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}
Pub Date : 2025-04-09DOI: 10.1016/j.gerinurse.2025.03.044
Cherry C.Y. Ho RN, DNurs , Marques S.N. Ng RN, APN, PhD, FRSPH , Kai Chow Choi PhD , Carmen W.H. Chan RN, PhD, FAAN
This randomised controlled trial examined the effectiveness of the pictorial action plan (PAP) on the ability to recall health information, symptom status, and healthcare utilisation in older patients with chronic obstructive pulmonary disease (COPD). A nurse-led dialectic discharge education session was provided to 172 participants. While the intervention group received a PAP, a written action plan was used in the control group. Outcomes were assessed three (T1) and six (T2) months later. The ability to recall health information peaked at T1 in both groups, but the intervention group performed better across timepoints. While symptom status continually improved in the intervention group, improvement in the control group sustained for only three months. The intervention group reported lower numbers of emergency department visits and unplanned readmissions, as well as a shorter length of stay at T2. The PAP demonstrated promising effects on various patient outcomes in conjunction with dialectic education.
{"title":"Effect of pictorial action plan on self-management in older patients with chronic obstructive pulmonary disease: Randomised controlled trial","authors":"Cherry C.Y. Ho RN, DNurs , Marques S.N. Ng RN, APN, PhD, FRSPH , Kai Chow Choi PhD , Carmen W.H. Chan RN, PhD, FAAN","doi":"10.1016/j.gerinurse.2025.03.044","DOIUrl":"10.1016/j.gerinurse.2025.03.044","url":null,"abstract":"<div><div>This randomised controlled trial examined the effectiveness of the pictorial action plan (PAP) on the ability to recall health information, symptom status, and healthcare utilisation in older patients with chronic obstructive pulmonary disease (COPD). A nurse-led dialectic discharge education session was provided to 172 participants. While the intervention group received a PAP, a written action plan was used in the control group. Outcomes were assessed three (T1) and six (T2) months later. The ability to recall health information peaked at T1 in both groups, but the intervention group performed better across timepoints. While symptom status continually improved in the intervention group, improvement in the control group sustained for only three months. The intervention group reported lower numbers of emergency department visits and unplanned readmissions, as well as a shorter length of stay at T2. The PAP demonstrated promising effects on various patient outcomes in conjunction with dialectic education.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 231-237"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807693","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.2025.03.016
Tuzhen Xu PhD, APRN, FNP , Chunfang Chen PhD, RN , Caiyi Liu PhD, BSN, RN , Gloria M. Rose PhD, NP-C, FNP-BC
Objectives
To evaluate the effects of relaxation interventions on physical and psychological distress in informal cancer caregivers and identify effective intervention components.
Methods
A systematic review was conducted. PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL Complete, Nursing & Allied Health Premium, Scopus, WHO International Clinical Trial Registry Platform, and PsycINFO were searched from January 1, 2010, to March 31, 2024. Risk of bias was conducted using the Mixed Methods Appraisal Tool.
Results
We identified a diverse range of relaxation interventions including aerobic exercise, back massage, music therapy, art therapy, mindfulness meditation, and progressive muscle relaxation, demonstrating reduced caregiver burden, anxiety, and stress levels while improving sleep quality and overall quality of life. However, studies were limited by short follow-up periods and methodological diversity.
Conclusion
Relaxation interventions show promise in alleviating distress among cancer caregivers. Future studies should focus on optimizing intervention components and extending follow-up durations.
