Geriatric Nursing (New York, N.Y.)[JOURNAL]
Sun
200 papers
Effectiveness of a multimethod program to enhance nursing home caregivers' competence in psychiatric care.
Gillis K, De Witte M, De Wit Y … +3 more , Senden C, Berwouts J, Lahaye H
Geriatr Nurs · 2026 Jun · PMID 41926854 · Publisher ↗
AIM: To evaluate the effectiveness of a tailored educational program on nursing home caregivers' sense of competence in psychiatric care. METHOD: A pre-posttest intervention study was set up in three Belgian nursing home...
AIM: To evaluate the effectiveness of a tailored educational program on nursing home caregivers' sense of competence in psychiatric care. METHOD: A pre-posttest intervention study was set up in three Belgian nursing homes. A 4-month program including 50 expert-led lectures, contact-based interventions, and reflective sessions was offered. Sixty-five caregivers completed the Sense of Competence in Psychiatric Care Scale (SCIPS) before and after participating in the program. RESULTS: Analysis showed that caregivers' scores on the Total SCIPS (p = 0.008) and the subscales Professionalism (p = 0.024), Care Challenges (p = 0.014), and Sustaining Personhood (p = 0.001) increased significantly among those who attended at least one session. No significant difference was found on the subscale Building relationships (p = 0.205). CONCLUSION: Building more capacity on motivation, on-site trainings and alternative learning strategies are recommended.
Relationship between nursing needs and nursing satisfaction of older adult patients in a geriatric hospital: A cross-sectional study.
Gu M, Baek H, Oh NK … +1 more , Sok S
Geriatr Nurs · 2026 Jun · PMID 41926853 · Publisher ↗
This study was to examine the relationships between nursing needs and nursing satisfaction of older adult patients in a geriatric hospital, and the factors affecting the nursing needs of older adult patients in the geria...
This study was to examine the relationships between nursing needs and nursing satisfaction of older adult patients in a geriatric hospital, and the factors affecting the nursing needs of older adult patients in the geriatric hospital. A cross-sectional descriptive design was employed. Participants were 121 older adult patients aged 65 years or older admitted to a geriatric hospital located in Gyeonggi-do, South Korea. There was negative correlation between nursing needs and nursing satisfaction (r=-0.65). Significant factors affecting the nursing needs of older adult patients in the geriatric hospital were nursing satisfaction (β=-0.73), decision-makers for hospital admission (β=0.22), cost of hospitalization (β=-0.21), and hospitalization period (β=0.20) in order. In nursing practice, nurses can reduce nursing needs by improving nursing satisfaction among older adult patients in geriatric hospital. Also, nursing strategies or interventions should be established by considering decision-makers for hospital admission, cost of hospitalization, and hospitalization period.
Interactions between loneliness, social isolation and reversible cognitive frailty on falls and fall-induced injuries among community-dwelling older adults: A prospective cohort study.
Liu Q, Chen H, Li Y … +4 more , Zhou W, Yu J, Wang X, Wang C
Geriatr Nurs · 2026 Jun · PMID 41926852 · Publisher ↗
OBJECTIVES: This study aimed to explore joint effects of impoverished social relationships (loneliness and social isolation) and reversible cognitive frailty (RCF) on falls and fall-induced injuries. METHODS: Data were f...
OBJECTIVES: This study aimed to explore joint effects of impoverished social relationships (loneliness and social isolation) and reversible cognitive frailty (RCF) on falls and fall-induced injuries. METHODS: Data were from five waves (2011-2020) of the China Health and Retirement Longitudinal Study (CHARLS) among 2912 participants aged ≥60 years at baseline. Cox proportional hazards models were applied to explore the associations of impoverished social relationships and RCF with falls and fall-induced injuries. RESULTS: During 9-year follow-up, 1187 (40.8 %) participants experienced falls and 587 (20.2 %) participants experienced fall-induced injuries. Participants exposed to both social isolation and RCF (HR = 1.354-1.374, 95 %CI = 1.073-1.708) had higher risk of falls and fall-induced injuries than those exposed to one factor alone (HR = 0.956-1.095 95 %CI = 0.775-1.293). There were significant additive interaction (Falls: RERI = 0.296, 95 %CI = 0.033-0.560; Fall-induced injuries: RERI = 0.400, 95 %CI = 0.044-0.755) and multiplicative interaction (Falls: P for interaction = 0.043; Fall-induced injuries: P for interaction = 0.042) between social isolation and RCF. The social isolation-stratified analyses showed that the significant association of RCF with higher risk of falls or fall-induced injuries persisted for high social isolation subgroup, but not for low social isolation subgroup. However, there were no significant interactions between loneliness and RCF on falls and fall-induced injuries. CONCLUSION: RCF works synergistically with social isolation but not with loneliness to induce falls and fall-induced injuries among older adults, and the detrimental effect of RCF may be offset by low social isolation but not by loneliness. These findings implicate integrate social and health care targeting social isolation and RCF to effectively prevent falls and fall-induced injuries among older adults.
