In long-term care (LTC) facilities, nurses play a key role in detecting changes in residents' health conditions and preventing avoidable emergency transfers and hospitalisations through multidisciplinary collaboration. This study aimed to explore how nurses detect changes that indicate the deterioration in LTC residents' conditions.
Methods
Semi-structured interviews were conducted with 23 nurses from 14 LTC facilities. Data from these interviews were qualitatively analysed using coding and constant comparison methods.
Results
The three main categories were ‘preparing’, ‘assessing’ and ‘judging’. Nurses worked closely with care workers who spent a considerable amount of time with the residents, and by sharing information, the nurses could rapidly respond to changes in the residents' conditions. They also evaluated the risk of residents experiencing changes by leveraging their clinical experience.
Conclusion
This study found that LTC nurses should collaborate with care workers to enhance their health assessment skills, enabling them to detect changes in residents' conditions. Findings from this study can be used to promote collaboration between nurses and care workers and to develop effective educational interventions to improve nursing practice in LTC facilities.
Implications for Practice
This study underscores the necessity of nurses' ability to identify early deterioration in LTC residents. The findings reveal key symptoms and warning signs that nurses should prioritize in their assessments. By leveraging clinical experience and close observation, nurses can make timely and effective decisions to address residents' health changes, preventing further deterioration and enhancing their quality of life.
{"title":"Nursing Practice for Early Detection of Long-Term Care Resident Deterioration: A Qualitative Study","authors":"Hirofumi Ogawara, Hiroki Fukahori, Yuriko Mashida, Sachiko Matsumoto, Katsumi Nasu, Ardith Z Doorenbos","doi":"10.1111/opn.70014","DOIUrl":"https://doi.org/10.1111/opn.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In long-term care (LTC) facilities, nurses play a key role in detecting changes in residents' health conditions and preventing avoidable emergency transfers and hospitalisations through multidisciplinary collaboration. This study aimed to explore how nurses detect changes that indicate the deterioration in LTC residents' conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 23 nurses from 14 LTC facilities. Data from these interviews were qualitatively analysed using coding and constant comparison methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The three main categories were ‘preparing’, ‘assessing’ and ‘judging’. Nurses worked closely with care workers who spent a considerable amount of time with the residents, and by sharing information, the nurses could rapidly respond to changes in the residents' conditions. They also evaluated the risk of residents experiencing changes by leveraging their clinical experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study found that LTC nurses should collaborate with care workers to enhance their health assessment skills, enabling them to detect changes in residents' conditions. Findings from this study can be used to promote collaboration between nurses and care workers and to develop effective educational interventions to improve nursing practice in LTC facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study underscores the necessity of nurses' ability to identify early deterioration in LTC residents. The findings reveal key symptoms and warning signs that nurses should prioritize in their assessments. By leveraging clinical experience and close observation, nurses can make timely and effective decisions to address residents' health changes, preventing further deterioration and enhancing their quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380417","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}
Chin Pei Tan, Dora C. Howes, Ambelorfam Manikam, Sok Mui Lim
<div> <section> <h3> Background</h3> <p>The demands of any health education programme including nurse education would benefit from innovative ways to support students learning in an effective and efficient manner. Such approaches resonate particularly when caring for older people living with dementia, due to multifactorial manifestations of the condition, patients' difficulty in articulating their needs and the potential for negative care outcomes. Empathy is an important part of understanding dementia and is also recognised as a complex and multidimensional concept.</p> </section> <section> <h3> Objective</h3> <p>This study investigated the impact of undergraduate nursing students' 15-min use of the Experience Dementia in Singapore (EDIS) virtual reality app in their tutorial lesson for developing their empathy, changing their attitude and increasing their sensitivity for person-centred care of people with dementia.</p> </section> <section> <h3> Method</h3> <p>We carried out content and thematic analysis of data anonymously collected via the in-class learning activities at the start and at the end of the lesson.</p> </section> <section> <h3> Results</h3> <p>All participating students (<i>n</i> = 89, 89% response rate) achieved their learning goal to experience a first-person perspective and gain insights into needs and care for persons living with dementia. The results showed students transitioned from having mainly knowledge foremost in their mind, to more empathetic and care related thoughts when delivering care to persons living with dementia. The experience made more students aware of how they could communicate care, make environmental modifications to support and develop an attitude of person-centred care for persons living with dementia and their families. The analysis resulted in four themes: (1) immersive learning—walking in the shoes of the person living with dementia (2) feelings evoked from the first-person perspective (3) little things, big impact; little things, positive impact; and (4) communicating care.</p> </section> <section> <h3> Conclusion</h3> <p>The EDIS virtual reality app was an efficient and effective way for students to develop essential elements, especially empathy, as well as positive attitudes and sensitivity towards person-centred care for those living with dementia.</p> </section> <section> <h3> Implications for Practice</h3> <p>The first-hand experience the VR app offers allows students to challenge pre-conceived perceptions about older pe
