Pub Date : 2025-02-20DOI: 10.1016/j.gerinurse.2025.01.011
Jin Hua Huang PhD , Qing Song Wang PhD , Rui Min Zhuo Bachelor , Xin Yu Su Bachelor , Qing Yuan Xu Bachelor , Yu Hao Jiang Bachelor , Yu Han Li Bachelor , Song Bai Li Bachelor , Lan Lan Yang Bachelor , Rui Wen Zang Bachelor , Chen Yang Meng Bachelor
Background
Cognitive frailty (CF) is of concern because of its high prevalence in older population and its close association with adverse health outcomes. However, interventions against CF in China are relatively simple. Therefore, the purpose of this study was to analyse the effects of comprehensive interventions on CF in community-dwelling older adults.
Methods
225 participants, including 108 individuals with reversible CF (RCF) and 117 individuals with potentially RCF (PRCF) were recruited and divided into intervention and control groups. Participants in RCF Intervention Group underwent primary intervention, and participants in PRCF Intervention Group underwent secondary intervention. CF reversal rate and MoCA score were recorded.
Results
Primary intervention and secondary intervention could well reversed CF. Additionally, MoCA scores changed significantly.
Conclusions
Adhering to regular comprehensive interventions can effectively reverse CF for community-dwelling older adults. Additionally, RCF maybe is an effective target for reversing CF via early intervention.
{"title":"Effects of comprehensive intervention models on cognitive frailty in community-dwelling older adults: A 12-month follow-up study","authors":"Jin Hua Huang PhD , Qing Song Wang PhD , Rui Min Zhuo Bachelor , Xin Yu Su Bachelor , Qing Yuan Xu Bachelor , Yu Hao Jiang Bachelor , Yu Han Li Bachelor , Song Bai Li Bachelor , Lan Lan Yang Bachelor , Rui Wen Zang Bachelor , Chen Yang Meng Bachelor","doi":"10.1016/j.gerinurse.2025.01.011","DOIUrl":"10.1016/j.gerinurse.2025.01.011","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive frailty (CF) is of concern because of its high prevalence in older population and its close association with adverse health outcomes. However, interventions against CF in China are relatively simple. Therefore, the purpose of this study was to analyse the effects of comprehensive interventions on CF in community-dwelling older adults.</div></div><div><h3>Methods</h3><div>225 participants, including 108 individuals with reversible CF (RCF) and 117 individuals with potentially RCF (PRCF) were recruited and divided into intervention and control groups. Participants in RCF Intervention Group underwent primary intervention, and participants in PRCF Intervention Group underwent secondary intervention. CF reversal rate and MoCA score were recorded.</div></div><div><h3>Results</h3><div>Primary intervention and secondary intervention could well reversed CF. Additionally, MoCA scores changed significantly.</div></div><div><h3>Conclusions</h3><div>Adhering to regular comprehensive interventions can effectively reverse CF for community-dwelling older adults. Additionally, RCF maybe is an effective target for reversing CF via early intervention.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 194-202"},"PeriodicalIF":2.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445046","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 : 2025-02-16DOI: 10.1016/j.gerinurse.2025.02.004
Min Hou MSc, RN , Feng Jiao Yan MSc, RN (Head Nurse) , Qun Hong Liu MSc, RN , Yun Ruan MSc, RN , Li Hong Wan PhD, RN (Professor)
Background
Physical activity (PA) offers advantages in the secondary prevention of coronary heart disease (CHD). However, in older adults, frailty and kinesiophobia may exert negative influences on PA engagement.
Objective
To investigate PA, frailty, and kinesiophobia among older adult patients with CHD in China.
Methods
This cross-sectional study enrolled older adult patients with CHD in the cardiac outpatient care unit of the *** University. The International Physical Activity Questionnaire, the Frailty Phenotype Scale, and the Tampa Scale of Kinesiophobia were used to evaluate PA, frailty, and kinesiophobia, respectively.
Results
A total of 239 participants (mean age: 72.0 ± 7.5 years, 148 males) were enrolled. The rates of frailty and pre-frailty were 20.5 % and 46.4 %, respectively. The mean kinesiophobia score was 43.13±5.48. The median metabolic equivalent of task of PA was 2784 MET-min/week, and 25.1 % of the patients did not reach the minimum recommended by AHA (150 mins/week). Spearman rank correlation analysis showed that PA was negatively correlated with frailty (r = -0.559, P < 0.001) and kinesiophobia (r = -0.463, P < 0.001). Multivariable logistic regression analysis showed that frailty [OR = 0.412, 95 % confidence interval (CI): 0.304–0.559, P < 0.001] and kinesiophobia (OR=0.936, 95 % CI: 0.879–0.997, P = 0.040) were independently associated with PA after adjustment for age, cardiovascular adverse events, comorbidities, Barthel index, and history of dizziness.