Artificial intelligence for educating family caregivers of people with dementia: A mixed methods systematic review.
Wang X, Wu D, Moyle W
Geriatr Nurs · 2026 Jun · PMID 41926851 · Publisher ↗
Dementia is a growing global health challenge, with the majority of individuals living with dementia receiving care from family members. However, many family caregivers lack sufficient knowledge, skills, and emotional su...
Dementia is a growing global health challenge, with the majority of individuals living with dementia receiving care from family members. However, many family caregivers lack sufficient knowledge, skills, and emotional support. Emerging artificial intelligence (AI) technologies present novel opportunities to deliver personalized, scalable, and accessible education for family caregivers. This mixed methods systematic review synthesized evidence on AI-based educational interventions for family caregivers of people with dementia. Nine electronic databases were searched for qualitative, quantitative, or mixed methods studies. Methodological quality was appraised using JBI tools and the Mixed Methods Appraisal Tool. Twelve studies met inclusion criteria (three qualitative, two quantitative, seven mixed methods). The AI interventions employed included chatbots, virtual assistants, systems based on large language models (LLMs), AI-driven decision-support tools, and adaptive VR simulations capable of dynamically responding to user input. Preliminary evidence suggests potential improvements in caregiver knowledge, digital literacy, emotional well-being, and caregiving competencies. However, the outcomes assessed and reported effects were heterogeneous across studies. Overall, the AI-based interventions were perceived as acceptable and feasible. However, the current evidence base remains limited in scope and methodological rigor, with few randomized controlled trials and considerable variability in study designs and AI modalities. AI technologies hold promises for enhancing dementia caregiver education. Future research should prioritize long-term outcomes, cultural relevance, and ethical considerations to support scalable, person-centered interventions.
Psychometric properties of the Turkish version of the Edinburgh Feeding Evaluation in Dementia (EdFED).
Kul B, Tulek Z
Geriatr Nurs · 2026 Jun · PMID 41926850 · Publisher ↗
Eating difficulties in people with dementia can lead to malnutrition, making early detection essential. A valid and reliable tool is needed to assess these difficulties. The Edinburgh Feeding Evaluation in Dementia (EdFE...
Eating difficulties in people with dementia can lead to malnutrition, making early detection essential. A valid and reliable tool is needed to assess these difficulties. The Edinburgh Feeding Evaluation in Dementia (EdFED) is commonly used, but studies on its inter-rater reliability are limited. This study evaluated the psychometric properties of the Turkish version of the EdFED, including interobserver agreement. Fifty-five people with dementia were assessed using the EdFED, Barthel Index, and Mini Nutritional Assessment. Two nurses observed patients during meals over two days. A total of 330 assessments were completed. Confirmatory factor analysis revealed a three-factor structure, like the original. The scale showed high internal consistency (Cronbach's alpha = 0.87) and strong inter-rater reliability. Correlations with nutritional indicators supported construct validity. The findings confirm that the Turkish EdFED is a valid and reliable tool for assessing eating difficulties in people with dementia and may help prevent or reduce malnutrition.
A cross-sectional investigation of the impact of non-communicable diseases and multimorbidity on health-related quality of life in nursing home residents in Armenia.
Muradyan D, Giloyan A, Harutyunyan T … +1 more , Petrosyan V
Geriatr Nurs · 2026 Jun · PMID 41926849 · Publisher ↗
OBJECTIVE: This study assessed the impact of non-communicable diseases (NCDs) on health-related quality of life (HRQoL) in nursing home residents in Armenia. METHODS: We used a structured interviewer-administered questio...
