Subjective end-of-life health literacy investigates individuals' abilities in knowledge, communication and decision-making related to health during the end-of-life stage. This study aims to culturally adapt the Subjective End-of-Life Health Literacy Scale (S-EOL-HLS) for a Chinese context, including reliability and validity assessments among older adult community populations.
Methods
We translated, back-translated and cross-culturally adapted the English version (S-EOL-HLS) using Brislin's translation model. Subsequently, a survey was conducted among older adults in the community to assess the scale's reliability.
Results
The content validity index for each item ranged from 0.714 to 1.000, with a total scale index of 0.928. Exploratory factor analysis identified three main factors with eigenvalues ≥ 1, contributing to a cumulative variance of 67.131%. Confirmatory factor analysis demonstrated that all fit indices met the required criteria, resulting in a Cronbach's α coefficient of 0.945. The half-split reliability was 0.956, and test–retest reliability reached 0.905. Validity evaluation using the HLS-EU-Q16 demonstrated a positive correlation with the scores of the Chinese End-of-Life Health Literacy Scale (r = 0.821, p < 0.001).
Conclusion
The Chinese version of the S-EOL-HLS exhibits strong reliability and validity among older individuals. It is suitable for evaluating end-of-life health literacy within the Chinese cultural context.
主观临终健康素养调查个体在临终阶段与健康相关的知识、沟通和决策能力。本研究旨在将主观临终健康素养量表（S-EOL-HLS）在中国文化背景下进行调整，包括在老年人社区人群中进行信度和效度评估。方法采用Brislin翻译模型对英文译本（S-EOL-HLS）进行翻译、反译和跨文化改编。随后，在社区的老年人中进行了一项调查，以评估量表的可靠性。结果各条目的内容效度指数为0.714 ~ 1.000，总量表指数为0.928。探索性因子分析确定了特征值≥1的三个主要因素，累积方差为67.131%。验证性因子分析表明，所有拟合指标均符合要求标准，Cronbach’s α系数为0.945。半分离信度为0.956，重测信度为0.905。HLS-EU-Q16效度评价与中国临终健康素养量表得分呈正相关（r = 0.821, p < 0.001）。结论中文版S-EOL-HLS量表在老年人中具有较强的信度和效度。它适合在中国文化背景下评估临终健康素养。
{"title":"Reliability and Validity Assessments of the Subjective End-Of-Life Health Literacy Scale in Community Older Adults","authors":"Haojie Wang, Weiqing Zhang, Kun Wang, Jielu Song, Yabing Cao, Zhihua Wei","doi":"10.1111/opn.70025","DOIUrl":"https://doi.org/10.1111/opn.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Subjective end-of-life health literacy investigates individuals' abilities in knowledge, communication and decision-making related to health during the end-of-life stage. This study aims to culturally adapt the Subjective End-of-Life Health Literacy Scale (S-EOL-HLS) for a Chinese context, including reliability and validity assessments among older adult community populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We translated, back-translated and cross-culturally adapted the English version (S-EOL-HLS) using Brislin's translation model. Subsequently, a survey was conducted among older adults in the community to assess the scale's reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The content validity index for each item ranged from 0.714 to 1.000, with a total scale index of 0.928. Exploratory factor analysis identified three main factors with eigenvalues ≥ 1, contributing to a cumulative variance of 67.131%. Confirmatory factor analysis demonstrated that all fit indices met the required criteria, resulting in a Cronbach's α coefficient of 0.945. The half-split reliability was 0.956, and test–retest reliability reached 0.905. Validity evaluation using the HLS-EU-Q16 demonstrated a positive correlation with the scores of the Chinese End-of-Life Health Literacy Scale (<i>r</i> = 0.821, <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Chinese version of the S-EOL-HLS exhibits strong reliability and validity among older individuals. It is suitable for evaluating end-of-life health literacy within the Chinese cultural context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathleen Parry, Christopher Picard, Rashmi Devkota, Kaitlyn Tate
Introduction
Emergency department (ED) patient navigators are increasingly used, but a lack of understanding of how ED navigator interventions are designed, described, and evaluated creates gaps in our ability to understand, monitor and improve care. The purpose of this scoping review is to identify how the literature describes and evaluates ED patient navigator interventions for older people transitioning to a primary care setting.
Methods
A scoping review was conducted following the Johanna Briggs Institute updated methodological guidance for the conduct of scoping reviews. We searched three databases: MEDLINE, EMBASE and CINAHL. We included English language articles without any restrictions on study designs that two reviewers screened. All articles focused on distinct ED navigator roles to facilitate transitions for older people from the ED to primary care were included. Data extraction was completed by the primary reviewer and validated by two secondary reviewers. We report study characteristics in a table. Descriptive content analysis was used to analyse the main findings.
Results
A total of 10 studies were included out of 2102 articles identified. All studies used quantitative designs except one, which used a qualitative research design. Four studies were conducted in the United States, two in Australia and the UK and one in Canada and Belgium. Twenty unique outcome measures were identified, with hospital admission rate, frequency of ED presentations and ED/hospital length of stay being the most common. We identified six intervention components: assessment, consultation, liaison, development of care plan, referral and follow-up. Interventions using 4 or more components more commonly reported positive outcomes. Outcome measures used to evaluate interventions were often not tracked across care settings, potentially obscuring the impact of ED navigator interventions across the care continuum.
Conclusion
Future research should examine which patients benefit from ED navigation and which outcome measures might help contextualise intervention effectiveness across care settings.