Conclusions
Older adult patients with CHD had low levels of PA. Frailty and kinesiophobia were independently associated with PA in older adult patients with CHD. Reversing frailty and reducing kinesiophobia in older adult patients with CHD may increase PA levels.
{"title":"Physical activity, frailty, and kinesiophobia among older adult patients with coronary heart disease in China","authors":"Min Hou MSc, RN , Feng Jiao Yan MSc, RN (Head Nurse) , Qun Hong Liu MSc, RN , Yun Ruan MSc, RN , Li Hong Wan PhD, RN (Professor)","doi":"10.1016/j.gerinurse.2025.02.004","DOIUrl":"10.1016/j.gerinurse.2025.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity (PA) offers advantages in the secondary prevention of coronary heart disease (CHD). However, in older adults, frailty and kinesiophobia may exert negative influences on PA engagement.</div></div><div><h3>Objective</h3><div>To investigate PA, frailty, and kinesiophobia among older adult patients with CHD in China.</div></div><div><h3>Methods</h3><div>This cross-sectional study enrolled older adult patients with CHD in the cardiac outpatient care unit of the *** University. The International Physical Activity Questionnaire, the Frailty Phenotype Scale, and the Tampa Scale of Kinesiophobia were used to evaluate PA, frailty, and kinesiophobia, respectively.</div></div><div><h3>Results</h3><div>A total of 239 participants (mean age: 72.0 ± 7.5 years, 148 males) were enrolled. The rates of frailty and pre-frailty were 20.5 % and 46.4 %, respectively. The mean kinesiophobia score was 43.13±5.48. The median metabolic equivalent of task of PA was 2784 MET-min/week, and 25.1 % of the patients did not reach the minimum recommended by AHA (150 mins/week). Spearman rank correlation analysis showed that PA was negatively correlated with frailty (<em>r</em> = -0.559, <em>P</em> < 0.001) and kinesiophobia (<em>r</em> = -0.463, <em>P</em> < 0.001). Multivariable logistic regression analysis showed that frailty [<em>OR</em> = 0.412, 95 % confidence interval (<em>CI</em>): 0.304–0.559, <em>P</em> < 0.001] and kinesiophobia (<em>OR</em>=0.936, 95 % <em>CI</em>: 0.879–0.997, <em>P</em> = 0.040) were independently associated with PA after adjustment for age, cardiovascular adverse events, comorbidities, Barthel index, and history of dizziness.</div></div><div><h3>Conclusions</h3><div>Older adult patients with CHD had low levels of PA. Frailty and kinesiophobia were independently associated with PA in older adult patients with CHD. Reversing frailty and reducing kinesiophobia in older adult patients with CHD may increase PA levels.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 230-236"},"PeriodicalIF":2.5,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419106","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 : 2025-02-15DOI: 10.1016/j.gerinurse.2025.01.048
Xuemei Bao MSc , Jinyu Yin MSc , Qinghua Zhang PhD , Siyi Shang MSc , Yuhan Yang MSc
Objectives
To assess communicable disease-related health behavior (CDRHB) and the relationship between communicable disease-specific health literacy (CDSHL) and CDRHB in older adults.
Background
Factors associated with CDRHB in older adults is unclear.
Methods
A cross-sectional survey of 380 Chinese older adults was conducted. A structural equation model (SEM) identified factors associated with CDRHB and their effect magnitude.
Results
Mean CDRHB score was 41.92 (± 7.44). Residence type, education, CDSHL, self-efficacy, social support, and internal health locus of control (HLC) were independently associated with CDRHB (p < 0.05). SEM showed CDSHL had the strongest association with CDRHB, followed by education, residence type, social support, internal HLC, and self-efficacy.
Conclusions
Future tailored-intervention research on CDRHB should focus on CDSHL promotion and social support expansion, focused on older adults in rural areas and those with lower education levels.
