Pub Date : 2026-01-22DOI: 10.1016/j.gerinurse.2026.103846
David Alonso-Crespo MSc , Juan José Rodríguez-Mondéjar PhD , César Leal-Costa PhD
Aim/Objective
To systematically compile and analyze all delirium detection tools, establishing a temporal and contextual framework to clarify current knowledge.
Background
Delirium is a prevalent condition in hospitalized patients, particularly older adults, associated with high morbidity, mortality, and healthcare burden. Early diagnosis is essential for timely intervention. Despite the development of numerous diagnostic tools over five decades, existing resources remain fragmented, necessitating a comprehensive synthesis.
Methods
A scoping review was conducted across six databases (PubMed, Cochrane Library, Cuiden, LILACS, CINAHL, Web of Science) following Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines.
Results
Nearly 100 delirium detection tools were identified and categorized into five comparative tables, providing a structured overview of key features.
Conclusions
This review consolidates dispersed information, presenting a comprehensive timeline of delirium assessment tools. Findings support clinical practice and research by offering an updated, structured perspective on available screening and diagnostic methods.
目的系统地编制和分析所有谵妄检测工具，建立一个时代性和情境性的框架，以澄清现有的知识。背景：谵妄是住院患者，尤其是老年人的一种常见疾病，与高发病率、高死亡率和高医疗负担相关。早期诊断对及时干预至关重要。尽管在过去五十年中开发了许多诊断工具，但现有资源仍然分散，需要全面综合。方法采用乔安娜布里格斯研究所（JBI）的方法和PRISMA-ScR指南，对6个数据库（PubMed、Cochrane Library、Cuiden、LILACS、CINAHL、Web of Science）进行范围审查。结果近100种谵妄检测工具被识别并分类为五个比较表，提供了关键特征的结构化概述。结论本综述整合了分散的信息，提出了谵妄评估工具的综合时间表。研究结果支持临床实践和研究，为现有的筛查和诊断方法提供了一个更新的、结构化的视角。
{"title":"Scoping review of the evolution of delirium detection, diagnostic, and severity assessment scales","authors":"David Alonso-Crespo MSc , Juan José Rodríguez-Mondéjar PhD , César Leal-Costa PhD","doi":"10.1016/j.gerinurse.2026.103846","DOIUrl":"10.1016/j.gerinurse.2026.103846","url":null,"abstract":"<div><h3>Aim/Objective</h3><div>To systematically compile and analyze all delirium detection tools, establishing a temporal and contextual framework to clarify current knowledge.</div></div><div><h3>Background</h3><div>Delirium is a prevalent condition in hospitalized patients, particularly older adults, associated with high morbidity, mortality, and healthcare burden. Early diagnosis is essential for timely intervention. Despite the development of numerous diagnostic tools over five decades, existing resources remain fragmented, necessitating a comprehensive synthesis.</div></div><div><h3>Methods</h3><div>A scoping review was conducted across six databases (PubMed, Cochrane Library, Cuiden, LILACS, CINAHL, Web of Science) following Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines.</div></div><div><h3>Results</h3><div>Nearly 100 delirium detection tools were identified and categorized into five comparative tables, providing a structured overview of key features.</div></div><div><h3>Conclusions</h3><div>This review consolidates dispersed information, presenting a comprehensive timeline of delirium assessment tools. Findings support clinical practice and research by offering an updated, structured perspective on available screening and diagnostic methods.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103846"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025019","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 : 2026-01-22DOI: 10.1016/j.gerinurse.2026.103882
Xin Wang MSN , Xiaoxiao Mei MSN , Yuanzhen Li BM , Cindy Sin U Leong PhD , Meihua Hsu PhD , Angela Yee Man Leung PhD , Ming Liu PhD
Aim
This study aimed to explore the effect of family support on HRQoL and the mediating role of resilience and cognition among older adults.
Methods
This cross-sectional study was conducted in October 2022, and a convenience sampling method was employed. The Perceived Social Support from Family Scale, the 12-Item Short Form Health Survey version 2, the Brief Resilience Scale, and the Montreal Cognitive Assessment were used to survey 619 older adults in Anhui and Zhejiang provinces.