OBJECTIVE: This study assessed the impact of non-communicable diseases (NCDs) on health-related quality of life (HRQoL) in nursing home residents in Armenia. METHODS: We used a structured interviewer-administered questionnaire to collect data on socio-demographic characteristics, NCDs, sleeping disorders, smoking status, visual impairment (VI), and HRQoL in a sample of 313 participants from nursing homes in Armenia. The Short-Form Health Survey (SF-36) questionnaire was used to measure the Physical Component Summary (PCS) and Mental Component Summary (MCS) of HRQoL. An ophthalmic examination was conducted to assess VI. RESULTS: The participants' mean age was 72.45 years. The most common NCDs in the sample were bone/joint diseases (30.7%), hypertension (27.5%), and heart diseases (18.5%). In the adjusted analysis, those with more than one NCD reported significantly lower PCS and MCS scores. After adjusting for potential confounders, only kidney disease was significantly associated with both PCS and MCS scores. Heart disease, respiratory diseases/asthma, and bone/joint diseases were significantly associated with only PCS score. The assessment of the influence of each NCD on specific SF-36 domains showed that, after adjusting for confounders, heart and kidney diseases were significantly associated with "pain" and "general health" domains of PCS. Bone/joint diseases were negatively associated with all domains of PCS. Kidney diseases were found to be associated with "vitality" and "mental health". CONCLUSION: NCDs significantly impaired HRQoL, with kidney and bone/joint diseases having the broadest impact on HRQoL domains. Strategies should be developed for the adequate management of NCDs, prioritizing the residents of nursing homes with multiple conditions.
"Association of objective and subjective sleep duration and diurnal cortisol rhythm among community-dwelling people living with cognitive impairment".
Dong F, McPhillips MV, Hodgson NA
Geriatr Nurs · 2026 Jun · PMID 41921284 · Full text
Both short and long sleep durations negatively impact cognitive health in older adults, with changes in sleep linked to disruptions in the hypothalamic-pituitary-adrenal (HPA) axis. However, research on the relationship...
Both short and long sleep durations negatively impact cognitive health in older adults, with changes in sleep linked to disruptions in the hypothalamic-pituitary-adrenal (HPA) axis. However, research on the relationship between sleep duration and diurnal cortisol rhythm in cognitively impaired individuals is limited. This study investigates the association between objective and subjective sleep duration and cortisol rhythm indicators in 195 cognitively impaired population. Participants provided saliva samples over two days, while sleep duration was collected by actigraphy and one PSQI item. Results revealed that 60 % of participants (objective) and 45 % (subjective) slept 7-8 h. Normal and long sleep durations were associated with a preserved diurnal cortisol rhythm. Short objective sleep duration was linked to higher waking cortisol in females and a diminished cortisol awakening response, while no significant effects were found with subjective sleep duration. This suggests that sleep normalization may help maintain healthy cortisol patterns in cognitively impaired individuals.
Multiple perspectives on Humanitude care for people with dementia: A qualitative study.
Kim S, Kim J, Lim JY … +2 more , Chung SW, Sim JY
Geriatr Nurs · 2026 Jun · PMID 41916189 · Publisher ↗
AIM: This study aimed to explore the perspectives of family members, healthcare workers, and Humanitude care educators regarding the education and implementation of Humanitude care methodology for people with dementia. M...
AIM: This study aimed to explore the perspectives of family members, healthcare workers, and Humanitude care educators regarding the education and implementation of Humanitude care methodology for people with dementia. METHODS: This study employed inductive qualitative content analysis. This study was conducted using focus group interviews with 18 participants comprising six family members, seven healthcare workers, and five Humanitude care educators. RESULTS: The analysis identified seven key themes: (1) positive changes in people with dementia; (2) job satisfaction of healthcare workers; (3) institutional benefits; (4) evaluation of Humanitude care education; (5) improvement points of Humanitude care education; (6) challenges in implementing Humanitude care in practice; and (7) strategies to promote its application. CONCLUSION: These findings suggest the need for further refinement of the Humanitude care methodology and strategies to enhance its application.
Empirically tested interventions for death anxiety among older americans: a systematic review.
Bardales RL, Ainsworth L, Wilks SE
Geriatr Nurs · 2026 Jun · PMID 41916188 · Publisher ↗
Death anxiety around the world may vary due to the beliefs, traditions, and customs of different cultures. Common interventions for death anxiety focus on meaning-making and spirituality, both of which vary by culture. W...
