Geriatric Nursing (New York, N.Y.)[JOURNAL]
Sun
200 papers
Cross-cultural adaptation and validation of the Willingness to Care Scale for elder care in Chinese adults.
Kong X, Meng D, Sun C
Geriatr Nurs · 2026 Jun · PMID 41934815 · Publisher ↗
OBJECTIVES: To evaluate the reliability and validity of the Chinese version of the Willingness to Care (WTC) Scale. METHODS: A total of 300 Chinese individuals aged 18 to 65 were recruited using convenience sampling, pri...
OBJECTIVES: To evaluate the reliability and validity of the Chinese version of the Willingness to Care (WTC) Scale. METHODS: A total of 300 Chinese individuals aged 18 to 65 were recruited using convenience sampling, primarily via social networks, from Jiangsu, Zhejiang, and Hubei provinces between March and October 2024. Reliability was assessed using Cronbach's α coefficients, split-half reliability, and test-retest reliability. Validity was evaluated through confirmatory factor analysis (CFA), content validity, convergent validity, and concurrent validity. RESULTS: The CFA supported the original three-factor structure of the WTC Scale, indicating acceptable model fit. The item-level content validity index (I-CVI) ranged from 0.88 to 1.00, and the scale-level content validity index/average (S-CVI/Ave) was 0.90. The Cronbach's α coefficient for the overall WTC Scale was 0.987, split-half reliability was 0.978, and test-retest reliability was 0.978. CONCLUSION: The Chinese version of the WTC Scale demonstrates strong reliability and validity and may serve as a useful instrument for assessing caregiving willingness attitudes among Chinese adults.
Analysis of latent classes and influencing factors of intrinsic capacity among elderly patients receiving maintenance hemodialysis.
Du X, Gao H, Jia K … +3 more , Chen W, Ren X, Shi Y
Geriatr Nurs · 2026 Jun · PMID 41934814 · Publisher ↗
OBJECTIVE: To explore the latent classes and influencing factors of intrinsic capacity (IC) among elderly patients undergoing maintenance hemodialysis (MHD). METHODS: From January 2025 to May 2025, a convenience sampling...
OBJECTIVE: To explore the latent classes and influencing factors of intrinsic capacity (IC) among elderly patients undergoing maintenance hemodialysis (MHD). METHODS: From January 2025 to May 2025, a convenience sampling method was used to recruit elderly MHD patients from two tertiary hospital hemodialysis centers in Shanxi Province. Data were collected using the General Information Questionnaire, General Self-Efficacy Scale, Social Support Rating Scale, eHealth Literacy Scale, and Intrinsic Capacity Assessment Scale. Latent class analysis (LCA) was performed using Mplus 8.3, while chi-square tests and multivariate logistic regression analysis were conducted with SPSS 29.0. RESULTS: A total of 307 elderly MHD patients were included, and LCA revealed three latent classes of IC: high motor-medium psychological group, low motor-low sensoryhigh psychological group and relatively low group. Multivariate logistic regression analysis identified age, Education background, BMI, personal monthly income, hs-CRP levels, parathyroid hormone, and hemoglobin as significant predictors of IC latent class membership (all P < 0.05). CONCLUSION: Elderly MHD patients exhibit a high IC impairment rate with marked heterogeneity, influenced by multifaceted factors. Healthcare providers should tailor interventions to specific IC profiles to delay functional decline and promote healthy aging in this population.
Construction and validation of a model for predicting disability in older adults with chronic lung disease.
Ji C, Zhao S, Hu Y … +5 more , Wang X, Zhang M, Wang L, Guo H, Lin Y
Geriatr Nurs · 2026 Jun · PMID 41934813 · Publisher ↗
INTRODUCTION: Chronic lung disease and disability pose a serious threat to the physical and mental health of the older adults, and there are relatively few studies on the prediction of disability in this group. AIMS: Thi...