{"title":"Role of a Dementia Virtual Reality App in Developing Situated Empathy, Attitude and Person-Centred Care—A Qualitative Approach","authors":"Chin Pei Tan, Dora C. Howes, Ambelorfam Manikam, Sok Mui Lim","doi":"10.1111/opn.70012","DOIUrl":"10.1111/opn.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The demands of any health education programme including nurse education would benefit from innovative ways to support students learning in an effective and efficient manner. Such approaches resonate particularly when caring for older people living with dementia, due to multifactorial manifestations of the condition, patients' difficulty in articulating their needs and the potential for negative care outcomes. Empathy is an important part of understanding dementia and is also recognised as a complex and multidimensional concept.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigated the impact of undergraduate nursing students' 15-min use of the Experience Dementia in Singapore (EDIS) virtual reality app in their tutorial lesson for developing their empathy, changing their attitude and increasing their sensitivity for person-centred care of people with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We carried out content and thematic analysis of data anonymously collected via the in-class learning activities at the start and at the end of the lesson.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All participating students (<i>n</i> = 89, 89% response rate) achieved their learning goal to experience a first-person perspective and gain insights into needs and care for persons living with dementia. The results showed students transitioned from having mainly knowledge foremost in their mind, to more empathetic and care related thoughts when delivering care to persons living with dementia. The experience made more students aware of how they could communicate care, make environmental modifications to support and develop an attitude of person-centred care for persons living with dementia and their families. The analysis resulted in four themes: (1) immersive learning—walking in the shoes of the person living with dementia (2) feelings evoked from the first-person perspective (3) little things, big impact; little things, positive impact; and (4) communicating care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The EDIS virtual reality app was an efficient and effective way for students to develop essential elements, especially empathy, as well as positive attitudes and sensitivity towards person-centred care for those living with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The first-hand experience the VR app offers allows students to challenge pre-conceived perceptions about older pe","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081653","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}
<div> <section> <h3> Background</h3> <p>Enduring shortages in the gerontology nursing workforce are projected to increase as demand for services for older persons grows. Recruitment of Registered Nurses in gerontology is further hindered by negative perceptions held by students towards nursing older people.</p> </section> <section> <h3> Aim</h3> <p>To determine whether a professional development activity designed to assist clinical supervisors to build the mentorship capacity of care staff in residential aged care facilities could positively improve their clinical learning environment and improve student attitudes towards working with older adults.</p> </section> <section> <h3> Design</h3> <p>A quasi-experimental, non-equivalent pretest–posttest control group design.</p> </section> <section> <h3> Settings</h3> <p>Clinical settings in which participants were undertaking an older person–focused clinical placement.</p> </section> <section> <h3> Participants</h3> <p>A purposive sample of 466 first-year undergraduate nursing students. Forty-seven students responded to both the pre- and post-placement surveys.</p> </section> <section> <h3> Methods</h3> <p>The intervention comprised four professional development sessions delivered to clinical supervisors supervising nursing students during clinical placement across three residential aged care facilities. Pre- and post-placement surveys measured Student Perceptions of Working with Older People (SPWOP). The modified Clinical Learning Environment Inventory (CLEI) was included in the post-placement survey to measure student perceptions of the clinical placement learning environment.</p> </section> <section> <h3> Results</h3> <p>Control group participants reported higher pre-placement SPWOP scores yet showed no significant improvement in score post-placement; however, the intervention group reported a statistically significant increase in SPWOP score post-placement. Modified CLEI results revealed the control group reported higher levels of engagement in the learning environment, yet the intervention group reported greater motivation to learn.</p> </section> <section> <h3> Conclusions</h3> <p>An intervention de
{"title":"Shifting Student Attitudes of Gerontology Nursing: A Quasi-Experimental Evaluation of a Clinical Educator Programme","authors":"Ellie Cutmore, Amanda Henderson","doi":"10.1111/opn.70011","DOIUrl":"10.1111/opn.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Enduring shortages in the gerontology nursing workforce are projected to increase as demand for services for older persons grows. Recruitment of Registered Nurses in gerontology is further hindered by negative perceptions held by students towards nursing older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To determine whether a professional development activity designed to assist clinical supervisors to build the mentorship capacity of care staff in residential aged care facilities could positively improve their clinical learning environment and improve student attitudes towards working with older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A quasi-experimental, non-equivalent pretest–posttest control group design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Settings</h3>\u0000 \u0000 <p>Clinical settings in which participants were undertaking an older person–focused clinical placement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>A purposive sample of 466 first-year undergraduate nursing students. Forty-seven students responded to both the pre- and post-placement surveys.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The intervention comprised four professional development sessions delivered to clinical supervisors supervising nursing students during clinical placement across three residential aged care facilities. Pre- and post-placement surveys measured Student Perceptions of Working with Older People (SPWOP). The modified Clinical Learning Environment Inventory (CLEI) was included in the post-placement survey to measure student perceptions of the clinical placement learning environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Control group participants reported higher pre-placement SPWOP scores yet showed no significant improvement in score post-placement; however, the intervention group reported a statistically significant increase in SPWOP score post-placement. Modified CLEI results revealed the control group reported higher levels of engagement in the learning environment, yet the intervention group reported greater motivation to learn.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>An intervention de","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014589","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}
Yingqi Mao, Donghan Xu, Peiyu Yan, Yu Li, Jiaan Du, Yi Zheng, Qibiao Wu, Lili Yu, Tao Qiu
