Cognitive impairment prevalence is rising with population aging. This study examined the relationship between handgrip strength and gait speed with cognitive impairment and performance in older adults.
Methods
This cross-sectional study used baseline data from Birjand Longitudinal Aging Study (BLAS), including 1347 older adults. Cognitive function was evaluated using the six-item Cognitive Impairment Test (6-CIT). Gait speed was measured over six meters, and grip strength was assessed with hand dynamometers.
Results
After adjusting for potential confounders, the association between low handgrip strength and cognitive impairment lost its significance (relative risk ratio (RRR) = 1.07, 95% CI: 0.70, 1.63). However, low gait speed remained significantly associated with dementia (RRR = 1.92, 95% CI: 1.23, 3.01) after adjusting for age, sex, education, body mass index (BMI), hypertension, and depressive symptoms.
Conclusion
Low gait speed is significantly associated with dementia, highlighting the importance of incorporating physical function measures into dementia risk assessments.
{"title":"Handgrip strength and gait speed relationships with cognitive impairment in Iranian older adults: Birjand longitudinal aging study","authors":"Amirabbas Nikkhah MD , Hossein Fakhrzadeh MD , Mitra Moodi PhD , Huriye Khodabakhshi PhD , Masoumeh Khorashadizadeh MSc , Seyed Masoud Arzaghi MD , Mehdi Varmaghani PhD , Hanieh-Sadat Ejtahed PhD , Farshad Sharifi MD, PhD","doi":"10.1016/j.gerinurse.2025.03.052","DOIUrl":"10.1016/j.gerinurse.2025.03.052","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive impairment prevalence is rising with population aging. This study examined the relationship between handgrip strength and gait speed with cognitive impairment and performance in older adults.</div></div><div><h3>Methods</h3><div>This cross-sectional study used baseline data from Birjand Longitudinal Aging Study (BLAS), including 1347 older adults. Cognitive function was evaluated using the six-item Cognitive Impairment Test (6-CIT). Gait speed was measured over six meters, and grip strength was assessed with hand dynamometers.</div></div><div><h3>Results</h3><div>After adjusting for potential confounders, the association between low handgrip strength and cognitive impairment lost its significance (relative risk ratio (RRR) = 1.07, 95% CI: 0.70, 1.63). However, low gait speed remained significantly associated with dementia (RRR = 1.92, 95% CI: 1.23, 3.01) after adjusting for age, sex, education, body mass index (BMI), hypertension, and depressive symptoms.</div></div><div><h3>Conclusion</h3><div>Low gait speed is significantly associated with dementia, highlighting the importance of incorporating physical function measures into dementia risk assessments.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 280-287"},"PeriodicalIF":2.5,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-12DOI: 10.1016/j.gerinurse.2025.03.062
Le Thi Thuong , Doan Thi Kim Cuc , Tran Thi My
Introduction
Population aging is a significant global trend, leading to high rates of multimorbidity and frailty among older adults.
Objective
This study explores the knowledge, attitudes, and willingness to care for the elderly and its related factors among nursing students in Vietnam.
Method
A descriptive cross-sectional study was undertaken among undergraduate nursing students between October 2022 and June 2023.
Results
The findings indicate that 18.46% of students showed good knowledge while the majority of students (95.75%) had a positive attitude toward the elderly. There were relationships between age, academic year, living with grandparents, having clinical experience in caring for the elderly, level of knowledge about the elderly, and attitude towards the elderly were associated with a significantly greater willingness to care for elderly.
Conclusions
These findings underscore the importance of addressing both knowledge and attitudinal components in nursing education to foster greater commitment to geriatric nursing among future healthcare professionals.