INTRODUCTION: Chronic lung disease and disability pose a serious threat to the physical and mental health of the older adults, and there are relatively few studies on the prediction of disability in this group. AIMS: This study was to explore the risk factors for disability in older adults with chronic lung disease and develop a validated risk prediction model. METHOD: This study involved 845 older adults with chronic lung diseases from the 2015 China Health and Retirement Longitudinal Study (CHARLS) survey. They were split into a training group (n = 592) and a validation set (n = 253) at a 7:3 ratio. Univariate and LASSO multiple logistic regression screened variables affecting disability occurrence. A multivariate logistic regression built the prediction model and created nomograms. A calibration curve assessed the model's accuracy, while the receiver operating characteristic curve's area and decision curve analysis evaluated its prediction performance. RESULTS: The final model included age, gender, falls, physical pain, depression, health satisfaction, child satisfaction, intellectual disability, SBP, respiratory function.The model demonstrated good discrimination (AUC 76.5%, 95% confidence interval CI 0.70-0.80). The calibration curve closely aligned with the ideal curve, and the Brier score was 0.193. For the validation set, the model demonstrated comparable discrimination (AUC 76%, 95% CI 0.70-0.82), Decision curve analysis demonstrated the high clinical utility of the model. CONCLUSION: The predictive model of disability in older adults with chronic lung disease constructed on the basis of the CHARLS with logistic regression selection of factors is good and has a certain predictive value for the risk of disability in older adults with chronic lung disease.
Healthcare professionals' perspectives on optimising hip fracture rehabilitation: Insights from the 'Rehabilitation for Life' intervention.
Pedersen LT, Ipsen JA, Egebæk HK … +3 more , Andersen PT, Viberg B, Bruun IH
Geriatr Nurs · 2026 Jun · PMID 41934812 · Publisher ↗
OBJECTIVES: Hip fractures in older adults significantly affect functionality, mortality, and healthcare costs. Effective rehabilitation is crucial for restoring mobility and quality of life. However, fragmented rehabilit...
OBJECTIVES: Hip fractures in older adults significantly affect functionality, mortality, and healthcare costs. Effective rehabilitation is crucial for restoring mobility and quality of life. However, fragmented rehabilitation processes and discrepancies between patient needs and healthcare services create challenges. This study explores healthcare professionals' experiences with the intervention Rehabilitation for Life, concentrating on optimising rehabilitation strategies for older adults with hip fractures. METHODS: This qualitative study included 16 experienced nurses and physiotherapists from hospitals and municipalities. Data were collected through semi-structured focus group interviews guided by an interview protocol. Thematic analysis was conducted using Malterud's systematic text condensation methodology to identify key themes in participants' responses. RESULTS: The analysis revealed three central themes: (1) the importance of structured rehabilitation plans in enhancing outcomes, (2) the transformative role of healthcare centres in providing support and motivation, and (3) the challenge of balancing strength and functionality in patient-centred rehabilitation. These insights specifically relate to the Rehabilitation for Life intervention, demonstrating its impact on rehabilitation strategies. CONCLUSIONS: This study highlights the importance of well-structured rehabilitation plans, the pivotal role of healthcare centres, and the necessity of balancing strength training with functional recovery in hip fracture rehabilitation. The findings indicate that a common understanding of rehabilitation processes among healthcare professionals is vital for optimising patient outcomes. PRACTICE IMPLICATIONS: Prioritising interdisciplinary collaboration, early intervention, and ongoing professional development is essential for enhancing the quality of rehabilitation. Implementing structured yet adaptable rehabilitation programmes within healthcare centres may increase adherence, bolster patient motivation, and support overall recovery.
Gerontological competence and ageism attitudes among final-year nursing students: A cross-sectional study.
Kaya M, Palaz SC
Geriatr Nurs · 2026 Jun · PMID 41934811 · Publisher ↗
BACKGROUND: With the global aging population on the rise, delivering high-quality care for older adults presents growing challenges. Assessing nursing students' attitudes toward aging and their gerontological competencie...
