Pub Date : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103696
João Marcos Bernardes PhD , Laura Araújo MSc , Rodrigo Chavari de Arruda MSc , Adriano Paulo Aparecido Pereira de Oliveira MSc , Melissa Spröesser Alonso MSc , Carlos Ruiz-Frutos PhD , Juan Carlos Camacho-Vega PhD , Luis El Khoury-Moreno PhD , Julio Torrejón-Martínez PhD , Juan Gómez-Salgado PhD , Adriano Dias PhD
Caregivers are essential for providing daily care to individuals with functional disabilities, but caregiving can negatively impact physical and mental health. This study assessed the health-related quality of life and work ability of 97 paid caregivers and 91 family caregivers, identifying factors associated with these outcomes. Mann-Whitney U and chi-square tests were used to analyze differences between groups, along with logistic regression models to explore the relationship between caregiver burden, social support, and the outcomes. Results showed family caregivers experienced higher burden, lower social support, worse quality of life, and reduced work ability compared to paid caregivers. Longer caregiving hours were linked to poorer outcomes, while good physical fitness was a protective factor. Moderate to severe caregiver burden strongly correlated with poor outcomes, while social support had a protective effect. The findings highlight the importance of interventions to reduce caregiver burden, enhance social support, and promote physical fitness for caregivers.
{"title":"Health-related quality of life and work ability among paid and family caregivers: A cross-sectional study in an industrially developing country","authors":"João Marcos Bernardes PhD , Laura Araújo MSc , Rodrigo Chavari de Arruda MSc , Adriano Paulo Aparecido Pereira de Oliveira MSc , Melissa Spröesser Alonso MSc , Carlos Ruiz-Frutos PhD , Juan Carlos Camacho-Vega PhD , Luis El Khoury-Moreno PhD , Julio Torrejón-Martínez PhD , Juan Gómez-Salgado PhD , Adriano Dias PhD","doi":"10.1016/j.gerinurse.2025.103696","DOIUrl":"10.1016/j.gerinurse.2025.103696","url":null,"abstract":"<div><div>Caregivers are essential for providing daily care to individuals with functional disabilities, but caregiving can negatively impact physical and mental health. This study assessed the health-related quality of life and work ability of 97 paid caregivers and 91 family caregivers, identifying factors associated with these outcomes. Mann-Whitney U and chi-square tests were used to analyze differences between groups, along with logistic regression models to explore the relationship between caregiver burden, social support, and the outcomes. Results showed family caregivers experienced higher burden, lower social support, worse quality of life, and reduced work ability compared to paid caregivers. Longer caregiving hours were linked to poorer outcomes, while good physical fitness was a protective factor. Moderate to severe caregiver burden strongly correlated with poor outcomes, while social support had a protective effect. The findings highlight the importance of interventions to reduce caregiver burden, enhance social support, and promote physical fitness for caregivers.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103696"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424351","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103662
Fernanda L.F. Dal Pizzol RN, MN , Wendy Duggleby PhD , Pamela Baxter RN, BA, BScN, MScN, PhD , Shelley Peacock RN, PhD , Genevieve Thompson RN, PhD, CHPCN(C) , Jennifer Swindle PhD , Hannah M. O’Rourke RN, PhD
Background
Psychoeducational interventions to enhance self-efficacy in unpaid caregivers of older adults have inconsistent impacts. This paper addresses the underexplored role of gender as a moderating factor by comparing caregivers’ lived experiences with the Generalized Self-Efficacy (GSE) scale’s conceptualization of self-efficacy.
Methods
We conducted a secondary analysis of transcripts from eight focus groups with 45 unpaid caregivers in Canada. We applied both deductive (based on GSE categories) and inductive approaches to code focus group data, sorting it by gender.
Results
Findings revealed that GSE scale scores should be interpreted cautiously, as men and women perceive self-efficacy differently. Women valued external support and faced unique gender-specific challenges, while men preferred the independent strategies emphasized by the scale.
Conclusions
Our findings provide context for interpreting GSE scores for men and women caregivers. For women, a low self-efficacy score may not indicate a problem, and alternative outcomes may more accurately capture their experiences.
