Geriatric Nursing (New York, N.Y.)[JOURNAL]
Sun
200 papers
Sharing the load: Can we minimize the need to self-advocate for hearing loss consideration?
Wallhagen MI, Smith AK
Geriatr Nurs · 2026 May · PMID 42167081 · Publisher ↗
PURPOSE: Both hearing loss and the experience of chronic illness become increasingly common across the lifespan. A major goal of palliative care and chronic illness management is to elicit care preferences, a process tha...
PURPOSE: Both hearing loss and the experience of chronic illness become increasingly common across the lifespan. A major goal of palliative care and chronic illness management is to elicit care preferences, a process that should start early in the chronic illness trajectory. Hearing loss can disrupt this process, yet few data are available on the experience of older adults with hearing loss and a chronic illness within the healthcare system. This pilot study was designed to begin to address this gap in our understanding. METHODS: Using a qualitative, Constructivist, Grounded Theory framework, interviews were accomplished with fifteen older adults with hearing loss and chronic illness and with their partners. RESULTS: A key overarching story that emerged from the data was A Necessary Routine: Hearing Loss Self-Advocacy. The driving forces promoting self-advocacy were never being asked but wanting to know while influencing contextual factors were the setting of a small office, concurrent concerns, and no accommodations. The negative impact of not having hearing loss considered included fear of missing information and misunderstandings. CONCLUSIONS/IMPLICATIONS: Findings are discussed in the context of the demands imposed by the need to constantly self-advocate and how these findings underpin an argument for modifications in how hearing loss is managed within the health care system-modifications that will minimize the need for individuals to constantly self-advocate to have their hearing loss taken into consideration.
Continuous glucose monitoring in older adults with diabetes across care settings: A systematic review.
Domínguez-Navarro A, Lee M, Chen Y … +3 more , Batten J, Mensah B, Nam S
Geriatr Nurs · 2026 May · PMID 42167080 · Publisher ↗
BACKGROUND: Continuous glucose monitoring (CGM) use is increasing among older adults with diabetes, yet evidence across different care settings remains fragmented. OBJECTIVES: To describe how CGM has been used among olde...
BACKGROUND: Continuous glucose monitoring (CGM) use is increasing among older adults with diabetes, yet evidence across different care settings remains fragmented. OBJECTIVES: To describe how CGM has been used among older adults with diabetes in community, hospital, and nursinghome settings and to synthesize reported clinical, glycemic, and user-reported outcomes. METHODS: Quantitative studies involving adults aged ≥65 years using CGM and reporting clinical or user-related outcomes were included, while non-English articles, pediatric studies, reviews, and studies without CGM-related outcomes were excluded. MEDLINE, CINAHL, Embase, Scopus, Web of Science, and the Cochrane Library were searched from inception to January 2025. Study quality was assessed using NIH tools for randomized and observational studies. Due to heterogeneity across study designs and outcomes, a narrative synthesis was conducted. RESULTS: Thirty-two studies met the inclusion criteria, including 10 randomized trials, 17 cohort studies, and 5 cross-sectional studies. CGM improved glycemic outcomes by reducing HbA1c, increasing time in range, lowering glycemic variability, and identifying previously unrecognized hypoglycemia. Observational studies reported 34-62.9% reductions in hyperglycemia-related hospitalizations and high persistence of CGM use. Feasibility and acceptability were generally positive, although frail and cognitively impaired adults, as well as institutional settings, were underrepresented. DISCUSSION: Heterogeneity in designs and outcomes precluded meta-analysis; most studies were short-term, conducted in community settings, and lacked standardized measures. CGM improves key glycemic indicators and supports safer diabetes care for many older adults. However, wider evidence across hospitals and nursing homes and among frailer populations is needed. Others: No external funding was received. The review was registered in PROSPERO: CRD420250656434.
A novel RSCA-YOLOv8s network for automatic diagnosis and graduation in pressure injury.
Hu C, Sheng H, Zhang D … +3 more , Zhu Z, Xu D, Ye M
Geriatr Nurs · 2026 May · PMID 42167079 · Publisher ↗
To enhance the accuracy and objectivity in PI diagnosis, this study proposes an improved PI recognition method based on YOLOv8s, which introduces a spatial and channel synergistic attention mechanism in the C2f module to...
