Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103867
Zhixin Fan PhD , Zhibo Wang PhD , Yunlong Li PhD, Xueying Chen PhD, Yifan Zhang PhD
Objective
To evaluate the effects of mind-body and aerobic exercises on subjective and objective sleep quality in middle-aged and older adults.
Methods
A systematic search was conducted in PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases.
Results
Twenty-eight studies were included. Compared to the control group, mind-body (P < 0.00001) and aerobic exercises (P = 0.0001) significantly improved subjective sleep quality in middle-aged and older adults. For objective sleep quality, both mind-body and aerobic exercises significantly increased total sleep time (P = 0.004) and reduced wake time after sleep onset (P < 0.00001). However, improvements in sleep efficiency (P = 0.06) and reductions in sleep onset latency (P = 0.19) were not statistically significant.
Conclusions
Mind-body and aerobic exercises have shown to improve sleep quality in middle-aged and older adults, particularly in increase total sleep time, decreasing nighttime wakefulness, and improving subjective sleep quality.
{"title":"The impact of mind-body and aerobic exercises on subjective and objective sleep quality in middle-aged and older adults: A systematic review and meta-analysis of randomized controlled trials","authors":"Zhixin Fan PhD , Zhibo Wang PhD , Yunlong Li PhD, Xueying Chen PhD, Yifan Zhang PhD","doi":"10.1016/j.gerinurse.2026.103867","DOIUrl":"10.1016/j.gerinurse.2026.103867","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of mind-body and aerobic exercises on subjective and objective sleep quality in middle-aged and older adults.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases.</div></div><div><h3>Results</h3><div>Twenty-eight studies were included. Compared to the control group, mind-body (P < 0.00001) and aerobic exercises (P = 0.0001) significantly improved subjective sleep quality in middle-aged and older adults. For objective sleep quality, both mind-body and aerobic exercises significantly increased total sleep time (P = 0.004) and reduced wake time after sleep onset (P < 0.00001). However, improvements in sleep efficiency (P = 0.06) and reductions in sleep onset latency (P = 0.19) were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Mind-body and aerobic exercises have shown to improve sleep quality in middle-aged and older adults, particularly in increase total sleep time, decreasing nighttime wakefulness, and improving subjective sleep quality.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103867"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031762","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}
Serenity therapy shows promise as a complementary intervention addressing psychosocial and physical aspects for geriatric patients with End-Stage Renal Disease (ESRD). However, its efficacy in those undergoing hemodialysis remains underexplored.
Aim
This study aims to investigate the effects of serenity therapy on symptoms of distress, coping styles, and emotional regulation among geriatric hemodialysis patients.
Methods
A randomized controlled trial was conducted with 80 patients from a hemodialysis unit in El-Behaira Governorate, Egypt, over five months. Data were collected using a four-section questionnaire, including socio-demographic information, a Hemodialysis Symptoms Distress scale, a Brief-COPE, and an Emotion Regulation Questionnaire.
Results
Post-intervention evaluations revealed significant reductions in the occurrence, frequency, severity, and distress of hemodialysis symptoms, alongside improvements in coping strategies and emotional regulation (P < 0.05).
Conclusion
Serenity therapy effectively alleviates hemodialysis symptoms and enhances coping and emotional regulation in geriatric patients.
Trial Registration
Registered with ClinicalTrials.gov on 4/02/2024; registration number “NCT06255184”.
{"title":"Effect of serenity therapy on symptoms distress, coping styles, and emotional regulation among geriatric patients undergoing hemodialysis: A randomized controlled trial","authors":"Nawara Khirallah Abd El Fatah PhD , Mahmoud Abdelwahab Khedr PhD , Nadia Waheed Elzohairy PhD , Mohamed Saied Harfoush PhD , Safaa Mabrouk Abdelaziz Elgarhy PhD","doi":"10.1016/j.gerinurse.2026.103863","DOIUrl":"10.1016/j.gerinurse.2026.103863","url":null,"abstract":"<div><h3>Background</h3><div>Serenity therapy shows promise as a complementary intervention addressing psychosocial and physical aspects for geriatric patients with End-Stage Renal Disease (ESRD). However, its efficacy in those undergoing hemodialysis remains underexplored.</div></div><div><h3>Aim</h3><div>This study aims to investigate the effects of serenity therapy on symptoms of distress, coping styles, and emotional regulation among geriatric hemodialysis patients.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 80 patients from a hemodialysis unit in El-Behaira Governorate, Egypt, over five months. Data were collected using a four-section questionnaire, including socio-demographic information, a Hemodialysis Symptoms Distress scale, a Brief-COPE, and an Emotion Regulation Questionnaire.</div></div><div><h3>Results</h3><div>Post-intervention evaluations revealed significant reductions in the occurrence, frequency, severity, and distress of hemodialysis symptoms, alongside improvements in coping strategies and emotional regulation (<em>P</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>Serenity therapy effectively alleviates hemodialysis symptoms and enhances coping and emotional regulation in geriatric patients.</div></div><div><h3>Trial Registration</h3><div>Registered with ClinicalTrials.gov on 4/02/2024; registration number “NCT06255184”.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103863"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024951","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}
Polypharmacy is widespread in residential long-term care (RLTC), increasing the risk of medication-related problems. Switzerland’s RLTC institutions must report polypharmacy (defined as ≥ 9 active substances) as part of a national health-care quality indicator (QI) initiative.