{"title":"Nursing students’ knowledge, attitudes, and willingness to care for the elderly: A cross-sectional study in Vietnam","authors":"Le Thi Thuong , Doan Thi Kim Cuc , Tran Thi My","doi":"10.1016/j.gerinurse.2025.03.062","DOIUrl":"10.1016/j.gerinurse.2025.03.062","url":null,"abstract":"<div><h3>Introduction</h3><div>Population aging is a significant global trend, leading to high rates of multimorbidity and frailty among older adults.</div></div><div><h3>Objective</h3><div>This study explores the knowledge, attitudes, and willingness to care for the elderly and its related factors among nursing students in Vietnam.</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study was undertaken among undergraduate nursing students between October 2022 and June 2023.</div></div><div><h3>Results</h3><div>The findings indicate that 18.46% of students showed good knowledge while the majority of students (95.75%) had a positive attitude toward the elderly. There were relationships between age, academic year, living with grandparents, having clinical experience in caring for the elderly, level of knowledge about the elderly, and attitude towards the elderly were associated with a significantly greater willingness to care for elderly.</div></div><div><h3>Conclusions</h3><div>These findings underscore the importance of addressing both knowledge and attitudinal components in nursing education to foster greater commitment to geriatric nursing among future healthcare professionals.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 274-279"},"PeriodicalIF":2.5,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The study aimed to evaluate the psychometric properties of the Turkish version of the “Nursing Home Adjustment Scale” in Turkiye.
Methods
This methodological study included 171 nursing home residents. Data were collected face-to-face between February and April between 2024. The psychometric properties of the Turkish version of the “Nursing Home Adjustment Scale” were evaluated through language validity, content validity, face validity, construct validity, and reliability analyses.
Results
The Turksih version of the Nursing Home Adjustment Scale had a content validity index of 98.27 %, sufficient construct validity, and a Cronbach α value of 0.89 for the total score.
Conclusions
The Turkish version of the Nursing Home Adjustment Scale is reliable and valid for assessing nursing home adjustment among older adults in Turkiye.
{"title":"Psychometric properties of the Turkish version of the nursing home adjustment scale","authors":"Nilay Ercan-Şahin RN, PhD (Associate Professor), Ceren Yılmaz RN, MSc (Research Assistant)","doi":"10.1016/j.gerinurse.2025.03.040","DOIUrl":"10.1016/j.gerinurse.2025.03.040","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to evaluate the psychometric properties of the Turkish version of the “Nursing Home Adjustment Scale” in Turkiye.</div></div><div><h3>Methods</h3><div>This methodological study included 171 nursing home residents. Data were collected face-to-face between February and April between 2024. The psychometric properties of the Turkish version of the “Nursing Home Adjustment Scale” were evaluated through language validity, content validity, face validity, construct validity, and reliability analyses.</div></div><div><h3>Results</h3><div>The Turksih version of the Nursing Home Adjustment Scale had a content validity index of 98.27 %, sufficient construct validity, and a Cronbach α value of 0.89 for the total score.</div></div><div><h3>Conclusions</h3><div>The Turkish version of the Nursing Home Adjustment Scale is reliable and valid for assessing nursing home adjustment among older adults in Turkiye.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 267-273"},"PeriodicalIF":2.5,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-11DOI: 10.1016/j.gerinurse.2025.03.030
Zhichao Hao , Tingzhang Yang , Xiaofu Pan
Objective
This longitudinal study aims to explore risk and protective factors associated with anxiety to tailor supportive services for older adults according to their changing needs.
Methods
Utilizing rounds 5–9 of the National Health and Aging Trends Study (NHATS), 3541 older adults were studied. The Transactional Theory of Stress and Coping (TTSC) model was utilized to select predictors. Descriptive analysis was conducted and a Generalized Estimating Equation (GEE) was applied.
Results
Age, gender, marital status, income, race and ethnicity, self-rated health, number of chronic conditions, cognitive capacity, frequency of negative feelings, self-realization, self-efficacy and resilience, activity participation, and technology use were significantly associated with anxiety. However, anxiety did not change over time.
Conclusions
The findings highlight the need to link resources to caregivers and call for efficient chronic condition management. Recommendations from healthcare providers, proper education of healthy lifestyle, and engaging in more physical activities can also make a difference.