{"title":"Emergency Department Navigator Interventions and Outcome Measures: A Scoping Review","authors":"Kathleen Parry, Christopher Picard, Rashmi Devkota, Kaitlyn Tate","doi":"10.1111/opn.70026","DOIUrl":"https://doi.org/10.1111/opn.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Emergency department (ED) patient navigators are increasingly used, but a lack of understanding of how ED navigator interventions are designed, described, and evaluated creates gaps in our ability to understand, monitor and improve care. The purpose of this scoping review is to identify how the literature describes and evaluates ED patient navigator interventions for older people transitioning to a primary care setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was conducted following the Johanna Briggs Institute updated methodological guidance for the conduct of scoping reviews. We searched three databases: MEDLINE, EMBASE and CINAHL. We included English language articles without any restrictions on study designs that two reviewers screened. All articles focused on distinct ED navigator roles to facilitate transitions for older people from the ED to primary care were included. Data extraction was completed by the primary reviewer and validated by two secondary reviewers. We report study characteristics in a table. Descriptive content analysis was used to analyse the main findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 10 studies were included out of 2102 articles identified. All studies used quantitative designs except one, which used a qualitative research design. Four studies were conducted in the United States, two in Australia and the UK and one in Canada and Belgium. Twenty unique outcome measures were identified, with hospital admission rate, frequency of ED presentations and ED/hospital length of stay being the most common. We identified six intervention components: assessment, consultation, liaison, development of care plan, referral and follow-up. Interventions using 4 or more components more commonly reported positive outcomes. Outcome measures used to evaluate interventions were often not tracked across care settings, potentially obscuring the impact of ED navigator interventions across the care continuum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Future research should examine which patients benefit from ED navigation and which outcome measures might help contextualise intervention effectiveness across care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chien-Chih Liu, Yi-Jung Chen, Xavier C. C. Fung, Iqbal Pramukti, Chieh-hsiu Liu, Li-Fan Liu, Mark D. Griffiths, Yi-Ching Yang, Chung-Ying Lin
<div> <section> <h3> Introduction</h3> <p>The global population is experiencing a significant increase in the number of older people, highlighting the need to maintain both physical and mental health among this cohort and to promote healthy ageing. One critical area that has been insufficiently explored is the prevalence and scope of ageism and its assessment. Therefore, the present review evaluated the psychometric properties of instruments designed to assess ageism against older people.</p> </section> <section> <h3> Methods</h3> <p>To locate relevant instruments, a search was conducted using seven databases comprising <i>MEDLINE, PubMed, Embase, PsycINFO, Web of Science, ScienceDirect</i> and <i>Scopus</i>. The review utilised the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist to assess the methodological quality of the studies identified, ensuring a thorough evaluation of relevant literature.</p> </section> <section> <h3> Results</h3> <p>From an initial pool of 338,180 outputs, 20 studies were deemed suitable for inclusion. These studies addressed various aspects of ageism, with eight focusing on self-directed ageism and 12 on attitudes towards older individuals. The review found that while 18 studies tested internal consistency, only three assessed cross-cultural validity. None of the studies achieved a high methodological quality rating concerning content validity based on the COSMIN criteria.</p> </section> <section> <h3> Conclusions</h3> <p>These findings suggest a significant gap in the development of reliable and comprehensive psychometric instruments for assessing ageism, indicating a need for further refinement of these instruments. Implications for Practice: This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.</p> </section> <section> <h3> Implications for Practice</h3> <p>This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.</p> </sec
全球人口中老年人的数量正在显著增加，这突出表明需要保持这一群体的身心健康，并促进健康老龄化。尚未充分探讨的一个关键领域是年龄歧视的普遍程度和范围及其评估。因此，本综述评估了设计用于评估针对老年人的年龄歧视的工具的心理测量特性。方法利用MEDLINE、PubMed、Embase、PsycINFO、Web of Science、ScienceDirect和Scopus等7个数据库进行检索，定位相关仪器。本次审查采用了基于共识的健康状况测量工具选择标准（COSMIN）检查清单，以评估所确定研究的方法学质量，确保对相关文献进行全面评估。从最初的338,180个输出中，有20个研究被认为适合纳入。这些研究涉及年龄歧视的各个方面，其中8项研究侧重于自我导向的年龄歧视，12项研究侧重于对老年人的态度。回顾发现，虽然有18项研究测试了内部一致性，但只有3项研究评估了跨文化有效性。根据COSMIN标准，没有一项研究在内容效度方面获得高方法学质量评级。这些发现表明，在开发可靠和全面的评估年龄歧视的心理测量工具方面存在重大差距，表明这些工具需要进一步完善。实践意义：本系统综述为医疗保健政策制定者提供了证据，以促进更强大的年龄歧视测量工具的发展。此外，研究结果强调，研究人员需要对年龄歧视工具进行更彻底的验证和评估，以解决其多维性，从而提高未来老年学研究的质量。这一系统综述为医疗保健政策制定者提供了证据，以推动更强大的年龄歧视测量工具的发展。此外，研究结果强调，研究人员需要对年龄歧视工具进行更彻底的验证和评估，以解决其多维性，从而提高未来老年学研究的质量。
{"title":"Psychometric Properties of Instruments Assessing Ageism: A Systematic Review","authors":"Chien-Chih Liu, Yi-Jung Chen, Xavier C. C. Fung, Iqbal Pramukti, Chieh-hsiu Liu, Li-Fan Liu, Mark D. Griffiths, Yi-Ching Yang, Chung-Ying Lin","doi":"10.1111/opn.70023","DOIUrl":"https://doi.org/10.1111/opn.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The global population is experiencing a significant increase in the number of older people, highlighting the need to maintain both physical and mental health among this cohort and to promote healthy ageing. One critical area that has been insufficiently explored is the prevalence and scope of ageism and its assessment. Therefore, the present review evaluated the psychometric properties of instruments designed to assess ageism against older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To locate relevant instruments, a search was conducted using seven databases comprising <i>MEDLINE, PubMed, Embase, PsycINFO, Web of Science, ScienceDirect</i> and <i>Scopus</i>. The review utilised the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist to assess the methodological quality of the studies identified, ensuring a thorough evaluation of relevant literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From an initial pool of 338,180 outputs, 20 studies were deemed suitable for inclusion. These studies addressed various aspects of ageism, with eight focusing on self-directed ageism and 12 on attitudes towards older individuals. The review found that while 18 studies tested internal consistency, only three assessed cross-cultural validity. None of the studies achieved a high methodological quality rating concerning content validity based on the COSMIN criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest a significant gap in the development of reliable and comprehensive psychometric instruments for assessing ageism, indicating a need for further refinement of these instruments. Implications for Practice: This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.</p>\u0000 </sec","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alera Bowden, Valerie Wilson, Jessica Bresolin, Jessica Nealon, Victoria Traynor
Aim
To explore the learning experiences of post-anaesthesia care unit nurses after their participation in a delirium care for older people education intervention.