This sequential explanatory mixed-methods study assessed the quality of data collected to calculate a polypharmacy QI across 14 RLTC institutions in German-speaking Switzerland, aiming to recommend improvements. A validation study assessed inter-rater reliability, subsequently, medication lists of individual patients with different medication counts were discussed with RLTC staff to explore the issues affecting those calculations.
Institutions and study researchers calculated different numbers of active substances in 65.3 % of the 580 residents assessed, and recorded an overall prevalence of polypharmacy of 45.5 % and 47.4 %, respectively.
Solid master data, unambiguous counting rules, and electronic algorithms are necessary to calculate reliable polypharmacy QIs. Additional measures, like medication reviews, might facilitate distinctions between appropriate and inappropriate polypharmacy.
{"title":"Difficulties measuring a polypharmacy quality indicator in Switzerland’s residential long-term care institutions - a mixed-methods study","authors":"Magdalena Osińska MScN , Carla Meyer-Massetti PhD, MSc Pharmacy , Naomi Welte MSc Pharmacy , Franziska Zúñiga PhD","doi":"10.1016/j.gerinurse.2026.103861","DOIUrl":"10.1016/j.gerinurse.2026.103861","url":null,"abstract":"<div><div>Polypharmacy is widespread in residential long-term care (RLTC), increasing the risk of medication-related problems. Switzerland’s RLTC institutions must report polypharmacy (defined as ≥ 9 active substances) as part of a national health-care quality indicator (QI) initiative.</div><div>This sequential explanatory mixed-methods study assessed the quality of data collected to calculate a polypharmacy QI across 14 RLTC institutions in German-speaking Switzerland, aiming to recommend improvements. A validation study assessed inter-rater reliability, subsequently, medication lists of individual patients with different medication counts were discussed with RLTC staff to explore the issues affecting those calculations.</div><div>Institutions and study researchers calculated different numbers of active substances in 65.3 % of the 580 residents assessed, and recorded an overall prevalence of polypharmacy of 45.5 % and 47.4 %, respectively.</div><div>Solid master data, unambiguous counting rules, and electronic algorithms are necessary to calculate reliable polypharmacy QIs. Additional measures, like medication reviews, might facilitate distinctions between appropriate and inappropriate polypharmacy.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103861"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031643","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 : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103850
Anita Nilsen MSc , Bjørn Lichtwarck MD, PhD , Siren Eriksen PhD , Anne Marie Mork Rokstad PhD
Aim
The aim of this study is to explore the lessons that nursing home staff learned from the COVID-19 pandemic related to the management of pandemic infectious diseases.
Methods
Four focus groups were conducted with nursing home staff who had experienced COVID-19 infections at the nursing home where they were employed. The focus groups, conducted during September and October 2023 at the respective nursing homes, were audio recorded and transcribed verbatim. Data were analyzed using reflexive thematic analysis as described by Braun and Clarke (2022).
Findings
The analysis resulted in three themes: 1) organization of infection control measures, 2) framework for training in infection control routines, and 3) clinical assessments and measures when suspecting infection. The participants experienced challenges regarding access to personal protective equipment, a lack of knowledge about infection control routines, and the difficulty of limiting infection given the building layout. Using clinical tools or assessments to detect signs of infection in nursing home residents improved nursing home staff’s ability to detect symptoms of contagious infections.
Conclusion
For nursing homes to be more prepared and resilient in the event of a new pandemic, overall planning of nursing homes’ needs should take place at both the national and municipal levels, as well as at the management level within each nursing home. This planning must ensure sufficient staffing, access to infection control equipment, and the updating of employees’ professional and clinical knowledge.