Death anxiety around the world may vary due to the beliefs, traditions, and customs of different cultures. Common interventions for death anxiety focus on meaning-making and spirituality, both of which vary by culture. While death anxiety interventions studies are well-established outside of the United States, the effect of those interventions for culture groups within the United States is unknown. This systematic review synthesizes United States-based intervention studies over the last 20 years and analyzes their methodology, results, and cultural transferability. Using the PRISMA methodology, this review found six studies (N=6) meeting the inclusion criteria. Results showed only two studies had a significant finding for reducing death anxiety. Half of the studies had high methodological rigor. A meaning-centered psychotherapy group intervention study was the lone study with high methodological rigor having significant finding for decreased death anxiety. No study examined the cultural adaptability of interventions or disaggregated results by race/ethnicity. Implications for this dearth of evidence-informed literature, relevant to nursing and allied health care professionals, were discussed.
Experiences and coping strategies of community-dwelling middle-aged and older adults with physio-cognitive decline syndrome: A qualitative study.
Hu FW, Hsieh PL, Yang SY … +1 more , Liang CK
Geriatr Nurs · 2026 Jun · PMID 41903448 · Publisher ↗
BACKGROUND: Physio-Cognitive Decline Syndrome (PCDS) is a clinical characterized by concurrent declines in physical and cognitive functions that precede disability. Taiwan's rapidly aging population highlights declines i...
BACKGROUND: Physio-Cognitive Decline Syndrome (PCDS) is a clinical characterized by concurrent declines in physical and cognitive functions that precede disability. Taiwan's rapidly aging population highlights declines in physical and cognitive functions as precursors to disability, posing key challenges in geriatric care. Research shows these declines begin in early middle age and progress with age. Understanding middle-aged and older adults' experiences and coping strategies for Physio-Cognitive Decline Syndrome (PCDS) is essential for developing effective interventions. PURPOSE: This study explored the subjective experiences and perceptions of PCDS among middle-aged and older adults to identify key themes and coping strategies in response to such declines. METHODS: This qualitative study utilized purposive sampling, semi-structured face-to-face interviews with middle-aged (55-64 years) and older (≥65 years) adults to explore PCDS perceptions. Data were analyzed using content analysis. RESULTS: Participant experiences and perceptions formed three themes: (1) aging accelerates PCDS progression, (2) PCDS threatening daily life, and (3) adapting to changes. These findings further delineate a four-phase PCDS process: Individual Perception (recognizing decline), Life Threat (impact on daily life), Adaptation (accepting reality), and Positive Coping (implementing management strategies). Correspondingly, participants developed coping strategies to mitigate physical and cognitive decline, seek professional assessment, and strengthen support systems. CONCLUSION: Middle-aged and older adults with PCDS face physical and cognitive declines, mobility limitations, psychological stress, and social isolation. They adopt coping strategies like health maintenance, cognitive training, and social participation. Family and social support systems play a crucial role in their coping processes, while seeking professional medical assistance and engaging in community activities further enhance their confidence in managing PCDS.
Illness perceptions in older adults with mild cognitive impairment: A systematic review and framework synthesis.
Li Q, Su H, Chen Y … +2 more , Zhang L, Zhou Y
Geriatr Nurs · 2026 Jun · PMID 41903447 · Publisher ↗
BACKGROUND: Mild cognitive impairment (MCI) is a transitional state between normal cognitive aging and dementia, representing a critical window for intervention. However, older adults with MCI often lack accurate illness...
BACKGROUND: Mild cognitive impairment (MCI) is a transitional state between normal cognitive aging and dementia, representing a critical window for intervention. However, older adults with MCI often lack accurate illness perceptions, which may impede early intervention and self-management behaviors. Understanding how older adults perceive their condition is essential for developing patient-centered care strategies. The objectives of this review were (1) to systematically synthesize qualitative evidence on illness perceptions in older adults with MCI using the Common-Sense Model (CSM) as a theoretical framework, and (2) to identify key dimensions of illness representations that influence older adults' coping and management strategies. METHODS: Eleven databases (i.e., PubMed, Medline, Embase, Cochrane Library, Web of Science, PsycINFO, CINAHL, CNKI, VIP, Sinomed, and Wanfang) and Google Scholar were used to conduct the searches. We included qualitative studies examining illness perceptions in older adults aged 60 and above with MCI diagnoses. The quality of literature was assessed using the Critical Appraisal Skills Programme (CASP). RESULTS: Twenty-three studies were included. older adults experience varied symptoms, attribute conditions to different causes, and have diverse beliefs about the illness's timeline and consequences. The effects extend beyond cognitive changes to personal identity, social interactions, daily life, physical health, and family dynamics. older adults employ various control and management strategies, with attitudes toward recovery ranging from active control to passive acceptance. older adults predominantly exhibit negative emotional responses to potential outcomes. CONCLUSION: This qualitative synthesis shows heterogeneity in illness perceptions. These findings should inform healthcare providers in developing more targeted and efficient individualized education and self-management interventions to correct misconceptions about MCI, enhance self-management capabilities, and improve intervention adherence in older adults with MCI.