{"title":"The effects of relaxation interventions on physical and psychological distress among informal cancer caregivers: A systematic review","authors":"Tuzhen Xu PhD, APRN, FNP , Chunfang Chen PhD, RN , Caiyi Liu PhD, BSN, RN , Gloria M. Rose PhD, NP-C, FNP-BC","doi":"10.1016/j.gerinurse.2025.03.016","DOIUrl":"10.1016/j.gerinurse.2025.03.016","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the effects of relaxation interventions on physical and psychological distress in informal cancer caregivers and identify effective intervention components.</div></div><div><h3>Methods</h3><div>A systematic review was conducted. PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL Complete, Nursing & Allied Health Premium, Scopus, WHO International Clinical Trial Registry Platform, and PsycINFO were searched from January 1, 2010, to March 31, 2024. Risk of bias was conducted using the Mixed Methods Appraisal Tool.</div></div><div><h3>Results</h3><div>We identified a diverse range of relaxation interventions including aerobic exercise, back massage, music therapy, art therapy, mindfulness meditation, and progressive muscle relaxation, demonstrating reduced caregiver burden, anxiety, and stress levels while improving sleep quality and overall quality of life. However, studies were limited by short follow-up periods and methodological diversity.</div></div><div><h3>Conclusion</h3><div>Relaxation interventions show promise in alleviating distress among cancer caregivers. Future studies should focus on optimizing intervention components and extending follow-up durations.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 207-222"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807691","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.2025.03.014
Zhang Yu BS , Pan Jiawen BS , Mao Jia BS , Xei Kaixuan BS , Guo Youpeng BS , Li Ting BS , Lu Dongyan MN , Zhang Lixiu MNAssociate Professor
The aim of this study is to explore the relationship between the number of children of older adults in China and their cognitive function. A total of 15862 older adults were included in the 2017-2018 China Health and Longevity Longitudinal Survey(CLHLS), and were explored using Structural Equation Modeling(SEM) and restricted cubic splines(RCS).
Research has found that social participation and psychological resilience have a moderating effect on the impact of child numbers on cognitive function, with a greater impact observed in female participants. RCS shows a U-shaped relationship between the number of children and poorer cognitive outcomes, but low fertility rates are only associated with poorer cognitive function in women. Cognitive function decreases with decreasing social participation and psychological resilience. To combat cognitive decline in older adults with multiple children, it is imperative to take into account the societal and psychological impacts and to integrate a suite of complementary intervention strategies.
{"title":"Gender differences in the mediating effects of social participation and number of children on psychological resilience and cognitive function in older adults","authors":"Zhang Yu BS , Pan Jiawen BS , Mao Jia BS , Xei Kaixuan BS , Guo Youpeng BS , Li Ting BS , Lu Dongyan MN , Zhang Lixiu MNAssociate Professor","doi":"10.1016/j.gerinurse.2025.03.014","DOIUrl":"10.1016/j.gerinurse.2025.03.014","url":null,"abstract":"<div><div>The aim of this study is to explore the relationship between the number of children of older adults in China and their cognitive function. A total of 15862 older adults were included in the 2017-2018 China Health and Longevity Longitudinal Survey(CLHLS), and were explored using Structural Equation Modeling(SEM) and restricted cubic splines(RCS).</div><div>Research has found that social participation and psychological resilience have a moderating effect on the impact of child numbers on cognitive function, with a greater impact observed in female participants. RCS shows a U-shaped relationship between the number of children and poorer cognitive outcomes, but low fertility rates are only associated with poorer cognitive function in women. Cognitive function decreases with decreasing social participation and psychological resilience. To combat cognitive decline in older adults with multiple children, it is imperative to take into account the societal and psychological impacts and to integrate a suite of complementary intervention strategies.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 186-192"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807640","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 : 2025-04-08DOI: 10.1016/j.gerinurse.2025.03.027
Dingxin Xu , Bo Zhang , Jing Wang, Qianru Cheng
Objective
To identify barriers and facilitators to web-based support for informal caregivers of people with dementia.
Methods
A systematic review and meta-synthesis was conducted. The Consolidated Framework for Implementation Research (CFIR) was used as a data extraction and synthesis guide.
Results
Totally 26 studies were included in the study. Twenty-two barriers and 23 facilitators were identified across all 5 domains of the CFIR. The key facilitators were user-friendliness, communication with peers and professionals, social connection and solidarity, convenience and flexibility, and personalization. Primary barriers included time restriction, lack of technological literacy, accessibility of technological infrastructure, too complex designs, risk of losing the “human touch”, privacy and security concerns, and cost and price.
Conclusion
Future studies should focus on socioeconomic and cultural contexts, local policies, and laws in providing web-based support to informal caregivers of people with dementia. The findings highlighted the value of practical guidance and refinement of existing frameworks.
