Nursing for Older Adults with Multimorbidities

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 30 September 2025 | Viewed by 8431

Special Issue Editor


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Guest Editor
1. School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
2. Interdisciplinary Centre for Qualitative Research, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
Interests: aged; long-term care; multimorbidity; nurse

Special Issue Information

Dear Colleagues,

We are pleased to invite you to contribute to our upcoming Special Issue on “Nursing for Older Adults with Multimorbidities”. This research area holds significant scientific importance as the population of older adults with multimorbidities continues to grow, presenting unique challenges and opportunities for healthcare providers.

This Special Issue aims to provide a platform for researchers, clinicians, and policymakers to share their knowledge, experiences, and research findings in the field of nursing for older adults with multimorbidities. This topic aligns closely with the scope of our journal, ensuring that the research contributions are both relevant and impactful within the fields of nursing and healthcare.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • The impact of multimorbidities on the health outcomes of older adults.
  • The role of nurses in the care of older adults with multimorbidities.
  • The development and evaluation of interventions and care models for older adults with multimorbidities.
  • The use of technology and innovation in the care of older adults with multimorbidities.
  • The ethical and legal issues implicated in the care of older adults with multimorbidities.
  • The cultural and social determinants of health in the care of older adults with multimorbidities.

We look forward to receiving your contributions.

Dr. Cheng Cheng
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • aged
  • care models
  • health outcomes
  • long-term care
  • multimorbidity
  • nurse
  • older adults

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Published Papers (2 papers)

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Research

20 pages, 273 KB  
Article
Facilitators and Barriers to Self-Volume Management in Older Patients with Chronic Heart Failure and Multimorbidity: A Qualitative Study
by Xin Xu, Yu Chen, Jiaxin Zhou, Shuying Li, Xinyue Dong and Zhiyun Shen
Healthcare 2025, 13(18), 2353; https://doi.org/10.3390/healthcare13182353 - 18 Sep 2025
Abstract
Background: Effective volume management can significantly improve patients’ health outcomes, but the current situation of volume management in older patients with chronic heart failure (CHF) and multimorbidity is not optimistic. This study aimed to explore the facilitators and barriers of self-volume management in [...] Read more.
Background: Effective volume management can significantly improve patients’ health outcomes, but the current situation of volume management in older patients with chronic heart failure (CHF) and multimorbidity is not optimistic. This study aimed to explore the facilitators and barriers of self-volume management in patients and to provide a basis for the development of self-volume management strategies. Methods: A descriptive qualitative research method was used. Semi-structured interviews were conducted with older patients with CHF and multimorbidity between January and April 2025 in two tertiary hospitals in Shanghai, China. Data were analyzed using content analysis. Results: Eight facilitators emerged, including the hospital–community collaboration mechanism, Medicare and long-term care insurance coverage, diverse social support, the doctor–patient trust relationship, results-oriented incentives, digital health management, high self-efficacy, and strong motivation for health. Nine barriers were identified; these were insufficient adaptability of self-volume management programs, limited access to community resources, lack of standardized self-volume management tools, inadequate multidisciplinary team communication, one-way doctor–patient communication, lack of knowledge of self-volume management, physical limitations, management negligence caused by work constraints, and behavioral habits’ consolidation. Conclusions: Self-volume management was affected by various factors. The study suggests strengthening health insurance coverage to reduce financial burden, taking advantage of family support and providing digital health management tools. In addition, healthcare providers should provide patient-centered care, enhance multidisciplinary collaboration, and address individual barriers with precise intervention strategies. Full article
(This article belongs to the Special Issue Nursing for Older Adults with Multimorbidities)
17 pages, 253 KB  
Article
Ethical and Legal Challenges in Caring for Older Adults with Multimorbidities: Best Practices for Nurses
by Abdulaziz M. Alodhialah, Ashwaq A. Almutairi and Mohammed Almutairi
Healthcare 2024, 12(16), 1585; https://doi.org/10.3390/healthcare12161585 - 9 Aug 2024
Cited by 5 | Viewed by 7653
Abstract
This study explores the ethical and legal challenges faced by nurses in caring for older adults with multimorbidities, focusing on issues related to patient autonomy, polypharmacy, and end-of-life care. Through semi-structured interviews with 15 nurses in Riyadh, Saudi Arabia, the research highlights the [...] Read more.
This study explores the ethical and legal challenges faced by nurses in caring for older adults with multimorbidities, focusing on issues related to patient autonomy, polypharmacy, and end-of-life care. Through semi-structured interviews with 15 nurses in Riyadh, Saudi Arabia, the research highlights the complexities of obtaining informed consent from patients with cognitive impairments and the ethical dilemmas of balancing autonomy and safety. The management of polypharmacy emerged as a significant concern, with nurses emphasizing the importance of thorough documentation and coordination among healthcare providers to prevent adverse drug interactions. End-of-life care and advance directives posed further challenges, particularly when family members disagreed with patients’ documented wishes. The study underscores the need for comprehensive strategies, including ongoing education, clear communication, and supportive institutional policies, to address these issues effectively. The findings suggest that enhancing nurses’ understanding of ethical principles and legal requirements is crucial for improving patient care and ensuring compliance with regulatory standards. Future research should aim to develop evidence-based guidelines to support nursing practice in managing these ethical and legal challenges. Full article
(This article belongs to the Special Issue Nursing for Older Adults with Multimorbidities)
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