<div> <section> <h3> Background</h3> <p>A high number of stroke patients cannot recover fully from motor impairment despite early rehabilitation. Auricular therapies, usually given by acupuncture doctors or nurses, have been widely used among these post-stroke patients. Potential benefits of auricular therapies were shown in recent clinical trials.</p> </section> <section> <h3> Objectives</h3> <p>The purpose of this review was to systematically evaluate the clinical effects of auricular therapy in the treatment of post-stroke motor impairment.</p> </section> <section> <h3> Methods</h3> <p>PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Chinese Biological Medicine (CBM), Chinese National Knowledge Infrastructure (CNKI) and Wanfang databases were searched from their inception to May 2023. Randomised controlled trials of auricular therapy for the treatment of post-stroke motor impairment met the screening criteria. The primary outcome was the Fugl-Meyer Assessment Scale (FMA). The secondary outcomes included the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), Chinese Stroke Scale (CSS), clinical efficacy and the Barthel Index Scale (BI). Meta-analysis was carried out using RevMan software 5.3.</p> </section> <section> <h3> Results</h3> <p>Twenty-eight RCTs with 1993 patients were included. The meta-analysis results suggested that compared with conventional treatment, auricular therapy combined with conventional treatment significantly improved the FMA score (MD: 15.07, 95% CI, 12.56 to 17.59), the FMA-UE score (MD: 6.49, 95% CI, 5.54 to 7.45), the clinical efficacy (RR: 1.20, 95% CI, 1.12 to 1.29) and the BI score (MD: 10.26, 95% CI, 9.11 to 11.40), while the combination treatment significantly decreased the CSS score (MD: −2.98, 95% CI, −4.38 to −1.59).</p> </section> <section> <h3> Conclusion</h3> <p>Auricular therapy, as an adjunctive treatment to the conventional treatment, improved post-stroke motor impairment and self-care ability. Early auricular therapy of the patients in the early disease stage may lead to better improvement. Further well-designed, large-size clinical studies are needed.</p> </section> <section> <h3> Implications for Practice</h3> <p>This study suggested that auricular therapy could be used as a complementary therapy with conventional treatment for improving motor impairment and self-care ability among post-stroke patients with motor impairment in hospitals, long-term care fa
背景：大量脑卒中患者即使早期康复也不能完全从运动障碍中恢复。耳穴疗法，通常由针灸医生或护士给予，已广泛应用于这些中风后患者。最近的临床试验显示了耳穴治疗的潜在益处。目的：本综述的目的是系统评价耳穴疗法治疗脑卒中后运动障碍的临床效果。方法：检索PubMed、Embase、Web of Science、Chinese journal of Nursing and Allied Health Literature （CINAHL）、Cochrane Library （Cochrane Library）、Chinese Biological Medicine （CBM）、Chinese National Knowledge Infrastructure （CNKI）和万方数据库，检索时间为建站至2023年5月。耳穴疗法治疗脑卒中后运动障碍的随机对照试验符合筛选标准。主要评价指标为Fugl-Meyer评定量表（FMA）。次要指标包括Fugl-Meyer上肢评估量表（FMA-UE）、中国脑卒中量表（CSS）、临床疗效和Barthel指数量表（BI）。采用RevMan软件5.3进行meta分析。结果：纳入28项随机对照试验，1993例患者。meta分析结果显示，与常规治疗相比，耳穴联合常规治疗显著提高了FMA评分（MD: 15.07, 95% CI, 12.56 ~ 17.59）、FMA- ue评分（MD: 6.49, 95% CI, 5.54 ~ 7.45）、临床疗效（RR: 1.20, 95% CI, 1.12 ~ 1.29）和BI评分（MD: 10.26, 95% CI, 9.11 ~ 11.40），而联合治疗显著降低了CSS评分（MD: -2.98, 95% CI, -4.38 ~ -1.59）。结论：耳穴治疗作为常规治疗的辅助治疗，可改善脑卒中后运动功能障碍和生活自理能力。早期耳穴治疗可使病情得到较好的改善。需要进一步精心设计的大规模临床研究。实践意义：本研究提示耳穴疗法可作为常规治疗的补充疗法，用于改善医院、长期护理机构和家庭卒中后运动损伤患者的运动损伤和自我护理能力。
{"title":"Efficacy of Auricular Therapy for Motor Impairment After Stroke: A Systematic Review and Meta-Analysis","authors":"Yingqi Mao, Donghan Xu, Peiyu Yan, Yu Li, Jiaan Du, Yi Zheng, Qibiao Wu, Lili Yu, Tao Qiu","doi":"10.1111/opn.70006","DOIUrl":"10.1111/opn.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A high number of stroke patients cannot recover fully from motor impairment despite early rehabilitation. Auricular therapies, usually given by acupuncture doctors or nurses, have been widely used among these post-stroke patients. Potential benefits of auricular therapies were shown in recent clinical trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The purpose of this review was to systematically evaluate the clinical effects of auricular therapy in the treatment of post-stroke motor impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Chinese Biological Medicine (CBM), Chinese National Knowledge Infrastructure (CNKI) and Wanfang databases were searched from their inception to May 2023. Randomised controlled trials of auricular therapy for the treatment of post-stroke motor impairment met the screening criteria. The primary outcome was the Fugl-Meyer Assessment Scale (FMA). The secondary outcomes included the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), Chinese Stroke Scale (CSS), clinical efficacy and the Barthel Index Scale (BI). Meta-analysis was carried out using RevMan software 5.3.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-eight RCTs with 1993 patients were included. The meta-analysis results suggested that compared with conventional treatment, auricular therapy combined with conventional treatment significantly improved the FMA score (MD: 15.07, 95% CI, 12.56 to 17.59), the FMA-UE score (MD: 6.49, 95% CI, 5.54 to 7.45), the clinical efficacy (RR: 1.20, 95% CI, 1.12 to 1.29) and the BI score (MD: 10.26, 95% CI, 9.11 to 11.40), while the combination treatment significantly decreased the CSS score (MD: −2.98, 95% CI, −4.38 to −1.59).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Auricular therapy, as an adjunctive treatment to the conventional treatment, improved post-stroke motor impairment and self-care ability. Early auricular therapy of the patients in the early disease stage may lead to better improvement. Further well-designed, large-size clinical studies are needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study suggested that auricular therapy could be used as a complementary therapy with conventional treatment for improving motor impairment and self-care ability among post-stroke patients with motor impairment in hospitals, long-term care fa","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957111","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}
Qianqian Jiang, Na Li, Dong Kong, Yan Zhai, Haiwen Chen, Jinfeng Liu, Ping Xiao, Yanan Chen, Wenjian Pei, Jie Song
Aim
To translate the 9-item Confidence in Dementia (CODE) scale into Chinese (Confidence in Dementia-Chinese, CODE-C) and evaluate its psychometric properties among clinical nurses.
Background
With the rapidly ageing population, an increasing number of patients with dementia will be cared for in hospitals. Clinical nurses' confidence in dementia care is crucial to provide quality care. A reliable and valid assessment tool is urgently needed to measure confidence in dementia and identify educational needs in hospitals. The CODE applies to other societies, and this study aims to standardise this scale for China.
Design
This was a cross-sectional study.
Methods
Following the principles of Brislin bidirectional translation, literal translation, back-translation, expert consultation, cognitive debriefing and preliminary testing were performed, and the CODE-C was preliminarily revised. Internal consistency and test–retest reliabilities with a 2-week interval were tested, and an item analysis was conducted using the Pearson correlation coefficient method. Validity was evaluated, including content, construct, convergent, discriminant and criterion validity.