Analysis of self-management behaviors and related factors in patients with postherpetic neuralgia: A multidimensional methodological study.
Tang Q, Yuan M, Huang Y … +7 more , Feng J, Dai X, Fan X, Gu G, Lu J, Liu T, Sun L
Geriatr Nurs · 2026 Jun · PMID 41903446 · Publisher ↗
OBJECTIVE: This study aimed to evaluate the current state of self-management behaviors among patients suffering from postherpetic neuralgia (PHN) and to ascertain the principal determinants of these behaviors. METHODS: F...
OBJECTIVE: This study aimed to evaluate the current state of self-management behaviors among patients suffering from postherpetic neuralgia (PHN) and to ascertain the principal determinants of these behaviors. METHODS: From March to July 2024, 268 PHN inpatients were enlisted from the Pain Department of Guizhou Medical University Hospital through a convenience sampling method. Data were gathered utilizing a general information questionnaire, Numerical Rating Scale (NRS), Fear of Pain Questionnaire (FPQ), Connor-Davidson Resilience Scale (CD-RISC), Perceived Social Support Scale (PSSS), and Chronic Disease Self-Management Behavior Scale (CDSMBS). Descriptive statistics, correlation analysis, and multivariate stepwise linear regression were applied to scrutinize the prevailing conditions and influencing factors of self-management behaviors in these patients. RESULTS: The aggregate score for self-management behaviors among the 268 PHN patients was notably low, averaging 22.33±7.85, indicative of deficient self-management. The correlation analysis indicated a strong negative correlation between fear of pain and both psychological resilience (r= -0.462), and social support (r= -0.552), as well as with self-management behaviors (r= -0.460) (all P < 0.001). Conversely, psychological resilience showed a positive correlation with social support (r = 0.409) and self-management behaviors (r = 0.622) (all P < 0.001). Social support also exhibited a positive correlation with self-management behaviors (r = 0.412, P < 0.001). Multiple stepwise linear regression analysis revealed that 66.7% of the variance in self-management behaviors among PHN patients could be attributed to factors including post-fading hyperpigmentation of the rash, smoking status, age, fear of pain, psychological resilience, and social support (P < 0.05). CONCLUSION: Self-management behaviors among PHN patients are at a low level. Psychological resilience and social support positively influence self-management behaviors. Healthcare professionals can encourage the improvement of these behaviors through positive psychological interventions, assisting patients in setting achievable milestones, and helping them build social support networks.
Factors associated with dysphagia among community-dwelling Palestinian older adults.
Hamdan M, Al-Amouri FM, Abed MT … +6 more , Jaber MM, Alzeer M, Misk R, Khamaysah S, Alnatsheh S, Badrasawi M
Geriatr Nurs · 2026 Jun · PMID 41887011 · Publisher ↗
BACKGROUND: Dysphagia is a swallowing disorder associated with negative health consequences. In this study we aim to determine the factors associated with dysphagia among community-dwelling older adults in Palestine. MET...
BACKGROUND: Dysphagia is a swallowing disorder associated with negative health consequences. In this study we aim to determine the factors associated with dysphagia among community-dwelling older adults in Palestine. METHODS: An observational cross-sectional design was used to conduct the study among community-dwelling Palestinian elderly. The collected data included sociodemographic data and medical history. Nutritional assessment conducted using the Mini Nutritional Assessment-Short Form (MNA-SF); dysphagia screened using the Eating Assessment Tool-10 (EAT-10); functional impairments was evaluated using the Katz Index of Independence in the Activities of Daily Living (ADL); and depression and cognitive function assessment using the Geriatric Depression Scale (GDS-15) and the Montreal Cognitive Assessment (MoCA), respectively. The Mann-Whitney U and Kruskal-Wallis tests were used for statistical analysis. Further analysis was done using a multilinear regression test. RESULTS: A total of 216 participants were included in the final analysis. The mean age of participants was 68.4 ± 7.1 years. In the univariant analysis, a strong association was found between dysphagia and difficulty chewing, lack of appetite, and malnutrition. In addition, a significant correlation was found between dysphagia and age, ADL, MoCA, GDS, and MNA scores. After controlling for confounding variables, the final multivariant model revealed that MNA, ADL, and difficulty in chewing are the significant predictors for dysphagia (p < 0.05), i.e., MNA (B=-4.41, p < 0.001, CI=-6.21--2.61); ADL (B=-1.50, p < 0.001, CI=-2.23--0.78); and difficulty in chewing (B=-6.91, p < 0.001, CI=-9.10--4.73). CONCLUSION: Dysphagia was reported in 44% of participants and was independently associated with malnutrition, functional impairments, and difficulty in chewing, highlighting the need for early screening and targeted interventions to improve nutritional status and functional outcomes in older adults.
