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A dementia education programme for nurses was designed. The programme comprised short movies, virtual reality videos based on the short movies, a lecture, discussions and role-playing based on the experimental learning model. Virtual reality video content was created to promote empathy for people living with dementia through a first-person experience of dementia. The educational programme involved nurses working in an acute care hospital in the Tokyo Metropolitan area. Before and after the programme, we employed structured questionnaires using validated instruments to assess participants' attitudes towards people living with dementia, their intentions of helping behaviour and their confidence in providing dementia care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy-six nurses participated in and completed the pre- and post-tests. The mean age was 34.9 ± 9.2 years, and 90.8% of the participants were female. A paired <i>t</i>-test showed significant before-after improvement in the participants’ attitudes towards people living with dementia (41.9 ± 5.1 vs. 44.5 ± 4.8), intentions of helping behaviour towards people living with dementia (10.8 ± 2.5 vs. 12.8 ± 2.1) and confidence in providing dementia care (25.9 ± 6.7 vs. 29.2 ± 6.0).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The programme effectively improved nurses’ attitudes towards people living with dementia and confidence in providing dementia care in acute care settings. Future research is important to explore the long-term effects of this programme and its effects on actual dementia care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>The dementia education programme may promote person-centred care in acute hospitals. Future studies should consider the provision of more flexible programs so that nurses can more easily participate in them.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072130","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}
Alice Farrelly RN, BSc Nursing, MSc Advanced Practice, Louise Daly RN, RNT, PhD
Objectives
The objective of this study was to synthesise the evidence of older persons’ experiences of frailty.
Background
The world's population is ageing with those aged over 60 years expected to total 2 billion by 2050. Although not exclusive to ageing, there is a higher prevalence of frailty in older adults, with corresponding demand for related healthcare. While definitions of frailty are debated, there is emerging consensus that sole reliance on biomedical conceptualisations is inadequate to capture the complex needs of older persons living with frailty. In addition, the voices of older persons have largely been excluded from frailty discourses. There is a consequent need for an expanded approach.
Methods
A meta-synthesis was conducted of the literature on older persons' experiences of frailty. CINAHL, Medline, Embase and ASSIA databases were systematically searched up to January 2024. Reference lists of retrieved sources and grey literature were also searched. Studies were independently evaluated for inclusion by two reviewers using predetermined inclusion criteria. Included studies were quality appraised using a standardised tool, and extracted data were thematically analysed and synthesised.
Results
Eight hundred and thirteen studies were identified as potentially relevant. Following title and abstract review, 52 studies were selected for full-text review. Thirty-four studies were subsequently excluded as they did not address the systematic review question, leaving 17 included in the final review. An additional two studies were identified via grey literature sources. Older persons' experiences of frailty were synthesised with reference to three themes: (i) living with frailty: a multidimensional experience; (ii) living with frailty: acceptability and associations; and (iii) living with frailty: resisting and adapting and losing control.
Conclusions
Older persons' experiences of frailty revealed a resistance to the biomedical use of the term generally used in clinical practice. Instead, a more nuanced and multidimensional understanding of frailty was identified in the experiences of older persons.