Background
Post-operative delirium is a common, yet major complication for people 65 years or older who have undergone surgery. Yet, post-operative delirium in older people continues to go undetected, has delayed detection or is entirely misdiagnosed. Inadequate delirium recognition and management is in part due to the lack of knowledge, competence and confidence of post-anaesthesia care unit nurses caring for older people. Multimodal education opportunities significantly contribute to nurses' improved knowledge, skills, confidence and competence in delirium care, as well as improvements in patient clinical outcomes. However, knowledge of which aspects of the learning experience that make the most impact to post-anaesthesia care unit nurses' clinical practice is limited.
Design
Qualitative descriptive design.
Methods
Post-anaesthesia care unit nurses participated in a four-module multimodal delirium education intervention, which was co-designed by expert clinicians and tailored to the contextual needs of post-operative care. Nurses who participated in the educational intervention were invited to submit their completed learner workbooks. Qualitative data (n = 66 learner workbooks) were collected via 12 open-ended learner workbook questions.
Results
Content analysis of 655 open-ended participant responses generated three categories and seven sub-categories: gains in knowledge (Category 1), emotional responses to learning (Category 2) and clinical practice changes (Category 3).
Conclusion
Multimodal education interventions are beneficial for post-anaesthesia care unit nurses caring for older people with delirium. Learning outcomes include changes in knowledge, attitudes and clinical practices. The use of simulation-based education is particularly impactful on positive learning experiences of post-anaesthesia care unit nurses.
Implications for Practice
Nurse educators are encouraged to utilise simulation-based education to enhance nurses' knowledge, competence and confidence of
{"title":"Exploring Post-Anaesthesia Care Unit Nurses' Experiences Post Participation in a Delirium Care for Older People Education Intervention: A Qualitative Study","authors":"Alera Bowden, Valerie Wilson, Jessica Bresolin, Jessica Nealon, Victoria Traynor","doi":"10.1111/opn.70022","DOIUrl":"10.1111/opn.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the learning experiences of post-anaesthesia care unit nurses after their participation in a delirium care for older people education intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Post-operative delirium is a common, yet major complication for people 65 years or older who have undergone surgery. Yet, post-operative delirium in older people continues to go undetected, has delayed detection or is entirely misdiagnosed. Inadequate delirium recognition and management is in part due to the lack of knowledge, competence and confidence of post-anaesthesia care unit nurses caring for older people. Multimodal education opportunities significantly contribute to nurses' improved knowledge, skills, confidence and competence in delirium care, as well as improvements in patient clinical outcomes. However, knowledge of which aspects of the learning experience that make the most impact to post-anaesthesia care unit nurses' clinical practice is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative descriptive design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Post-anaesthesia care unit nurses participated in a four-module multimodal delirium education intervention, which was co-designed by expert clinicians and tailored to the contextual needs of post-operative care. Nurses who participated in the educational intervention were invited to submit their completed learner workbooks. Qualitative data (<i>n</i> = 66 learner workbooks) were collected via 12 open-ended learner workbook questions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Content analysis of 655 open-ended participant responses generated three categories and seven sub-categories: gains in knowledge (Category 1), emotional responses to learning (Category 2) and clinical practice changes (Category 3).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Multimodal education interventions are beneficial for post-anaesthesia care unit nurses caring for older people with delirium. Learning outcomes include changes in knowledge, attitudes and clinical practices. The use of simulation-based education is particularly impactful on positive learning experiences of post-anaesthesia care unit nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Nurse educators are encouraged to utilise simulation-based education to enhance nurses' knowledge, competence and confidence of","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rouven Brenner, Myrta Kohler, Shauna L. Rohner, Heidrun Gattinger
Introduction
Worldwide, healthcare systems continue to evolve approaches to acute care delivery for older people. The Swiss healthcare system, for example, utilises Diagnosis-Related Groups (Swiss DRG) to structure hospital stays. This system creates opportunities to enhance post-acute care services that support functional recovery and independence. The ‘Home, Instead of Nursing Home’ project collaboratively developed an integrated programme that combines staff education with structured care delivery processes to enhance person-centred, rehabilitative care for older people in acute transitional care, emphasising autonomy and quality of life.
Methods
The development process consisted of four steps: inter-professional workshops with healthcare professionals, interviews with residents of nursing homes providing acute transitional care and their relatives, data synthesis and programme development. Participants (N = 38) were individuals from three nursing homes, including healthcare professionals, residents and relatives. We conducted a thematic analysis to identify essential workshop and interview themes.
Results
The analysis identified four main themes: promoting a person-centred, resource-oriented culture; implementing person-centred, resource-oriented care; fostering movement competence and developing a champion role. The derived programme for person-centred and resource-oriented care (PCC&ROC) consists of four pillars: PCC&ROC care culture, PCC&ROC care planning, movement promotion and coaching and consulting. We adapted the programme to the individual circumstances of the three nursing homes.