{"title":"Exploring self-efficacy as perceived by men and women unpaid caregivers of older adults: A secondary analysis of focus group data","authors":"Fernanda L.F. Dal Pizzol RN, MN , Wendy Duggleby PhD , Pamela Baxter RN, BA, BScN, MScN, PhD , Shelley Peacock RN, PhD , Genevieve Thompson RN, PhD, CHPCN(C) , Jennifer Swindle PhD , Hannah M. O’Rourke RN, PhD","doi":"10.1016/j.gerinurse.2025.103662","DOIUrl":"10.1016/j.gerinurse.2025.103662","url":null,"abstract":"<div><h3>Background</h3><div>Psychoeducational interventions to enhance self-efficacy in unpaid caregivers of older adults have inconsistent impacts. This paper addresses the underexplored role of gender as a moderating factor by comparing caregivers’ lived experiences with the Generalized Self-Efficacy (GSE) scale’s conceptualization of self-efficacy.</div></div><div><h3>Methods</h3><div>We conducted a secondary analysis of transcripts from eight focus groups with 45 unpaid caregivers in Canada. We applied both deductive (based on GSE categories) and inductive approaches to code focus group data, sorting it by gender.</div></div><div><h3>Results</h3><div>Findings revealed that GSE scale scores should be interpreted cautiously, as men and women perceive self-efficacy differently. Women valued external support and faced unique gender-specific challenges, while men preferred the independent strategies emphasized by the scale.</div></div><div><h3>Conclusions</h3><div>Our findings provide context for interpreting GSE scores for men and women caregivers. For women, a low self-efficacy score may not indicate a problem, and alternative outcomes may more accurately capture their experiences.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103662"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395504","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}
Unfinished nursing care (UNC) refers to those interventions that are required by patients but are delayed or omitted by nurses. No instruments to date have been developed to measure UNC among patients at risk or with delirium that may help in understanding the wide variations in the prevalence of delirium documented thus far.
Methods
The Unfinished Nursing Care Survey for Patients at Risk of and with Delirium (UNCSD) is an adaptation of the Unfinished Nursing Care Survey. It consists of Part A (35 unfinished interventions) and Part B (23 reasons for UNC). Validation took place in 2023–2024 in accordance with the COnsensus-based Standards for the selection of health Measurement INstruments guidelines; data were collected online from 296 nurses. Acceptability and psychometric properties, including construct validity, hypothesis testing and criterion validity, were assessed using Mokken analysis, exploratory factor analysis and analysis of variance.
Results
The UNCSD showed a high level of acceptance (Part A, 100 % and Part B, 93.7 %). Part A showed strong scalability (H = 0.58), which indicates the one-dimensional structure of the scale. Part B yielded four factors with 65.2 % explained variance and a Cronbach’s alpha (internal consistency) of 0.775. Registered nurses (RNs) with graduate degrees, with more experience, and those providing individualized care reported significantly lower scores on the UNCSD, suggesting that the instruments are capable of detecting differences between groups. The statistically significant differences between the UNCSD and the UNCS Part A indicate that the new instrument is better able to detect unfinished care in patients with delirium and at-risk patients.
Conclusions
The UNCSD is valid in terms of acceptability, construct validity, hypothesis testing and criterion validity.