Implications for Practice
Health and social care personnel should therefore consider an expanded approach in practice that incorporates the perspective of
{"title":"Older persons' experiences of frailty: A systematic review","authors":"Alice Farrelly RN, BSc Nursing, MSc Advanced Practice, Louise Daly RN, RNT, PhD","doi":"10.1111/opn.12611","DOIUrl":"10.1111/opn.12611","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The objective of this study was to synthesise the evidence of older persons’ experiences of frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The world's population is ageing with those aged over 60 years expected to total 2 billion by 2050. Although not exclusive to ageing, there is a higher prevalence of frailty in older adults, with corresponding demand for related healthcare. While definitions of frailty are debated, there is emerging consensus that sole reliance on biomedical conceptualisations is inadequate to capture the complex needs of older persons living with frailty. In addition, the voices of older persons have largely been excluded from frailty discourses. There is a consequent need for an expanded approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A meta-synthesis was conducted of the literature on older persons' experiences of frailty. CINAHL, Medline, Embase and ASSIA databases were systematically searched up to January 2024. Reference lists of retrieved sources and grey literature were also searched. Studies were independently evaluated for inclusion by two reviewers using predetermined inclusion criteria. Included studies were quality appraised using a standardised tool, and extracted data were thematically analysed and synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight hundred and thirteen studies were identified as potentially relevant. Following title and abstract review, 52 studies were selected for full-text review. Thirty-four studies were subsequently excluded as they did not address the systematic review question, leaving 17 included in the final review. An additional two studies were identified via grey literature sources. Older persons' experiences of frailty were synthesised with reference to three themes: (i) living with frailty: a multidimensional experience; (ii) living with frailty: acceptability and associations; and (iii) living with frailty: resisting and adapting and losing control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older persons' experiences of frailty revealed a resistance to the biomedical use of the term generally used in clinical practice. Instead, a more nuanced and multidimensional understanding of frailty was identified in the experiences of older persons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Health and social care personnel should therefore consider an expanded approach in practice that incorporates the perspective of","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923649","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}
Every year, April and May bring two important days of commemoration. Earth Day we typically recognize in our communities and at home. We celebrate International Nurses Day in our workplaces and professional societies. But this year these international fetes fit together in a distinct and valuable way. The themes for Earth Day and International Nurses Day are as intertwined as Florence Nightingale—our first nurse data scientist—expressed the profound interconnections among nursing, environment and health over 160 years ago.
This year, Earth Day on April 22 recognized the need to address the frail health of our planet with a critical focus. The theme of this year's Earth Day was Planet vs. Plastics (https://www.earthday.org). International Nurses Day addressed a similarly essential focus. Nurses around the world, remembering Florence Nightingale's birthday on May 12, celebrated the day with the theme of Our Nurses. Our Future. The economic power of care. (https://www.icn.ch/news/international-nurses-day-2024-theme-announced-our-nurses-our-future-economic-power-care). Each theme's relevance for us as nurses and for the communities and populations in our care is undeniable. Together, these themes send a clear message to us as gerontological nurses and all nurses around the world. Restoring a healthy planet and the critical need for sustainable healthcare mandate that we must address plastics and plastic pollution in our research, education, practice and policy.
Plastic pollution is endangering the clean air, clean water and nutritious food supplies that Florence Nightingale and many other nurses who followed her advanced as fundamental to health. While legions of nurses have echoed Nightingale's emphasis on health and the environment, our profession has been slow to contend with the specific threat that plastics pose to our planet and to human health. Healthcare is a significant plastics polluter just as it is with greenhouse gases. Worldwide, the healthcare industry contributes about five per cent of gases that cause global warming (Eckelman et al., 2020; Lenzen et al., 2020). Plastic pollution, like greenhouse gases, places our world, human health and healthful aging in peril through a variety of mechanisms (Tang et al., 2024). Moreover, both plastics and greenhouse gases are tied to fossil fuel use, so plastics are also contributing directly to global warming.