Metabolic syndrome in Korean older adults: Prevalence, determinants, and nursing implications.
Jang K
Geriatr Nurs · 2026 Jun · PMID 41875751 · Publisher ↗
PURPOSE: To estimate prevalence and identify determinants of metabolic syndrome (MetS) in Korean older adults (≥65 years), with actionable implications for gerontological nursing. METHODS: We analyzed 2023 Korea National...
PURPOSE: To estimate prevalence and identify determinants of metabolic syndrome (MetS) in Korean older adults (≥65 years), with actionable implications for gerontological nursing. METHODS: We analyzed 2023 Korea National Health and Nutrition Examination Survey (KNHANES) data. Of 6,929 respondents, 1,641 adults aged ≥65 years with complete data were included. MetS followed ATP III criteria adapted for Korean cutoffs. Independent variables spanned sociodemographic (age, sex, education, income, residence), behavioral (smoking, alcohol use, physical activity, sleep), and biological factors (25(OH)D₃, BMI). Survey-weighted multivariable logistic regression estimated adjusted odds ratios (aORs) with 95% CIs (α=.05). RESULTS: MetS prevalence was approximately 42%. Higher odds were observed for age ≥72 years (aOR=1.27, 95% CI 1.00-1.62, p=.047) and BMI ≥25 kg/m² (aOR=6.92, 95% CI 5.51-8.69, p<.001). Lower odds were seen for male sex (aOR=0.74, 95% CI 0.58-0.95, p=.020), meeting WHO physical activity recommendations (aOR=0.70, 95% CI 0.52-0.95, p=.021), sleep ≥7 h/night (aOR=0.73, 95% CI 0.59-0.92, p=.007), and serum 25(OH)D₃ ≥20 ng/mL (aOR=0.68, 95% CI 0.53-0.87, p=.002). Income, education, residence, smoking, and alcohol were not significant. CONCLUSIONS/IMPLICATIONS: MetS is common among Korean older adults, with obesity the dominant risk factor and modifiable behaviors (physical activity, sleep, vitamin D) showing protective associations. Gerontological nursing should prioritize: (1) nurse-led screening (waist circumference, blood pressure, glucose, lipids); (2) brief counseling on WHO-aligned activity, sleep hygiene, weight management, and vitamin D optimization; and (3) scalable referral pathways-including rural adaptations-to reduce disparities and support healthy aging.
Bereavement disclosure decision-making in dementia care: Perspectives of staff in Japanese long-term care facilities.
Watanabe A, Hashimoto Y, Tanoue M
Geriatr Nurs · 2026 Jun · PMID 41861521 · Publisher ↗
PURPOSE/AIMS: Communicating bereavement to older adults with dementia presents ethical and emotional challenges, particularly in Japanese long-term care environments, where family-centred decision-making and cultural nor...
PURPOSE/AIMS: Communicating bereavement to older adults with dementia presents ethical and emotional challenges, particularly in Japanese long-term care environments, where family-centred decision-making and cultural norms shape caregiving practices. Despite the increasing demand, bereavement support remains insufficiently structured. This study aimed to clarify how nurses and care workers recognise and respond to the disclosure of a loved one's death to older adults with dementia and to examine current practices and preferences regarding bereavement support in Japanese long-term care settings. METHODS: A questionnaire survey was administered to 217 formal caregivers with dementia care experience. The survey explored participants' recognition of bereavement disclosure, professional attributes, and preferences for support resources, such as manuals and training. Statistical analyses included Mann-Whitney U and Chi-square tests. RESULTS: Caregivers showed diverse recognition of bereavement disclosures. Care workers were more likely to avoid informing patients than were nurses, citing concerns such as emotional distress and family consultations. Recognition was associated with professional experience and the number of bereavement cases encountered. Most facilities lack standardised support manuals, and many caregivers express a strong need for structured resources and training. Cultural values and institutional norms influenced support preferences. CONCLUSIONS/IMPLICATIONS: Recognition of bereavement disclosure among caregivers varies and is shaped by professional roles, experience, and cultural contexts. To enhance dementia care, it is essential to develop ethically sensitive and culturally appropriate support models that reflect caregivers' perspectives and practical needs, including standardised tools and interdisciplinary collaboration.