{"title":"What have nursing home staff learned from the COVID-19 pandemic about managing pandemic infectious diseases? A qualitative study","authors":"Anita Nilsen MSc , Bjørn Lichtwarck MD, PhD , Siren Eriksen PhD , Anne Marie Mork Rokstad PhD","doi":"10.1016/j.gerinurse.2026.103850","DOIUrl":"10.1016/j.gerinurse.2026.103850","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study is to explore the lessons that nursing home staff learned from the COVID-19 pandemic related to the management of pandemic infectious diseases.</div></div><div><h3>Methods</h3><div>Four focus groups were conducted with nursing home staff who had experienced COVID-19 infections at the nursing home where they were employed. The focus groups, conducted during September and October 2023 at the respective nursing homes, were audio recorded and transcribed verbatim. Data were analyzed using reflexive thematic analysis as described by Braun and Clarke (2022).</div></div><div><h3>Findings</h3><div>The analysis resulted in three themes: 1) organization of infection control measures, 2) framework for training in infection control routines, and 3) clinical assessments and measures when suspecting infection. The participants experienced challenges regarding access to personal protective equipment, a lack of knowledge about infection control routines, and the difficulty of limiting infection given the building layout. Using clinical tools or assessments to detect signs of infection in nursing home residents improved nursing home staff’s ability to detect symptoms of contagious infections.</div></div><div><h3>Conclusion</h3><div>For nursing homes to be more prepared and resilient in the event of a new pandemic, overall planning of nursing homes’ needs should take place at both the national and municipal levels, as well as at the management level within each nursing home. This planning must ensure sufficient staffing, access to infection control equipment, and the updating of employees’ professional and clinical knowledge.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103850"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031774","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 : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103857
Karim Gallouj MD, PhD , Pascal Antoine PhD , Guillaume Chapelet MD, PhD , Mohamad El Haj PhD
We investigated whether olfactory stimulation can enhance the retrieval of contextual details—“who/where/when”—during autobiographical memory recall in patients with Alzheimer’s-disease (AD). Previous research has shown that odors can trigger vivid autobiographical memories in healthy-adults, but evidence in AD is limited, and most studies have focused on general memory recall rather than specific contextual information. Given that a key feature of autobiographical decline in AD is difficulty retrieving contextual details, it remains unclear whether olfactory cues can selectively improve recall of “who,” “where,” and “when” information. In this cross-sectional study, 33 patients with AD and 35 healthy controls retrieved autobiographical events with and without odor exposure. Analyses revealed that odor exposure increased the number of “who,” “where,” and “when” details in both groups. These findings address a critical gap in the literature, demonstrating that olfactory stimulation can specifically support contextual memory retrieval in AD, offering a non-invasive-tool to mitigate autobiographical memory deficits.
{"title":"A cross-sectional study of olfactory stimulation on retrieval of the Who, Where and When information in Alzheimer’s disease","authors":"Karim Gallouj MD, PhD , Pascal Antoine PhD , Guillaume Chapelet MD, PhD , Mohamad El Haj PhD","doi":"10.1016/j.gerinurse.2026.103857","DOIUrl":"10.1016/j.gerinurse.2026.103857","url":null,"abstract":"<div><div>We investigated whether olfactory stimulation can enhance the retrieval of contextual details—“who/where/when”—during autobiographical memory recall in patients with Alzheimer’s-disease (AD). Previous research has shown that odors can trigger vivid autobiographical memories in healthy-adults, but evidence in AD is limited, and most studies have focused on general memory recall rather than specific contextual information. Given that a key feature of autobiographical decline in AD is difficulty retrieving contextual details, it remains unclear whether olfactory cues can selectively improve recall of “who,” “where,” and “when” information. In this cross-sectional study, 33 patients with AD and 35 healthy controls retrieved autobiographical events with and without odor exposure. Analyses revealed that odor exposure increased the number of “who,” “where,” and “when” details in both groups. These findings address a critical gap in the literature, demonstrating that olfactory stimulation can specifically support contextual memory retrieval in AD, offering a non-invasive-tool to mitigate autobiographical memory deficits.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103857"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031863","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 : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103874
Yu Mi Yi PhD , Soo Min Lee PhD , Eun-Young Noh PhD , Yeon-Hwan Park PhD
Infection prevention is critical for improving safety and care quality, reducing mortality, and enhancing the quality of life in nursing homes for older adults. These establishments often lack standardized guidelines, and have inconsistent protocols. This study evaluated the Evidence-Based Guidelines for Nursing Home Infection Control in South Korea (ENIK) by examining healthcare workers’ (HCWs) experiences. Five focus groups, involving 28 HCWs in total, were analyzed using qualitative content analysis and the Systems Engineering Initiative for Patient Safety framework. Participants reported improved infection prevention and control after ENIK implementation. Key motivators included knowledge acquisition, retraining, and positive experiences. Challenges involved staff turnover and external control factors. Clear job roles enhanced efficiency and confidence. Supportive resources (hand hygiene tools, infection control specialists, checklists, and visual aids) and organizational measures (rewards, teamwork, and control systems) were essential in streamlining infection management. ENIK fostered knowledge, clear roles, resource availability, and systematic management, enhancing infection control and care quality.