Curbing plastic pollution and greenhouse gases requires limiting use of plastics to only that which is essential, searching for alternative materials that do not rely on fossil fuels for composition and production, and redesigning waste management for essential plastics. While the proportion of plastic waste attributable to healthcare is presently unmeasured, the magnitude of plastic use in healthcare is easy for us as nurses to see. Plastics, both in single-use and reusable products, abound in every healthcare
{"title":"Gerontological nursing, plastics and the planet: A call for research in sustainable care for older people","authors":"Sarah H. Kagan PhD, RN","doi":"10.1111/opn.12612","DOIUrl":"10.1111/opn.12612","url":null,"abstract":"<p>Every year, April and May bring two important days of commemoration. Earth Day we typically recognize in our communities and at home. We celebrate International Nurses Day in our workplaces and professional societies. But this year these international fetes fit together in a distinct and valuable way. The themes for Earth Day and International Nurses Day are as intertwined as Florence Nightingale—our first nurse data scientist—expressed the profound interconnections among nursing, environment and health over 160 years ago.</p><p>This year, Earth Day on April 22 recognized the need to address the frail health of our planet with a critical focus. The theme of this year's Earth Day was <i>Planet</i> vs. <i>Plastics</i> (https://www.earthday.org). International Nurses Day addressed a similarly essential focus. Nurses around the world, remembering Florence Nightingale's birthday on May 12, celebrated the day with the theme of <i>Our Nurses. Our Future. The economic power of care</i>. (https://www.icn.ch/news/international-nurses-day-2024-theme-announced-our-nurses-our-future-economic-power-care). Each theme's relevance for us as nurses and for the communities and populations in our care is undeniable. Together, these themes send a clear message to us as gerontological nurses and all nurses around the world. Restoring a healthy planet and the critical need for sustainable healthcare mandate that we must address plastics and plastic pollution in our research, education, practice and policy.</p><p>Plastic pollution is endangering the clean air, clean water and nutritious food supplies that Florence Nightingale and many other nurses who followed her advanced as fundamental to health. While legions of nurses have echoed Nightingale's emphasis on health and the environment, our profession has been slow to contend with the specific threat that plastics pose to our planet and to human health. Healthcare is a significant plastics polluter just as it is with greenhouse gases. Worldwide, the healthcare industry contributes about five per cent of gases that cause global warming (Eckelman et al., <span>2020</span>; Lenzen et al., <span>2020</span>). Plastic pollution, like greenhouse gases, places our world, human health and healthful aging in peril through a variety of mechanisms (Tang et al., <span>2024</span>). Moreover, both plastics and greenhouse gases are tied to fossil fuel use, so plastics are also contributing directly to global warming.</p><p>Curbing plastic pollution and greenhouse gases requires limiting use of plastics to only that which is essential, searching for alternative materials that do not rely on fossil fuels for composition and production, and redesigning waste management for essential plastics. While the proportion of plastic waste attributable to healthcare is presently unmeasured, the magnitude of plastic use in healthcare is easy for us as nurses to see. Plastics, both in single-use and reusable products, abound in every healthcare ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12612","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913234","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}
Robert L. Atenstaedt MA, MPhil, MSc, MPH, MBBS, DPhil
{"title":"Should nurses caring for older people be promoting the Five Ways to Wellbeing?","authors":"Robert L. Atenstaedt MA, MPhil, MSc, MPH, MBBS, DPhil","doi":"10.1111/opn.12615","DOIUrl":"10.1111/opn.12615","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140903492","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}
Understanding and managing the complex processes of ageing is a critical function of gerontological nursing, especially when it comes to older people’s well-being and their contributions to society. Globally, older persons contribute in many ways to families and communities. However, the relationship between older person’s overall well-being and their propensity to contribute to society remains an important gap in research.
Objective
The study examined the association between well-being and the impact of older persons on Ghanaian society.
Methods
A secondary analysis of longitudinal survey data of the 2014/15 Study on Global Ageing and Adult Health (SAGE Wave 2) conducted by the World Health Organization was used. The multilevel logistic regression technique was used to examine four dimensions of well-being and their associations with high social contribution among older persons. The output was reported as odds ratios (OR).
Results
The results show that older persons who had high physical and psychological well-being were more likely to contribute to society (OR = 1.25, 95% CI = 0.93, 1.68), (OR = 1.75, 95% CI = 1.32, 2.33). However, those with high levels of emotional and spiritual well-being were less likely to make social contributions (OR = 0.66, 95% CI = 0.49, 0.88), (OR = 0.88, 95% CI = 0.66, 1.18).
Conclusion
This study shows a positive association between well-being and older persons’ societal impact. Good mental and physical health encourage societal involvement among older persons, while high emotional and spiritual well-being may lead to less societal contribution.
Implications for practice
These findings are important for nursing policies promoting social contribution and well-being among older persons 60 years and over in Ghana.