{"title":"Factors associated with communicable diseases-related health behavior in older adults: A structural equation model","authors":"Xuemei Bao MSc , Jinyu Yin MSc , Qinghua Zhang PhD , Siyi Shang MSc , Yuhan Yang MSc","doi":"10.1016/j.gerinurse.2025.01.048","DOIUrl":"10.1016/j.gerinurse.2025.01.048","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess communicable disease-related health behavior (CDRHB) and the relationship between communicable disease-specific health literacy (CDSHL) and CDRHB in older adults.</div></div><div><h3>Background</h3><div>Factors associated with CDRHB in older adults is unclear.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of 380 Chinese older adults was conducted. A structural equation model (SEM) identified factors associated with CDRHB and their effect magnitude.</div></div><div><h3>Results</h3><div>Mean CDRHB score was 41.92 (± 7.44). Residence type, education, CDSHL, self-efficacy, social support, and internal health locus of control (HLC) were independently associated with CDRHB (<em>p</em> < 0.05). SEM showed CDSHL had the strongest association with CDRHB, followed by education, residence type, social support, internal HLC, and self-efficacy.</div></div><div><h3>Conclusions</h3><div>Future tailored-intervention research on CDRHB should focus on CDSHL promotion and social support expansion, focused on older adults in rural areas and those with lower education levels.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 222-229"},"PeriodicalIF":2.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-13DOI: 10.1016/j.gerinurse.2025.01.033
Sergio Serrada-Tejeda , Fernando Martínez-Cuervo , Marta Pérez-de-Heredia-Torres , Rebeca Montes-Montes , Paula Obeso-Benítez , Domingo Palacios-Ceña , y Rosa M Martínez-Piédrola
The objective of this descriptive cross-sectional study was to determine the relationship between empathy, anxiety, depression, compassion satisfaction, and fatigue in healthcare professionals working in elderly care centers. A sample of 104 healthcare professionals from nursing homes in Spain completed questionnaires assessing empathic skills, anxiety, depression, and quality of life. The results showed high levels of empathy and compassion satisfaction among participants and significant relationships between empathic skills, anxiety, depression, and quality of life measures. The regression analysis identified interpersonal reactivity, depression, compassion satisfaction, fatigue, and years of experience as significant predictors of empathy in the clinical context. Empathy is of paramount importance in the field of geriatric care, with enhanced empathic abilities exerting a beneficial influence on professional practice. However, the presence of depressive symptoms may hinder empathic abilities and affect the quality of care. Compassion satisfaction emerged as a significant predictor of empathy, highlighting the importance of emotional support and communication skills training in healthcare settings.
{"title":"Healthcare's empathy in elderly care: How anxiety, depression, and professional quality of life influence empathic abilities","authors":"Sergio Serrada-Tejeda , Fernando Martínez-Cuervo , Marta Pérez-de-Heredia-Torres , Rebeca Montes-Montes , Paula Obeso-Benítez , Domingo Palacios-Ceña , y Rosa M Martínez-Piédrola","doi":"10.1016/j.gerinurse.2025.01.033","DOIUrl":"10.1016/j.gerinurse.2025.01.033","url":null,"abstract":"<div><div>The objective of this descriptive cross-sectional study was to determine the relationship between empathy, anxiety, depression, compassion satisfaction, and fatigue in healthcare professionals working in elderly care centers. A sample of 104 healthcare professionals from nursing homes in Spain completed questionnaires assessing empathic skills, anxiety, depression, and quality of life. The results showed high levels of empathy and compassion satisfaction among participants and significant relationships between empathic skills, anxiety, depression, and quality of life measures. The regression analysis identified interpersonal reactivity, depression, compassion satisfaction, fatigue, and years of experience as significant predictors of empathy in the clinical context. Empathy is of paramount importance in the field of geriatric care, with enhanced empathic abilities exerting a beneficial influence on professional practice. However, the presence of depressive symptoms may hinder empathic abilities and affect the quality of care. Compassion satisfaction emerged as a significant predictor of empathy, highlighting the importance of emotional support and communication skills training in healthcare settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 188-193"},"PeriodicalIF":2.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.1016/j.gerinurse.2025.01.023
Yi Zhang BSc , Xi Pan MSc , Lei Chen BSc, Lin Yao BSc, Weiying Zhong BSc, Jiaxuan Li BSc, Lan Xu BSc
Objective
To explore the relationship between environmental and personal factors and health behavior in patients with stroke through pathway analysis.