To enhance the accuracy and objectivity in PI diagnosis, this study proposes an improved PI recognition method based on YOLOv8s, which introduces a spatial and channel synergistic attention mechanism in the C2f module to enhance the feature extraction capability and embeds a multi-scale fusion module to improve the model's ability to recognize PI varying scales. This study was conducted from January 2024 to December 2024, during which 366 PI images were collected by standardized trained nurses from two tertiary Grade A hospitals in Jiaxing. The dataset was divided into a training set and a validation set in an 8:2 ratio. The improved YOLOv8s, YOLOv5, TPH-YOLO, YOLOv7, YOLOv8s, and Swin Transformer models were employed for training. Model performance was evaluated using precision, recall, F1-score, mean average precision(mAP), and mean average precision(mAP. The results show that the improved YOLOv8s outperforms the algorithms of YOLOv5, TPH-YOLO, YOLOv7, and Swin transformer in the PI staging task, with an mean average precision (mAP of 92.0%, and precision(P) of 86.7%, which are significantly better than those of the other models; moreover, compared with the original YOLOv8s, the improved YOLOv8s algorithm precision increased by 6.5%, mAP and mAP increased by 14% and 14.9%, respectively, and the recognition accuracy in each stage of PI (stage 1-4) was 89.3%, 84.3%, 73.2% and 100%, respectively. These results indicate that the improved YOLOv8s in this study can effectively recognize PI with different stages and provide an objective and reliable auxiliary tool for clinical diagnosis.(ChiCTR:250,289).
Perceiving the invisible: The mediating role of health behaviour in the link between fall efficacy and sarcopenia risk perception among community-dwelling older adults.
Amin SM, Alkubati SA, Hra M … +4 more , Zoromba MA, Abdallah HMM, Ghoniem NGE, El-Gazar HE
Geriatr Nurs · 2026 May · PMID 42167078 · Publisher ↗
OBJECTIVE: This study investigated the mediating role of health behaviors in the relationship between fall efficacy and sarcopenia risk perception in community-dwelling older adults. METHODS: A cross-sectional descriptiv...
OBJECTIVE: This study investigated the mediating role of health behaviors in the relationship between fall efficacy and sarcopenia risk perception in community-dwelling older adults. METHODS: A cross-sectional descriptive study was conducted with a convenience sample of 251 community-dwelling older adults (≥60 years) at outpatient clinics in the Sharkia Governorate, Egypt. Data were collected using Arabic versions of the Falls Efficacy Scale-International (FES-I), Geriatrics Health Behavior Questionnaire (GHBQ), and Sarcopenia Disease Risk Perception Scale. Hayes' PROCESS macro (Model 4) was used to test mediation. RESULTS: Fall efficacy was significantly positively correlated with health behaviors and negatively correlated with sarcopenia risk perception. Health behavior was also negatively associated with the risk perception of sarcopenia. Mediation analysis revealed that health behavior partially mediated the relationship between fall efficacy and the risk perception of sarcopenia. CONCLUSION: Higher fall efficacy was associated with a lower perceived risk of sarcopenia among community-dwelling older adults. This relationship is partially explained by engagement in positive health behaviors. Strengthening older adults' confidence in preventing falls encourages them to adopt healthier lifestyles, which in turn reduces their perception of being at a risk for sarcopenia. IMPLICATION FOR NURSING AND GERIATRIC CARE: Interventions aimed at reducing sarcopenia risk should not only focus on physical training but also incorporate strategies to enhance fall efficacy and promote proactive health behaviors. Nurses play a vital role in designing holistic programs to empower older adults confidently and healthily.
Advance directives documentation prevalence and its association with patient characteristics and 30-month death among older adults treated in a geriatrics clinic.
Donofrio V, Bena JF, Sumser M … +2 more , Morrison SL, Albert NM
Geriatr Nurs · 2026 May · PMID 42167077 · Publisher ↗
A better understanding of completion of advance directives among ambulatory older adults treated in an ambulatory geriatric clinic is needed. A retrospective medical records review was completed to understand the prevale...