背景 了解和管理老龄化的复杂过程是老年护理的一项重要职能，尤其是在涉及老年人的福祉及其对社会的贡献时。在全球范围内，老年人以多种方式为家庭和社区做出贡献。然而，老年人的整体幸福感与他们为社会做出贡献的倾向之间的关系仍然是一个重要的研究空白。 本研究探讨了幸福感与老年人对加纳社会的影响之间的关系。 方法 对世界卫生组织开展的 2014/15 年全球老龄化与成人健康研究（SAGE Wave 2）的纵向调查数据进行二次分析。采用多层次逻辑回归技术研究了老年人幸福感的四个维度及其与高社会贡献的关系。结果以几率比（OR）形式报告。 结果表明，身心健康水平高的老年人更有可能为社会做出贡献（OR = 1.25，95% CI = 0.93，1.68）、（OR = 1.75，95% CI = 1.32，2.33）。然而，情绪和精神健康水平高的人较少做出社会贡献（OR = 0.66，95% CI = 0.49，0.88），（OR = 0.88，95% CI = 0.66，1.18）。 结论 本研究表明，幸福感与老年人的社会影响力之间存在正相关。良好的心理和身体健康会鼓励老年人参与社会活动，而高情感和精神幸福感则可能导致对社会的贡献减少。 对实践的启示 这些研究结果对于促进加纳 60 岁及以上老年人的社会贡献和福祉的护理政策非常重要。
{"title":"The well-being equation: How inner fulfilment drives the impact of older persons on the Ghanaian society","authors":"Joseph Kojo Oduro PhD","doi":"10.1111/opn.12614","DOIUrl":"https://doi.org/10.1111/opn.12614","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Understanding and managing the complex processes of ageing is a critical function of gerontological nursing, especially when it comes to older people’s well-being and their contributions to society. Globally, older persons contribute in many ways to families and communities. However, the relationship between older person’s overall well-being and their propensity to contribute to society remains an important gap in research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The study examined the association between well-being and the impact of older persons on Ghanaian society.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A secondary analysis of longitudinal survey data of the 2014/15 Study on Global Ageing and Adult Health (SAGE Wave 2) conducted by the World Health Organization was used. The multilevel logistic regression technique was used to examine four dimensions of well-being and their associations with high social contribution among older persons. The output was reported as odds ratios (OR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results show that older persons who had high physical and psychological well-being were more likely to contribute to society (OR = 1.25, 95% CI = 0.93, 1.68), (OR = 1.75, 95% CI = 1.32, 2.33). However, those with high levels of emotional and spiritual well-being were less likely to make social contributions (OR = 0.66, 95% CI = 0.49, 0.88), (OR = 0.88, 95% CI = 0.66, 1.18).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study shows a positive association between well-being and older persons’ societal impact. Good mental and physical health encourage societal involvement among older persons, while high emotional and spiritual well-being may lead to less societal contribution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>These findings are important for nursing policies promoting social contribution and well-being among older persons 60 years and over in Ghana.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140844754","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}
The prevalence of essential hypertension contributed significantly to morbidity and mortality rates. Acupuncture-related therapies were commonly employed in hypertension treatment. Nevertheless, a lack of conclusive evidence left uncertainties regarding the optimal strategies for managing hypertensive populations.
Objectives
Conduct a comprehensive systematic review to evaluate the existing clinical evidence about the effectiveness of acupuncture and moxibustion-related therapies in managing hypertension, by employing network meta-analysis techniques.
Methods
A comprehensive electronic search was conducted across n of databases. This search covered studies available up to October 2022. Randomized controlled trials assessing acupuncture and moxibustion-related therapies in managing hypertension based on traditional Chinese medicine were screened. Primary outcome measures included the antihypertensive effectiveness rate, variations in blood pressure and the incorporation of Traditional Chinese Medicine (TCM) syndrome manifestations. The review follows the guidelines outlined in the PRISMA statement.