Results
The total effect of family support on the physical component summary (PCS) of HRQoL was not significant (B = -0.190, 95% CI [-0.596∼0.215], P = 0.357), and resilience and cognition play the suppression effects in the association between family support and PCS of HRQoL (B = 0.851, 95% CI [0.632∼1.111]). Family support was significantly positively associated with the mental component summary (MCS) of HRQoL (B=0.957, 95% CI [0.655∼1.259]). Mediation model results indicated a significant direct effect of family support on MCS (B=0.474, 95% CI [0.174∼0.774], P = 0.002), accounting for 49.53% of the total effect. Family support affected MCS through three important mediation pathways. Resilience accounted for 39.71% (B=0.380, 95% CI [0.251∼0.538]) of the total effect, cognition for 7.94% (B=0.076, 95% CI [0.017∼0.161]), and the series mediation of resilience and cognition for 2.82% (B=0.027, 95% CI [0.006∼0.057]).
Conclusions
Enhancing family support for older adults may improve their MCS of HRQoL, with resilience and cognition mediating. However, older adults' family support and PCS of HRQoL were not significantly associated, and resilience and cognition suppressed their association.
{"title":"Association between family support and health-related quality of life in older adults: the mediating role of resilience and cognition","authors":"Xin Wang MSN , Xiaoxiao Mei MSN , Yuanzhen Li BM , Cindy Sin U Leong PhD , Meihua Hsu PhD , Angela Yee Man Leung PhD , Ming Liu PhD","doi":"10.1016/j.gerinurse.2026.103882","DOIUrl":"10.1016/j.gerinurse.2026.103882","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore the effect of family support on HRQoL and the mediating role of resilience and cognition among older adults.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in October 2022, and a convenience sampling method was employed. The Perceived Social Support from Family Scale, the 12-Item Short Form Health Survey version 2, the Brief Resilience Scale, and the Montreal Cognitive Assessment were used to survey 619 older adults in Anhui and Zhejiang provinces.</div></div><div><h3>Results</h3><div>The total effect of family support on the physical component summary (PCS) of HRQoL was not significant (B = -0.190, 95% CI [-0.596∼0.215], <em>P</em> = 0.357), and resilience and cognition play the suppression effects in the association between family support and PCS of HRQoL (B = 0.851, 95% CI [0.632∼1.111]). Family support was significantly positively associated with the mental component summary (MCS) of HRQoL (B=0.957, 95% CI [0.655∼1.259]). Mediation model results indicated a significant direct effect of family support on MCS (B=0.474, 95% CI [0.174∼0.774], <em>P</em> = 0.002), accounting for 49.53% of the total effect. Family support affected MCS through three important mediation pathways. Resilience accounted for 39.71% (B=0.380, 95% CI [0.251∼0.538]) of the total effect, cognition for 7.94% (B=0.076, 95% CI [0.017∼0.161]), and the series mediation of resilience and cognition for 2.82% (B=0.027, 95% CI [0.006∼0.057]).</div></div><div><h3>Conclusions</h3><div>Enhancing family support for older adults may improve their MCS of HRQoL, with resilience and cognition mediating. However, older adults' family support and PCS of HRQoL were not significantly associated, and resilience and cognition suppressed their association.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103882"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038049","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 : 2026-01-22DOI: 10.1016/j.gerinurse.2026.103908
Joaquín Salazar-Méndez MSc , Rodrigo Núñez-Cortés PhD , Lars Louis Andersen PhD , Rubén López-Bueno PhD , Luis Suso-Martí PhD , Carlos Cruz-Montecinos PhD , Laura López-Bueno PhD , Joaquín Calatayud PhD
Introduction
Previous single-center studies highlighted the association between physical activity and depression in people with osteoarthritis (OA). However, large-scale multinational studies are needed to provide robust evidence. The aim was to determine the association of physical activity with depression and suicidal thoughts in a multinational sample of people with OA with moderate and severe pain.
Methods
We conducted a cross-sectional analysis based on the 9th wave of SHARE, a representative survey in 27 European countries and Israel. Self-reported physical activity (frequency and intensity) was the independent variable. Depression (≥4 points) and suicidal thoughts (yes/no) from the 12-item EURO-D scale were the outcomes. We conducted multivariable logistic regression, controlling for age, sex, geographic region, education, smoking, alcohol consumption, fruit and vegetable consumption, number of comorbidities, body mass index, and verbal fluency.
Results
A total of 7785 participants were included (mean age 72.0 ± 9.5 years). Respondents who engaged in moderate physical activity more than once a week were less likely to be depressed (OR=0.51; 95%CI = 0.45–0.59) and less likely to have suicidal thoughts (OR=0.56; 95%CI = 0.47–0.68) compared to those who hardly ever or never engaged in physical activity. Similarly, responders who engaged in vigorous physical activity were less likely to be depressed (OR=0.69; 95%CI=0.61–0.79) and less likely to have suicidal thoughts (OR=0.67; 95%CI=0.54–0.83).