A better understanding of completion of advance directives among ambulatory older adults treated in an ambulatory geriatric clinic is needed. A retrospective medical records review was completed to understand the prevalence of advance directives documentation and the association of patient characteristics, medical conditions and post-visit death (up to 30 months) with advance directives documentation status. Among 1,674 adults, advance directives documentation was complete for 9.9%, partial for 19.4%; and not completed for 70.7%. Compared to no alternative records documentation, factors associated with partial or complete advance directives documentation were older age, White race, government insurance, higher comorbidity index score, and death within 3, 6, 12, 24 and 30 months after the office visit, all p values 0.028 to <0.001. Nurses should assertively assess documentation status to learn advance directive wishes regardless of frailty or end-of-life status.
Effectiveness of basic life support training with 4D for rural community-dwelling elderly in Taiwan: A pre-post study design.
Su CC, Tang HJ, Kuo YW
Geriatr Nurs · 2026 May · PMID 42167076 · Publisher ↗
AIMS: Older adults face increased risks of life-threatening emergencies, yet their capacity to learn BLS is often underestimated. This study aimed to evaluate the effectiveness of a rhythm-assisted 4D (Describe, Demo, Do...
AIMS: Older adults face increased risks of life-threatening emergencies, yet their capacity to learn BLS is often underestimated. This study aimed to evaluate the effectiveness of a rhythm-assisted 4D (Describe, Demo, Do, Debrief) BLS training in improving emergency response competencies among rural older adults. METHODS: A one-group pre-post quasi-experimental design was conducted with 218 older adults across 18 rural communities in Taiwan. A 60-minute BLS session was delivered using structured, age-friendly teaching and rhythmic beats. Pre- and post-training knowledge, attitudes, confidence, and skills were assessed. RESULTS: Significant gains were observed in all outcomes (p < 0.001). Age correlated negatively with post-training attitude, confidence, and skill performance, while prior BLS experience and marital status were positively linked to knowledge improvement. CONCLUSIONS: This innovative, low-cost BLS program effectively enhanced life-saving abilities in a vulnerable, underserved population. Structured, music-integrated training can empower older adults as first responders, addressing a critical gap in community emergency preparedness.
Development of a fall risk assessment tool for older adults requiring home care.
Kita R, Aoki T, Terao Y … +11 more , Koyama S, Kojima I, Tanaka S, Fujiwara K, Katsumata K, Sato K, Mimatsu S, Yamamoto Y, Abe T, Ohnuma T, Yamada M
Geriatr Nurs · 2026 May · PMID 42167075 · Publisher ↗
OBJECTIVES: We aimed to develop a multidimensional assessment tool for intrinsic and extrinsic factors related to falls in older adults requiring home care. METHODS: The Delphi method identified fall risk factors in olde...
OBJECTIVES: We aimed to develop a multidimensional assessment tool for intrinsic and extrinsic factors related to falls in older adults requiring home care. METHODS: The Delphi method identified fall risk factors in older adults requiring home care. Reliability was tested in 36 participants with intra- and inter-rater assessments. Validity was examined in 164 participants by assessing risk factors and falls over a year. RESULTS: A total of 22 fall risk factors were identified using the Delphi method, and 14 of these having kappa coefficients of ≥0.61 for both intra- and inter-rater reliability. Validation studies showed that the higher the total score of fall risk factors, the higher the incidence of falls, and this relationship was maintained in a confounding-adjusted model (hazard ratio: 1.27, 95% confidence interval: 1.11-1.43, P < 0.001). CONCLUSION: The fall risk assessment tool used in this study comprised multiple items and was associated with falls.
Evaluation of a mobile-phone-based voice-recognition digital cognitive screener in Chinese older adults: a cross-sectional study.
Zhang S, An R, Huang X … +4 more , Lan Y, Yang Y, Gao Y, Wan Q
Geriatr Nurs · 2026 May · PMID 42160943 · Publisher ↗
OBJECTIVES: To evaluate a voice recognition-based digital cognitive screener (DCS) for detecting cognitive impairment in community-dwelling older adults. METHODS: A total of 316 participants (189 with normal cognition, 1...