BACKGROUND: With the global aging population on the rise, delivering high-quality care for older adults presents growing challenges. Assessing nursing students' attitudes toward aging and their gerontological competencies is essential for improving the future quality of care for older adults. AIM: This study aimed to evaluate the gerontological competencies of final-year nursing students and their attitudes toward positive and negative ageism. It also examined the relationship between these variables to identify factors influencing students' readiness to care for older adults. METHODS: A cross-sectional descriptive design with a relational screening model was employed. The study sample consisted of 381 final-year nursing students. Data were collected using the Personal Information Form, the Gerontological Nursing Competence Scale, and the Positive and Negative Ageism Scale. RESULTS: The mean total scores were 165.62 ± 28.70 for the Gerontological Nursing Competence Scale, 44.33 ± 7.77 for the Positive Ageism Scale, and 36.90 ± 6.73 for the Negative Ageism Scale. A moderate, statistically significant positive correlation was observed between gerontological nursing competence and positive ageism (r = .508, p < 0.01). Multiple linear regression analysis indicated that positive ageism was the strongest predictor of competence, explaining 28.6% of the variance (β = .453, p < 0.001). Negative ageism and other demographic variables were not significant predictors. CONCLUSION: These findings highlight that nursing students' positive attitudes toward older adults are closely linked to their gerontological nursing competence. Integrating educational strategies that foster constructive perceptions of aging into nursing curricula may enhance students' professional preparedness and contribute to higher-quality care for the aging population.
The relationship between frailty and activity level in elderly patients with Heart failure: A cross-sectional study.
Ağaslan M, Kumaş G
Geriatr Nurs · 2026 Jun · PMID 41934810 · Publisher ↗
BACKGROUND: Heart failure is an important cause of morbidity and mortality in elderly patients. Determining the frailty and activity status of elderly patients contributes to the treatment and care process. AIM: This stu...
BACKGROUND: Heart failure is an important cause of morbidity and mortality in elderly patients. Determining the frailty and activity status of elderly patients contributes to the treatment and care process. AIM: This study aimed to determine the relationship between frailty and activity level in elderly patients with heart failure. METHOD: This research was designed as a cross-sectional study. The sample consisted of 140 elderly patients with heart failure who were hospitalized in the cardiology clinics of a state hospital. Data were collected using the "Patient Information Form," the "Edmonton Frail Scale," and the "Patient Activation Measure." RESULTS: The mean frailty score of the elderly patients with heart failure was found to be 8.95±3.84, indicating a moderate level of frailty. The mean activity level score was 44.19±16.87, corresponding to level 1. A strong, statistically significant negative correlation was found between frailty and activity levels (r = -0.751; p < 0.001). In addition, individuals with higher levels of education and income, frequent emergency department visits, no history of hospital readmission, absence of polypharmacy, New York Heart Association class II status, and non-frailty were found to be more likely to have a high level of activity (p < 0.05). CONCLUSION: As frailty increases in elderly patients with heart failure, their level of activity decreases. In this context, considering this relationship in the treatment and care planning especially for hospitalized patients may contribute positively to outcomes. Moreover, it is of great importance for nurses to provide individualized care to these patients.
Perspectives on care robots in long-term care: A pilot qualitative study with caregivers and a resident.
Fitzek S, Resch H, Choi KA
Geriatr Nurs · 2026 Jun · PMID 41934809 · Publisher ↗
This exploratory pilot study examined the perspectives of care robots among three long-term care staff members and one cognitively intact resident at an Austrian care center. Semistructured interviews (German) explored h...
This exploratory pilot study examined the perspectives of care robots among three long-term care staff members and one cognitively intact resident at an Austrian care center. Semistructured interviews (German) explored how participants conceptualized "care robots" and which tasks they considered appropriate; no specific robot was deployed. The data were analyzed via a qualitative descriptive approach with inductive content analysis. The participants anticipated workload relief from robots handling routine, noncontact tasks (e.g., fetching items, transporting supplies, and providing documentation support), thereby freeing time for interpersonal care. Empathy and emotional support were described as inherently human; robots should support-not replace-caregivers. Acceptance was cautiously open and contingent on gradual introduction, staff training, and reliable technical support. The findings suggest that integrating assistive robots into logistical workflows may reduce burden while preserving person-centered care; larger studies are needed to reach data saturation and test implementation strategies.
Less is more: Implementation of a nurse-led physical activity program for nursing home residents. An intervention study with a mixed-method design.
Heinrich S, Schwarz A, Staudacher D
Geriatr Nurs · 2026 Jun · PMID 41934808 · Publisher ↗
BACKGROUND: Older adults in nursing homes, particularly those with dementia, experience rapid physical decline and elevated fall risk, while nurse-led physical activity programs remain rare and difficult to implement. AI...