Results
We identified a total of 24 trials with 1867 patients, which evaluated the efficacy of various acupuncture-related therapies for hypertension management. Network meta-analysis showed that moxibustion and auricular point sticking combined with medication therapy had the best effect in terms of antihypertensive effective rate (medication + moxibustion + auricular pressure vs. medication = 1.29 [1.09, 1.54]; sucra = 85.9, p < .05) and hypertension symptom improvement (medication + moxibustion + auricular pressure vs. medication = −1.55 [−2.98, −0.13]; sucra = 96.1, p < .05). Acupuncture combined with moxibustion combined with medication therapy had the best effect in reducing systolic pressure (medication + moxibustion + acupuncture vs. medication = −8.50 [−10.19, −6.80]; sucra = 100, p < .05) and diastolic blood pressure (medication + moxibustion + acupuncture versus medication = −4.72 [−6.71, −2.72]; sucra = 99.71, p < 0.05).
Conclusions
Network meta-analysis suggested that the combined use of moxibustion and auricular point application in conjunction with drug therapy showed the highest likelihood of being the most effective treatment in terms of antihypertensive efficiency rates and improvement in hypertension symptoms. F
{"title":"Intervention of hypertension by acupuncture-related therapies: A network meta-analysis","authors":"Huiling Zhang PhD Candidate, Zheyuan Xia PhD Candidate, Yongjun Liu MS, Shuang Yu MS, Hui Shi PhD, Yahui Meng PhD Candidate, Xinyu Wu PhD Candidate, RN","doi":"10.1111/opn.12613","DOIUrl":"https://doi.org/10.1111/opn.12613","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The prevalence of essential hypertension contributed significantly to morbidity and mortality rates. Acupuncture-related therapies were commonly employed in hypertension treatment. Nevertheless, a lack of conclusive evidence left uncertainties regarding the optimal strategies for managing hypertensive populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Conduct a comprehensive systematic review to evaluate the existing clinical evidence about the effectiveness of acupuncture and moxibustion-related therapies in managing hypertension, by employing network meta-analysis techniques.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive electronic search was conducted across n of databases. This search covered studies available up to October 2022. Randomized controlled trials assessing acupuncture and moxibustion-related therapies in managing hypertension based on traditional Chinese medicine were screened. Primary outcome measures included the antihypertensive effectiveness rate, variations in blood pressure and the incorporation of Traditional Chinese Medicine (TCM) syndrome manifestations. The review follows the guidelines outlined in the PRISMA statement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified a total of 24 trials with 1867 patients, which evaluated the efficacy of various acupuncture-related therapies for hypertension management. Network meta-analysis showed that moxibustion and auricular point sticking combined with medication therapy had the best effect in terms of antihypertensive effective rate (medication + moxibustion + auricular pressure vs. medication = 1.29 [1.09, 1.54]; sucra = 85.9, <i>p</i> < .05) and hypertension symptom improvement (medication + moxibustion + auricular pressure vs. medication = −1.55 [−2.98, −0.13]; sucra = 96.1, <i>p</i> < .05). Acupuncture combined with moxibustion combined with medication therapy had the best effect in reducing systolic pressure (medication + moxibustion + acupuncture vs. medication = −8.50 [−10.19, −6.80]; sucra = 100, <i>p</i> < .05) and diastolic blood pressure (medication + moxibustion + acupuncture versus medication = −4.72 [−6.71, −2.72]; sucra = 99.71, <i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Network meta-analysis suggested that the combined use of moxibustion and auricular point application in conjunction with drug therapy showed the highest likelihood of being the most effective treatment in terms of antihypertensive efficiency rates and improvement in hypertension symptoms. F","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140826156","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}
Multiple nutritional screening tools are available for older people; however, few screening tools include specific eating behaviours as risk factors that could lead to poor food intake. The 24-item mealtime observation checklist (MOCL), developed by the Japanese Ministry of Health, Labour and Welfare in 2015, comprises signs, symptoms and conditions during mealtime that reflect eating and swallowing functions and oral conditions.
Objectives
To examine factors associated with malnutrition among the MOCL items in older people.
Methods
A cross-sectional study was conducted using data from a retrospective cohort study conducted at four long-term care facilities in Japan. Among the older people residing in the facilities, 198 who received oral intake support were included in the analyses. Nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA®-SF), and comparisons were made between ‘malnutrition’ and ‘at-risk or well-nourished’. The association between each MOCL item and malnutrition was assessed using multivariable logistic regression analysis.