Methods
A path analysis was performed to consider the relationships between social support, healthcare payment, residence, self-regulatory fatigue (SRF), and health literacy (HL) and health behavior.
Results
Social support and residence were directly and indirectly associated with health behavior through the SRF and/or HL. Healthcare payment was associated with health behavior through HL. Compared to patients with stroke under 65, those aged 65 and above demonstrated a more significant decline in HL with increasing SRF, and the relationship between healthcare payment and HL was also more notable within this older population.
Conclusion
The associations between environmental and personal factors in patients with stroke and health behavior were complicated, with age group serving as an important moderator. These findings would inform the design and implementation of health behavioral interventions among patients with stroke, particularly encouraging attention to the SRF and medical insurance status of elderly patients.
{"title":"Path analysis to identify factors associated with health behavior in patients with stroke: Evidence from a cross-sectional and correlational survey","authors":"Yi Zhang BSc , Xi Pan MSc , Lei Chen BSc, Lin Yao BSc, Weiying Zhong BSc, Jiaxuan Li BSc, Lan Xu BSc","doi":"10.1016/j.gerinurse.2025.01.023","DOIUrl":"10.1016/j.gerinurse.2025.01.023","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the relationship between environmental and personal factors and health behavior in patients with stroke through pathway analysis.</div></div><div><h3>Methods</h3><div>A path analysis was performed to consider the relationships between social support, healthcare payment, residence, self-regulatory fatigue (SRF), and health literacy (HL) and health behavior.</div></div><div><h3>Results</h3><div>Social support and residence were directly and indirectly associated with health behavior through the SRF and/or HL. Healthcare payment was associated with health behavior through HL. Compared to patients with stroke under 65, those aged 65 and above demonstrated a more significant decline in HL with increasing SRF, and the relationship between healthcare payment and HL was also more notable within this older population.</div></div><div><h3>Conclusion</h3><div>The associations between environmental and personal factors in patients with stroke and health behavior were complicated, with age group serving as an important moderator. These findings would inform the design and implementation of health behavioral interventions among patients with stroke, particularly encouraging attention to the SRF and medical insurance status of elderly patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 214-221"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395361","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 : 2025-02-12DOI: 10.1016/j.gerinurse.2025.02.009
Qinan Shen, Dijuan Meng, Chang Sun, Meng Jin
Objective
To examine the mediating role of social support, as outlined in the Convoy Model of Social Relations, in the association between functional status and mental health, with a focus on those with disabilities.
Methods
The study included 15,498 participants aged 65 to 105 years old from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Spearman analysis and mediation analysis were performed.
Results
Social support was significantly positively correlated with mental health (p < 0.001), except for financial aid. Social support partially mediated the effect of functional status on mental health. Among those with disabilities, the frequency of children's visits mediated this relationship (effect = -0.009, 95 % CI:0.016 to -0.004).
Conclusions
Social support mediated the relationship between functional status and mental health, with children's visits emerging as a more potent mediating factor compared to other types of support, particularly for those with disabilities.
{"title":"How does social support mediate the relationship between functional status and mental health among older adults in China? An exploration of the role of children's visits","authors":"Qinan Shen, Dijuan Meng, Chang Sun, Meng Jin","doi":"10.1016/j.gerinurse.2025.02.009","DOIUrl":"10.1016/j.gerinurse.2025.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the mediating role of social support, as outlined in the Convoy Model of Social Relations, in the association between functional status and mental health, with a focus on those with disabilities.</div></div><div><h3>Methods</h3><div>The study included 15,498 participants aged 65 to 105 years old from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Spearman analysis and mediation analysis were performed.</div></div><div><h3>Results</h3><div>Social support was significantly positively correlated with mental health (<em>p</em> < 0.001), except for financial aid. Social support partially mediated the effect of functional status on mental health. Among those with disabilities, the frequency of children's visits mediated this relationship (effect = -0.009, 95 % CI:0.016 to -0.004).</div></div><div><h3>Conclusions</h3><div>Social support mediated the relationship between functional status and mental health, with children's visits emerging as a more potent mediating factor compared to other types of support, particularly for those with disabilities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 207-213"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388420","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}
Chinese American caregivers face unique hurdles for family members with dementia. This study identified individual and contextual factors influencing family caregiving and ways in which caregivers managed pandemic-related challenges. A cross-sectional qualitative study was conducted in the Northwest region of the United States. Eligible Chinese American caregivers from a community-based organization were recruited. Semi-structured interviews were in participants’ preferred languages. Thematic analysis and deductive coding were used. The analysis (N = 16) showed that individual factors contained family caregivers’ perceptions, coping skills, knowledge, and empathy. Interpersonal factors included the dynamic of family support and dementia symptoms of care recipients, adversely affected by the pandemic. Community factors explored the resources provided by the partnering organization and adaptations to pandemic-related challenges. Societal factors encompassed participants' reliance on spiritual support groups, the influence of filial respect, perceived Asian xenophobia during the pandemic, and the impact of immigration history and policy on caregiving experiences.