背景：未完成护理（UNC）是指那些患者需要但被护士延误或遗漏的干预措施。迄今为止，还没有开发出仪器来测量处于危险或谵妄患者的UNC，这可能有助于理解迄今为止记录的谵妄患病率的广泛差异。方法：《谵妄危险及伴发患者未完成护理调查》（UNCSD）是对《未完成护理调查》的改编。它由A部分（35个未完成的干预措施）和B部分（23个UNC原因）组成。根据基于共识的卫生测量仪器选择标准指南，在2023-2024年进行了验证；在线收集了296名护士的数据。采用Mokken分析、探索性因子分析和方差分析评估可接受性和心理测量特性，包括构念效度、假设检验和标准效度。结果：UNCSD的接受程度较高（a部分100%，B部分93.7%）。A部分具有较强的可扩展性（H = 0.58），说明该量表为一维结构。B部分产生4个因子，解释方差为65.2%,Cronbach's alpha（内部一致性）为0.775。拥有研究生学位、经验丰富的注册护士（RNs）和提供个性化护理的护士在UNCSD上的得分明显较低，这表明该工具能够检测到群体之间的差异。UNCSD和UNCS Part A之间的统计显著差异表明，新仪器能够更好地检测谵妄患者和高危患者的未完成护理。结论：UNCSD在可接受性、结构效度、假设检验和标准效度方面是有效的。
{"title":"Detecting unfinished nursing care among at risk and patients with delirium: a development and validation study","authors":"Luisa Sist PhD, MNS, RN , Yari Longobucco PhD, MNS, RN , Rossella Messina PhD , Rossana Di Staso MSc , Stefania Chiappinotto PhD, MNS, RN , Paola Rucci PhD , Alvisa Palese PhD, MNS, RN","doi":"10.1016/j.gerinurse.2025.103699","DOIUrl":"10.1016/j.gerinurse.2025.103699","url":null,"abstract":"<div><h3>Background</h3><div>Unfinished nursing care (UNC) refers to those interventions that are required by patients but are delayed or omitted by nurses. No instruments to date have been developed to measure UNC among patients at risk or with delirium that may help in understanding the wide variations in the prevalence of delirium documented thus far.</div></div><div><h3>Methods</h3><div>The Unfinished Nursing Care Survey for Patients at Risk of and with Delirium (UNCSD) is an adaptation of the Unfinished Nursing Care Survey. It consists of Part A (35 unfinished interventions) and Part B (23 reasons for UNC). Validation took place in 2023–2024 in accordance with the COnsensus-based Standards for the selection of health Measurement INstruments guidelines; data were collected online from 296 nurses. Acceptability and psychometric properties, including construct validity, hypothesis testing and criterion validity, were assessed using Mokken analysis, exploratory factor analysis and analysis of variance.</div></div><div><h3>Results</h3><div>The UNCSD showed a high level of acceptance (Part A, 100 % and Part B, 93.7 %). Part A showed strong scalability (H = 0.58), which indicates the one-dimensional structure of the scale. Part B yielded four factors with 65.2 % explained variance and a Cronbach’s alpha (internal consistency) of 0.775. Registered nurses (RNs) with graduate degrees, with more experience, and those providing individualized care reported significantly lower scores on the UNCSD, suggesting that the instruments are capable of detecting differences between groups. The statistically significant differences between the UNCSD and the UNCS Part A indicate that the new instrument is better able to detect unfinished care in patients with delirium and at-risk patients.</div></div><div><h3>Conclusions</h3><div>The UNCSD is valid in terms of acceptability, construct validity, hypothesis testing and criterion validity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103699"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497484","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}
sarcopenia and sarcopenic obesity (SO) may be predominant risk factors for the development and progression of osteoarthritis (OA). This meta-analysis aims to estimate the global prevalence of sarcopenia and SO in patients with OA.
Methods
PubMed, Embase, CINAHL, and Web of Science were searched for observational studies. The meta-analysis applied random-effects models with R software to calculate the pooled prevalence of sarcopenia and SO in patients with OA. Subgroup analysis, sensitivity analysis, and meta-regression analysis were conducted. Publication bias was assessed by funnel plots and the Egger test. Trim and Fill analysis was used to see the effect of publication bias.
Results
27 studies were included. The pooled prevalence of sarcopenia and SO in patients with OA was 16.7 % and 14.0 %, respectively; subgroup analysis showed that the prevalence of sarcopenia was higher in hospitalized patients (19.2 %), in studies using diagnostic criteria of muscle‑mass‑alone (17.0 %), and among participants aged over 75 years (29.5 %). Subgroup analysis showed that the prevalence of SO was 14.2 % in community‐based studies and 16.4 % in studies using dual-energy X-ray absorptiometry to assess muscle mass. Sensitivity analysis showed that none of the studies affected the overall pooled results. Meta-regression analysis found that Europe and age ≤75 were sources of heterogeneity of the pooled prevalence of sarcopenia. Whereas publication year, sample size, study setting, assessment method for muscle mass, diagnostic criteria of obesity and sarcopenia were sources of heterogeneity of the SO.
Conclusions and implication
This meta-analysis indicated sarcopenia and SO affects more than one in ten OA globally. Attention is needed to screen sarcopenia/SO among patients with OA and optimize its early detection and management in clinical practice.