Results
A total of 452 Chinese-speaking nurses from three hospitals in Jinan, China, completed the survey. The scores of each item and the total score of the CODE-C were positively correlated (r = 0.626–0.802, p < 0.05). The difference between the high-score group and the low-score group for each item of the CODE-C was significant (p < 0.05). The Cronbach's α coefficient, Spearman–Brown coefficient and Guttman split-half coefficient of the CODE-C were 0.894, 0.842 and 0.838, respectively, and the test–retest reliability was 0.892. The scale- and item-level content validity indices were both 1.00. The confirmatory factor analysis model only marginally supported the three-factor structure. Positive correlations were noted between the CODE-C and the General Self-Efficacy Scale (r = 0.476, p < 0.01), suggesting acceptable concurrent validity.
Conclusion
The CODE-C showed acceptable reliability and validity and can be applied to measure the level of confidence in dementia and the outcome of educational interventions aimed at enhancing dementia care among Chinese clinical nu
目的：将9项痴呆信心量表（CODE）翻译成中文（Confidence in Dementia-Chinese, CODE- c），并评价其在临床护士中的心理测量特性。背景：随着人口迅速老龄化，越来越多的痴呆症患者将在医院接受治疗。临床护士对痴呆症护理的信心是提供优质护理的关键。迫切需要一种可靠和有效的评估工具来衡量对痴呆症的信心，并确定医院的教育需求。该量表适用于其他社会，本研究旨在规范中国的该量表。设计：这是一项横断面研究。方法：遵循布里斯林双向翻译原则，进行直译、回译、专家咨询、认知述评和初步测试，并对CODE-C进行初步修订。检验内部一致性和间隔2周的重测信度，采用Pearson相关系数法进行项目分析。效度评估包括内容效度、结构效度、收敛效度、判别效度和标准效度。结果：济南市三家医院共有452名中文护士完成了问卷调查。CODE-C量表各单项得分与总分呈显著正相关（r = 0.626-0.802, p）。结论：CODE-C量表具有可接受的信度和效度，可用于衡量临床护士对痴呆的信心水平和加强痴呆护理教育干预的效果。实践意义：CODE-C可以作为一个有效的量表来评估临床护士对痴呆症的信心水平，帮助他们认识和提高他们的痴呆症护理水平。
{"title":"Translation, Reliability and Validity of the Chinese Version of the Confidence in Dementia Scale for Clinical Nursing: A Cross-Sectional Study","authors":"Qianqian Jiang, Na Li, Dong Kong, Yan Zhai, Haiwen Chen, Jinfeng Liu, Ping Xiao, Yanan Chen, Wenjian Pei, Jie Song","doi":"10.1111/opn.70008","DOIUrl":"10.1111/opn.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To translate the 9-item Confidence in Dementia (CODE) scale into Chinese (Confidence in Dementia-Chinese, CODE-C) and evaluate its psychometric properties among clinical nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the rapidly ageing population, an increasing number of patients with dementia will be cared for in hospitals. Clinical nurses' confidence in dementia care is crucial to provide quality care. A reliable and valid assessment tool is urgently needed to measure confidence in dementia and identify educational needs in hospitals. The CODE applies to other societies, and this study aims to standardise this scale for China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was a cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following the principles of Brislin bidirectional translation, literal translation, back-translation, expert consultation, cognitive debriefing and preliminary testing were performed, and the CODE-C was preliminarily revised. Internal consistency and test–retest reliabilities with a 2-week interval were tested, and an item analysis was conducted using the Pearson correlation coefficient method. Validity was evaluated, including content, construct, convergent, discriminant and criterion validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 452 Chinese-speaking nurses from three hospitals in Jinan, China, completed the survey. The scores of each item and the total score of the CODE-C were positively correlated (<i>r</i> = 0.626–0.802, <i>p</i> < 0.05). The difference between the high-score group and the low-score group for each item of the CODE-C was significant (<i>p</i> < 0.05). The Cronbach's α coefficient, Spearman–Brown coefficient and Guttman split-half coefficient of the CODE-C were 0.894, 0.842 and 0.838, respectively, and the test–retest reliability was 0.892. The scale- and item-level content validity indices were both 1.00. The confirmatory factor analysis model only marginally supported the three-factor structure. Positive correlations were noted between the CODE-C and the General Self-Efficacy Scale (<i>r</i> = 0.476, <i>p</i> < 0.01), suggesting acceptable concurrent validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The CODE-C showed acceptable reliability and validity and can be applied to measure the level of confidence in dementia and the outcome of educational interventions aimed at enhancing dementia care among Chinese clinical nu","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899397","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}
Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
Introduction
Arthritis, one of the most common chronic diseases among older people, greatly impairs quality of life through a variety of physical and psychological challenges. This study used network analysis to gain a deeper understanding of the relationships between the indicators of quality of life in older adults with arthritis depending on duration of disease.
Methods
This cross-sectional study used data from 874 older adults with osteoarthritis and/or rheumatoid arthritis who answered the eighth (2019–2021) Korea National Health and Nutrition Examination Survey. We used network analyses of these data to investigate eight indicators of quality of life (pain, climbing stairs, vitality, working, depression, sleep, happiness and memory loss). Participants were divided into two groups depending on the duration of their arthritis (group A: < 10 years, group B: ≥ 10 years).
Results
For group A, depression, working and climbing stairs were the most central indicators affecting quality of life. For group B, the most central quality of life indicators were depression, working, happiness, pain and sleep. In group A, the strongest associations were between depression and happiness, pain and climbing stairs and working and climbing stairs. The same strong associations were observed in group B, along with additional strong associations between depression and memory loss, sleep and happiness, pain and working and happiness and vitality. The bootstrap analyses showed that the networks were very stable and the edge weights accurately estimated.
Conclusion
Our findings suggest that healthcare professionals should routinely screen for depressive symptoms and activities of daily living, especially for older people with 10 or more years of arthritis. Both psychological and physical indicators should be prioritised as key factors in self-management interventions that aim to improve quality of life for older adults with arthritis. Sejong-si, South Korea: Implications for Practice. This study highlights the importance of multidimensionalcare plans to improve the quality of life for older adults with arthritis. Healthcareprofessionals should adopt care strategies that simultaneously address the key psychologicaland physical indicators to effectively enhance overall quality of life.