Interpersonal ageism and its impact on older adults health and care engagement in China.
Shao B, Chen Y, Wang X … +1 more , Tang J
Geriatr Nurs · 2026 Jun · PMID 41844086 · Publisher ↗
PURPOSE: As global populations age, interpersonal age discrimination has emerged as a critical barrier to mental health and well-being in older adults. The team examined the adverse effects of interpersonal age discrimin...
PURPOSE: As global populations age, interpersonal age discrimination has emerged as a critical barrier to mental health and well-being in older adults. The team examined the adverse effects of interpersonal age discrimination on older adults' psychological well-being, including self-rated health, mental health, social adaptability, and life satisfaction. METHODS: Using nationally representative data from the China Longitudinal Ageing Social Survey (CLASS), the analysis quantified the impact of ageism on multidimensional health outcomes. RESULTS: Results indicated that age discrimination significantly worsened mental health and subjective well-being, partly by fostering negative ageing attitudes and limiting social engagement. Mechanism analyses further revealed that discrimination hindered older adults' access to smart ageing technologies, thereby impeding health management and social connectivity. Heterogeneity analyses showed that rural residents, pension recipients, and employed older adults experienced relatively attenuated effects, while gender and education level had no significant moderating influence. Moreover, age discrimination was associated with increased medical expenditures and decreased spending on cultural and recreational activities. CONCLUSION: The findings highlighted the importance of enhancing intergenerational interactions to mitigate the psychological harms of age discrimination. These results suggested that nursing professionals play a vital role in addressing interpersonal ageism, particularly by facilitating digital inclusion and identifying ageism-related distress to support older adults' comprehensive well-being.
Responding to long-term care staffing shortages: Addressing nurse aide turnover through perceived management support.
Yeatts DE, Yeatts MB, Zhan R … +1 more , Alam M
Geriatr Nurs · 2026 Jun · PMID 41825250 · Publisher ↗
BACKGROUND: Nursing homes (NHs), in general, have a significant shortage of nurse aides (NAs), often the result of high turnover rates. A study by the American Health Care Association reports that 84 percent of NHs face...
BACKGROUND: Nursing homes (NHs), in general, have a significant shortage of nurse aides (NAs), often the result of high turnover rates. A study by the American Health Care Association reports that 84 percent of NHs face moderate to high staffing shortages, with shortages having a negative impact on the care provided to NH residents. Research has shown that one factor that can reduce NA turnover is NA perceptions of management support (MS). PURPOSE: to identify factors associated with NA perceptions of MS. METHODS: A self-administered questionnaire was completed by 285 NAs within 11 nursing homes in the north Texas region. Most of the independent variables were based on an index of three or more statements with Chronbach's alphas ranging from 0.716 to 0.889. Steps were taken to increase validity. Cluster-adjusted standard errors were used along with structure coefficients. FINDINGS: six of 10 characteristics were found to have a statistically significant association with NA perceptions of MS, with two additional characteristics close to significance (adjusted R2 = 0.628). The most highly associated characteristics included participation in decision-making, feedback on NA suggestions, adequate staffing, and recognition for good work. DISCUSSION: Several theories that address employee perceptions of MS were supported including the Theory of Structural Empowerment and Transformational Leadership Theory. IMPLICATIONS: The results suggest several strategies that could be used to provide positive management support including regular meetings between management and small groups of NAs and the establishment of empowered NA work teams.
Enhancing employee retention in nursing homes through non-monetary incentives: Insights from focus groups.
Ramanan H, Kalarchian M, Pezzone A … +2 more , Rhoads C, Linkov F
Geriatr Nurs · 2026 Jun · PMID 41818980 · Publisher ↗
OBJECTIVE: Employee turnover has been a persistent challenge in U.S. nursing homes. The annual turnover rate of 48.71% among nursing staff has significant negative impacts on residents' quality of care and well-being. Th...