背景：肌少症和肌少性肥胖（SO）可能是骨关节炎（OA）发生和发展的主要危险因素。本荟萃分析旨在估计骨性关节炎患者中肌肉减少症和SO的全球患病率。方法检索spubmed、Embase、CINAHL和Web of Science中观察性研究。meta分析应用随机效应模型和R软件计算OA患者骨骼肌减少症和SO的合并患病率。进行亚组分析、敏感性分析和meta回归分析。采用漏斗图和Egger检验评估发表偏倚。采用Trim and Fill分析观察发表偏倚的影响。结果共纳入27项研究。骨性关节炎患者中肌肉减少症和SO的总患病率分别为16.7%和14.0%；亚组分析显示，住院患者（19.2%）、单独使用肌肉质量诊断标准的研究（17.0%）和年龄超过75岁的参与者（29.5%）中肌肉减少症的患病率较高。亚组分析显示，在基于社区的研究中，SO的患病率为14.2%，而在使用双能x线吸收仪评估肌肉质量的研究中，SO的患病率为16.4%。敏感性分析显示，没有一项研究影响总体汇总结果。荟萃回归分析发现，欧洲和年龄≤75岁是肌肉减少症合并患病率异质性的来源。而发表年份、样本量、研究设置、肌肉质量评估方法、肥胖和肌肉减少症的诊断标准是SO异质性的来源。结论和意义该荟萃分析表明，全球超过十分之一的OA患者患有肌肉减少症和SO。在OA患者中筛查骨骼肌减少症/SO，优化其早期发现和治疗，是临床实践中需要注意的问题。
{"title":"Prevalence of sarcopenia and sarcopenic obesity in patients with osteoarthritis: A systematic review and meta-analysis","authors":"Qi Xie , Yujie Su , Juanping Zhong , Jundan Huang , Hui Feng","doi":"10.1016/j.gerinurse.2025.103701","DOIUrl":"10.1016/j.gerinurse.2025.103701","url":null,"abstract":"<div><h3>Background</h3><div>sarcopenia and sarcopenic obesity (SO) may be predominant risk factors for the development and progression of osteoarthritis (OA). This meta-analysis aims to estimate the global prevalence of sarcopenia and SO in patients with OA.</div></div><div><h3>Methods</h3><div>PubMed, Embase, CINAHL, and Web of Science were searched for observational studies. The meta-analysis applied random-effects models with R software to calculate the pooled prevalence of sarcopenia and SO in patients with OA. Subgroup analysis, sensitivity analysis, and meta-regression analysis were conducted. Publication bias was assessed by funnel plots and the Egger test. Trim and Fill analysis was used to see the effect of publication bias.</div></div><div><h3>Results</h3><div>27 studies were included. The pooled prevalence of sarcopenia and SO in patients with OA was 16.7 % and 14.0 %, respectively; subgroup analysis showed that the prevalence of sarcopenia was higher in hospitalized patients (19.2 %), in studies using diagnostic criteria of muscle‑mass‑alone (17.0 %), and among participants aged over 75 years (29.5 %). Subgroup analysis showed that the prevalence of SO was 14.2 % in community‐based studies and 16.4 % in studies using dual-energy X-ray absorptiometry to assess muscle mass. Sensitivity analysis showed that none of the studies affected the overall pooled results. Meta-regression analysis found that Europe and age ≤75 were sources of heterogeneity of the pooled prevalence of sarcopenia. Whereas publication year, sample size, study setting, assessment method for muscle mass, diagnostic criteria of obesity and sarcopenia were sources of heterogeneity of the SO.</div></div><div><h3>Conclusions and implication</h3><div>This meta-analysis indicated sarcopenia and SO affects more than one in ten OA globally. Attention is needed to screen sarcopenia/SO among patients with OA and optimize its early detection and management in clinical practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103701"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465736","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103673
Stephanie Weston , Nancy Kusmaul , Nancy Miller , Zoë McLaren , H. Wayne Nelson
Background and Objectives
Qualitative research including frontline worker voices on nursing home quality is important but limited in the current available literature. This research aims to explore the perspectives of nursing home staff in relation to CMS quality initiatives and identify themes to better inform policymakers of the frontline worker experience.