{"title":"Healthcare workers’ perspectives on evidence-based infection control in South Korean nursing homes: A qualitative study","authors":"Yu Mi Yi PhD , Soo Min Lee PhD , Eun-Young Noh PhD , Yeon-Hwan Park PhD","doi":"10.1016/j.gerinurse.2026.103874","DOIUrl":"10.1016/j.gerinurse.2026.103874","url":null,"abstract":"<div><div>Infection prevention is critical for improving safety and care quality, reducing mortality, and enhancing the quality of life in nursing homes for older adults. These establishments often lack standardized guidelines, and have inconsistent protocols. This study evaluated the Evidence-Based Guidelines for Nursing Home Infection Control in South Korea (ENIK) by examining healthcare workers’ (HCWs) experiences. Five focus groups, involving 28 HCWs in total, were analyzed using qualitative content analysis and the Systems Engineering Initiative for Patient Safety framework. Participants reported improved infection prevention and control after ENIK implementation. Key motivators included knowledge acquisition, retraining, and positive experiences. Challenges involved staff turnover and external control factors. Clear job roles enhanced efficiency and confidence. Supportive resources (hand hygiene tools, infection control specialists, checklists, and visual aids) and organizational measures (rewards, teamwork, and control systems) were essential in streamlining infection management. ENIK fostered knowledge, clear roles, resource availability, and systematic management, enhancing infection control and care quality.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103874"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024955","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 : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103849
Ashley Shayya MPH , Yuchi Young DrPH , Yufang Tu MS , Wan-Yu Chiu PhD , Taylor Perre MPH, MSW
Purpose
This study explores adults’ preferences for and recommendations to improve medical-based (Portable Medical Orders [POLST]/Medical Orders for Life-Sustaining Treatment [MOLST]) and medical-social-emotional-based (Five Wishes) advance directives, with a focus on age-related differences.
Methods
US community-dwelling adults completed a survey on advance directives. Univariate analyses were used to assess advance directive type preferences, bivariate analyses evaluated age differences, and a thematic analysis identified recommendations for improvement.
Results
Participants, particularly young adults, preferred the Five Wishes form over the POLST/MOLST. Three key themes emerged from participants’ recommendations for improving the advance directives: content, formatting, and no recommendations.
Conclusion
Preferences for medical-social-emotional-based and medical-based advance directives should be considered by medical practitioners, policymakers, and public health professionals when promoting advance directives, especially among young adults.
{"title":"Advance directive preferences of community-dwelling adults: Comparing medical-social-emotional vs. medical-based approaches","authors":"Ashley Shayya MPH , Yuchi Young DrPH , Yufang Tu MS , Wan-Yu Chiu PhD , Taylor Perre MPH, MSW","doi":"10.1016/j.gerinurse.2026.103849","DOIUrl":"10.1016/j.gerinurse.2026.103849","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores adults’ preferences for and recommendations to improve medical-based (Portable Medical Orders [POLST]/Medical Orders for Life-Sustaining Treatment [MOLST]) and medical-social-emotional-based (Five Wishes) advance directives, with a focus on age-related differences.</div></div><div><h3>Methods</h3><div>US community-dwelling adults completed a survey on advance directives. Univariate analyses were used to assess advance directive type preferences, bivariate analyses evaluated age differences, and a thematic analysis identified recommendations for improvement.</div></div><div><h3>Results</h3><div>Participants, particularly young adults, preferred the Five Wishes form over the POLST/MOLST. Three key themes emerged from participants’ recommendations for improving the advance directives: content, formatting, and no recommendations.</div></div><div><h3>Conclusion</h3><div>Preferences for medical-social-emotional-based and medical-based advance directives should be considered by medical practitioners, policymakers, and public health professionals when promoting advance directives, especially among young adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103849"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031607","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 : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103871
Isabella Santomauro MSN , Erika Bassi PhD , Roberta Sturaro MSN , Ines Basso PhD , Angela Durante PhD , Erica Busca PhD , Alberto Dal Molin PhD
Introduction
Historical, geographic, and contextual variation in nursing titles and the multitude of labels for different roles have hindered the creation of a clear map outlining nursing roles in home care settings for older people.