Conclusion
The programme integrates international best practices with a salutogenic perspective and the inclusion of residents and their relatives. It addresses the critical need for person-centred and resource-oriented care in the context of nursing home short-term care for older individuals, promoting autonomy and improving their quality of life. This research emphasises the importance of involving relevant stakeholders in evidence-based programme development to develop a programme tailored to the needs and challenges of the intended population.
{"title":"‘Home, Instead of Nursing Home’—Improving the Quality of Care for Older People Receiving Short-Term Care: Development of a Person-Centred, Resource-Oriented Programme","authors":"Rouven Brenner, Myrta Kohler, Shauna L. Rohner, Heidrun Gattinger","doi":"10.1111/opn.70020","DOIUrl":"https://doi.org/10.1111/opn.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Worldwide, healthcare systems continue to evolve approaches to acute care delivery for older people. The Swiss healthcare system, for example, utilises Diagnosis-Related Groups (Swiss DRG) to structure hospital stays. This system creates opportunities to enhance post-acute care services that support functional recovery and independence. The ‘Home, Instead of Nursing Home’ project collaboratively developed an integrated programme that combines staff education with structured care delivery processes to enhance person-centred, rehabilitative care for older people in acute transitional care, emphasising autonomy and quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The development process consisted of four steps: inter-professional workshops with healthcare professionals, interviews with residents of nursing homes providing acute transitional care and their relatives, data synthesis and programme development. Participants (<i>N</i> = 38) were individuals from three nursing homes, including healthcare professionals, residents and relatives. We conducted a thematic analysis to identify essential workshop and interview themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis identified four main themes: promoting a person-centred, resource-oriented culture; implementing person-centred, resource-oriented care; fostering movement competence and developing a champion role. The derived programme for person-centred and resource-oriented care (PCC&ROC) consists of four pillars: PCC&ROC care culture, PCC&ROC care planning, movement promotion and coaching and consulting. We adapted the programme to the individual circumstances of the three nursing homes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The programme integrates international best practices with a salutogenic perspective and the inclusion of residents and their relatives. It addresses the critical need for person-centred and resource-oriented care in the context of nursing home short-term care for older individuals, promoting autonomy and improving their quality of life. This research emphasises the importance of involving relevant stakeholders in evidence-based programme development to develop a programme tailored to the needs and challenges of the intended population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dympna Tuohy, Teresa Tuohy, Margaret Graham, Jane McCarthy, Jill Murphy, Jacinta Shanahan, Irene Cassidy
Introduction
Global ageing is increasing. Most older people live independently but at times require nursing care as they age. This care is provided in a variety of settings including acute, primary, community and residential care services. In such instances, it is important that older people feel comfortable and listened to, and it is imperative that student nurses are educated to competently care for and nurse older people in collaborative partnerships. Intergenerational initiatives promote shared learning and help break down barriers among different age cohorts. An online intergenerational café was developed to provide a learning opportunity for older people and student nurses to meet as equals and connect socially in a protected place and time. This paper reports on older people's views of their participation in an online intergenerational café.
Methods
Ethical approval was granted for this survey design research. Older people living in the community (n = 49) participated in online intergenerational cafés with student nurses. Following the online café, participants were invited to voluntarily participate in the study through completion of an anonymous online survey. Consent was indicated through the return of the survey questionnaire. All agreed to complete the survey. Likert scale quantitative data was analysed using descriptive statistical analysis (SPSS, version 21). Responses to the open-ended questions were thematically analysed.
Findings
The cafés supported intergenerational learning, and participants felt comfortable participating. Participants discovered some but not all key points of interest about students. In many ways, they were quite similar to students. Participants felt students would be respectful, empathetic and advocate for them in a care situation. Many agreed that the cafés were well organised, but some would have liked more clarity on the discussion topics.
Conclusions
This café initiative has merit as it helped reduce barriers and facilitated intergenerational learning.
Implications for Practice
Participation in Intergenerational cafés can help reduce barriers by faciliating understanding and mutual respect . They can provide a forum for discussion on nursing care expectations.
引言全球老龄化正在加剧。大多数老年人独立生活，但随着年龄的增长，有时需要护理。这种护理是在各种环境中提供的，包括急性、初级、社区和住宿护理服务。在这种情况下，重要的是让老年人感到舒适和倾听，并且必须教育学生护士在合作伙伴关系中有能力照顾和护理老年人。代际倡议促进共享学习，并有助于打破不同年龄群体之间的障碍。开发了一个在线代际咖啡馆，为老年人和实习护士提供了一个学习机会，让他们在一个受保护的地点和时间平等地见面并进行社交联系。本文报告了老年人对他们参与在线代际咖啡的看法。方法本调查设计研究采用伦理审批。居住在社区的老年人（n = 49）与学生护士一起参加了在线代际咖啡交换。在网上咖啡之后，参与者被邀请通过完成一份匿名在线调查自愿参与这项研究。通过返回调查问卷表示同意。所有人都同意完成调查。李克特量表定量数据采用描述性统计分析（SPSS, version 21）进行分析。对开放式问题的回答进行了主题分析。研究结果：cafims支持代际学习，参与者在参与过程中感到舒适。参与者发现了学生的一些关键兴趣点，但不是全部。在很多方面，他们和学生很相似。参与者认为学生们会尊重他们，同情他们，并在照顾他们的情况下为他们发声。许多人都认为，咖啡交换组织得很好，但有些人希望讨论的主题能更明确。这一咖啡馆倡议有其优点，因为它有助于减少障碍，促进代际学习。代际交流中实践参与的含义可以通过促进理解和相互尊重来帮助减少障碍。他们可以提供一个讨论护理期望的论坛。