Conclusions
This study shows that engaging in moderate to vigorous physical activity more than once a week may help reduce high rates of depression and suicidal thoughts in people with osteoarthritis with moderate to severe pain.
{"title":"Association of physical activity with depression and suicidal ideation in people with osteoarthritis experiencing moderate to severe pain: A multinational study","authors":"Joaquín Salazar-Méndez MSc , Rodrigo Núñez-Cortés PhD , Lars Louis Andersen PhD , Rubén López-Bueno PhD , Luis Suso-Martí PhD , Carlos Cruz-Montecinos PhD , Laura López-Bueno PhD , Joaquín Calatayud PhD","doi":"10.1016/j.gerinurse.2026.103908","DOIUrl":"10.1016/j.gerinurse.2026.103908","url":null,"abstract":"<div><h3>Introduction</h3><div>Previous single-center studies highlighted the association between physical activity and depression in people with osteoarthritis (OA). However, large-scale multinational studies are needed to provide robust evidence. The aim was to determine the association of physical activity with depression and suicidal thoughts in a multinational sample of people with OA with moderate and severe pain.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional analysis based on the 9th wave of SHARE, a representative survey in 27 European countries and Israel. Self-reported physical activity (frequency and intensity) was the independent variable. Depression (≥4 points) and suicidal thoughts (yes/no) from the 12-item EURO-D scale were the outcomes. We conducted multivariable logistic regression, controlling for age, sex, geographic region, education, smoking, alcohol consumption, fruit and vegetable consumption, number of comorbidities, body mass index, and verbal fluency.</div></div><div><h3>Results</h3><div>A total of 7785 participants were included (mean age 72.0 ± 9.5 years). Respondents who engaged in moderate physical activity more than once a week were less likely to be depressed (OR=0.51; 95%CI = 0.45–0.59) and less likely to have suicidal thoughts (OR=0.56; 95%CI = 0.47–0.68) compared to those who hardly ever or never engaged in physical activity. Similarly, responders who engaged in vigorous physical activity were less likely to be depressed (OR=0.69; 95%CI=0.61–0.79) and less likely to have suicidal thoughts (OR=0.67; 95%CI=0.54–0.83).</div></div><div><h3>Conclusions</h3><div>This study shows that engaging in moderate to vigorous physical activity more than once a week may help reduce high rates of depression and suicidal thoughts in people with osteoarthritis with moderate to severe pain.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103908"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024954","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 : 2026-01-22DOI: 10.1016/j.gerinurse.2026.103869
Miranda V. McPhillips PhD, RN , Erin Donnelly BSN, RN , Fanghong Dong PhD, MA , Darina V. Petrovsky PhD, RN , Justine S. Sefcik PhD, RN , Glenna S. Brewster PhD, RN, FNP-BC , Junxin Li PhD, RN , Nalaka S. Gooneratne MD, MSc , Nancy A. Hodgson PhD, RN, FAAN, FGSA
Sleep disturbances in persons living with cognitive impairment (PLWCI) may impose a great burden on caregivers. We examined the association between sleep (objective sleep quality and quantity; subjective sleep impairment, quality, and daytime sleepiness) in PLWCI and caregiver depression, mastery, and burden via secondary analysis of Healthy Patterns baseline data (n = 209). Objective sleep variables included total sleep time and sleep efficiency derived from PLWCI using 3 nights of actigraphy. Subjective sleep measures included PROMIS Sleep Related Impairment, Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale, filled out by the caregiver describing the PLWCI sleep. Caregiver measures included Center for Epidemiological Studies Depression Scale, Caregiver Mastery Scale and Zarit Burden Interview. PLWCI were primarily female (66.5%) and Black (64%), with a mean age of 73.6 ± 8.6. Caregivers were mainly female (81%) and family caregivers (67%), with a mean age of 56.6 ± 14.7. After controlling for PLWCI cognition, age, and gender, poorer PLWCI sleep quality was significantly associated with more caregiver depression (β = 0.387, p = 0.029); worse PLWCI sleep impairment was associated with worse mastery (β = 0.104, p = 0.004). Poor PLWCI sleep quality was associated with lower caregiver mastery; the effect was larger for females than males. PLWCI being less sleepy during the day (β = 0.104, p = 0.055) and having worse sleep impairment (β =-0.163, p = 0.039) were both associated with more caregiver burden. There is a critical need to address the effects of PLWCI sleep disruption on caregivers in dementia care services.