Implications for Practice
This study highlights the importance of multidimensional care plans to improve the
{"title":"A Network Analysis of Quality of Life Among Older Adults With Arthritis","authors":"Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim","doi":"10.1111/opn.70010","DOIUrl":"10.1111/opn.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Arthritis, one of the most common chronic diseases among older people, greatly impairs quality of life through a variety of physical and psychological challenges. This study used network analysis to gain a deeper understanding of the relationships between the indicators of quality of life in older adults with arthritis depending on duration of disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study used data from 874 older adults with osteoarthritis and/or rheumatoid arthritis who answered the eighth (2019–2021) Korea National Health and Nutrition Examination Survey. We used network analyses of these data to investigate eight indicators of quality of life (pain, climbing stairs, vitality, working, depression, sleep, happiness and memory loss). Participants were divided into two groups depending on the duration of their arthritis (group A: < 10 years, group B: ≥ 10 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>For group A, depression, working and climbing stairs were the most central indicators affecting quality of life. For group B, the most central quality of life indicators were depression, working, happiness, pain and sleep. In group A, the strongest associations were between depression and happiness, pain and climbing stairs and working and climbing stairs. The same strong associations were observed in group B, along with additional strong associations between depression and memory loss, sleep and happiness, pain and working and happiness and vitality. The bootstrap analyses showed that the networks were very stable and the edge weights accurately estimated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that healthcare professionals should routinely screen for depressive symptoms and activities of daily living, especially for older people with 10 or more years of arthritis. Both psychological and physical indicators should be prioritised as key factors in self-management interventions that aim to improve quality of life for older adults with arthritis. Sejong-si, South Korea: Implications for Practice. This study highlights the importance of multidimensionalcare plans to improve the quality of life for older adults with arthritis. Healthcareprofessionals should adopt care strategies that simultaneously address the key psychologicaland physical indicators to effectively enhance overall quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This study highlights the importance of multidimensional care plans to improve the ","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899368","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}
Johanna Wiisak, Arja Suikkala, Helena Leino-Kilpi, Minna Stolt, Riitta Suhonen, Sanna Koskinen
Introduction
Nurses' well-being at work (WAW) is important for overall health care outcomes. Nurses often navigate complex roles, contending with time constraints, ethical challenges and societal undervaluation, underscoring the necessity of addressing their WAW.
Methods
The aim of this systematic review was to analyse the interventions that potentially improve nurses' WAW in care settings for older people. The ultimate goal is to provide an understanding of this field and advance the development of WAW interventions. We performed a systematic review which was registered in PROSPERO and conducted according to PRISMA guideline. We conducted a comprehensive literature search across five scientific databases and one platform in February 2023.
Results
Out of 5975 records, we included 21 full-text articles in the review. Interventions were typically complex and focused on (a) nurses' health, (b) nursing care, (c) care facilities and (d) management. Interventions resulted in a range of outcomes on the (a) physical, (b) psychosocial and (c) environmental dimensions of WAW, with most interventions leading to positive outcomes, albeit with instances of negative and neutral results.
Conclusions
Interventions focusing on nurses' health or care facilities can be promising to improve WAW of nurses working in care settings for older people. Interventions aimed at improving the WAW have focused on various aspects. Despite the mainly positive outcomes, some interventions can also compromise nurses' WAW.
Implications for Practice
Strategies and interventions aimed at improving nurses’ WAW are needed in practice as nurses’ WAW is crucial in recruiting to and retaining nurses in care settings for older people. Promoting WAW also contributes to the quality of care for older people and the provision of ethically high-quality health services.
Trial Registration
The review protocol was registered in the International Prospective Register of Systematic Reviews, PROSPERO (CRD42023399478)
{"title":"Interventions Intended to Improve the Well-Being at Work of Nurses Working in Care Settings for Older People—A Systematic Review","authors":"Johanna Wiisak, Arja Suikkala, Helena Leino-Kilpi, Minna Stolt, Riitta Suhonen, Sanna Koskinen","doi":"10.1111/opn.70005","DOIUrl":"10.1111/opn.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses' well-being at work (WAW) is important for overall health care outcomes. Nurses often navigate complex roles, contending with time constraints, ethical challenges and societal undervaluation, underscoring the necessity of addressing their WAW.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The aim of this systematic review was to analyse the interventions that potentially improve nurses' WAW in care settings for older people. The ultimate goal is to provide an understanding of this field and advance the development of WAW interventions. We performed a systematic review which was registered in PROSPERO and conducted according to PRISMA guideline. We conducted a comprehensive literature search across five scientific databases and one platform in February 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 5975 records, we included 21 full-text articles in the review. Interventions were typically complex and focused on (a) nurses' health, (b) nursing care, (c) care facilities and (d) management. Interventions resulted in a range of outcomes on the (a) physical, (b) psychosocial and (c) environmental dimensions of WAW, with most interventions leading to positive outcomes, albeit with instances of negative and neutral results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Interventions focusing on nurses' health or care facilities can be promising to improve WAW of nurses working in care settings for older people. Interventions aimed at improving the WAW have focused on various aspects. Despite the mainly positive outcomes, some interventions can also compromise nurses' WAW.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Strategies and interventions aimed at improving nurses’ WAW are needed in practice as nurses’ WAW is crucial in recruiting to and retaining nurses in care settings for older people. Promoting WAW also contributes to the quality of care for older people and the provision of ethically high-quality health services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The review protocol was registered in the International Prospective Register of Systematic Reviews, PROSPERO (CRD42023399478)</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899392","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}
Gerontological nurses around the world are increasingly and acutely aware that health and social care must become age friendly. The manifold, cascading effects of structural ageism and lack of gerontological competence in health and social care professions and systems are now widely recognised (Fulmer et al. 2020). Thus, many of us are fighting for age friendly transformation of health and social care systems in countries around the world. Ever more, many gerontological nurses see similar concerns with planet friendliness and the negative impact of the healthcare industry on the health of the planet. Growing numbers of gerontological nurses and others are concerned that the healthcare industry worldwide is a major producer of greenhouse gases and a significant contributor to plastic pollution (Rizan et al. 2020; Rodríguez-Jiménez et al. 2023). Nurses everywhere, along with their colleagues in other disciplines, want to help mitigate the greenhouse gas and plastic pollution that the healthcare industry—in which most of them work and all of them use as patients and care partners—produces. As our recognition of these threats to the planet and its population builds, few of us stop to think about how naturally age friendliness and planet friendliness fit together.