{"title":"Multi-level factors of Chinese American family caregivers of individuals with dementia during COVID-19","authors":"Erh-Chi Hsu MPH, BSN , Jenny Hsin-Chun Tsai PhD, ARNP, PMHCNS-BC , Kannie Chim MD , Clarence Spigner DrPH","doi":"10.1016/j.gerinurse.2025.01.041","DOIUrl":"10.1016/j.gerinurse.2025.01.041","url":null,"abstract":"<div><div>Chinese American caregivers face unique hurdles for family members with dementia. This study identified individual and contextual factors influencing family caregiving and ways in which caregivers managed pandemic-related challenges. A cross-sectional qualitative study was conducted in the Northwest region of the United States. Eligible Chinese American caregivers from a community-based organization were recruited. Semi-structured interviews were in participants’ preferred languages. Thematic analysis and deductive coding were used. The analysis (N = 16) showed that individual factors contained family caregivers’ perceptions, coping skills, knowledge, and empathy. Interpersonal factors included the dynamic of family support and dementia symptoms of care recipients, adversely affected by the pandemic. Community factors explored the resources provided by the partnering organization and adaptations to pandemic-related challenges. Societal factors encompassed participants' reliance on spiritual support groups, the influence of filial respect, perceived Asian xenophobia during the pandemic, and the impact of immigration history and policy on caregiving experiences.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 200-206"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388419","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 : 2025-02-11DOI: 10.1016/j.gerinurse.2025.01.050
Woodlyne Pierre-Lallemand, Vincenza Coughlin, Gwenn Brown-Tammaro, Heidi Pierluissi, Waitline Williams
Falls are common events in hospitalized patients and a leading cause of morbidity and mortality among older adults. Healthcare professionals can positively impact fall rates through nurse-led strategies such as an evidence-based framework addressing age-related risk factors. A quality improvement project supported by the NICHE Leadership Training Program (LTP), titled "See the E, PEEK on Me," was developed to address falls in older adults on a pilot unit at one campus of an academic health system (AHS). Results of the implementation demonstrated a reduction in falls for patients over the age of 65 over a one-year period.
{"title":"Nursing-Led targeted strategies for preventing falls in older adults.","authors":"Woodlyne Pierre-Lallemand, Vincenza Coughlin, Gwenn Brown-Tammaro, Heidi Pierluissi, Waitline Williams","doi":"10.1016/j.gerinurse.2025.01.050","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.01.050","url":null,"abstract":"<p><p>Falls are common events in hospitalized patients and a leading cause of morbidity and mortality among older adults. Healthcare professionals can positively impact fall rates through nurse-led strategies such as an evidence-based framework addressing age-related risk factors. A quality improvement project supported by the NICHE Leadership Training Program (LTP), titled \"See the E, PEEK on Me,\" was developed to address falls in older adults on a pilot unit at one campus of an academic health system (AHS). Results of the implementation demonstrated a reduction in falls for patients over the age of 65 over a one-year period.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411000","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 : 2025-02-11DOI: 10.1016/j.gerinurse.2025.01.034
Carola Walter MScN , Stefanie Berger MScN, BScN , Doris Langegger MScN, BScN , Annemarie Strobl MA , Ass.-Prof. Patrick Kutschar MA, PhD , Stefan Pitzer MA , Prof. Nadja Nestler PhD
Concomitant use of herbal medicine and drugs is usual in older people. Setting-specific information on usage and application by healthcare professionals (HCPs) in long-term care is scarce. This scoping review aimed to identify the use and professional application of herbal medicine by HCPs in older people in long-term care. Guided by the framework from Arksey and O'Malley, a search was undertaken using four databases and Google Scholar. Studies published between 2014 and 2023 were included. The Mixed Methods Appraisal Tool (MMAT) was used for quality appraisal. Twelve studies were eligible for inclusion. Different herbal medicine products were studied. Disease-specific research on efficacy, effectiveness, and safety in eleven quantitative studies was predominant (cognitive dysfunction, respiratory tract infections, urinary tract infections, and insomnia). HCPs involved were physicians and nurses in different roles, frequently not explicitly differentiated. Further research is required, focusing on medication management, including herbal medicines by care-dependent persons and involved HCPs.