BACKGROUND: Older adults in nursing homes, particularly those with dementia, experience rapid physical decline and elevated fall risk, while nurse-led physical activity programs remain rare and difficult to implement. AIMS: This study aimed to identify key components of effective nurse-led physical activity programs through a systematic review and expert consultation. The resulting best-practice program - ViSTA - was piloted in a Swiss nursing home, focusing on feasibility, acceptance, adherence, and trends in physical function. METHODS: A 16-week quasi-experimental mixed-methods pilot was conducted with 14 residents (mean age 87.2 years), including those with mild to moderate dementia able to follow instructions and ambulate. Physical and cognitive function were assessed at baseline, week 6, and week 16. Adherence was tracked via session logs, while feasibility and acceptance were explored through questionnaires and interviews with residents and professionals. Data were analyzed using Creswell's convergence model. RESULTS: Ten of 14 residents completed the program (71%). Mean attendance was 1.37 of four planned weekly sessions (∼20%), though session durations exceeded expectations (24.9 vs. 15 min). Most used tools included a TV-based non-interactive group activity ("Stay fit - join in!") and the Smart Peg Board®. Functional outcomes varied across participants. Professionals appreciated the program's simplicity and adaptability but noted time constraints and limited institutional support as major barriers. Some elements were maintained post-study. CONCLUSIONS: ViSTA promises a low-threshold, sustainable physical activity program in nursing homes, especially with adequate staffing, training, and leadership support, highlighting the potential of nurse-led initiatives to enhance resident engagement and functional health.
Reliability and validity of the L test in people with Alzheimer's disease.
Ozkan T, Ates-Sari Y, Unluer NO … +3 more , Hangun SF, Karadas C, Eroglu E
Geriatr Nurs · 2026 Jun · PMID 41932058 · Publisher ↗
OBJECTIVE: To assess the test-retest reliability, minimum detectable change (MDC), and concurrent validity of the L test in people with Alzheimer's disease (PwAD). DESIGN: A total of 37 PwAD participated in this study. T...
OBJECTIVE: To assess the test-retest reliability, minimum detectable change (MDC), and concurrent validity of the L test in people with Alzheimer's disease (PwAD). DESIGN: A total of 37 PwAD participated in this study. To assess test-retest reliability, theL test was conducted twice at intervals of seven to ten days. The concurrent validity of the L test was evaluated using the TUG test, Elderly Mobility Scale, 2-Minute Walk Test (2-MWT), and 10-Meter Walk Test (10-MWT). RESULTS: Excellent test-retest reliability was shown by the L test (ICC= 0.964). The MDC was found to be 5.77 s. There were moderate to strong associations between theL test and the other outcome indicators (correlation coefficients ranged from -0.410 to 0.763; p<0.05 for all). CONCLUSION: When it comes to evaluating functional mobility in PwAD, the L test shows excellent test-retest reliability. The L test was significantly related to TUG test, 10MWT, 2MWT, and Elderly Mobility Scale in PwAD. TheL test is a valid, reliable, practical, economical and valuable tool for assessing functional mobility in PwAD.
Prevention of frailty in the elderly: an expert-based evaluation of measures proposed by artificial intelligence.
Couarraze S, Roda P, Jiao J … +8 more , Duclos M, Lu N, Thivel D, Nasir H, Zak M, EXPOH group, Joannès C, Dutheil F
Geriatr Nurs · 2026 Jun · PMID 41932057 · Publisher ↗
INTRODUCTION: The use of artificial intelligence (AI), particularly conversational agents such as ChatGPT, is expanding in the healthcare industry. We aimed to assess the responses provided by ChatGPT regarding the preve...