{"title":"Exploring risk and protective factors for anxiety in older adults living with chronic conditions: A longitudinal analysis","authors":"Zhichao Hao , Tingzhang Yang , Xiaofu Pan","doi":"10.1016/j.gerinurse.2025.03.030","DOIUrl":"10.1016/j.gerinurse.2025.03.030","url":null,"abstract":"<div><h3>Objective</h3><div>This longitudinal study aims to explore risk and protective factors associated with anxiety to tailor supportive services for older adults according to their changing needs.</div></div><div><h3>Methods</h3><div>Utilizing rounds 5–9 of the National Health and Aging Trends Study (NHATS), 3541 older adults were studied. The Transactional Theory of Stress and Coping (TTSC) model was utilized to select predictors. Descriptive analysis was conducted and a Generalized Estimating Equation (GEE) was applied.</div></div><div><h3>Results</h3><div>Age, gender, marital status, income, race and ethnicity, self-rated health, number of chronic conditions, cognitive capacity, frequency of negative feelings, self-realization, self-efficacy and resilience, activity participation, and technology use were significantly associated with anxiety. However, anxiety did not change over time.</div></div><div><h3>Conclusions</h3><div>The findings highlight the need to link resources to caregivers and call for efficient chronic condition management. Recommendations from healthcare providers, proper education of healthy lifestyle, and engaging in more physical activities can also make a difference.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 258-266"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-11DOI: 10.1016/j.gerinurse.2025.03.031
Chang Sun M.Med. ((Nursing) Candidate) , Dijuan Meng Ph.D. , Liping Wang Ph.D. , Meng Jin M.Med. ((Nursing) Candidate) , Qinan Shen M.Med. ((Nursing) Candidate) , Shanshan Wang Ph.D. , Guihua Xu Ph.D. , Yamei Bai Ph.D.
Objectives
Our study investigated the association between confidant networks and mortality among older Chinese adults, focusing on the impact of the absence, types, and size of the networks.
Methods
A prospective cohort study included 11,930 participants aged over 65 from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018. Cox proportional hazards models were employed for analysis, supplemented by subgroup and interaction analyses.
Results
Participants without confidant networks had higher mortality (HR=1.194, 95% CI 1.097–1.300) after adjusting for confounders. A dose-response relationship was observed between the size of confidant networks and mortality. Notably, having a spouse as a confidant was strongly associated with decreased mortality (HR=0.765, 95% CI 0.677–0.865), whereas having formal helpers as confidants did not significantly affect mortality (HR=0.813, 95% CI 0.636–1.040).
Conclusion
Identifying and supporting older adults without confidant networks is crucial for enabling them to benefit from these networks and potentially enhance their longevity.
{"title":"Does having someone to confide in affect mortality in older adults? a prospective cohort study from 2008 to 2018","authors":"Chang Sun M.Med. ((Nursing) Candidate) , Dijuan Meng Ph.D. , Liping Wang Ph.D. , Meng Jin M.Med. ((Nursing) Candidate) , Qinan Shen M.Med. ((Nursing) Candidate) , Shanshan Wang Ph.D. , Guihua Xu Ph.D. , Yamei Bai Ph.D.","doi":"10.1016/j.gerinurse.2025.03.031","DOIUrl":"10.1016/j.gerinurse.2025.03.031","url":null,"abstract":"<div><h3>Objectives</h3><div>Our study investigated the association between confidant networks and mortality among older Chinese adults, focusing on the impact of the absence, types, and size of the networks.</div></div><div><h3>Methods</h3><div>A prospective cohort study included 11,930 participants aged over 65 from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 2008 to 2018. Cox proportional hazards models were employed for analysis, supplemented by subgroup and interaction analyses.</div></div><div><h3>Results</h3><div>Participants without confidant networks had higher mortality (HR=1.194, 95% CI 1.097–1.300) after adjusting for confounders. A dose-response relationship was observed between the size of confidant networks and mortality. Notably, having a spouse as a confidant was strongly associated with decreased mortality (HR=0.765, 95% CI 0.677–0.865), whereas having formal helpers as confidants did not significantly affect mortality (HR=0.813, 95% CI 0.636–1.040).</div></div><div><h3>Conclusion</h3><div>Identifying and supporting older adults without confidant networks is crucial for enabling them to benefit from these networks and potentially enhance their longevity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 250-257"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-10DOI: 10.1016/j.gerinurse.2025.03.011
S. Cremer , S.M.G. Zwakhalen , J.M. De Man-Van Ginkel , S.F. Metzelthin , M.H.C. Bleijlevens
This study aimed to assess the utilization of key recommendations (KRs) of a nursing guideline on ADL-care and to explore influencing factors. In this pilot implementation study, nursing professionals (1) registered the KRs use over three weeks, (2) completed a survey identifying influencing factors, and (3) participated in focus groups. We descriptively analyzed the registration and survey data and deductively analyzed the focus groups. KR use varied between KRs and across care settings. KRs on involving care receivers were most frequently applied. Most factors were perceived as facilitating, including the inner setting, the guideline itself, and individual factors. Impeding factors included low tension for change. Focus groups highlighted additional constructs including procedural clarity and care receiver cooperation. The KRs appear generally implementable. Despite the perception that KRs are compatible with current norms and workflows, low tension for change raises questions about the awareness of opportunities for improvement in ADL-nursing.