Research Design and Methods
This qualitative study included 20 participants from four nursing homes in the Baltimore/Washington DC metropolitan area. Interviews were performed in person based on an open-ended questionnaire developed by the PI. Interviews were transcribed and audio recorded if consent was given. Themes were identified, extracted, and coded related to participant knowledge of CMS quality initiatives and their opinions on quality care.
Results
Findings suggest that participants have little knowledge of CMS quality initiatives, and their definitions of high-quality care do not align with metrics tracked by CMS.
Discussion and Implications
Policymakers must work to incorporate frontline worker views when defining and measuring quality care. Additionally, facility leaders may benefit from incorporating frontline worker input into quality improvement programming.
{"title":"Understanding the relationship between nursing home quality initiatives and caregiving behaviors","authors":"Stephanie Weston , Nancy Kusmaul , Nancy Miller , Zoë McLaren , H. Wayne Nelson","doi":"10.1016/j.gerinurse.2025.103673","DOIUrl":"10.1016/j.gerinurse.2025.103673","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Qualitative research including frontline worker voices on nursing home quality is important but limited in the current available literature. This research aims to explore the perspectives of nursing home staff in relation to CMS quality initiatives and identify themes to better inform policymakers of the frontline worker experience.</div></div><div><h3>Research Design and Methods</h3><div>This qualitative study included 20 participants from four nursing homes in the Baltimore/Washington DC metropolitan area. Interviews were performed in person based on an open-ended questionnaire developed by the PI. Interviews were transcribed and audio recorded if consent was given. Themes were identified, extracted, and coded related to participant knowledge of CMS quality initiatives and their opinions on quality care.</div></div><div><h3>Results</h3><div>Findings suggest that participants have little knowledge of CMS quality initiatives, and their definitions of high-quality care do not align with metrics tracked by CMS.</div></div><div><h3>Discussion and Implications</h3><div>Policymakers must work to incorporate frontline worker views when defining and measuring quality care. Additionally, facility leaders may benefit from incorporating frontline worker input into quality improvement programming.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103673"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395353","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103706
Hiroyuki Uchida OT , Tomoaki Shirakawa OT , Kazuki Ishii OT , Yudai Kato OT , Yuki Yamajo OT , Takumi Igusa PT , Masataka Sakimoto OT , Chihaya Machida OT , Tomohiro Shimada OT , Kenji Tsuchiya OT, PhD , Senichiro Kikuchi MD, PhD , Kazuki Hirao OT, PhD
The Functional Independence Measure (FIM) is a widely used scale for assessing activities of daily living (ADLs) among older individuals with hip fractures. However, to confirm the usefulness of the FIM in clinical practice and research for older individuals with hip fractures, the minimal important change (MIC) in the FIM should be clarified. Therefore, this study investigated the MIC in the FIM for this population. In this cohort study, data were collected from older adults with hip fractures who were admitted to convalescent rehabilitation wards in Japan between January 2020 and December 2022. The discharge destination was used as the anchor, and the MIC of the FIM was calculated using the anchor-based adjusted predictive modeling method (MICadj). This study included 199 patients. The estimated MICadj was 23.45 and 25.03 points for the motor and total FIM, respectively. These findings may help interpret the effects of interventions on improving ADLs among older adults with hip fractures.
{"title":"Estimates of minimal important change in the functional independence measure among older patients with hip fracture","authors":"Hiroyuki Uchida OT , Tomoaki Shirakawa OT , Kazuki Ishii OT , Yudai Kato OT , Yuki Yamajo OT , Takumi Igusa PT , Masataka Sakimoto OT , Chihaya Machida OT , Tomohiro Shimada OT , Kenji Tsuchiya OT, PhD , Senichiro Kikuchi MD, PhD , Kazuki Hirao OT, PhD","doi":"10.1016/j.gerinurse.2025.103706","DOIUrl":"10.1016/j.gerinurse.2025.103706","url":null,"abstract":"<div><div>The Functional Independence Measure (FIM) is a widely used scale for assessing activities of daily living (ADLs) among older individuals with hip fractures. However, to confirm the usefulness of the FIM in clinical practice and research for older individuals with hip fractures, the minimal important change (MIC) in the FIM should be clarified. Therefore, this study investigated the MIC in the FIM for this population. In this cohort study, data were collected from older adults with hip fractures who were admitted to convalescent rehabilitation wards in Japan between January 2020 and December 2022. The discharge destination was used as the anchor, and the MIC of the FIM was calculated using the anchor-based adjusted predictive modeling method (MIC<sub>adj</sub>). This study included 199 patients. The estimated MIC<sub>adj</sub> was 23.45 and 25.03 points for the motor and total FIM, respectively. These findings may help interpret the effects of interventions on improving ADLs among older adults with hip fractures.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103706"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483952","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}
As physiological and pathological changes make older patients with chronic heart failure prone to cognitive frailty, cognitive frailty affecting the clinical outcome of older patients with chronic heart failure.