INTRODUCTION: The use of artificial intelligence (AI), particularly conversational agents such as ChatGPT, is expanding in the healthcare industry. We aimed to assess the responses provided by ChatGPT regarding the prevention of frailty in the elderly. METHODS: The responses provided by ChatGPT 3.5 were evaluated by a panel of 29 experts in the field of geriatric care, comprising geriatricians, geriatric nurses, preventionists, and educators specializing in adapted physical activity. Each proposal was rated on a numerical scale from 0 (not at all appropriate) to 10 (very appropriate) in terms of items relevance, formulation, exhaustiveness and with an overall rating. RESULTS: ChatGPT created 17 themes for a total of 24 items. The 17 themes proposed by the conversational agent are very similar to those proposed in the literature on the prevention of frailty in the elderly. For each theme, the overall rating was consistently higher than the exhaustivity (8, IQR 8 to 10 vs 7, 6 to 8; p < 0.05). The relevance of the items was systematically and significantly higher than their wording (p < 0.05). There were no significant differences in the global evaluation or item exhaustivity based on expert characteristics (gender, age, profession, and seniority). CONCLUSION: Despite ChatGPT exhibits some shortcomings and inconsistencies, AI could be a useful tool for healthcare professionals in the prevention of frailty in the elderly, but it should be used with caution. Further research is required to gain a deeper understanding of the role and potential applications of this tool in the healthcare sector.
Improving advanced practice clinicians' knowledge and comfort of physician orders for life-sustaining treatment form: A homecare quality improvement initiative.
Ruiz JM, Wu YY, Choi KR … +2 more , Martin EJ, Brauer ER
Geriatr Nurs · 2026 Jun · PMID 41932056 · Publisher ↗
PURPOSE/AIMS: Many advanced practice clinicians (APCs) lack formal training on how to effectively discuss the Physician Orders for Life-Sustaining Treatment (POLST) with chronically ill older adults, often leading to com...
PURPOSE/AIMS: Many advanced practice clinicians (APCs) lack formal training on how to effectively discuss the Physician Orders for Life-Sustaining Treatment (POLST) with chronically ill older adults, often leading to communication gaps and delayed end-of-life decisions. This quality improvement initiative aimed to improve APCs knowledge and comfort in initiating and documenting POLST discussions with community-dwelling geriatric patients. METHODS: A one-hour online training, incorporating didactic instruction, role-playing, and debriefing, was delivered for APCs providing home-based care. Surveys conducted before and after the training measured changes in knowledge and comfort levels, while retrospective chart reviews examined POLST documentation and referrals to palliative care and hospice services. RESULTS: Forty-five APCs consented to participate; 37 completed all three surveys. EMR data were analyzed for 43 APCs, and referral data for all 45. At three months, modest improvements were observed in POLST knowledge, comfort, and referrals to palliative care and referrals to hospice. Statistically significant improvements were observed in POLST completion documentation (p < 0.001), POLST discussions documentation (p < 0.001), POLST upload documentation (p < 0.001), hospice knowledge (p = 0.023), palliative care knowledge (p = 0.002), preparedness to discuss POLST (p = 0.02), comfort with end of life conflict discussions (p = 0.04), addressing religious/cultural perspectives (p < 0.001), and use of structured communication frameworks (p < 0.001). CONCLUSION/IMPLICATIONS: The targeted online experiential POLST education intervention demonstrated a scalable approach to advance care planning, with observed gains in APCs knowledge, comfort, and documentation in home-based geriatric care.
The role of assistive products in the relationship between activities of daily living and social participation among rural older adults in China: A cross-sectional study.
Luo D, Yang L, Bai R … +4 more , Tang J, Zhang L, Zhao Q, Xiao M
Geriatr Nurs · 2026 Jun · PMID 41932055 · Publisher ↗
OBJECTIVE: To investigate the effects of different types of assistive products (APs) on the association between activities of daily living (ADL) and social participation among rural older adults in China. METHODS: A cros...
OBJECTIVE: To investigate the effects of different types of assistive products (APs) on the association between activities of daily living (ADL) and social participation among rural older adults in China. METHODS: A cross-sectional study was conducted among 301 rural older adults in China using a questionnaire. Parallel mediation and moderation analyses were employed to explore how different APs influence older adults' social participation. RESULTS: This study found that all surveyed types of APs were negatively associated with ADL. However, only mobility APs mediated the relationship between ADL and social participation, and demonstrated a suppression effect (β = -0.028, P<0.01). Furthermore, mobility APs exhibited a positive moderating effect on the relationship between ADL and social participation (β=0.021, P<0.01). CONCLUSIONS: This study reveals a complex mechanism through which APs influence the relationship between ADL and social participation. Future targeted nursing interventions prioritizing mobility APs may effectively reduce social participation disparities in rural aging populations.