Simply said, what is age friendly is most often planet friendly and vice versa. Pause and consider what we know about healthful ageing and what healthcare must do to support it. Supporting healthful ageing and respecting the person as they grow older both lie at the centre of age friendliness. The core elements of age friendliness are most often described with words beginning with M, forming a mnemonic to enhance recall and application. The M's used most often are knowing the person and what matters to them, promoting mobility and fitness, supporting mentation and brain health, and avoiding overuse and misuse of medications. Careful examination reveals that each of these elements is fundamentally planet friendly. Knowing the person is foundational, helping to avoid misplaced and excessive healthcare, especially that which is carbon intensive including all but the most imperative use of emergency, acute, and critical care. Mobility and fitness easily align with avoiding use of fossil fuel powered transportation while spending more time in nature moving under our own power. Brain health and physical fitness are inextricably linked, highlighting that fit bodies and fit brains rely on consistent physical exercise and lifelong social engagement. Finally, avoiding excessive and misapplied medications limits both greenhouse gas emissions and plastic waste used in producing and packaging drugs while simultaneously reducing risks of potential medication-related complications. Together, each domain of age friendly healthcare benefits our shared planetary environment.
Conversely, planet friendly healthcare easily promotes age friendliness. The acute
世界各地的老年护士越来越敏锐地意识到，健康和社会护理必须对老年人友好。结构性年龄歧视和在卫生和社会保健专业和系统中缺乏老年学能力的多重级联效应现已得到广泛认可（Fulmer et al. 2020）。因此，我们中的许多人正在为世界各国卫生和社会保健系统的老年人友好型转型而奋斗。更多的是，许多老年护士看到了类似的对地球友好的担忧，以及医疗保健行业对地球健康的负面影响。越来越多的老年护士和其他人担心，全球医疗保健行业是温室气体的主要生产者和塑料污染的重要贡献者(Rizan等人，2020；Rodríguez-Jiménez et al. 2023)。世界各地的护士，以及其他学科的同事们，都希望帮助减少医疗保健行业产生的温室气体和塑料污染。大多数护士都在这个行业工作，她们都是病人和护理伙伴。当我们认识到这些对地球及其人口的威胁时，很少有人停下来思考年龄友好和地球友好是如何自然地结合在一起的。简单地说，对年龄友好的东西往往对地球友好，反之亦然。停下来思考一下我们对健康老龄化的了解，以及医疗保健必须做些什么来支持它。支持健康老龄化和尊重老年人都是老年人友好的核心。年龄友好的核心要素通常用M开头的词来描述，形成助记符，增强记忆和应用。最常用的“M”是了解这个人以及对他们重要的是什么，促进活动和健康，支持心理和大脑健康，避免过度使用和滥用药物。仔细的检查表明，这些元素中的每一种基本上都是对地球友好的。了解病人是最基本的，有助于避免错误和过度的医疗保健，特别是那些碳密集的医疗保健，包括除了最必要的紧急、急性和重症护理之外的所有使用。机动性和健身很容易与避免使用化石燃料驱动的交通工具相一致，而在大自然中花更多的时间在我们自己的动力下移动。大脑健康和身体健康是密不可分的，健康的身体和健康的大脑依赖于持续的体育锻炼和终身的社会参与。最后，避免过量和误用药物限制了温室气体排放和生产和包装药物时使用的塑料废物，同时减少了潜在的药物相关并发症的风险。总之，老年人友好型医疗保健的每个领域都有利于我们共同的地球环境。相反，地球友好型医疗很容易促进年龄友好。医疗保健中的急症护理部门是碳密集度最高的部门。我们老年护士所做的所有工作都是为了帮助老年人及其护理伙伴成功地避免需要和限制在紧急、急性和重症监护中停留，同时对年龄和地球友好。该部门充斥着对老年人健康的潜在威胁（例如，条件失调风险增加），同时它排放大量温室气体，并使用大量一次性和其他塑料产品。展望未来，我们强调考虑替代高碳医疗保健选择的选择，或者用对环境影响较小的产品取代塑料产品，这有助于缓解地球危机，同时有利于健康的老龄化。这种双重回报在环境可持续性领域被称为共同利益（Barrett 2022）。在可能的情况下，提供有关当地植物性饮食的指导，可以帮助限制使用高碳健康服务，并随着时间的推移减少饮食选择对碳的影响。我们帮助老年人预防或治疗慢性病的努力也同样带来了共同的好处。想想自制护理以及它与身体健康的联系，包括核心力量、一般活动能力和如厕所需的认知功能。当我们提倡尿失禁时，我们的护理基本上是对年龄友好的，因为它促进了活动能力，精神状态和其他重要的事情，以及潜在地改善药物的使用。令人兴奋的是，作为老年护士，我们似乎很熟悉的事情显然对地球也很友好，因为我们帮助那些在我们照顾的人避免塑料和一般的失禁管理产品的浪费，并通过提高他们的功能水平来限制多余的洗衣用水。对相互关联的年龄和地球友好性的分析确实令人兴奋。 更令人振奋的是，思考如何在我们的研究、实践、教育、政策倡导和行动中，使这些对年龄友好和对地球友好的共同利益成为日常现实。有利的是，常用的年龄友好型医疗保健模型-通常是年龄友好型医疗系统的4M模型（Mate等人，2021）和老年医学的5M模型（Tinetti， Huang和Molnar 2017） -非常适合在研究和教育中重新利用，因为它们已经在临床实践中显示出效用。对地球友好的医疗模式不太熟悉。关注质量改进在这里被证明是有用的。从根本上说，使医疗保健和社会关怀对地球友好，要求我们进行广泛的质量改进，以减少污染，同时最大限度地提高个人和人口健康的价值。位于英国牛津的可持续保健中心（https://sustainablehealthcare.org.uk/）提供了一个有用的框架。可持续医疗保健中心的SusQI模型（Mortimer等人，2018）（https://www.susqi.org/）为我们提供了一个模型和工具，使我们所有的质量改进工作对地球友好。SusQI的指导方针是一种价值主张，即平衡个人和人群的健康结果与所谓的三重底线，即在实现这些结果时在社会、环境和财务方面产生的影响，这是借鉴企业界的做法。可持续医疗保健中心提供了SusQI的逐步指南（https://www.susqi.org/step-by-step-guide）和一个有用的模板和其他资源库（https://www.susqi.org/templates）。因此，该中心很容易将SusQI应用于医疗保健领域，我认为这一模式也适用于社会护理环境。经过仔细研究发现，将年龄友好型模型叠加到SusQI上很容易做到，从而进一步指导年龄友好型，地球友好型的质量改进。在SusQI的五个步骤中，我更倾向于应用年龄友好型模型——记住，在使用4M模型时，我们需要考虑到脆弱性和心理社会复杂性。虽然我们可能会选择一个年龄友好型M作为我们目标的重点，但其余的M在系统评估和改进设计中始终具有影响力。此外，我们还可以期待其他M的共同利益。同样，对地球的共同利益来自于温室气体排放、空气质量和塑料污染等不同领域的影响。例如，实现改善药物使用的目标，可能会在一些重要的方面，精神状态和行动能力方面实现改善。在人口层面上，随着时间的推移，可能会实现对地球的共同效益，直接体现在可测量地减少塑料污染，间接体现在重新调整药物制造和药物相关事件的医疗保健使用中减少碳影响。《国际老年人护理杂志》当然是一本研究性杂志。虽然我们发表社论、评论和书籍和媒体评论，但我们的主要目的是发表来自世界各国的老年护士及其同事进行的研究报告。质量改进、循证实践和研究在重要方面重叠（Grys 2022）。因此，将年龄友好型模型（如4M和5M）和地球友好型医疗保健模型（如susqi）转移到研究中很容易实现。研究年龄友好型和地球友好型医疗保健模型，着眼于未来的研究，使我们能够为科学探究构建新的问题，或重新构建当前的研究项目。最重要的是，当调查一个年龄友好领域内的问题或特定目标时，应用SusQI价值主张有助于为一个群体或人群指定与实现这些结果相关的特定社会、环境和财务影响的预期结果。我们甚至可以将价值主张进一步推进，依靠当前关于商业世界四倍底线的讨论，来考虑第四类影响，即对文化的影响。对于我们这些老年护士来说，明确的任务是要准确地关注医疗保健和更广泛的文化、社会文化歧视，特别是个人和结构上的年龄歧视。全球健康危机是种族主义、性别歧视和年龄歧视。我们能够而且必须检查我们使用年龄和地球友好原则进行的任何研究对文化和社会歧视的影响。在2025年的新年来临之际，我非常期待阅读您关于年龄友好型、地球友好型老年护理研究的稿件。然而，我意识到，构思、设计、实施、进行和报告严谨而有力的研究需要时间。 我