OBJECTIVES: To evaluate a voice recognition-based digital cognitive screener (DCS) for detecting cognitive impairment in community-dwelling older adults. METHODS: A total of 316 participants (189 with normal cognition, 117 with mild cognitive impairment, 10 with dementia) completed demographic surveys, the Montreal Cognitive Assessment (MoCA), the Mini-Mental State Examination (MMSE), and the DCS. Automated/manual scoring consistency and group comparisons were evaluated. Receiver operating characteristic (ROC) analysis was performed using SPSS to evaluate screening performance and determine optimal cut-off values. Executive function items from MoCA were integrated for optimization testing. RESULTS: Automated DCS scores correlated strongly with manual scores (r=0.604, p<0.001) but averaged 1.64 points lower. DCS scores were significantly lower in the cognitive impairment group compared to the normal cognition group (6.77±2.16 vs. 7.92±1.97, p<0.001). Sensitivities were 0.78 for cognitive impairment and 0.80 for dementia. Executive function integration improved sensitivity. CONCLUSIONS: The DCS is a valid community screening tool for cognitive impairment, with optimization potential through executive function integration.
Association of long-term care organizational context, facilitation, and their interactions with resident pain: a cross-sectional study.
Shrestha S, Estabrooks CA, Cummings GG … +8 more , Knopp-Sihota J, Duan Y, Chamberlain SA, Choroschun K, Iaconi A, Norton PG, Song Y, Hoben M
Geriatr Nurs · 2026 May · PMID 42160942 · Publisher ↗
BACKGROUND: We examined whether organizational context (work environment), facilitation (support for evidence-based practices), and their interaction are associated with pain among long-term care (LTC) home residents. ME...
BACKGROUND: We examined whether organizational context (work environment), facilitation (support for evidence-based practices), and their interaction are associated with pain among long-term care (LTC) home residents. METHODS: This cross-sectional study analyzed data from 8,313 residents (≥65 years) on 281 units in 86 LTC homes across three Canadian provinces, using covariate adjusted generalized linear mixed models. Resident pain (≥moderate intensity in the past week) was measured using the Resident Assessment Instrument-Minimum Data Set 2.0. Unit surveys assessed organizational context, using the Alberta Context Tool, care hours per resident day, and staffing mix. Availability of geriatric services reflected facility-level facilitation. Unit managers' organizational citizenship behavior (OCB) and care aides suggesting improvement reflected unit-level facilitation. RESULTS: Pain prevalence was 11% (n=921). More care aides suggesting improvements was linked to less resident pain (odds ratio [OR]=0.573, 95% confidence interval [CI]: 0.345-0.951, p=0.0312). In units with lower social capital scores, higher manager OCB was associated with reduced pain, but not in units with higher social capital scores (OR=4.245, 95% CI: 1.209-14.905, p=0.0240). Additionally, in units with lower informal interaction scores, more care hours per resident day were associated with lower odds of pain, with this effect being stronger than in units with higher informal interaction scores (OR=1.428, 95% CI: 1.057-1.929, p=0.0202). CONCLUSIONS: Encouraging care aides to suggest improvements may help reduce resident pain. Tailored interventions, such as boosting manager OCB in units with low social capital and increasing care hours where informal interaction is low, may help address resident pain in LTC homes.
Multilevel factors related to advance care planning engagement among Korean older adults: An ecological approach.
Kim B, Lee KH, Kim GS … +3 more , Cho E, Park CG, Kim H
Geriatr Nurs · 2026 May · PMID 42160941 · Publisher ↗
PURPOSE: Advance care planning (ACP) supports dignified end-of-life care by reducing decision-making burdens, minimizing unwanted treatment, and lowering costs. Despite these benefits, ACP engagement among Korean older a...