Methods
This was a cross-sectional study. Convenience sampling was used to randomly select 622 patients hospitalized.The stepwise regression was used to select predictors, and the logistic regression analysis was conducted to construct the model. The model was internal and external validation.
Results
According to the logistic regression results, 5 predictive factors were screened out.The AUC values for the internal and external validation in the model were 0.867 and 0.848. Hosmer and Lemeshow test values for the internal validationand for the external validation were p > 0.05.
Conclusions
The nomogram prediction model established in this study can help clinical staff to screen high-risk for cognitive frailty in older patients with chronic heart failure, and provide reference for optimizing the management of cognitive frailty.
{"title":"Construction and validation of a risk prediction model for cognitive frailty in older patients with chronic heart failure","authors":"Siqian Li MNurs , Weiying Zhang PhD , Kongyan Zhang PhD , Rui Zhang BSN , Lili Zhang BSN","doi":"10.1016/j.gerinurse.2025.103676","DOIUrl":"10.1016/j.gerinurse.2025.103676","url":null,"abstract":"<div><h3>Background</h3><div>As physiological and pathological changes make older patients with chronic heart failure prone to cognitive frailty, cognitive frailty affecting the clinical outcome of older patients with chronic heart failure.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study. Convenience sampling was used to randomly select 622 patients hospitalized.The stepwise regression was used to select predictors, and the logistic regression analysis was conducted to construct the model. The model was internal and external validation.</div></div><div><h3>Results</h3><div>According to the logistic regression results, 5 predictive factors were screened out.The AUC values for the internal and external validation in the model were 0.867 and 0.848. Hosmer and Lemeshow test values for the internal validationand for the external validation were <em>p</em> > 0.05.</div></div><div><h3>Conclusions</h3><div>The nomogram prediction model established in this study can help clinical staff to screen high-risk for cognitive frailty in older patients with chronic heart failure, and provide reference for optimizing the management of cognitive frailty.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103676"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410880","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103693
Anitha Saravanan PhD, RN, APRN , Blythe Kitner Au.D./F-AAA, C-AAAb , Elizabeth A. Sterner MLIS, MSc , Yujun Liu PhD , Bolanle Olayeni BS , Masooma Shamsi , Rhea Johnson , Angela Starkweather PhD, ACNP-BC, FAANP, FAAN
Objectives: To evaluate the usability, acceptability, and preliminary effects of the Smart Tablet Education for Healthy Living (STEHL) program in enhancing digital skills among older adults residing in retirement homes. Methods: Thirty older adults aged 65–85 years (mean = 81.3, SD = 6.9) participated in a two-week, nurse-led digital skills intervention (STEHL) and completed pre- and post-workshop, usability and acceptability surveys. Outcomes included self-reported digital skills (pre-post workshop surveys) and program usability and acceptability (post-only questionnaire). Likert-scale items (1 = strongly disagree, 5 = strongly agree) assessed confidence and program perceptions. Results: All 30 participants completed the digital skills survey and demonstrated significant improvements across all items (all p < .001). For example, confidence in turning on the tablet increased from 3.18 to 4.11, and searching the internet improved from 2.71 to 3.40. A subset of 26 participants also completed the usability acceptability questionnaire. Among these, 92.3 % found the program meaningful, 88.5 % reported improved knowledge of using a tablet, and 100 % reported increased ability to learn. Most indicated they would still participate (96.2 %) and found the handbook easy to use (92.3 %). Lower agreement was observed for emotional demand (52 %) and challenge (68 %). Conclusions: The STEHL program was feasible, acceptable, and effective in improving digital skills among older adults. Findings highlight opportunities to refine content to reduce perceived challenges. The STEHL program was feasible, acceptable, and effective in improving digital skills among older adults. Findings highlight opportunities to refine content to reduce perceived challenges. While prior smart tablet use may have influenced outcomes, the small sample limited subgroup analyses, underscoring the need for larger controlled studies to confirm feasibility and effects.