{"title":"No tension, no change? - Use and Influencing Factors of a Nursing Guideline on Activities of Daily Living (ADL)","authors":"S. Cremer , S.M.G. Zwakhalen , J.M. De Man-Van Ginkel , S.F. Metzelthin , M.H.C. Bleijlevens","doi":"10.1016/j.gerinurse.2025.03.011","DOIUrl":"10.1016/j.gerinurse.2025.03.011","url":null,"abstract":"<div><div>This study aimed to assess the utilization of key recommendations (KRs) of a nursing guideline on ADL-care and to explore influencing factors. In this pilot implementation study, nursing professionals (1) registered the KRs use over three weeks, (2) completed a survey identifying influencing factors, and (3) participated in focus groups. We descriptively analyzed the registration and survey data and deductively analyzed the focus groups. KR use varied between KRs and across care settings. KRs on involving care receivers were most frequently applied. Most factors were perceived as facilitating, including the inner setting, the guideline itself, and individual factors. Impeding factors included low tension for change. Focus groups highlighted additional constructs including procedural clarity and care receiver cooperation. The KRs appear generally implementable. Despite the perception that KRs are compatible with current norms and workflows, low tension for change raises questions about the awareness of opportunities for improvement in ADL-nursing.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 238-249"},"PeriodicalIF":2.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-09DOI: 10.1016/j.gerinurse.2025.03.024
Yi Wu , Hong Cao , Xun Ma , Litong Zhao , Renjia Du , Dan Li , Ju Yang , Yingyu Wang , Jing Sun , Feng Zhang , Jiai Yan
Objective
To explore the mediated role of patient compliance between illness perception and quality of life in geriatric Chinese patients with type 2 diabetes mellitus.
Methods
It was a cross-sectional study and included 302 geriatric patients with type 2 diabetes mellitus. The mediated effect model was employed to investigate the link between illness perception, patient compliance, and quality of life.
Results
A strong positive link between illness perception and quality of life (r = 0.784, P < 0.001), but a significantly negative correlation with patient compliance (r = -0.618, P < 0.001). There was a substantial negative association found between patient compliance and quality of life (r = -0.678, P < 0.001). Patient compliance mediated the influence of illness perception on quality of life, accounting for 22.62% of the overall effect.
Conclusion
Improving patient compliance in geriatric patients with type 2 diabetes mellitus should become a priority target.