{"title":"Older People's Views of Participating in an Intergenerational Café With Student Nurses","authors":"Dympna Tuohy, Teresa Tuohy, Margaret Graham, Jane McCarthy, Jill Murphy, Jacinta Shanahan, Irene Cassidy","doi":"10.1111/opn.70019","DOIUrl":"https://doi.org/10.1111/opn.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Global ageing is increasing. Most older people live independently but at times require nursing care as they age. This care is provided in a variety of settings including acute, primary, community and residential care services. In such instances, it is important that older people feel comfortable and listened to, and it is imperative that student nurses are educated to competently care for and nurse older people in collaborative partnerships. Intergenerational initiatives promote shared learning and help break down barriers among different age cohorts. An online intergenerational café was developed to provide a learning opportunity for older people and student nurses to meet as equals and connect socially in a protected place and time. This paper reports on older people's views of their participation in an online intergenerational café.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ethical approval was granted for this survey design research. Older people living in the community (<i>n</i> = 49) participated in online intergenerational cafés with student nurses. Following the online café, participants were invited to voluntarily participate in the study through completion of an anonymous online survey. Consent was indicated through the return of the survey questionnaire. All agreed to complete the survey. Likert scale quantitative data was analysed using descriptive statistical analysis (SPSS, version 21). Responses to the open-ended questions were thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The cafés supported intergenerational learning, and participants felt comfortable participating. Participants discovered some but not all key points of interest about students. In many ways, they were quite similar to students. Participants felt students would be respectful, empathetic and advocate for them in a care situation. Many agreed that the cafés were well organised, but some would have liked more clarity on the discussion topics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This café initiative has merit as it helped reduce barriers and facilitated intergenerational learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Participation in Intergenerational cafés can help reduce barriers by faciliating understanding and mutual respect . They can provide a forum for discussion on nursing care expectations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>Effective writing is the sum of a balanced calculation. To write effectively requires that authors know their subject, understand their audience, and portray their message to achieve greater good. Puzzlingly, effective writing is a skill frequently downplayed or misrepresented throughout nursing. Our very identity is tied to relationships and communication. We nurses should love to write but most often do not. It is time to replace our paradoxical distaste for writing with confidence and skill. We gerontological nurses need to add our writing voices to the global campaign to end ageism as we strive to improve health, well-being and healthcare for older people and their care partners. That means we cannot afford to be ambivalent about our writing!</p><p>Nurses fretting about writing always feel ironic to me. Here are professionals who can talk about someone's most intimate concerns with ease, whose savvy assessments and interventions restore function, create comfort and save lives. But sit down and write something that they can happily share with colleagues and the public? The very thought quashes all confidence for many of us. Added to this stressful pressure is the implicit social obligation that we, as gerontological nurses, hold to actively dismantle ageism. The World Health Organisation underscores that education and policy are two of the three primary means to combat ageism (World Health Organization <span>2021</span>). In our hands, effective writing becomes a tool with a dual purpose. We can achieve our primary aim in writing—whether that be a research report for submission to the <i>International Journal of Older People Nursing</i> (<i>IJOPN</i>), a policy for our workplace, or a blog for our community—and take down ageism at the same time.</p><p>Like any skill we learn as nurses, effective writing is achievable given the right circumstances. Any writing task needs a clearsighted approach, a context conducive to the writing task, useful resources, a specific plan, and dedicated practice. Undertaking writing in a haphazard or disjointed way will deliver disappointing or frustrating results in the same way that nursing care undertaken in the same fashion returns patient dissatisfaction or worse. Likening writing to our more familiar world of clinical nursing care allows us to successfully realise effective writing, making it an integral part of our professional repertoire.</p><p>As an experienced nurse, author, peer reviewer and editor, I know that belief and self-confidence are keys to writing success. We need to believe that writing is a necessary part of our professional skill set. Imagining that writing is ‘not our thing’ strips away our scope and our power to do good. After all, if we aim to improve health and well-being and advance social and health care, then we need to educate varied public and professional audiences through our writing to achieve those changes. Once we believe that writing is an integral nursing skill, we need t