{"title":"Smart tablet education for healthy living (STEHL) intervention improves digital skills: A usability and acceptability study","authors":"Anitha Saravanan PhD, RN, APRN , Blythe Kitner Au.D./F-AAA, C-AAAb , Elizabeth A. Sterner MLIS, MSc , Yujun Liu PhD , Bolanle Olayeni BS , Masooma Shamsi , Rhea Johnson , Angela Starkweather PhD, ACNP-BC, FAANP, FAAN","doi":"10.1016/j.gerinurse.2025.103693","DOIUrl":"10.1016/j.gerinurse.2025.103693","url":null,"abstract":"<div><div>Objectives: To evaluate the usability, acceptability, and preliminary effects of the Smart Tablet Education for Healthy Living (STEHL) program in enhancing digital skills among older adults residing in retirement homes. Methods: Thirty older adults aged 65–85 years (mean = 81.3, SD = 6.9) participated in a two-week, nurse-led digital skills intervention (STEHL) and completed pre- and post-workshop, usability and acceptability surveys. Outcomes included self-reported digital skills (pre-post workshop surveys) and program usability and acceptability (post-only questionnaire). Likert-scale items (1 = strongly disagree, 5 = strongly agree) assessed confidence and program perceptions. Results: All 30 participants completed the digital skills survey and demonstrated significant improvements across all items (all <em>p</em> < .001). For example, confidence in turning on the tablet increased from 3.18 to 4.11, and searching the internet improved from 2.71 to 3.40. A subset of 26 participants also completed the usability acceptability questionnaire. Among these, 92.3 % found the program meaningful, 88.5 % reported improved knowledge of using a tablet, and 100 % reported increased ability to learn. Most indicated they would still participate (96.2 %) and found the handbook easy to use (92.3 %). Lower agreement was observed for emotional demand (52 %) and challenge (68 %). Conclusions: The STEHL program was feasible, acceptable, and effective in improving digital skills among older adults. Findings highlight opportunities to refine content to reduce perceived challenges. The STEHL program was feasible, acceptable, and effective in improving digital skills among older adults. Findings highlight opportunities to refine content to reduce perceived challenges. While prior smart tablet use may have influenced outcomes, the small sample limited subgroup analyses, underscoring the need for larger controlled studies to confirm feasibility and effects.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103693"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472507","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103708
Amy Montgomery PhD, MN (Nurse Practitioner), MSc (Dementia Care), Grad Cert (Aged Care), BN , Judeil Krlan Teus MAdvN, BN , Oliva Paulik MEd (Adult Education), BN , Peter Smerdely PhD, MBioStats, MPH, MBBS , Cherie Barton BSc (Occupational Therapy) , Maria Rios Lopez Cert III & IV Assistant in Nursing , Heidi Hoi Ying Hui MPH, Grad CertCritCareNsg, PGCertHSc, BN , Carolyn Pieri MN, BN , Gemma McErlean PhD, MPH (Health Promotion), GradCertCaN, BN
Virtual reality (VR) therapy is a potential non-pharmacological approach to minimise distress for people with dementia who are hospitalised. The aim of this study was to investigate the feasibility and acceptability of the NeuronsVR headset for people with dementia who are hospitalised. A convenience sample of 30 people with dementia were recruited. Participants received a VR session of up to 10 minutes using a NeuronsVR headset. All consenting participants (n=30) completed the intervention. The mean Engagement of a Person with Dementia Scale (EPWDS) score was 40.0 (SD 7.3). The majority of participants reported that they ‘liked’ or ‘strongly liked’ NeuronsVR. The high completion rates and EPWDS scores demonstrate feasibility and acceptability of NeuronsVR for people living with dementia who are hospitalised. Further research is needed to determine the effect of VR therapy in minimising distress of people with dementia during their hospital admission.