{"title":"Patient compliance as a mediator between illness perceptions and quality of life among geriatric Chinese patients with type 2 diabetes mellitus: A cross-sectional study","authors":"Yi Wu , Hong Cao , Xun Ma , Litong Zhao , Renjia Du , Dan Li , Ju Yang , Yingyu Wang , Jing Sun , Feng Zhang , Jiai Yan","doi":"10.1016/j.gerinurse.2025.03.024","DOIUrl":"10.1016/j.gerinurse.2025.03.024","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the mediated role of patient compliance between illness perception and quality of life in geriatric Chinese patients with type 2 diabetes mellitus.</div></div><div><h3>Methods</h3><div>It was a cross-sectional study and included 302 geriatric patients with type 2 diabetes mellitus. The mediated effect model was employed to investigate the link between illness perception, patient compliance, and quality of life.</div></div><div><h3>Results</h3><div>A strong positive link between illness perception and quality of life (<em>r</em> = 0.784, <em>P</em> < 0.001), but a significantly negative correlation with patient compliance (<em>r</em> = -0.618, <em>P</em> < 0.001). There was a substantial negative association found between patient compliance and quality of life (<em>r</em> = -0.678, <em>P</em> < 0.001). Patient compliance mediated the influence of illness perception on quality of life, accounting for 22.62% of the overall effect.</div></div><div><h3>Conclusion</h3><div>Improving patient compliance in geriatric patients with type 2 diabetes mellitus should become a priority target.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 178-185"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-09DOI: 10.1016/j.gerinurse.2025.03.012
Yurun Cai PhD, RN , Jennifer L. McCoy MA , Elizabeth A. Schlenk PhD, RN, CNL, FAAN , Edward Garay MD, PhD , Angela Gentili MD , Lenore N. Joseph MD , Laura R. Lawson MD , Michelle Rossi MD , Debra K. Weiner MD
Chronic pain contributes to both physical and cognitive impairment, but the role of life-space mobility (LSM) in the pathway is unclear. We examined the cross-sectional association of pain with falls and mild cognitive impairment (MCI) and explored whether LSM mediates these associations in 279 Veterans (mean age=73.3±5.0y) in the Aging Back Clinics trial with chronic low back pain (CLBP). Data on pain characteristics, falls during the prior 3 months, Quick MCI screen, and Life-Space Assessment were collected. Logistic regression models showed that more severe pain was associated with greater odds of falls (OR=1.17, 95%CI=1.01-1.36), recurrent falls (OR=1.26, 95%CI=1.04-1.52), and MCI (OR=1.17, 95%CI=1.01-1.35), adjusting for sociodemographic and health characteristics. More pain interference was associated with greater odds of recurrent falls (OR=1.11, 95%CI=1.03-1.20). Structural equation modeling showed that LSM fully mediated the associations of pain severity and pain interference with MCI. Further longitudinal studies are needed to validate our findings.
{"title":"The role of life-space mobility in the relationship of chronic low back pain characteristics with falls and cognitive impairment","authors":"Yurun Cai PhD, RN , Jennifer L. McCoy MA , Elizabeth A. Schlenk PhD, RN, CNL, FAAN , Edward Garay MD, PhD , Angela Gentili MD , Lenore N. Joseph MD , Laura R. Lawson MD , Michelle Rossi MD , Debra K. Weiner MD","doi":"10.1016/j.gerinurse.2025.03.012","DOIUrl":"10.1016/j.gerinurse.2025.03.012","url":null,"abstract":"<div><div>Chronic pain contributes to both physical and cognitive impairment, but the role of life-space mobility (LSM) in the pathway is unclear. We examined the cross-sectional association of pain with falls and mild cognitive impairment (MCI) and explored whether LSM mediates these associations in 279 Veterans (mean age=73.3±5.0y) in the Aging Back Clinics trial with chronic low back pain (CLBP). Data on pain characteristics, falls during the prior 3 months, Quick MCI screen, and Life-Space Assessment were collected. Logistic regression models showed that more severe pain was associated with greater odds of falls (OR=1.17, 95%CI=1.01-1.36), recurrent falls (OR=1.26, 95%CI=1.04-1.52), and MCI (OR=1.17, 95%CI=1.01-1.35), adjusting for sociodemographic and health characteristics. More pain interference was associated with greater odds of recurrent falls (OR=1.11, 95%CI=1.03-1.20). Structural equation modeling showed that LSM fully mediated the associations of pain severity and pain interference with MCI. Further longitudinal studies are needed to validate our findings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 193-199"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aging U.S. population requires innovative care approaches. Our medical center implemented the Age-Friendly Health Systems "4Ms" framework—what Matters, Medication, Mentation, and Mobility—using a Plan-Do-Study-Act quality improvement approach.
Methods
Launched in December 2019 on two inpatient units, this nurse-led project aimed to improve care for hospitalized adults aged 70+. Key interventions included enhancing documentation of patient goals, reducing high-risk medications, implementing delirium prevention strategies, and supporting mobility. Metrics tracked included 4Ms adherence, Beers® Criteria medication orders, delirium incidence, and ambulation distances.
Results
Over five years, 4Ms adherence rose from 81% to 100%, Beers Criteria medication orders decreased, and ambulation distances improved while falls and delirium rates remained stable. Patient education initiatives enhanced satisfaction.