{"title":"Capitalising on the Co-Benefits of Age Friendliness and Planet Friendliness","authors":"Sarah H. Kagan","doi":"10.1111/opn.70009","DOIUrl":"10.1111/opn.70009","url":null,"abstract":"<p>Gerontological nurses around the world are increasingly and acutely aware that health and social care must become age friendly. The manifold, cascading effects of structural ageism and lack of gerontological competence in health and social care professions and systems are now widely recognised (Fulmer et al. <span>2020</span>). Thus, many of us are fighting for age friendly transformation of health and social care systems in countries around the world. Ever more, many gerontological nurses see similar concerns with planet friendliness and the negative impact of the healthcare industry on the health of the planet. Growing numbers of gerontological nurses and others are concerned that the healthcare industry worldwide is a major producer of greenhouse gases and a significant contributor to plastic pollution (Rizan et al. <span>2020</span>; Rodríguez-Jiménez et al. <span>2023</span>). Nurses everywhere, along with their colleagues in other disciplines, want to help mitigate the greenhouse gas and plastic pollution that the healthcare industry—in which most of them work and all of them use as patients and care partners—produces. As our recognition of these threats to the planet and its population builds, few of us stop to think about how naturally age friendliness and planet friendliness fit together.</p><p>Simply said, what is age friendly is most often planet friendly and vice versa. Pause and consider what we know about healthful ageing and what healthcare must do to support it. Supporting healthful ageing and respecting the person as they grow older both lie at the centre of age friendliness. The core elements of age friendliness are most often described with words beginning with M, forming a mnemonic to enhance recall and application. The M's used most often are knowing the person and what matters to them, promoting mobility and fitness, supporting mentation and brain health, and avoiding overuse and misuse of medications. Careful examination reveals that each of these elements is fundamentally planet friendly. Knowing the person is foundational, helping to avoid misplaced and excessive healthcare, especially that which is carbon intensive including all but the most imperative use of emergency, acute, and critical care. Mobility and fitness easily align with avoiding use of fossil fuel powered transportation while spending more time in nature moving under our own power. Brain health and physical fitness are inextricably linked, highlighting that fit bodies and fit brains rely on consistent physical exercise and lifelong social engagement. Finally, avoiding excessive and misapplied medications limits both greenhouse gas emissions and plastic waste used in producing and packaging drugs while simultaneously reducing risks of potential medication-related complications. Together, each domain of age friendly healthcare benefits our shared planetary environment.</p><p>Conversely, planet friendly healthcare easily promotes age friendliness. The acute","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882973","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}
Sherry Dahlke, Kathleen F. Hunter, Jeffrey I. Butler, Matthew Pietrosanu
Purpose
To determine if an online learning module on older people's care improved nursing students' self-assessed knowledge, and perceptions of older people, we developed a brief Feedback Survey. The aim of this study was to examine the internal consistency (a type of reliability) and construct validity of the feedback survey.