PURPOSE: Advance care planning (ACP) supports dignified end-of-life care by reducing decision-making burdens, minimizing unwanted treatment, and lowering costs. Despite these benefits, ACP engagement among Korean older adults remains limited. Most studies focused on individual factors, highlighting the need to examine interpersonal and community influences. This study assessed ACP engagement among Korean older adults and analyzed multilevel associations of intrapersonal, interpersonal, and community factors using an ecological model. METHODS: A cross-sectional observational study was conducted. This survey included 490 community-dwelling older adults nested within 30 regions, using region-based quota sampling. ACP engagement was measured using the 34-item Advance Care Planning Engagement Survey, validated in Korean. Independent variables included intrapersonal (demographics, health, attitudes toward death, eHealth literacy); interpersonal (household type, family cohesion, social networks); and community (residential regions, resources) factors. Linear mixed-effects modeling with restricted maximum likelihood estimation was used to identify factors associated with ACP engagement. RESULTS: The mean ACP engagement score was 2.63 ± 0.76 on a 5-point scale, lowest with quality of life-health situations and flexibility for surrogate decision-makers. Higher ACP engagement was associated with more diagnoses (β=0.24, p<.001), positive attitudes toward death (β=-0.03, p=.010), higher eHealth literacy (β=0.03, p<.001), stronger family cohesion (β=0.02, p=.013), daily natural support interactions (β=0.16, p=.041), and more social welfare facilities (β=0.05, p=.043). CONCLUSIONS: A comprehensive, multilevel approach integrating education, family discussions, healthcare system, and accessible community programs is essential to promote ACP in Korea. Entrenching ACP in end-of-life care requires its integration into routine healthcare, institutional support, and healthcare provider training.
Understanding and optimizing advance care planning implementation for terminally ill older adults: a mixed-methods Meta Analysis of subjective experiences and implementation barriers.
Yue W, Xu J, Ma X
Geriatr Nurs · 2026 May · PMID 42155326 · Publisher ↗
BACKGROUND: Despite widespread recognition of advance care planning (ACP) benefits, evidence regarding its implementation effectiveness for terminally ill older adults remains inconsistent across healthcare settings and...
BACKGROUND: Despite widespread recognition of advance care planning (ACP) benefits, evidence regarding its implementation effectiveness for terminally ill older adults remains inconsistent across healthcare settings and cultural contexts. METHODS: Following Joanna Briggs Institute methodology and PRISMA guidelines, this review using a systematic approach synthesized 23 studies (15 RCTs, 8 qualitative) published 2005-2024. Quantitative outcomes were meta-analyzed using Review Manager 5.4; qualitative findings underwent meta-aggregation to identify synthesized themes. RESULTS: ACP interventions significantly reduced decision conflict, anxiety, and depression while improving end-of-life decision-making rates and preference concordance, though overall quality of life remained unchanged. Three qualitative themes emerged: knowledge-behavior gap, emotional complexity, and multi-factorial decisions, revealing persistent implementation barriers including systemic healthcare constraints and cultural considerations. CONCLUSIONS: Effective ACP implementation requires repositioning it as ongoing patient-paced communication embedded within interdisciplinary care structures, supported by robust continuity mechanisms and cultural adaptations to bridge knowledge-behavior gaps in routine practice.
Digital health literacy scale in older adults: A study on the validity and reliability of the Turkish version.
Turan GB, Demir M, Özer Z
Geriatr Nurs · 2026 May · PMID 42155325 · Publisher ↗
BACKGROUND: Smart healthcare services and digital therapeutics are rapidly spreading, making digital health literacy skills critically important to benefit from these services. This is especially essential for older adul...
BACKGROUND: Smart healthcare services and digital therapeutics are rapidly spreading, making digital health literacy skills critically important to benefit from these services. This is especially essential for older adults, who often need consistent health management. However, in Turkey, no suitable scale currently exists to measure digital health literacy among older adults. Therefore, This research aims to translate the Digital Health Literacy Scale to Turkish and assess its validity and reliability for elderly individuals. METHOD: The research was done from July 2025 to September 2025, with a total of 266 older persons monitored online. A scale including 25 items was used. Expert feedback was solicited to evaluate content validity, and the Content Validity Index (CVI) was calculated. The construct validity was assessed using the Kaiser-Meyer-Olkin (KMO) test, Bartlett's test, and confirmatory factor analysis (CFA). Reliability was evaluated by Cronbach's alpha, item-total correlations, and the test-retest approach. FINDINGS: Content validity was found to be high (CVI = 0.90). The KMO test (0.868) and Bartlett's test (χ² = 2270.041, p < 0.001) supported construct validity. The confirmatory factor analysis yielded good fit indices (RMSEA = 0.067, CFI = 0.95, TLI = 0.94). The overall Cronbach's alpha coefficient was 0.909, indicating high reliability. Test-retest reliability was also high (ICC = 0.827). CONCLUSION: The Turkish adaptation of the Digital Health Literacy Scale is a valid, reliable, and comprehensive instrument for assessing digital health literacy among older individuals in Turkey. This scale may provide significant insights for future research and instructional initiatives in digital health.