Interpersonal interactions in a community-based activity program targeting loneliness among older adults: An ethnographic study.
Axén A, Taube E, Kumlien C … +2 more , Borg C, Christiansen L
Geriatr Nurs · 2026 Jun · PMID 41932054 · Publisher ↗
Healthy aging implies physical and psychological well-being, maintaining social relationships and engaging in meaningful activities. Thus, socially inclusive initiatives that address loneliness are needed. The aim of thi...
Healthy aging implies physical and psychological well-being, maintaining social relationships and engaging in meaningful activities. Thus, socially inclusive initiatives that address loneliness are needed. The aim of this ethnographic study was to describe interpersonal interactions in a community-based activity program targeting loneliness among older adults. Over 10 weeks, 10 participants were observed during interpersonal interactions on 20 occasions, focusing on when, where, and how the interactions occurred. Field and reflective notes were analyzed using an ethnographic approach. The findings show that support was promoted through communication, which created togetherness in the activities by encouraging each other and exchanging knowledge and information. Furthermore, connecting by embracing openness highlighted a willingness and courage to share life experiences and bring memories into conversations. These findings provide valuable insights for designing future activity programs that reduce loneliness and promote social connectedness among older adults.
Factors associated with the mini nutritional assessment-short form and its relationship to health outcomes after 4 years of follow-up: A longitudinal population-based study.
de Assis LGM, Lucchetti G, Bertocchi FM … +5 more , de Oliveira MM, de Oliveira MED, de Oliveira VMG, Maddalena NCP, Lucchetti ALG
Geriatr Nurs · 2026 Jun · PMID 41932053 · Publisher ↗
This study aims to investigate the factors associated with Mini Nutritional Assessment-Short Form (MNA-SF) scores and their relationship with health outcomes in community-dwelling older adults over a four-year follow-up....
This study aims to investigate the factors associated with Mini Nutritional Assessment-Short Form (MNA-SF) scores and their relationship with health outcomes in community-dwelling older adults over a four-year follow-up. This longitudinal study involved older adults who received primary health care in Santana do Deserto, Brazil, from 2018/2019 to 2022/2023. Validated instruments were used to assess cognition (Mini-Mental State Examination - MMSE), functionality (Katz and Lawton), loneliness (UCLA), mental health (DASS-21), quality of life (WHOQOL), social support (SSQ-6), and nutritional status (MNA-SF). Multivariate linear and logistic regression models were employed to identify predictors of MNA-SF scores over four years and to evaluate its predictive value for various health outcomes. A total of 584 older adults completed both assessments (response rate: 87.4 %). Baseline factors such as older age, increased hospitalizations, poorer functionality, higher comorbidity burden (number of self-reported diagnosed diseases), and lower social support were associated with lower MNA-SF scores at follow-up. Nevertheless, baseline MNA-SF scores only significantly predicted follow-up MNA-SF scores and environmental quality of life. This study emphasizes the significance of identifying malnutrition risk with the MNA-SF and acknowledges various factors affecting nutritional status in older adults. However, its restricted predictive value for long-term health outcomes indicates the need for careful use when forecasting future health outcomes in low- and middle-income settings.
Quality improvement project: Implementing a mortality screening tool post hospital discharge to guide goals of care conversations and improve hospice admissions.
Goston C, Benson T, Coats H
Geriatr Nurs · 2026 Jun · PMID 41932052 · Publisher ↗
BACKGROUND: Hospice care is underutilized despite its proven benefits for patients with chronic conditions. Early goals of care conversations improve hospice enrollment and end-of-life outcomes. Bloom Healthcare is a hom...