Results
Of the 198 participants, 98 (49.5%) were classified as ‘malnutrition’, 98 (49.5%) as ‘at-risk’ and 2 (1%) as ‘well-nourished’ by MNA®-SF. After adjusting for participant characteristics such as age and sex, significant associations with malnutrition were observed for four items from the 24-item MOCL: ‘Has fatigue due to extended mealtime (odds ratio [OR] = 3.20, 95% confidence interval [CI]: 1.36–7.53)’, ‘Food residues in the oral cavity are conspicuous (OR = 2.77, 95% CI: 1.38–5.52)’, ‘Has difficulty swallowing food and takes time to swallow (OR = 3.78, 95% CI: 1.45–9.84)’ and ‘Assisted feeding is required (OR = 3.70, 95% CI: 1.73–7.91)’.
Conclusions
The four signs, symptoms and conditions during mealtime identified in this study may be associated with malnutrition in older people.
Implications for practice
These may indicate the potential eating problems that can lead to malnutrition. By incorporating them into early intervention and prevention measures, health care providers may help prevent malnutrition and improve the nutritional status of older people.
{"title":"Association between a malnutrition screening tool and mealtime observation checklist items in older people receiving oral intake support: A cross-sectional study of four long-term care facilities","authors":"Eri Nishioka MA, RD, Mayumi Iwata BA, RD, Noriko Kumai BA, RD, Yoshinari Matsumoto PhD, RD, Chika Momoki PhD, RD, Yoko Yasui MA, RD, Daiki Habu PhD, MD","doi":"10.1111/opn.12610","DOIUrl":"https://doi.org/10.1111/opn.12610","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Multiple nutritional screening tools are available for older people; however, few screening tools include specific eating behaviours as risk factors that could lead to poor food intake. The 24-item mealtime observation checklist (MOCL), developed by the Japanese Ministry of Health, Labour and Welfare in 2015, comprises signs, symptoms and conditions during mealtime that reflect eating and swallowing functions and oral conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine factors associated with malnutrition among the MOCL items in older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted using data from a retrospective cohort study conducted at four long-term care facilities in Japan. Among the older people residing in the facilities, 198 who received oral intake support were included in the analyses. Nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA<sup>®</sup>-SF), and comparisons were made between ‘malnutrition’ and ‘at-risk or well-nourished’. The association between each MOCL item and malnutrition was assessed using multivariable logistic regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 198 participants, 98 (49.5%) were classified as ‘malnutrition’, 98 (49.5%) as ‘at-risk’ and 2 (1%) as ‘well-nourished’ by MNA<sup>®</sup>-SF. After adjusting for participant characteristics such as age and sex, significant associations with malnutrition were observed for four items from the 24-item MOCL: ‘Has fatigue due to extended mealtime (odds ratio [OR] = 3.20, 95% confidence interval [CI]: 1.36–7.53)’, ‘Food residues in the oral cavity are conspicuous (OR = 2.77, 95% CI: 1.38–5.52)’, ‘Has difficulty swallowing food and takes time to swallow (OR = 3.78, 95% CI: 1.45–9.84)’ and ‘Assisted feeding is required (OR = 3.70, 95% CI: 1.73–7.91)’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The four signs, symptoms and conditions during mealtime identified in this study may be associated with malnutrition in older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>These may indicate the potential eating problems that can lead to malnutrition. By incorporating them into early intervention and prevention measures, health care providers may help prevent malnutrition and improve the nutritional status of older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140552927","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}
Liang Zhou MD, Chun Feng DPT, Yue Lu MS, Li-Juan Zhong MS, Jing Gao MS, Na Liu MS, Feng Lin MD, PhD, Zhong-Li Jiang MD, PhD
Background
The International Classification of Functioning, Disability and Health (ICF) offers a standardized international terminology to operationalize function management across multiple domains, but the summary score of the ICF qualifier scale provides limited information on the comparison of personal abilities and functioning difficulties.