Quality of life assessment in residents with severe cognitive impairment: psychometric validation of the French translated QUALID scale.
Corbineau C, Etchegoyen C, Lloyd S … +5 more , Roubaud-Baudron C, Fossaert R, Coelho J, Salles N, Chanteclair A
Geriatr Nurs · 2026 May · PMID 42155324 · Publisher ↗
Assessing quality of life (QoL) in individuals with severe neurocognitive disorders (NCD) is essential, yet challenging, particularly in advanced stages where self-report is no longer possible. The Quality of Life in Lat...
Assessing quality of life (QoL) in individuals with severe neurocognitive disorders (NCD) is essential, yet challenging, particularly in advanced stages where self-report is no longer possible. The Quality of Life in Late-Stage Dementia (QUALID) scale is a widely used proxy-rated instrument, but its French version (QUALID-FR) has not previously undergone psychometric validation. This study aimed to assess the reliability and validity of the QUALID-FR in institutionalized older adults with severe NCD. A multicenter cross-sectional study was conducted in 14 voluntary long-term care facilities in southwestern France, including 148 residents and 101 nursing staff members. Reliability was assessed through internal consistency, test-retest and inter-rater reliability. Construct validity was evaluated using a split-sample approach with exploratory and confirmatory factor analyses. Criterion-related validity was assessed through associations with neuropsychiatric symptoms and pain scale. The QUALID-FR demonstrated satisfactory internal consistency (McDonald's ω = 0.79). Exploratory factor analysis identified a three-factor structure reflecting agitation, well-being and depressive mood, explaining 44% of the variance. Confirmatory analysis provided satisfying goodness of fit parameters compared with previously reported models. Significant associations with neuropsychiatric symptoms (β = 0.42) and pain (β = 0.72) supported criterion-related validity. The QUALID-FR scale is a valid and clinically relevant instrument for proxy assessment of QoL in advanced NCD. Its multidimensional structure highlights potential cultural variations in the organization of QoL domains and supports its use in both clinical practice and research.
From digital health products to digital inclusion pathways: A nursing agenda for community-dwelling older adults.
Vijayasimha M
Geriatr Nurs · 2026 May · PMID 42155323 · Publisher ↗
Abstract loading — click title to view on PubMed.
Older adults' perceptions and previous expectations about retirement and its causes: a qualitative study.
de Miguel-Brox M, Álvarez-Bueno C, Lorenzo-García P … +3 more , Contreras-Molina M, Rodríguez-Cedrés A, Rodríguez-Martín B
Geriatr Nurs · 2026 May · PMID 42150274 · Publisher ↗
AIMS: The retirement process is a dynamic and changing phenomenon, as are older adults' perceptions, which are crucial for adapting nursing care during this process. AIM: To understand retired adults' perceptions and pri...
AIMS: The retirement process is a dynamic and changing phenomenon, as are older adults' perceptions, which are crucial for adapting nursing care during this process. AIM: To understand retired adults' perceptions and prior expectations regarding retirement and its causes. METHODOLOGY: This qualitative study was designed and analysed by Giorgi's descriptive phenomenology. Data were collected via in-depth interviews and focus and triangular groups in a maximum variability intentional sample of retired older adults, aged 60 years or older, who were residing in Cuenca or Toledo (Spain). Data analysis followed descriptive phenomenology with the support of ATLAS.ti 25 software. Ethical issues and Guba and Lincoln's principles of validity were respected. RESULTS: Seventeen older adults participated in the study. Four main themes emerged: 1) preretirement expectations (general and specific), 2) expectations of compliance (satisfaction and dissatisfaction), 3) perceptions of retirement causes (internal and external causes), and 4) vital changes after retirement (main perceived changes and feelings associated with retirement). CONCLUSIONS: Retirement perceptions and expectations are influenced by internal and external factors. Retired older adults are more satisfied with their expectations with respect to greater health, economic status and previous preparation, whereas when the role of caregiver is assumed, in the case of men, their satisfaction with the work performed and the COVID-19 pandemic hinder their satisfaction with the retirement process. Moreover, prior expectations and early retirement are associated with greater life dissatisfaction. Public policies and nursing interventions for retirement need to incorporate older adults' expectations to adapt to their specific needs.