{"title":"NeuronsVR: Virtual reality therapy for people living with dementia during an acute hospital admission – A feasibility study","authors":"Amy Montgomery PhD, MN (Nurse Practitioner), MSc (Dementia Care), Grad Cert (Aged Care), BN , Judeil Krlan Teus MAdvN, BN , Oliva Paulik MEd (Adult Education), BN , Peter Smerdely PhD, MBioStats, MPH, MBBS , Cherie Barton BSc (Occupational Therapy) , Maria Rios Lopez Cert III & IV Assistant in Nursing , Heidi Hoi Ying Hui MPH, Grad CertCritCareNsg, PGCertHSc, BN , Carolyn Pieri MN, BN , Gemma McErlean PhD, MPH (Health Promotion), GradCertCaN, BN","doi":"10.1016/j.gerinurse.2025.103708","DOIUrl":"10.1016/j.gerinurse.2025.103708","url":null,"abstract":"<div><div>Virtual reality (VR) therapy is a potential non-pharmacological approach to minimise distress for people with dementia who are hospitalised. The aim of this study was to investigate the feasibility and acceptability of the NeuronsVR headset for people with dementia who are hospitalised. A convenience sample of 30 people with dementia were recruited. Participants received a VR session of up to 10 minutes using a NeuronsVR headset. All consenting participants (n=30) completed the intervention. The mean Engagement of a Person with Dementia Scale (EPWDS) score was 40.0 (SD 7.3). The majority of participants reported that they ‘liked’ or ‘strongly liked’ NeuronsVR. The high completion rates and EPWDS scores demonstrate feasibility and acceptability of NeuronsVR for people living with dementia who are hospitalised. Further research is needed to determine the effect of VR therapy in minimising distress of people with dementia during their hospital admission.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103708"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508095","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 : 2025-11-01DOI: 10.1016/j.gerinurse.2025.103661
Delso Honório da Silva Junior , Hélcio Kanegusuku , Verônica de Fátima Souza Lima , Érica Tardelli Neves Guelfi , Fernanda Botta Tarallo Rogatto , Rafael Yokoyama Fecchio , Breno Quintella Farah , Raphael Mendes Ritti-Dias , Marilia Almeida Correia
This study analyzed the validity and reliability of the Two-Minute Step Test (2MST) in Parkinson`s disease (PD) people with different severities. Fifty people with PD were divided in two groups: the Hoehn and Yahr (H&Y) stages 1 and 2 and stages 3 and 4. The 2MST and the 6-minute walk test (6MWT) were performed twice (“on” state). There was a significant positive correlation between the 6MWT and the 2MST in people with PD in stages 1 and 2 and stages 3 and 4 (r = 0.741 and r = 0.519, respectively). No significant differences were observed between test and retest in people with PD in stages 1 and 2 (P > 0.05), whereas for people with PD in stages 3 and 4, the 2MST was higher in the second test (P < 0.05). In conclusion, the 2MST showed good reliability and validity indicators in people in stages 1 and 2.
{"title":"Validity, reliability and agreement of the two-minute step test in Parkinson`s disease","authors":"Delso Honório da Silva Junior , Hélcio Kanegusuku , Verônica de Fátima Souza Lima , Érica Tardelli Neves Guelfi , Fernanda Botta Tarallo Rogatto , Rafael Yokoyama Fecchio , Breno Quintella Farah , Raphael Mendes Ritti-Dias , Marilia Almeida Correia","doi":"10.1016/j.gerinurse.2025.103661","DOIUrl":"10.1016/j.gerinurse.2025.103661","url":null,"abstract":"<div><div>This study analyzed the validity and reliability of the Two-Minute Step Test (2MST) in Parkinson`s disease (PD) people with different severities. Fifty people with PD were divided in two groups: the Hoehn and Yahr (H&Y) stages 1 and 2 and stages 3 and 4. The 2MST and the 6-minute walk test (6MWT) were performed twice (“on” state). There was a significant positive correlation between the 6MWT and the 2MST in people with PD in stages 1 and 2 and stages 3 and 4 (<em>r</em> = 0.741 and <em>r</em> = 0.519, respectively). No significant differences were observed between test and retest in people with PD in stages 1 and 2 (<em>P</em> > 0.05), whereas for people with PD in stages 3 and 4, the 2MST was higher in the second test (<em>P</em> < 0.05). In conclusion, the 2MST showed good reliability and validity indicators in people in stages 1 and 2.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103661"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395380","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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