认知障碍患者的睡眠障碍可能给护理人员带来巨大负担。我们通过对健康模式基线数据（n = 209）的二次分析，研究了PLWCI患者的睡眠（客观睡眠质量和数量；主观睡眠障碍、质量和白天嗜睡）与照顾者抑郁、掌握和负担之间的关系。目的睡眠变量包括总睡眠时间和睡眠效率，由PLWCI使用3晚活动记录仪得出。主观睡眠测量包括PROMIS睡眠相关障碍、匹兹堡睡眠质量指数和Epworth嗜睡量表，由护理人员填写，描述PLWCI睡眠。照顾者测量包括流行病学研究中心抑郁量表、照顾者掌握量表和Zarit负担访谈。PLWCI患者以女性（66.5%）和黑人（64%）为主，平均年龄73.6±8.6岁。照顾者以女性（81%）和家庭照顾者（67%）为主，平均年龄56.6±14.7岁。在控制PLWCI认知、年龄和性别后，PLWCI睡眠质量较差与照顾者抑郁程度显著相关（β = 0.387, p = 0.029）；PLWCI睡眠障碍越严重，掌握程度越差（β = 0.104, p = 0.004）。PLWCI睡眠质量差与较低的照顾者掌握程度有关；对女性的影响比男性更大。PLWCI白天较少困倦（β = 0.104, p = 0.055）和睡眠障碍更严重（β =-0.163, p = 0.039）均与更多的照顾者负担相关。迫切需要解决PLWCI睡眠中断对痴呆症护理服务中的护理人员的影响。
{"title":"Caregiver outcomes related to sleep disturbances in persons living with cognitive impairment","authors":"Miranda V. McPhillips PhD, RN , Erin Donnelly BSN, RN , Fanghong Dong PhD, MA , Darina V. Petrovsky PhD, RN , Justine S. Sefcik PhD, RN , Glenna S. Brewster PhD, RN, FNP-BC , Junxin Li PhD, RN , Nalaka S. Gooneratne MD, MSc , Nancy A. Hodgson PhD, RN, FAAN, FGSA","doi":"10.1016/j.gerinurse.2026.103869","DOIUrl":"10.1016/j.gerinurse.2026.103869","url":null,"abstract":"<div><div>Sleep disturbances in persons living with cognitive impairment (PLWCI) may impose a great burden on caregivers. We examined the association between sleep (objective sleep quality and quantity; subjective sleep impairment, quality, and daytime sleepiness) in PLWCI and caregiver depression, mastery, and burden via secondary analysis of Healthy Patterns baseline data (<em>n</em> = 209). Objective sleep variables included total sleep time and sleep efficiency derived from PLWCI using 3 nights of actigraphy. Subjective sleep measures included PROMIS Sleep Related Impairment, Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale, filled out by the caregiver describing the PLWCI sleep. Caregiver measures included Center for Epidemiological Studies Depression Scale, Caregiver Mastery Scale and Zarit Burden Interview. PLWCI were primarily female (66.5%) and Black (64%), with a mean age of 73.6 ± 8.6. Caregivers were mainly female (81%) and family caregivers (67%), with a mean age of 56.6 ± 14.7. After controlling for PLWCI cognition, age, and gender, poorer PLWCI sleep quality was significantly associated with more caregiver depression (<em>β</em> = 0.387, <em>p</em> = 0.029); worse PLWCI sleep impairment was associated with worse mastery (<em>β</em> = 0.104, <em>p</em> = 0.004). Poor PLWCI sleep quality was associated with lower caregiver mastery; the effect was larger for females than males. PLWCI being less sleepy during the day (<em>β</em> = 0.104, <em>p</em> = 0.055) and having worse sleep impairment <em>(β</em> =-0.163, <em>p</em> = 0.039) were both associated with more caregiver burden. There is a critical need to address the effects of PLWCI sleep disruption on caregivers in dementia care services.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103869"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038009","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 : 2026-01-22DOI: 10.1016/j.gerinurse.2026.103903
Yongchuan Li PhD , Lun Sun MS , Bowen Zhang MS , Cuiping Jiang PhD , Salwa Hanim Abdul-Rashid PhD , Yao Wu MS
Smart appliances technologies promise enhanced independence for older users, yet adoption rates remain paradoxically low. This study investigates how functional experience—users’ cumulative perceptions from interacting with product features—shapes technology acceptance among older populations. We developed an extended Technology Acceptance Model incorporating functional experience as a multidimensional construct and tested it through structural equation modeling with 206 older smart refrigerator users (aged 65–84). Results reveal that functional experience demonstrates differential impacts across acceptance dimensions, with perceived safety showing the strongest relationship (β = 0.501, p < 0.001), followed by perceived enjoyment (β = 0.384, p < 0.001), perceived usefulness (β = 0.331, p < 0.001), and perceived ease of use (β = 0.309, p < 0.001). Unexpectedly, functional experience showed no significant relationship with perceived universality (β = 0.161, p = 0.07). Mediation analysis revealed that safety and usefulness perceptions serve as primary cognitive channels linking functional experience to behavioral intention. Multi-group analyses indicated substantial heterogeneity within the older population, with experience level emerging as the strongest moderator of acceptance relationships. These findings challenge conventional technology acceptance assumptions by establishing a hierarchy where safety and enjoyment considerations supersede traditional usefulness and ease-of-use metrics. We propose a two-tier design framework prioritizing safety-centric features and enjoyment enhancement. The research advances theory by conceptualizing functional experience as a higher-order construct and provides evidence-based guidelines for age-appropriate smart appliances design. For geriatric nursing practice, these findings provide an evidence-based framework for technology assessment and recommendation, supporting medication management, nutritional monitoring, and care coordination while respecting older adults’ autonomy and safety priorities.