有效的写作是平衡计算的总和。有效的写作要求作者了解他们的主题，了解他们的读者，并描绘他们的信息以达到更大的效果。令人费解的是，在整个护理过程中，有效的写作是一种经常被低估或歪曲的技能。我们的身份与人际关系和交流息息相关。我们护士应该喜欢写作，但大多数情况下并不喜欢。是时候用自信和技巧取代我们对写作的矛盾厌恶了。在我们努力改善老年人及其护理伙伴的健康、福祉和医疗保健的同时，我们老年护士需要在结束年龄歧视的全球运动中发出我们的书面声音。这意味着我们不能对我们的写作感到矛盾！护士们为写作而烦恼，我总觉得很讽刺。这里有一些专业人士，他们可以轻松地谈论人们最亲密的担忧，他们精明的评估和干预可以恢复功能，创造舒适并挽救生命。但是坐下来写一些他们可以愉快地与同事和公众分享的东西？对我们许多人来说，这种想法打消了所有的信心。除了这种压力之外，我们作为老年护士，还有一种隐性的社会义务，那就是积极消除对老年人的歧视。世界卫生组织强调，教育和政策是打击年龄歧视的三个主要手段中的两个（世界卫生组织，2021年）。在我们的手中，有效的写作成为一种具有双重目的的工具。我们可以通过写作实现我们的主要目标——无论是提交给《国际老年人护理杂志》（IJOPN）的研究报告，还是我们工作场所的政策，还是我们社区的博客——同时消除年龄歧视。就像我们作为护士学习的任何技能一样，在适当的环境下，有效的写作是可以实现的。任何写作任务都需要一个清晰的方法，一个有利于写作任务的环境，有用的资源，一个具体的计划和专门的练习。以一种随意或不连贯的方式进行写作会带来令人失望或沮丧的结果，就像以同样的方式进行护理会让病人不满或更糟一样。将写作比作我们更熟悉的临床护理世界，使我们能够成功地实现有效的写作，使其成为我们专业技能的组成部分。作为一名经验丰富的护士、作家、同行审稿人和编辑，我知道信念和自信是写作成功的关键。我们需要相信写作是我们专业技能的必要组成部分。想象写作“不是我们的东西”会剥夺我们做好事的范围和能力。毕竟，如果我们的目标是改善健康和福祉，推进社会和医疗保健，那么我们就需要通过我们的写作来教育各种公众和专业受众，以实现这些变化。一旦我们相信写作是一项不可或缺的护理技能，我们就需要将写作视为一项我们可以获得的技能，就像其他技能一样。成为有效的作家需要我们利用我们获得护理技能的经验来发挥我们的最大优势。我们知道积累知识、使用正确的工具和持续练习一项技能会导致成功。作为一名编辑，支持写作成功的许多东西实际上都超出了我的能力范围。例如，我不能让任何有抱负的护士作家花时间和精力来练习写作。但我可以提供指导，让你的写作方法更锐利，推荐有用的工具，提供我的建议，告诉你在写作时该做什么、该避免什么，并列出在坚持应用时能产生效果的策略。这里有一些我最喜欢的技巧、策略和资源，我推荐给任何想要提高写作效率的护士。这些建议按照它们所支持的写作方面进行分组——方法、上下文、工具、计划和行动。我们的写作方法的价值怎么估计都不过分。我担心，同事们在写作时经常会因为没有阐明自己的方法而让自己感到沮丧。例如，我认为我们不应该随便在作家的身份上加上“好”或“伟大”之类的形容词。如果写作是一种需要培养的技能，那么它必须对所有人来说都是可以实现的，就像专业护理所必需的任何技能一样。有些作家比其他人更熟练或更适应这个过程，但每个人都可以在必要的知识、资源和技能建设的基础上实现有效的写作。把我们写作的价值判断为我们身份的一部分只会让我们不知所措。相反，你应该用一种方法来反思你当天所取得的成就，并期待第二天有机会在前一天的基础上取得进步。我们需要把自己置于一个有利于写作任务的环境中，以写出我们想要写的东西。这种情况包括我们作为老年护士所熟悉的各种因素。 在文档中包含字数限制，并将其用作参数深度和章节长度的度量。请记住，当没有说明最小和最大字数时，字数计数意味着最小和最大字数。这意味着，写一篇远低于或远高于这个数字的手稿不太可能成功。我希望我对有效的反年龄歧视写作的基础的回顾能给你提供一些新的想法来提高你自己的写作。IJOPN的存在是因为世界各地的老年护理作者和他们的同事花时间和精力进行有效的写作，准备报告他们的原始研究，系统评论，评论和书籍和媒体评论的手稿。有了这里的新想法和对资源的回顾，我想现在的作者会发现对他们的写作有影响的建议或策略，那些还没有考虑过把手稿寄给IJOPN的作者会受到启发，这样做。现在，我鼓励你做好准备，开始写作，祝你写作愉快，成功！我期待着阅读你的作品。和往常一样，在IJOPN社交媒体上与我们分享你所写、所读和所想。我们的网址是LinkedIn https://uk.linkedin.com/in/international-journal-of-older-people-nursing-ijopn-10bb6674， Blue Sky是https://bsky.app/profile/intjnlopn.bsky.social。而且，作为提醒，IJOPN的Facebook页面很快就会关闭，所以现在是时候改变你关注日记的方式了。现在，准备，准备，开始写作！作者声明无利益冲突。
{"title":"Get Ready, Get Set, Write! Foundations of Effective, Anti-Ageist Writing","authors":"Sarah H. Kagan","doi":"10.1111/opn.70021","DOIUrl":"https://doi.org/10.1111/opn.70021","url":null,"abstract":"<p>Effective writing is the sum of a balanced calculation. To write effectively requires that authors know their subject, understand their audience, and portray their message to achieve greater good. Puzzlingly, effective writing is a skill frequently downplayed or misrepresented throughout nursing. Our very identity is tied to relationships and communication. We nurses should love to write but most often do not. It is time to replace our paradoxical distaste for writing with confidence and skill. We gerontological nurses need to add our writing voices to the global campaign to end ageism as we strive to improve health, well-being and healthcare for older people and their care partners. That means we cannot afford to be ambivalent about our writing!</p><p>Nurses fretting about writing always feel ironic to me. Here are professionals who can talk about someone's most intimate concerns with ease, whose savvy assessments and interventions restore function, create comfort and save lives. But sit down and write something that they can happily share with colleagues and the public? The very thought quashes all confidence for many of us. Added to this stressful pressure is the implicit social obligation that we, as gerontological nurses, hold to actively dismantle ageism. The World Health Organisation underscores that education and policy are two of the three primary means to combat ageism (World Health Organization <span>2021</span>). In our hands, effective writing becomes a tool with a dual purpose. We can achieve our primary aim in writing—whether that be a research report for submission to the <i>International Journal of Older People Nursing</i> (<i>IJOPN</i>), a policy for our workplace, or a blog for our community—and take down ageism at the same time.</p><p>Like any skill we learn as nurses, effective writing is achievable given the right circumstances. Any writing task needs a clearsighted approach, a context conducive to the writing task, useful resources, a specific plan, and dedicated practice. Undertaking writing in a haphazard or disjointed way will deliver disappointing or frustrating results in the same way that nursing care undertaken in the same fashion returns patient dissatisfaction or worse. Likening writing to our more familiar world of clinical nursing care allows us to successfully realise effective writing, making it an integral part of our professional repertoire.</p><p>As an experienced nurse, author, peer reviewer and editor, I know that belief and self-confidence are keys to writing success. We need to believe that writing is a necessary part of our professional skill set. Imagining that writing is ‘not our thing’ strips away our scope and our power to do good. After all, if we aim to improve health and well-being and advance social and health care, then we need to educate varied public and professional audiences through our writing to achieve those changes. Once we believe that writing is an integral nursing skill, we need t","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Line Constance Holmsen, Bodil Tveit, Ane-Marthe Solheim Skar, Marit Helene Hem
<div> <section> <h3> Background</h3> <p>Healthcare workers in nursing homes are an educationally, experientially, culturally and linguistically diverse workforce who face increasing challenges in their working conditions. Studies indicate positive results with regard to cooperation and care from experiencing a sense of community in diverse healthcare teams.</p> </section> <section> <h3> Aim</h3> <p>This qualitative study aimed to explore healthcare workers' experiences of being part of a team in nursing homes before, during and after their participation in a psychosocial competence building intervention, the International Caregiver Development Programme (ICDP).</p> </section> <section> <h3> Methods</h3> <p>Fifteen focus group interviews of five ICDP group courses were conducted before, during and after participation in ICDP with 31 cross-cultural healthcare workers in nursing homes. The findings emerged through hermeneutic analysis. The results were compared with the open responses in an anonymous written evaluation. Consolidated Criteria for Reporting Qualitative Research (COREQ) served as a framework for reporting this study.