{"title":"Application and use of herbal medicines by healthcare professionals in long-term care: A scoping review","authors":"Carola Walter MScN , Stefanie Berger MScN, BScN , Doris Langegger MScN, BScN , Annemarie Strobl MA , Ass.-Prof. Patrick Kutschar MA, PhD , Stefan Pitzer MA , Prof. Nadja Nestler PhD","doi":"10.1016/j.gerinurse.2025.01.034","DOIUrl":"10.1016/j.gerinurse.2025.01.034","url":null,"abstract":"<div><div>Concomitant use of herbal medicine and drugs is usual in older people. Setting-specific information on usage and application by healthcare professionals (HCPs) in long-term care is scarce. This scoping review aimed to identify the use and professional application of herbal medicine by HCPs in older people in long-term care. Guided by the framework from Arksey and O'Malley, a search was undertaken using four databases and Google Scholar. Studies published between 2014 and 2023 were included. The Mixed Methods Appraisal Tool (MMAT) was used for quality appraisal. Twelve studies were eligible for inclusion. Different herbal medicine products were studied. Disease-specific research on efficacy, effectiveness, and safety in eleven quantitative studies was predominant (cognitive dysfunction, respiratory tract infections, urinary tract infections, and insomnia). HCPs involved were physicians and nurses in different roles, frequently not explicitly differentiated. Further research is required, focusing on medication management, including herbal medicines by care-dependent persons and involved HCPs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 165-174"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-11DOI: 10.1016/j.gerinurse.2025.01.046
Reshna Thapa DNP, APRN, FNP-C, Joy Elwell DNP, APRN, Savitha Chandramohan DNP, APRN, Carol Jin DNP, APRN
Introduction
Dementia, a terminal illness, deteriorates the physical and mental health as it advances. Discussing goals of care (GOC) is important in these patients but there is no standard way to identify these patients.
Purpose
Identify patients that can be referred for GOC discussion based on their quality of life (QOL) by utilizing dementia quality of life (DEMQOL) or DEMQOL carer tools.
Methods
The study was conducted in a nursing home in long-term care patients diagnosed with dementia. Patients who scored less than 90 in assessment tools were referred for GOC discussion.
Results
20 patients and family participated in the study. Unit A had total of 62.5% referral rate, unit B had 66.7%, and unit C had 66.7%. Total referrals showed increased number of patients that were referred for goals of care discussion.
Conclusion
Utilization of QOL assessment tools is feasible in nursing home. DEMQOL/DEMQOL carer, an assessment tool helped identify patients for GOC discussion.
{"title":"Using a standardized assessment tool to identify patients for referral to discuss and understand their goals of care","authors":"Reshna Thapa DNP, APRN, FNP-C, Joy Elwell DNP, APRN, Savitha Chandramohan DNP, APRN, Carol Jin DNP, APRN","doi":"10.1016/j.gerinurse.2025.01.046","DOIUrl":"10.1016/j.gerinurse.2025.01.046","url":null,"abstract":"<div><h3>Introduction</h3><div>Dementia, a terminal illness, deteriorates the physical and mental health as it advances. Discussing goals of care (GOC) is important in these patients but there is no standard way to identify these patients.</div></div><div><h3>Purpose</h3><div>Identify patients that can be referred for GOC discussion based on their quality of life (QOL) by utilizing dementia quality of life (DEMQOL) or DEMQOL carer tools.</div></div><div><h3>Methods</h3><div>The study was conducted in a nursing home in long-term care patients diagnosed with dementia. Patients who scored less than 90 in assessment tools were referred for GOC discussion.</div></div><div><h3>Results</h3><div>20 patients and family participated in the study. Unit A had total of 62.5% referral rate, unit B had 66.7%, and unit C had 66.7%. Total referrals showed increased number of patients that were referred for goals of care discussion.</div></div><div><h3>Conclusion</h3><div>Utilization of QOL assessment tools is feasible in nursing home. DEMQOL/DEMQOL carer, an assessment tool helped identify patients for GOC discussion.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 182-187"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386829","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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