Conclusions
The successful 4Ms initiative has expanded across all inpatient units and is being implemented system wide.
{"title":"Implementation of an age-friendly care initiative in an acute care setting: Overcoming challenges and measuring outcomes","authors":"Lise Cooper DMH, MSN, RN, MEDSURG-BC, Keerti Sharma MD, Brittney Daley DNP, RN, CCRN, Byol Kim BSN, RN-BC, Krystal Fitzpatrick MSN, RN, PCCN, CNML, Marilynn Robayo MSN-Ed., RN, MEDSURG-BC, Brandee A. Fetherman MSN, RN, CENP, CCRN, Mildred Ortu Kowalski PhD, RN, NE-BC","doi":"10.1016/j.gerinurse.2025.03.034","DOIUrl":"10.1016/j.gerinurse.2025.03.034","url":null,"abstract":"<div><h3>Background</h3><div>The aging U.S. population requires innovative care approaches. Our medical center implemented the Age-Friendly Health Systems \"4Ms\" framework—what Matters, Medication, Mentation, and Mobility—using a Plan-Do-Study-Act quality improvement approach.</div></div><div><h3>Methods</h3><div>Launched in December 2019 on two inpatient units, this nurse-led project aimed to improve care for hospitalized adults aged 70+. Key interventions included enhancing documentation of patient goals, reducing high-risk medications, implementing delirium prevention strategies, and supporting mobility. Metrics tracked included 4Ms adherence, Beers® Criteria medication orders, delirium incidence, and ambulation distances.</div></div><div><h3>Results</h3><div>Over five years, 4Ms adherence rose from 81% to 100%, Beers Criteria medication orders decreased, and ambulation distances improved while falls and delirium rates remained stable. Patient education initiatives enhanced satisfaction.</div></div><div><h3>Conclusions</h3><div>The successful 4Ms initiative has expanded across all inpatient units and is being implemented system wide.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 200-206"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-09DOI: 10.1016/j.gerinurse.2025.03.037
Ming-hui Deng , Junjun Sun , Xueying Fang , Guiling Zhang , Yanyan Luo , Guiying Yao
Objectives
Investigating the impact of pain on overall functional capacity and the role of family relationships between them.
Methods
Data was drawn from the China Health and Retirement Longitudinal Study (CHARLS) 2018. Propensity score matching was used to reduce confounding factors, and a mediation model was employed to examine the mediating role of family relationships between pain and functional capacity.
Results
Pain was negatively associated with overall functional capacity (P < 0.001). Within the five domains of functional capacity, the pain group and the non-pain group in meeting basic needs, mobility, and contributing to society domains were different. Family relationships partially mediated the relationship between pain and functional capacity (95 % CI: −0.011 to −0.002).
Conclusion
Pain's impact on functional capacity is mediated by family relationships. Interventions for healthy aging should manage pain and enhance family relationships in health practice to promote functional capacity.
{"title":"The impact of chronic pain on functional capacity in middle-aged and older adults: The mediating role of family relationships","authors":"Ming-hui Deng , Junjun Sun , Xueying Fang , Guiling Zhang , Yanyan Luo , Guiying Yao","doi":"10.1016/j.gerinurse.2025.03.037","DOIUrl":"10.1016/j.gerinurse.2025.03.037","url":null,"abstract":"<div><h3>Objectives</h3><div>Investigating the impact of pain on overall functional capacity and the role of family relationships between them.</div></div><div><h3>Methods</h3><div>Data was drawn from the China Health and Retirement Longitudinal Study (CHARLS) 2018. Propensity score matching was used to reduce confounding factors, and a mediation model was employed to examine the mediating role of family relationships between pain and functional capacity.</div></div><div><h3>Results</h3><div>Pain was negatively associated with overall functional capacity (<em>P</em> < 0.001). Within the five domains of functional capacity, the pain group and the non-pain group in meeting basic needs, mobility, and contributing to society domains were different. Family relationships partially mediated the relationship between pain and functional capacity (95 % <em>CI</em>: −0.011 to −0.002).</div></div><div><h3>Conclusion</h3><div>Pain's impact on functional capacity is mediated by family relationships. Interventions for healthy aging should manage pain and enhance family relationships in health practice to promote functional capacity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 223-230"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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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