BACKGROUND: Hospice care is underutilized despite its proven benefits for patients with chronic conditions. Early goals of care conversations improve hospice enrollment and end-of-life outcomes. Bloom Healthcare is a home-based primary care practice serving older adults with multiple chronic conditions. PROBLEM: Bloom Healthcare has insufficient identification and under use of hospice services for eligible patients with chronic conditions. This gap leads to unnecessary hospitalizations, high costs, and suboptimal end-of-life experiences. METHODS: Using the SQUIRE guidelines, this quality improvement project implemented a prognosis screening tool in post hospital discharge follow up visits to identify older adults at high risk of mortality and re-hospitalization (n = 973). Providers used the prognosis tool to guide goals of care conversations and recommend hospice, when appropriate. The intervention involved three Plan-Do-Study-Act (PDSA) cycles: adapting the tool, written provider education, and video provider education with distribution of a hospice reference pamphlet. RESULTS: Hospice admissions increased from 18.5 % to 20.3 %, meeting the primary aim. The average hospice length of stay declined from 30.5 days to 13 days, outcome measure two. ER/hospitalization rates were not statistically significant, p = 0.98, process measure one. Goals of care conversations reached 71.3 %, process measure two. Provider survey responses indicated support for the tool, process measure three. Nurse Care Managers reported 2.36 minutes on average to complete the prognosis tool per patient, significantly below the 15-minute goal, balancing measure one. CONCLUSIONS: The prognosis screening tool effectively facilitates timely hospice admissions and goals of care conversations in home-based care settings, enhancing end-of-life care and patient centered outcomes.
Internet-based interventions for informal caregivers of dementia: an evidence gap map.
Luo J, Wu Z, Ding J … +2 more , Ren Y, Chu T
Geriatr Nurs · 2026 Jun · PMID 41932051 · Publisher ↗
BACKGROUND: Currently, the global burden of dementia is heavy, Informal caregivers form the core force of the patient care system. Recent studies have shown that internet-based interventions demonstrate good application...
BACKGROUND: Currently, the global burden of dementia is heavy, Informal caregivers form the core force of the patient care system. Recent studies have shown that internet-based interventions demonstrate good application potential in informal caregivers. PURPOSE: This aimed of the paper is to addressing evidence gaps of internet-based interventions for informal caregivers of dementia patients, clarify the existing intervention types and their core evaluation indicators, and provide an evidence-based basis for future research directions and policy formulation. RESULTS: 27 reviews included a total of 430 studies. The intervention methods included computer intervention (269,62.6%), telephone intervention (98,22.8%), mixed intervention (57,13.2%), and digital multimedia discs (6,1.4%); in addition, the intervention contents included multi-component intervention (209,48.6%), social support (14,3.3%), education (136,31.6%), and psychotherapy (71,16.5%). CONCLUSION: internet-based interventions can effectively alleviate the psychological stress and enhance the skills of caregivers and are worthy of further promotion. TRIAL REGISTRATION: PROSPERO CRD42021241559; RecordID=241,559.
Needs hierarchy assessment scale for older adults: A scale development study.
Mersin S, Erdoğan EG
Geriatr Nurs · 2026 Jun · PMID 41932050 · Publisher ↗
This methodological study aimed to develop the Needs Hierarchy Assessment Scale for Older Adults, grounded in Maslow's five-level model, and to examine its psychometric properties. The research was conducted in Türkiye w...
This methodological study aimed to develop the Needs Hierarchy Assessment Scale for Older Adults, grounded in Maslow's five-level model, and to examine its psychometric properties. The research was conducted in Türkiye with a sample of 300 older adults. Data were collected using a Personal Information Form and the Needs Hierarchy Assessment Scale for Older Adults. To determine the factor structure of the scale, both exploratory and confirmatory factor analyses were performed. A five-factor structure consisting of 22 items was established. The Cronbach's alpha coefficients demonstrated strong internal consistency across the five factors: 0.76 for Factor 1, 0.79 for Factor 2, 0.82 for Factor 3, 0.83 for Factor 4, and 0.85 for Factor 5. The confirmatory factor analysis indicated good model fit, with indices as follows: χ²/df = 1.796, RMSEA = 0.052, GFI = 0.902, CFI = 0.936, and NFI = 0.868. Overall, the findings provide evidence that the NHAS-OA is a valid and reliable tool for assessing the extent to which older adults' needs are met within Maslow's conceptual framework.
A mobile health application for controlling symptoms of chronic obstructive pulmonary disease: a randomised controlled trial.
Özdemir N, Enç N, Gemicioğlu B
Geriatr Nurs · 2026 Jun · PMID 41926857 · Publisher ↗
OBJECTIVES: The effect of the mobile health application developed for controlling symptoms of patients with COPD on self-efficacy and chronic disease management was evaluated in the study. METHODS: After the development...