{"title":"Barriers and facilitators to web-based support for informal caregivers of people with dementia: A systematic review and meta-synthesis","authors":"Dingxin Xu , Bo Zhang , Jing Wang, Qianru Cheng","doi":"10.1016/j.gerinurse.2025.03.027","DOIUrl":"10.1016/j.gerinurse.2025.03.027","url":null,"abstract":"<div><h3>Objective</h3><div>To identify barriers and facilitators to web-based support for informal caregivers of people with dementia.</div></div><div><h3>Methods</h3><div>A systematic review and meta-synthesis was conducted. The Consolidated Framework for Implementation Research (CFIR) was used as a data extraction and synthesis guide.</div></div><div><h3>Results</h3><div>Totally 26 studies were included in the study. Twenty-two barriers and 23 facilitators were identified across all 5 domains of the CFIR. The key facilitators were user-friendliness, communication with peers and professionals, social connection and solidarity, convenience and flexibility, and personalization. Primary barriers included time restriction, lack of technological literacy, accessibility of technological infrastructure, too complex designs, risk of losing the “human touch”, privacy and security concerns, and cost and price.</div></div><div><h3>Conclusion</h3><div>Future studies should focus on socioeconomic and cultural contexts, local policies, and laws in providing web-based support to informal caregivers of people with dementia. The findings highlighted the value of practical guidance and refinement of existing frameworks.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 164-177"},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791635","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 : 2025-04-05DOI: 10.1016/j.gerinurse.2025.03.017
Jose Luis Estela-Zape , Angelica María Pereira Escobar , Wilmer Arley Criollo López , Diana Constanza González Ortiz , Mauricio Hernández Carrillo , Saul Diaz Navarro , Harold Andrés Payán-Salcedo
Aim
Determine physical performance, functionality and their relationship with the risk of falls in older adult patients hospitalized in a psychiatric hospital in southwestern Colombia.
Methods
This cross-sectional observational study with an analytical component involved 51 patients. Univariate analysis used frequencies and percentages for categorical variables. Comparative bivariate analysis by risk of falling included the probability value. The association between functionality, physical performance and risk of falling was examined using a logistic regression model.
Results
The average age was 67 years (SD: 6.0), 51 % were men, 72 % had primary school education and 96 % consumed some antipsychotic medication. According to the results of the logistic model, mild-moderate dependence (OR=5.56, 95 % CI 1.24-27.00) and low physical performance are the two factors that most influence the risk of drop.
Conclusion
Low physical performance and mild to moderate dependence in daily activities increase the risk of falls in hospitalized older adults with mental disorders.
{"title":"Physical performance, functionality and risk of falls in older adults hospitalized in a psychiatric hospital in Southwestern Colombia","authors":"Jose Luis Estela-Zape , Angelica María Pereira Escobar , Wilmer Arley Criollo López , Diana Constanza González Ortiz , Mauricio Hernández Carrillo , Saul Diaz Navarro , Harold Andrés Payán-Salcedo","doi":"10.1016/j.gerinurse.2025.03.017","DOIUrl":"10.1016/j.gerinurse.2025.03.017","url":null,"abstract":"<div><h3>Aim</h3><div>Determine physical performance, functionality and their relationship with the risk of falls in older adult patients hospitalized in a psychiatric hospital in southwestern Colombia.</div></div><div><h3>Methods</h3><div>This cross-sectional observational study with an analytical component involved 51 patients. Univariate analysis used frequencies and percentages for categorical variables. Comparative bivariate analysis by risk of falling included the probability value. The association between functionality, physical performance and risk of falling was examined using a logistic regression model.</div></div><div><h3>Results</h3><div>The average age was 67 years (SD: 6.0), 51 % were men, 72 % had primary school education and 96 % consumed some antipsychotic medication. According to the results of the logistic model, mild-moderate dependence (OR=5.56, 95 % CI 1.24-27.00) and low physical performance are the two factors that most influence the risk of drop.</div></div><div><h3>Conclusion</h3><div>Low physical performance and mild to moderate dependence in daily activities increase the risk of falls in hospitalized older adults with mental disorders.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 158-163"},"PeriodicalIF":2.5,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783909","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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