智能家电技术有望提高老年用户的独立性，但采用率仍然很低。这项研究调查了功能体验——用户通过与产品特性互动而累积的感知——如何影响老年人对技术的接受程度。我们开发了一个扩展的技术接受模型，将功能体验作为一个多维结构，并通过结构方程建模对206名老年智能冰箱用户（65-84岁）进行了测试。结果显示，功能体验在不同的接受维度上表现出不同的影响，其中感知安全性表现出最强的关系（β = 0.501, p < 0.001），其次是感知享受（β = 0.384, p < 0.001），感知有用性（β = 0.331, p < 0.001）和感知易用性（β = 0.309, p < 0.001）。出乎意料的是，功能体验与感知普遍性没有显著关系（β = 0.161, p = 0.07）。中介分析表明，安全性和有用性知觉是连接功能体验与行为意向的主要认知渠道。多组分析表明，在老年人群中存在实质性的异质性，经验水平成为接受关系的最强调节因子。这些发现挑战了传统的技术接受假设，建立了一个层次结构，其中安全性和享受性的考虑取代了传统的有用性和易用性指标。我们提出了一个两层设计框架，优先考虑以安全为中心的功能和享受增强。该研究通过将功能体验概念化为高阶结构来推进理论，并为适合年龄的智能家电设计提供循证指导。对于老年护理实践，这些发现为技术评估和推荐提供了一个基于证据的框架，支持药物管理、营养监测和护理协调，同时尊重老年人的自主权和安全优先事项。
{"title":"Functional experience and safety perceptions in smart refrigerator adoption among older adults: A technology acceptance model for supporting independent living","authors":"Yongchuan Li PhD , Lun Sun MS , Bowen Zhang MS , Cuiping Jiang PhD , Salwa Hanim Abdul-Rashid PhD , Yao Wu MS","doi":"10.1016/j.gerinurse.2026.103903","DOIUrl":"10.1016/j.gerinurse.2026.103903","url":null,"abstract":"<div><div>Smart appliances technologies promise enhanced independence for older users, yet adoption rates remain paradoxically low. This study investigates how functional experience—users’ cumulative perceptions from interacting with product features—shapes technology acceptance among older populations. We developed an extended Technology Acceptance Model incorporating functional experience as a multidimensional construct and tested it through structural equation modeling with 206 older smart refrigerator users (aged 65–84). Results reveal that functional experience demonstrates differential impacts across acceptance dimensions, with perceived safety showing the strongest relationship (β = 0.501, <em>p</em> < 0.001), followed by perceived enjoyment (β = 0.384, <em>p</em> < 0.001), perceived usefulness (β = 0.331, <em>p</em> < 0.001), and perceived ease of use (β = 0.309, <em>p</em> < 0.001). Unexpectedly, functional experience showed no significant relationship with perceived universality (β = 0.161, <em>p</em> = 0.07). Mediation analysis revealed that safety and usefulness perceptions serve as primary cognitive channels linking functional experience to behavioral intention. Multi-group analyses indicated substantial heterogeneity within the older population, with experience level emerging as the strongest moderator of acceptance relationships. These findings challenge conventional technology acceptance assumptions by establishing a hierarchy where safety and enjoyment considerations supersede traditional usefulness and ease-of-use metrics. We propose a two-tier design framework prioritizing safety-centric features and enjoyment enhancement. The research advances theory by conceptualizing functional experience as a higher-order construct and provides evidence-based guidelines for age-appropriate smart appliances design. For geriatric nursing practice, these findings provide an evidence-based framework for technology assessment and recommendation, supporting medication management, nutritional monitoring, and care coordination while respecting older adults’ autonomy and safety priorities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103903"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038047","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}
This study aimed to characterize behavioral and psychological symptoms of dementia (BPSD) based on latent trait scores using item response theory and to provide insights into dementia care. We performed a questionnaire-based assessment for residents with dementia in long-term care facilities. A two-parameter logistic model was applied for 12 BPSD symptoms. Agitation/aggression and irritability/lability appeared even in people with lower latent trait scores of BPSD (i.e., lower predisposition to BPSD). A generalized linear regression model with stabilized inverse probability of treatment weights showed that the latent trait scores were associated with impairment levels of cognitive function. Those with greater impairment in cognitive function were more likely to have higher latent trait scores, indicating that they were more likely to exhibit BPSD. The characteristics of BPSD represented by the latent traits would help forecast BPSD risk timing to facilitate appropriate management of BPSD.