Objective
This scoping review aimed to explore the literature on nurses’ roles in home care for older people.
Methods
A literature search was conducted using Embase, CINAHL, and Medline by two independent reviewers.
Results
Out of 1973 references, 14 studies from eight countries were included, primarily from the United Kingdom (n = 6), the United States (n = 2), and Italy (n = 2). Twelve distinct nursing roles were identified, addressing health issues such as cardiovascular disease, mental health disorders, and diabetes. The most frequent nursing activities performed were assessment-related (32%).
Conclusion
The findings indicate the presence of diverse nursing roles in home care and highlight the significant heterogeneity in nursing activities performed.
{"title":"Mapping -nurses’ roles in home care for older people: a scoping review","authors":"Isabella Santomauro MSN , Erika Bassi PhD , Roberta Sturaro MSN , Ines Basso PhD , Angela Durante PhD , Erica Busca PhD , Alberto Dal Molin PhD","doi":"10.1016/j.gerinurse.2026.103871","DOIUrl":"10.1016/j.gerinurse.2026.103871","url":null,"abstract":"<div><h3>Introduction</h3><div>Historical, geographic, and contextual variation in nursing titles and the multitude of labels for different roles have hindered the creation of a clear map outlining nursing roles in home care settings for older people.</div></div><div><h3>Objective</h3><div>This scoping review aimed to explore the literature on nurses’ roles in home care for older people.</div></div><div><h3>Methods</h3><div>A literature search was conducted using Embase, CINAHL, and Medline by two independent reviewers.</div></div><div><h3>Results</h3><div>Out of 1973 references, 14 studies from eight countries were included, primarily from the United Kingdom (<em>n</em> = 6), the United States (<em>n</em> = 2), and Italy (<em>n</em> = 2). Twelve distinct nursing roles were identified, addressing health issues such as cardiovascular disease, mental health disorders, and diabetes. The most frequent nursing activities performed were assessment-related (32%).</div></div><div><h3>Conclusion</h3><div>The findings indicate the presence of diverse nursing roles in home care and highlight the significant heterogeneity in nursing activities performed.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103871"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031776","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}
To examine healthcare professionals' knowledge and attitudes regarding Advance Care Planning (ACP), advance directives, and related legislation. The study also explored how sociodemographic and professional characteristics influence these perceptions.
Methods
A cross-sectional study was conducted among healthcare professionals in Asturias, Spain, using an online questionnaire. A multiple linear regression model was employed to analyze the impact of sociodemographic and occupational characteristics on the survey outcomes.
Results
A total of 409 responses were collected. Professional category, specific training, age, and work area were found to influence the quality of ACP and attitudes towards it. A significant lack of specific training hindered the development of a proactive attitude toward ACP.
Conclusions
There is a need to promote a cultural shift in the approach to end-of-life care and ACP. Effective interventions should be developed to improve the quality of end-of-life care and fulfill patient wishes.
{"title":"Factors influencing healthcare professionals' attitudes toward advance care planning","authors":"Beatriz Braña-Marcos MSc, PhD(c) , Lucía Fernández-Arce MHP, PhD , Estefanía Vegas-Pardavila MSc, PhD , Cristina Fernández-García BS , María Isabel Orts-Cortés PhD","doi":"10.1016/j.gerinurse.2026.103825","DOIUrl":"10.1016/j.gerinurse.2026.103825","url":null,"abstract":"<div><h3>Aim</h3><div>To examine healthcare professionals' knowledge and attitudes regarding Advance Care Planning (ACP), advance directives, and related legislation. The study also explored how sociodemographic and professional characteristics influence these perceptions.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among healthcare professionals in Asturias, Spain, using an online questionnaire. A multiple linear regression model was employed to analyze the impact of sociodemographic and occupational characteristics on the survey outcomes.</div></div><div><h3>Results</h3><div>A total of 409 responses were collected. Professional category, specific training, age, and work area were found to influence the quality of ACP and attitudes towards it. A significant lack of specific training hindered the development of a proactive attitude toward ACP.</div></div><div><h3>Conclusions</h3><div>There is a need to promote a cultural shift in the approach to end-of-life care and ACP. Effective interventions should be developed to improve the quality of end-of-life care and fulfill patient wishes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103825"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031631","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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