Objectives
To enhance the interpretative power of the ICF-based Health-oriented Personal Evaluation for the community-dwelling older person (iHOPE-OP) scale through the implementation of the item response theory (IRT) modelling.
Methods
This cross-sectional, multi-centre study administrated 161 ICF categories (58 on body functions, 15 on body structures, 60 on activities or participation and 28 on environmental factors) to evaluate the functional level of 338 older citizens (female = 158, male = 180) residing in community or supportive living facilities. The validation process encompassed assessing the IRT model fitness and evaluating the psychometric properties of the IRT-derived iHOPE-OP scale.
Results
The age of participants ranged from 60 to 94.57, with the mean age of 70. The analysis of non-parametric and parametric models revealed that the three-parameter logistic IRT model, with a dichotomous scoring principle, exhibited the best fit. The 53-item iHOPE-OP scale demonstrated high reliability (Cronbach's α = 0.9729, Guttman's lambda-2 = 0.9749, Molenaar-Sijtsma Statistic = 0.9803, latent class reliability coefficient = 0.9882). There was a good validity between person abilities and the Barthel Index (p < .001, r = .83), as well as instrumental activities of daily living (p < .001, r = .84).
Conclusions
IRT methods generate the reliable and valid iHOPE-OP scale with the most discriminable and minimal items to represent the older person's functional performance at a comprehensive level. The use of the Wright map can aid in presby-functioning management by visualizing item difficulties and person abilities.
Implications for practice
Considering the intricate and heterogeneous health status of older persons, a single functional assessment tool might not fulfil the need to fully understand the multifaceted health status. For use in conjunction with the IRT and ICF framework,
{"title":"Development and validation of health-oriented personal evaluation for the community-dwelling older person based on the International Classification of Functioning, Disability and Health","authors":"Liang Zhou MD, Chun Feng DPT, Yue Lu MS, Li-Juan Zhong MS, Jing Gao MS, Na Liu MS, Feng Lin MD, PhD, Zhong-Li Jiang MD, PhD","doi":"10.1111/opn.12609","DOIUrl":"https://doi.org/10.1111/opn.12609","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The International Classification of Functioning, Disability and Health (ICF) offers a standardized international terminology to operationalize function management across multiple domains, but the summary score of the ICF qualifier scale provides limited information on the comparison of personal abilities and functioning difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To enhance the interpretative power of the ICF-based Health-oriented Personal Evaluation for the community-dwelling older person (iHOPE-OP) scale through the implementation of the item response theory (IRT) modelling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional, multi-centre study administrated 161 ICF categories (58 on body functions, 15 on body structures, 60 on activities or participation and 28 on environmental factors) to evaluate the functional level of 338 older citizens (female = 158, male = 180) residing in community or supportive living facilities. The validation process encompassed assessing the IRT model fitness and evaluating the psychometric properties of the IRT-derived iHOPE-OP scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The age of participants ranged from 60 to 94.57, with the mean age of 70. The analysis of non-parametric and parametric models revealed that the three-parameter logistic IRT model, with a dichotomous scoring principle, exhibited the best fit. The 53-item iHOPE-OP scale demonstrated high reliability (Cronbach's <i>α</i> = 0.9729, Guttman's lambda-2 = 0.9749, Molenaar-Sijtsma Statistic = 0.9803, latent class reliability coefficient = 0.9882). There was a good validity between person abilities and the Barthel Index (<i>p</i> < .001, <i>r</i> = .83), as well as instrumental activities of daily living (<i>p</i> < .001, <i>r</i> = .84).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>IRT methods generate the reliable and valid iHOPE-OP scale with the most discriminable and minimal items to represent the older person's functional performance at a comprehensive level. The use of the Wright map can aid in presby-functioning management by visualizing item difficulties and person abilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>Considering the intricate and heterogeneous health status of older persons, a single functional assessment tool might not fulfil the need to fully understand the multifaceted health status. For use in conjunction with the IRT and ICF framework, ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140556165","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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