{"title":"Dementia care insights: An item response theory approach to behavioral and psychological symptoms of dementia in long-term care","authors":"Asuna Arai PhD , Takashi Ozaki MD , Khaltar Amartuvshin MD, PhD , Yuriko Katsumata PhD","doi":"10.1016/j.gerinurse.2026.103837","DOIUrl":"10.1016/j.gerinurse.2026.103837","url":null,"abstract":"<div><div>This study aimed to characterize behavioral and psychological symptoms of dementia (BPSD) based on latent trait scores using item response theory and to provide insights into dementia care. We performed a questionnaire-based assessment for residents with dementia in long-term care facilities. A two-parameter logistic model was applied for 12 BPSD symptoms. Agitation/aggression and irritability/lability appeared even in people with lower latent trait scores of BPSD (i.e., lower predisposition to BPSD). A generalized linear regression model with stabilized inverse probability of treatment weights showed that the latent trait scores were associated with impairment levels of cognitive function. Those with greater impairment in cognitive function were more likely to have higher latent trait scores, indicating that they were more likely to exhibit BPSD. The characteristics of BPSD represented by the latent traits would help forecast BPSD risk timing to facilitate appropriate management of BPSD.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103837"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031650","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 : 2026-01-22DOI: 10.1016/j.gerinurse.2026.103838
Hanyu Ma BSc, Weiming Gao BSc, Jian Tang
Objective
To develop a standardized quality evaluation index system for home-based care for disabled older adults within the context of “Internet + Nursing Services” in China.
Methods
Based on the three-dimensional quality model, a preliminary indicator framework was developed through policy review and literature analysis. Two rounds of Delphi surveys with 15 experts were conducted to refine the indicators, and the Analytic Hierarchy Process (AHP) was applied to determine weights.
Results
The effective response rate for both survey rounds was 100%. The expert authority coefficients were 0.87 and 0.89, and Kendall’s W coordination coefficient increased from 0.169 to 0.191 (P < 0.01), indicating strong consensus. The final system comprises 3 first-level, 12 s-level, and 46 third-level indicators.
Conclusion
The established index system provides a scientifically grounded and quantifiable tool for evaluating the quality of “Internet + Nursing Services,” supporting its standardized and sustainable development in China.
{"title":"Construction of a home care quality evaluation index system for disabled elderly based on “internet + nursing services”","authors":"Hanyu Ma BSc, Weiming Gao BSc, Jian Tang","doi":"10.1016/j.gerinurse.2026.103838","DOIUrl":"10.1016/j.gerinurse.2026.103838","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a standardized quality evaluation index system for home-based care for disabled older adults within the context of “Internet + Nursing Services” in China.</div></div><div><h3>Methods</h3><div>Based on the three-dimensional quality model, a preliminary indicator framework was developed through policy review and literature analysis. Two rounds of Delphi surveys with 15 experts were conducted to refine the indicators, and the Analytic Hierarchy Process (AHP) was applied to determine weights.</div></div><div><h3>Results</h3><div>The effective response rate for both survey rounds was 100%. The expert authority coefficients were 0.87 and 0.89, and Kendall’s W coordination coefficient increased from 0.169 to 0.191 (<em>P</em> < 0.01), indicating strong consensus. The final system comprises 3 first-level, 12 s-level, and 46 third-level indicators.</div></div><div><h3>Conclusion</h3><div>The established index system provides a scientifically grounded and quantifiable tool for evaluating the quality of “Internet + Nursing Services,” supporting its standardized and sustainable development in China.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103838"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025020","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 : 2026-01-22DOI: 10.1016/j.gerinurse.2026.103905
Hui-Chen (Rita) Chang PhD, RN , Hansen (Cindy) Tang RN , Yu (Carrie) Cheng MN , Lei (Tina) Sun BN , Ivy Wong BN , Wenpeng You PhD, RN
Aims
This study assessed the effectiveness of a structured training program in improving nursing staff’s knowledge, skills, and attitudes toward assisting older people with dementia during mealtimes.