Pilot testing the feasibility of the fostering positive care interactions for residents with dementia in pain (FPCI) intervention in nursing homes.
McPherson R, Resnick B, Galik E … +1 more , Kim H
Geriatr Nurs · 2026 May · PMID 42150273 · Publisher ↗
PURPOSE/AIMS: Pain is common in nursing home (NH) residents with dementia, and those in pain are unfortunately more likely to receive more negative interactions from NH staff. The purpose of this study was to pilot test...
PURPOSE/AIMS: Pain is common in nursing home (NH) residents with dementia, and those in pain are unfortunately more likely to receive more negative interactions from NH staff. The purpose of this study was to pilot test the feasibility of the Fostering Positive Care Interactions for Residents with Dementia in Pain (FPCI) intervention which is focused on engaging NH staff in positively interacting with residents with dementia in pain. A research nurse facilitator implemented the FPCI, which consisted of the following steps: (1) assessments of the nursing home environment and policies around facilitation of pain management and positive staff-resident care interactions; (2) staff education about ways to provide positive care interactions and pain assessment and management; (3) establishing facility goals related to pain management and staff-resident care interactions; and (4) ongoing mentoring, motivating, and role modeling of staff. METHODS: The FPCI was implemented in one NH community using a single group pre-/post-test design. Delivery, receipt, and enactment of FPCI were assessed for feasibility. RESULTS: Findings provide some preliminary support for the feasibility of the FPCI intervention. The intervention was delivered as intended, there was receipt based on staff knowledge tests, and enactment based on improvements in the NH environment and policies. CONCLUSIONS/IMPLICATIONS: Future testing of the FPCI should include a longer timeline. Examining efficacy is needed to determine whether FPCI improves the quality of care interactions residents receive and reduces resident pain.
Resident, family, and staff perceptions of the 'Good Life' in nursing home dementia care.
Benfer J, Tucker GG, Zimmerman S … +3 more , Unroe KT, Kusmaul N, Cagle JG
Geriatr Nurs · 2026 May · PMID 42150272 · Publisher ↗
Providing high-quality care for nursing home residents with dementia is challenging due to staff turnover and complex care needs. This paper examines what constitutes 'good' days for residents, families, and staff. Guide...
Providing high-quality care for nursing home residents with dementia is challenging due to staff turnover and complex care needs. This paper examines what constitutes 'good' days for residents, families, and staff. Guided by Gitlin's "Good Life" model, we conducted 46 telephone interviews with 11 residents with dementia, 19 family members, and 16 staff from seven nursing homes. Family or staff assisted residents during interviews. Data were analyzed thematically. Residents described better days as those with consistent daily routines and meaningful social interactions, particularly with staff. Family members reported better days when they felt reassured about the quality of care and could balance caregiving with other responsibilities. Staff defined better days as those in which residents' needs were met and high-quality care was delivered. Across groups, consistent routines and positive staff-resident interactions emerged as key contributors to well-being, highlighting opportunities to support residents, family and staff in nursing homes.
The relationship between health-related quality of life post stroke, depression, and spirituality among stroke survivors: A cross-sectional study.
Al-Shannaq Y, Makableh R, Jaradat D … +2 more , Suliman M, Rababah JA
Geriatr Nurs · 2026 May · PMID 42143959 · Publisher ↗
AIMS: This study aimed to assess the levels of health-related quality of life (HRQOL) after stroke, depression symptoms, spirituality, and their correlation among a sample of stroke survivors. METHODS: A cross-sectional...