OBJECTIVES: The effect of the mobile health application developed for controlling symptoms of patients with COPD on self-efficacy and chronic disease management was evaluated in the study. METHODS: After the development of mCOPD (mKOAH in Turkish) the data of patients who met the inclusion criteria were collected face-to-face and the last test was collected with remote telehealth applications. In the collection of data; Patient Data Form, COPD Assessment Test (CAT), Modified Medical Research Council Dyspnea Scale (mMRC), COPD Self-Efficacy Scale (CSES), Patient Assessment of Chronic Illness Care (PACIC), Satisfaction Survey and mCOPD mobile application were used. RESULTS: There was no significant difference between the pretest symptom values (mMRC, CAT), CSES and PACIC scores of the trial and control group patients (p > 0.05). mCOPD application 3 months after significant improvement was found in the symptoms, CSES, PACIC scores of the trial group patients compared to the control group patients (p < 0.05). The trial group had decreased health care usage compared to control group patients (p < 0.05). CONCLUSIONS: mCOPD (mKOAH in Turkish) improved the control of the symptoms, increased self-efficacy and chronic disease management in COPD patients and reduced health care use.
World Health Organization disability assessment schedule 2.0 (WHODAS 2.0) and risk of readmission among older patients discharged from the ED - a prospective cohort study.
Hovind B, Oestergaard L, Maribo T … +2 more , Kirkegaard H, Nielsen LM
Geriatr Nurs · 2026 Jun · PMID 41926856 · Publisher ↗
The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) may be highly relevant in clinical practice for identifying older patients at risk of readmission, and thus in need of rehabilitation or other...
The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) may be highly relevant in clinical practice for identifying older patients at risk of readmission, and thus in need of rehabilitation or other healthcare services. The objective of this study is to examine the association between WHODAS 2.0 score and unplanned readmission within 26 weeks in older patients discharged from the emergency department and to examine changes in WHODAS 2.0 score between baseline and 26 weeks follow-up. The study is based on a prospective cohort study of 129 older patients discharged from a Danish ED. The patients completed 36 items, WHODAS 2.0 at discharge and at 26 weeks. The association between WHODAS 2.0 scores at baseline and risk of readmission within 26 weeks were analyzed and differences in WHODAS 2.0 scores after discharge were examined. The findings revealed that the mobility and self-care domains scores at baseline, with cutoff points for low and high scores, were associated with a greater risk of readmission within 26 weeks (p < 0.05). There were significant differences in mean WHODAS 2.0 summary scores between baseline at discharge and 26 weeks (n = 76, -7.7 points, p < 0.001). In conclusion, higher scores in the mobility and self-care domain indicated greater risk of readmission within 26 weeks. The patients reported improvements in functioning from discharge to 26 weeks follow up. WHODAS 2.0 could be valuable as an instrument to identify older patients with a higher risk of readmission.
Exploring the link between braden scores and frailty in elderly atrial fibrillation patients.
Li X, Cheng H, Lyu J … +6 more , Tang Y, Tan S, Bai Z, Li T, Zhang Y, Wang Y
Geriatr Nurs · 2026 Jun · PMID 41926855 · Publisher ↗
Frailty poses a significant burden in elderly atrial fibrillation (AF) patients, yet predictive tools remain limited. To investigate this, a retrospective analysis of 8339 elderly AF patients admitted to intensive care a...
Frailty poses a significant burden in elderly atrial fibrillation (AF) patients, yet predictive tools remain limited. To investigate this, a retrospective analysis of 8339 elderly AF patients admitted to intensive care assessed Braden scores' ability to predict frailty and mortality. The study revealed that high-risk patients (Braden score ≤10 at ICU admission) had significantly higher frailty prevalence (65.1% vs. 55.9%), 60-day (40.6% vs. 17.8%), and 90-day mortality (43.3% vs. 21.0%) compared to low-risk groups (all p < 0.001). Notably, multivariable analysis confirmed a 1.35-fold increased frailty risk in high-risk patients (95% CI=1.22-1.50, p < 0.001), with restricted cubic spline models showing a non-linear Braden-frailty relationship. These findings highlight that integrating Braden scores into frailty assessments could enhance risk stratification and personalize care for critically ill elderly AF patients.
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