Design
A mixed-methods design integrating quantitative and qualitative approaches was used.
Methods
Conducted in a Sydney residential aged care facility, 24 nursing staff participated in face-to-face training involving education booklets, role-playing, and case studies. Pre/post-training assessments included questionnaires, Objective Structured Clinical Examination (OSCE), and semi-structured interviews.
Results
Knowledge scores significantly improved post-training (pre-M = 13.83, post-M = 16.54, p < .01). Although attitude changes were not statistically significant (p > .05), participants reported a marked reduction in perceived difficulty when assisting residents (pre-M = 5.85, post-M = 3.75, p < .01). Frequency of using assistance skills slightly decreased (pre-M = 2.75, post-M = 2.25, p < .05), indicating that assisting with eating became smoother or less challenging. Thematic analysis identified four areas of improvement: environmental adjustments, emotional support, early health issue detection, and personalized strategies.
Conclusion
Structured training effectively enhances staff knowledge and skills in dementia mealtime care. Ongoing support may be needed to sustain skill application. Emphasis on environment, emotion, and collaboration is key to improving care quality.
{"title":"Impact of multimodal training on nursing staff’s competencies in dementia mealtime support: A mixed-methods pilot study","authors":"Hui-Chen (Rita) Chang PhD, RN , Hansen (Cindy) Tang RN , Yu (Carrie) Cheng MN , Lei (Tina) Sun BN , Ivy Wong BN , Wenpeng You PhD, RN","doi":"10.1016/j.gerinurse.2026.103905","DOIUrl":"10.1016/j.gerinurse.2026.103905","url":null,"abstract":"<div><h3>Aims</h3><div>This study assessed the effectiveness of a structured training program in improving nursing staff’s knowledge, skills, and attitudes toward assisting older people with dementia during mealtimes.</div></div><div><h3>Design</h3><div>A mixed-methods design integrating quantitative and qualitative approaches was used.</div></div><div><h3>Methods</h3><div>Conducted in a Sydney residential aged care facility, 24 nursing staff participated in face-to-face training involving education booklets, role-playing, and case studies. Pre/post-training assessments included questionnaires, Objective Structured Clinical Examination (OSCE), and semi-structured interviews.</div></div><div><h3>Results</h3><div>Knowledge scores significantly improved post-training (pre-<em>M</em> = 13.83, post-<em>M</em> = 16.54, <em>p</em> < .01). Although attitude changes were not statistically significant (<em>p</em> > .05), participants reported a marked reduction in perceived difficulty when assisting residents (pre-<em>M</em> = 5.85, post-<em>M</em> = 3.75, <em>p</em> < .01). Frequency of using assistance skills slightly decreased (pre-<em>M</em> = 2.75, post-<em>M</em> = 2.25, <em>p</em> < .05), indicating that assisting with eating became smoother or less challenging. Thematic analysis identified four areas of improvement: environmental adjustments, emotional support, early health issue detection, and personalized strategies.</div></div><div><h3>Conclusion</h3><div>Structured training effectively enhances staff knowledge and skills in dementia mealtime care. Ongoing support may be needed to sustain skill application. Emphasis on environment, emotion, and collaboration is key to improving care quality.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103905"},"PeriodicalIF":2.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025021","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.2026.103805
Gabriel Novaes Miranda MD , Alinne Alves Oliveira PhD , Paulo Sérgio Almeida MD , Júlia Quaresma PT , Filipe Lírio Malta MD , Mateus Argôlo PT , Rafael Pereira PhD
The intracranial arterial pulse wave could be recorded by measuring skull deformation behavior, called noninvasive intracranial compliance (NICC). Its measurement is particularly beneficial for older adults due to the aging-associated vascular stiffening. However, data are scarce regarding NICC in older adults and potential differences between older men and women. This observational and transversal study aimed to investigate NICC data from community-dwelling older adults, comparing NICC values by sex. One hundred and eighty-seven participants (111 women) underwent a 10-minute NICC recording. Measurements included time to peak and the P2/P1 ratio. Anthropometric data, medical history related to diabetes mellitus (DM) and hypertension, and medication usage were recorded. Between-sex comparisons were performed through a linear mixed model. Results indicated a high P2/P1 ratio (1.24 ± 0.25). Older women demonstrated a significantly higher P2/P1 ratio than older men. These findings highlight the relevance of ambulatory monitoring of aging-associated vascular stiffening, especially among older women.