AIMS: This study aimed to assess the levels of health-related quality of life (HRQOL) after stroke, depression symptoms, spirituality, and their correlation among a sample of stroke survivors. METHODS: A cross-sectional design was conducted using a self-report survey to collect data. RESULTS: The sample consisted of 200 stroke survivors, 59.5 % of whom were male. The mean participant age was calculated at 65.08 years, with a standard deviation of 12.42. Among the surveyed individuals, HRQOL scores averaged 156.78 (SD = 28.17), with scores ranging between 83 and 228. Depression symptoms were present in 76.5 % of the cohort. The participants were experiencing high levels of spirituality. Higher levels of depression and reduced HRQOL were observed among female participators in comparison to males. Meanwhile, no significant difference in spirituality was found between male and female participants. Significant correlations were identified among HRQOL, depression symptoms, and spirituality. Age was significantly correlated with HRQOL and depression, but not with spirituality. The significant predictors of HRQOL following stroke were depression, spirituality, number of comorbidities, smoking status, living with others, and stroke severity. CONCLUSION: This study provides valuable information concerning stroke survivorship. The results found confirm the need to ameliorate HRQOL and psychological well-being among stroke survivors. Further, the results may bring advantages to different nursing domains. For example, they may prompt nursing leaders and healthcare institutions to improve or design psychological interventions, rehabilitation programs, and awareness campaigns on stroke survivorship, aimed at enhancing the HRQOL of survivors, particularly that of at-risk groups.
Proactive health behavior in older adults: A concept analysis.
Yu K, Wang X, Shi Y
Geriatr Nurs · 2026 May · PMID 42143418 · Publisher ↗
BACKGROUND: The global demographic shift towards an aging population presents formidable challenges to healthcare systems. Proactive health behavior has emerged as a crucial concept for promoting successful aging. A clea...
BACKGROUND: The global demographic shift towards an aging population presents formidable challenges to healthcare systems. Proactive health behavior has emerged as a crucial concept for promoting successful aging. A clear conceptual understanding of proactive health behavior is essential to inform effective interventions. OBJECTIVE: To generate a concept analysis of proactive health behavior in older adults. METHODS: Using Rodgers' evolutionary concept analysis, this study identified the attributes, antecedents, and consequences of proactive health behavior. A systematic search was performed across six English and two Chinese databases from their inception until August 2025, resulting in the inclusion of 30 articles for in-depth analysis. To ensure methodological rigor, study selection and data extraction were carried out independently by two reviewers. RESULTS: Proactive health behavior is characterized by self-initiated agency, a preventive philosophy, active construction of health competence, and the goal of multidimensional health optimization. Key antecedents include individual characteristics, social support, and health system support. Consequences manifest as improved individual well-being, reduced family caregiving burden, and broader societal benefits. CONCLUSION: This analysis provides a clarified theoretical framework for proactive health behavior, positioning older adults as active agents of their health. The findings offer a foundation for developing targeted interventions and measurement tools to foster proactive health behavior, thereby supporting successful aging and alleviating associated socioeconomic pressures.
The associations of technology acceptance and social networks with depressive symptoms of community-dwelling older people: A cross-sectional study.
Kwan RYC, Lee JLC, Su JJ … +3 more , Aree-Ue S, Roopsawang I, Lou VWQ
Geriatr Nurs · 2026 Jun · PMID 42119249 · Publisher ↗
This cross-sectional study examines the associations between social networks, technology acceptance, and depressive symptoms in community-dwelling older adults aged 60 and above. Key variables included sociodemographic a...
This cross-sectional study examines the associations between social networks, technology acceptance, and depressive symptoms in community-dwelling older adults aged 60 and above. Key variables included sociodemographic and clinical characteristics, depressive symptoms, social networks, and technology acceptance. Multiple linear and hierarchical regression analyses were employed for data analysis. A total of 380 participants with an average age of 66.5 years were included. Social networks (β = -0.081, p = 0.010) and technology acceptance (β = -0.060, p < 0.001) were independently and negatively associated with depressive symptoms in unadjusted regression models. In the fully adjusted model, social networks (β = -0.036, p = 0.200) were not significantly associated with depressive symptoms, whereas technology acceptance (β = -0.031, p < 0.001) remained negatively associated. Technology acceptance is strongly associated with depressive symptoms in older adults, and its effect outweighs that of social networks. This finding underscores the crucial role of implementing strategies to promote technology acceptance to enhance the mental health of older adults.
About
- Frequency
- Sun
- Papers found
- 200
- RSS feed
- Subscribe