OBJECTIVE: Employee turnover has been a persistent challenge in U.S. nursing homes. The annual turnover rate of 48.71% among nursing staff has significant negative impacts on residents' quality of care and well-being. This qualitative study aimed to understand the complex factors which influence nursing home employee retention to identify incentives (perks) which have the potential to increase retention in long-term care settings. METHODS: We conducted 3 focus groups with a total of 31 participants at a 115-bed nursing home, with the goal of gathering employee perspectives on factors influencing personal retention decisions. A focus group interview guide was employed to facilitate the discussions, while allowing flexibility for participants to introduce additional topics. Two moderators were present during each session to guide the discussions, take notes, and record meetings. Thematic analysis was used to analyze focus group data. RESULTS: Four main recurrent themes and several subthemes emerged from these discussions: 1. Recognition (subthemes: verbal/written recognition and tangible rewards); 2. Culture (subthemes: interpersonal dynamics, flexibility, and management); 3. Nutrition (subthemes: food and drink); and 4. Other incentives (educational benefits, career promotion). Participants identified traditional benefits, such as salary and dedicated sick leave, as important retention factors. DISCUSSION: Focus group participants indicated that incentives may influence their intention to leave. Future research should explore this area across more specific nursing staff groups and examine policy-level strategies for implementing retention incentives in long-term care settings with the goal of improving care and outcomes among the residents of long-term care facilities.
Implementing meaningful activity facilitators to prevent hospital-acquired complications in French geriatric short-stay wards: A qualitative analysis of the context and stakeholder representations.
Montredon C, Marchal M, Poupon-Bourdy S … +7 more , Garnier-Crussard A, Tripoz-Dit-Masson S, Goubet V, Gras A, Falandry C, Haesebaert J, Gilbert T
Geriatr Nurs · 2026 Apr · PMID 41806744 · Publisher ↗
BACKGROUND: Rising hospitalization rates among older inpatients and their complex needs challenge traditional acute care models. Hospital-acquired complications and deconditioning remain major risks, especially when orga...
BACKGROUND: Rising hospitalization rates among older inpatients and their complex needs challenge traditional acute care models. Hospital-acquired complications and deconditioning remain major risks, especially when organizational constraints limit meaningful interactions. This qualitative study explored the perceived care needs for older inpatients and acceptability of Meaningful Activity Facilitators (MAFs) to address these needs in acute geriatric wards in France. METHODS: Using a multiple data source approach, we conducted non-participatory field observations and semi-structured interviews with patients and healthcare workers in two French geriatric wards. Topics included mobility, cognition, nutrition, hydration, mood, and organizational constraints. Participants discussed the role, benefits, barriers, and implementation challenges of MAFs. RESULTS: Staff, particularly nurses, identified understaffing and heavy workloads as key barriers to providing regular personal engagement. Patients often described insufficient contact despite acknowledging staff's interpersonal efforts. Both groups expressed support for introducing MAFs, viewing them as a means to enhance patient experience, care quality, and staff satisfaction. Concerns were raised about close teamwork, role clarity, and preventing task overlap. CONCLUSIONS: The integration of MAFs in acute geriatric settings appears acceptable and promising for enhancing patient interaction and potentially reducing complications such as delirium or deconditioning. Careful planning, training, and role definition will be critical for successful deployment.
The effect of art-based mandala intervention on death anxiety and anger levels in elderly adults living in nursing homes: A randomized controlled study.
Dincer B, Demir S, Demir K … +5 more , Özalp K, Ayaz EY, Bahçecik AN, Çelik S, Bozkurt D
Geriatr Nurs · 2026 Apr · PMID 41806743 · Publisher ↗
OBJECTIVE: This study aimed to investigate the effect of art-based mandala intervention on anger and death anxiety in older adults residing in a nursing home. METHODS: A randomized controlled experimental study with 80 p...
OBJECTIVE: This study aimed to investigate the effect of art-based mandala intervention on anger and death anxiety in older adults residing in a nursing home. METHODS: A randomized controlled experimental study with 80 participants (experimental group n = 40; control group n = 40) was conducted. The experimental group participated in mandala coloring three times a week for 12 weeks. Data were collected using a descriptive form, a death anxiety scale, and the State-Trait Anger Expression Inventory. RESULTS: Post-mandala, the experimental group showed significantly lower anger scores compared to the control group (p = 0.001). Statistically significant differences were found in State Anger, Anger-In, Anger-Out, and Anger Control (p < 0.01). A significant decrease in death anxiety scores was observed in the experimental group (p < 0.01). Anger levels explained 42.4% of the variance in death anxiety (p = 0.001). CONCLUSION: Mandala coloring is an effective intervention for reducing anger and death anxiety in elderly nursing home residents.
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