</p> </section> <section> <h3> Results</h3> <p>Before ICDP, the participants reported a lack of communication regarding priorities, challenges in interactions with the residents and cultural and linguistic diversity among the healthcare workers. During participation in ICDP, they described increased knowledge and understanding of one another in addition to inspiring each other and acknowledging each other's diversity as healthcare workers. After completing ICDP, they experienced a sense of relational and practical community, a sense of pride in the team, increased self-confidence related to practice and increased job satisfaction.</p> </section> <section> <h3> Conclusion</h3> <p>This study indicated that ICDP has the potential to create a community of psychosocial practice in multicultural healthcare teams, which may be strengthened by experiences of mastery, confidence and pride. The participants in this study developed a common conceptual framework for understanding, prioritising and practising psychosocial care. The community seemed to facilitate cooperation between them and increase their job satisfaction.</p> </section> <section> <h3> Implications for Practice</h3> <p>Healthcare workers in nursing homes need time and spa
{"title":"Building a Community Among Multicultural Healthcare Teams in Nursing Homes: A Qualitative Study of the International Caregiver Development Programme (ICDP)","authors":"Line Constance Holmsen, Bodil Tveit, Ane-Marthe Solheim Skar, Marit Helene Hem","doi":"10.1111/opn.70018","DOIUrl":"https://doi.org/10.1111/opn.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Healthcare workers in nursing homes are an educationally, experientially, culturally and linguistically diverse workforce who face increasing challenges in their working conditions. Studies indicate positive results with regard to cooperation and care from experiencing a sense of community in diverse healthcare teams.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This qualitative study aimed to explore healthcare workers' experiences of being part of a team in nursing homes before, during and after their participation in a psychosocial competence building intervention, the International Caregiver Development Programme (ICDP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifteen focus group interviews of five ICDP group courses were conducted before, during and after participation in ICDP with 31 cross-cultural healthcare workers in nursing homes. The findings emerged through hermeneutic analysis. The results were compared with the open responses in an anonymous written evaluation. Consolidated Criteria for Reporting Qualitative Research (COREQ) served as a framework for reporting this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Before ICDP, the participants reported a lack of communication regarding priorities, challenges in interactions with the residents and cultural and linguistic diversity among the healthcare workers. During participation in ICDP, they described increased knowledge and understanding of one another in addition to inspiring each other and acknowledging each other's diversity as healthcare workers. After completing ICDP, they experienced a sense of relational and practical community, a sense of pride in the team, increased self-confidence related to practice and increased job satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study indicated that ICDP has the potential to create a community of psychosocial practice in multicultural healthcare teams, which may be strengthened by experiences of mastery, confidence and pride. The participants in this study developed a common conceptual framework for understanding, prioritising and practising psychosocial care. The community seemed to facilitate cooperation between them and increase their job satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Healthcare workers in nursing homes need time and spa","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caroline Ashton-Gough, Jennifer Lynch, Claire Goodman
Background
People with dementia admitted to hospital are at risk of developing delirium. Patients with delirium superimposed on dementia (DSD) have higher mortality rates, longer hospital stays and further cognitive loss. The role of family is often recommended as a resource to inform and support how patients with dementia's needs are understood. This review focuses on ward-based interventions that enable family carers and health care professionals to work together to improve patient experience and outcomes.
Aim
To review evidence on ward-based approaches involving family (or their proxies) and staff working together to prevent and manage delirium for patients living with dementia.
Methods
We undertook a scoping review including all types of research. Six electronic databases were searched (CINAHL, MEDLINE (run twice), EMBASE, Cochrane, PsycINFO and PubMed). The search was limited to papers written in English and published from 2009 to 2019. The search was updated in 2023. Papers were independently read by two researchers. Findings were presented through narrative synthesis (Prospero CRD42019130369).
Results
Fifteen papers were included. Studies focused on educational and system change to improve the care of people with DSD. Family involvement ranged from enabling baseline assessment of delirium, commenting on different resources and measures designed to support their involvement in care or simulate their presence. The evidence of effectiveness was varied. Interventions to support personalised care and give family carers and staff confidence were positively evaluated in some studies but not all included both family carers and staff. Benefits to patients over time were less clearly demonstrated.
Conclusion
This review identified the potential of family to mitigate the risk of delirium and improve patient outcomes. Further research is needed to understand how system and practitioner changes to enable family involvement in the support of people with DSD benefit patients in the short and long term.