Design and Methods
Secondary analysis of data from the Awakening Canadian's to Ageism and McCalla e-learning intervention studies for postsecondary nursing students. Factor analysis and reliability analysis (via standardised Cronbach's alpha) were performed on the four-question, five-point Likert-type Feedback Survey, which was included in both intervention studies.
Results
Factor analysis yielded one factor interpretable as general satisfaction in students' experience with the module and perceived benefits of having completed it. Standardised Cronbach's alpha for this scale was high at 0.92, which suggests excellent internal consistency.
Implications for Practice
The feedback survey is a convenient and time-efficient measure to examine student nurses' self-assessed improvements in knowledge, perceptions about older people. The survey has potential for adaptation to measure perceived outcomes of other nursing student- focused education.
{"title":"Feedback Survey for an Online Learning Module: Developing and Validating a Scale to Measure Nursing Students' Self-Assessed Knowledge and Perceptions of Older People and Confidence in Working With Them","authors":"Sherry Dahlke, Kathleen F. Hunter, Jeffrey I. Butler, Matthew Pietrosanu","doi":"10.1111/opn.70007","DOIUrl":"https://doi.org/10.1111/opn.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To determine if an online learning module on older people's care improved nursing students' self-assessed knowledge, and perceptions of older people, we developed a brief Feedback Survey. The aim of this study was to examine the internal consistency (a type of reliability) and construct validity of the feedback survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>Secondary analysis of data from the Awakening Canadian's to Ageism and McCalla e-learning intervention studies for postsecondary nursing students. Factor analysis and reliability analysis (via standardised Cronbach's alpha) were performed on the four-question, five-point Likert-type Feedback Survey, which was included in both intervention studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factor analysis yielded one factor interpretable as general satisfaction in students' experience with the module and perceived benefits of having completed it. Standardised Cronbach's alpha for this scale was high at 0.92, which suggests excellent internal consistency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The feedback survey is a convenient and time-efficient measure to examine student nurses' self-assessed improvements in knowledge, perceptions about older people. The survey has potential for adaptation to measure perceived outcomes of other nursing student- focused education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868816","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}
Reminiscence therapy (RT) is a widely used approach to promote well-being among older adults and is an effective intervention method for older adults with diverse health conditions, including community-dwelling older adults.
Objectives
The aim of the study was to determine the impact of group RT on assessments of depression, anxiety and self-esteem in older adults living in the community.
Methods
We implemented sessions of group simple RT. The sample consisted of 24 older adults living in the community who attended a 12-week RT course. The duration of each reminiscence session was 60 min. The average age of the sample was 74.7 years. We used the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Rosenberg self-esteem scale, the Older adults' Quality of Life—Brief version and the Sense of Coherence scale to assess mental health outcomes before and after intervention.
Results
After intervention, we observed statistically significant improvements in assessments of depression (p < 0.001), anxiety (p = 0.011), self-esteem (p = 0.007) and the comprehensibility dimension of the sense of coherence scale (p = 0.039). Depression showed the largest effect size (Cohen's d = 0.870; 95% CI: 0.392 to 1.335), indicating a large effect, followed by self-esteem (Cohen's d = 0.612; 95% CI: −1.044 to −0.170) and anxiety (Cohen's d = 0.543; 95% CI: 0.108 to 0.967), both of which demonstrated a moderate effect.
Conclusions
We found group RT to be effective for several outcomes among older adults. Reminiscence is a good non-invasive treatment for the promotion of mental health in community-dwelling older adults.
Implications for Practice
As research has now established RT to be an essential component of activities for older adults in senior care facilities, we should also offer it to those living in the community as an effective activity for the promotion of healthy aging among older adults.
{"title":"The Effect of Reminiscence Therapy on the Assessment of Depression, Anxiety and Self-Esteem in Community-Dwelling Older Adults: An Intervention Study","authors":"Renáta Zeleníková, Jiřina Hosáková, Radka Kozáková, Katka Bobčíková, Radka Bužgová","doi":"10.1111/opn.70004","DOIUrl":"10.1111/opn.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Reminiscence therapy (RT) is a widely used approach to promote well-being among older adults and is an effective intervention method for older adults with diverse health conditions, including community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of the study was to determine the impact of group RT on assessments of depression, anxiety and self-esteem in older adults living in the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We implemented sessions of group simple RT. The sample consisted of 24 older adults living in the community who attended a 12-week RT course. The duration of each reminiscence session was 60 min. The average age of the sample was 74.7 years. We used the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Rosenberg self-esteem scale, the Older adults' Quality of Life—Brief version and the Sense of Coherence scale to assess mental health outcomes before and after intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After intervention, we observed statistically significant improvements in assessments of depression (<i>p</i> < 0.001), anxiety (<i>p</i> = 0.011), self-esteem (<i>p</i> = 0.007) and the comprehensibility dimension of the sense of coherence scale (<i>p</i> = 0.039). Depression showed the largest effect size (Cohen's <i>d</i> = 0.870; 95% CI: 0.392 to 1.335), indicating a large effect, followed by self-esteem (Cohen's <i>d</i> = 0.612; 95% CI: −1.044 to −0.170) and anxiety (Cohen's <i>d</i> = 0.543; 95% CI: 0.108 to 0.967), both of which demonstrated a moderate effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found group RT to be effective for several outcomes among older adults. Reminiscence is a good non-invasive treatment for the promotion of mental health in community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>As research has now established RT to be an essential component of activities for older adults in senior care facilities, we should also offer it to those living in the community as an effective activity for the promotion of healthy aging among older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830576","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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