{"title":"Intracranial compliance is influenced by sex in older adults","authors":"Gabriel Novaes Miranda MD , Alinne Alves Oliveira PhD , Paulo Sérgio Almeida MD , Júlia Quaresma PT , Filipe Lírio Malta MD , Mateus Argôlo PT , Rafael Pereira PhD","doi":"10.1016/j.gerinurse.2026.103805","DOIUrl":"10.1016/j.gerinurse.2026.103805","url":null,"abstract":"<div><div>The intracranial arterial pulse wave could be recorded by measuring skull deformation behavior, called noninvasive intracranial compliance (NICC). Its measurement is particularly beneficial for older adults due to the aging-associated vascular stiffening. However, data are scarce regarding NICC in older adults and potential differences between older men and women. This observational and transversal study aimed to investigate NICC data from community-dwelling older adults, comparing NICC values by sex. One hundred and eighty-seven participants (111 women) underwent a 10-minute NICC recording. Measurements included time to peak and the P2/P1 ratio. Anthropometric data, medical history related to diabetes mellitus (DM) and hypertension, and medication usage were recorded. Between-sex comparisons were performed through a linear mixed model. Results indicated a high P2/P1 ratio (1.24 ± 0.25). Older women demonstrated a significantly higher P2/P1 ratio than older men. These findings highlight the relevance of ambulatory monitoring of aging-associated vascular stiffening, especially among older women.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103805"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031702","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}
Individuality is an ethical value and a focus in achieving quality outcomes for both older people and professionals through person-centred care. This integrative review aimed to identify and synthesise previous research on individuality in delivering older people’s home care and services. We conducted systematic searches in CINAHL, PubMed, SocIndex, and Web of Science databases on empirical studies published in English (1/2012 – 2/2024). Out of 1596 records, 23 studies were included in the review. Based on this review, individuality is a prerequisite for older people to pursue a meaningful life and receive tailored care at home. It relies on older people expressing individuality, voicing self-determination in their care, and the structures of home care and services prioritising individuality. Further research is needed into how individuality can be supported and delivered in home care and services, and how delivery can be evaluated and developed to respect the individuality of older people.
个性是一种道德价值，是通过以人为本的护理为老年人和专业人士实现高质量结果的重点。本综合综述旨在识别和综合以往关于提供老年人家庭护理和服务中的个性的研究。我们系统检索了CINAHL、PubMed、SocIndex和Web of Science数据库中发表的英文实证研究（2012年1月- 2024年2月）。在1596项记录中，有23项研究纳入了综述。基于这一综述，个性是老年人追求有意义的生活和接受量身定制的家庭护理的先决条件。它依赖于老年人表达个性，在他们的护理中表达自决，以及优先考虑个性的家庭护理和服务结构。需要进一步研究如何在家庭护理和服务中支持和提供个性，以及如何评估和发展服务以尊重老年人的个性。
{"title":"Individuality in delivering older people’s home care and services: An integrative review","authors":"Jonna Puustinen MHSc , Riitta Turjamaa PhD , Mari Kangasniemi PhD","doi":"10.1016/j.gerinurse.2026.103833","DOIUrl":"10.1016/j.gerinurse.2026.103833","url":null,"abstract":"<div><div>Individuality is an ethical value and a focus in achieving quality outcomes for both older people and professionals through person-centred care. This integrative review aimed to identify and synthesise previous research on individuality in delivering older people’s home care and services. We conducted systematic searches in CINAHL, PubMed, SocIndex, and Web of Science databases on empirical studies published in English (1/2012 – 2/2024). Out of 1596 records, 23 studies were included in the review. Based on this review, individuality is a prerequisite for older people to pursue a meaningful life and receive tailored care at home. It relies on older people expressing individuality, voicing self-determination in their care, and the structures of home care and services prioritising individuality. Further research is needed into how individuality can be supported and delivered in home care and services, and how delivery can be evaluated and developed to respect the individuality of older people.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103833"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031764","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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