Relevance to Clinical Practice
The review findings provide evidence for clinical practice when selecting existing interventions and approache
{"title":"Supportive Interventions Involving Family Carers of Patients With Delirium Superimposed on Dementia in Hospital: A Scoping Review","authors":"Caroline Ashton-Gough, Jennifer Lynch, Claire Goodman","doi":"10.1111/opn.70016","DOIUrl":"https://doi.org/10.1111/opn.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with dementia admitted to hospital are at risk of developing delirium. Patients with delirium superimposed on dementia (DSD) have higher mortality rates, longer hospital stays and further cognitive loss. The role of family is often recommended as a resource to inform and support how patients with dementia's needs are understood. This review focuses on ward-based interventions that enable family carers and health care professionals to work together to improve patient experience and outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To review evidence on ward-based approaches involving family (or their proxies) and staff working together to prevent and manage delirium for patients living with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We undertook a scoping review including all types of research. Six electronic databases were searched (CINAHL, MEDLINE (run twice), EMBASE, Cochrane, PsycINFO and PubMed). The search was limited to papers written in English and published from 2009 to 2019. The search was updated in 2023. Papers were independently read by two researchers. Findings were presented through narrative synthesis (Prospero CRD42019130369).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen papers were included. Studies focused on educational and system change to improve the care of people with DSD. Family involvement ranged from enabling baseline assessment of delirium, commenting on different resources and measures designed to support their involvement in care or simulate their presence. The evidence of effectiveness was varied. Interventions to support personalised care and give family carers and staff confidence were positively evaluated in some studies but not all included both family carers and staff. Benefits to patients over time were less clearly demonstrated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review identified the potential of family to mitigate the risk of delirium and improve patient outcomes. Further research is needed to understand how system and practitioner changes to enable family involvement in the support of people with DSD benefit patients in the short and long term.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Clinical Practice</h3>\u0000 \u0000 <p>The review findings provide evidence for clinical practice when selecting existing interventions and approache","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bianca Berger, Fabian Graeb, Manfred Baumann, Reinhold Wolke
<div> <section> <h3> Background</h3> <p>An increasing number of individuals aged 60 and older will rely on healthcare services, particularly due to increased physical limitations and mobility restrictions. This implies an increase in permanently immobile, often bedridden people who require targeted care. Mobility impairments progress gradually, leading to loss of autonomy and self-care skills, physical decline, functional deterioration, disability, etc. This review synthesises research findings on the implications of becoming and being bedridden for nursing care of older people in long-term care.</p> </section> <section> <h3> Objectives</h3> <p>The aim of this scoping review was to explore the current state of research on the topic of bedriddenness in older people in the context of long-term care and to identify research gaps.</p> </section> <section> <h3> Methods</h3> <p>We analysed English and German language peer-reviewed publications from the electronic databases MEDLINE (PubMed), CINAHL, LIVIO and Scopus. Publications from 1998 to 2023 were included if they addressed ‘bedriddenness’, the ‘process of becoming bedridden’, ‘prevention’ and the ‘consequences of bedriddenness’, and the ‘care of bedridden people’. The PRISMA-ScR guidelines were used.</p> </section> <section> <h3> Results</h3> <p>We identified 250 publications based on the defined inclusion criteria. We included 47 in detail condensing their content and organising them according to developed categories, bedriddenness and its prevention, development, consequences and care, which were the subject of intensive research. Although researchers have focused on risk factors for the development of immobility and its negative consequences for those affected, they paid little attention to self-determination and the organisation of life in bed, which enables those affected to participate. Different ideas regarding the term ‘bedriddenness’ indicate the need for a consensus definition.</p> </section> <section> <h3> Conclusion</h3> <p>Our review shows that articles strongly focus on the process of becoming bedridden. Many publications examine bedridden people's care by emphasising the perspective of (informal) caregivers and the challenges they face. The perspective of bedridden people, together with the consideration of psychosocial dimensions of bedriddenness and the promotion of opportunities for participation, should be focused on in further research. Appropriate concepts for training and nursi
{"title":"Becoming Bedridden and Being Bedridden: Implications for Nursing and Care for Older People in Long-Term Care: A Scoping Review","authors":"Bianca Berger, Fabian Graeb, Manfred Baumann, Reinhold Wolke","doi":"10.1111/opn.70015","DOIUrl":"https://doi.org/10.1111/opn.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>An increasing number of individuals aged 60 and older will rely on healthcare services, particularly due to increased physical limitations and mobility restrictions. This implies an increase in permanently immobile, often bedridden people who require targeted care. Mobility impairments progress gradually, leading to loss of autonomy and self-care skills, physical decline, functional deterioration, disability, etc. This review synthesises research findings on the implications of becoming and being bedridden for nursing care of older people in long-term care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this scoping review was to explore the current state of research on the topic of bedriddenness in older people in the context of long-term care and to identify research gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed English and German language peer-reviewed publications from the electronic databases MEDLINE (PubMed), CINAHL, LIVIO and Scopus. Publications from 1998 to 2023 were included if they addressed ‘bedriddenness’, the ‘process of becoming bedridden’, ‘prevention’ and the ‘consequences of bedriddenness’, and the ‘care of bedridden people’. The PRISMA-ScR guidelines were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 250 publications based on the defined inclusion criteria. We included 47 in detail condensing their content and organising them according to developed categories, bedriddenness and its prevention, development, consequences and care, which were the subject of intensive research. Although researchers have focused on risk factors for the development of immobility and its negative consequences for those affected, they paid little attention to self-determination and the organisation of life in bed, which enables those affected to participate. Different ideas regarding the term ‘bedriddenness’ indicate the need for a consensus definition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our review shows that articles strongly focus on the process of becoming bedridden. Many publications examine bedridden people's care by emphasising the perspective of (informal) caregivers and the challenges they face. The perspective of bedridden people, together with the consideration of psychosocial dimensions of bedriddenness and the promotion of opportunities for participation, should be focused on in further research. Appropriate concepts for training and nursi","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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