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Healthcare
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Nursing Care for Older Health
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Nursing Care for Older Health

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 9229

Special Issue Editor

Prof. Dr. Aviad Tur-Sinai

E-Mail Website
Guest Editor
Department of Health Systems Management, The Max Stern Yezreel Valley College, Yezreel Valley 1930600, Israel
Interests: health expenses among older adults; retirement patterns; older adults’ financial quality of life

Special Issue Information

Dear Colleagues,

The increase in life expectancy has brought with it a series of challenges to the health system and the welfare system in the various countries. Many older adults are exposed to a number of age-related diseases such as dementia, heart disease, hypertension, arthritis, and stroke. These chronic diseases involve significant physical and mental disabilities and pose significant challenges to the elderly population. A large portion of this group needs help and nursing care, sometimes on a daily basis. The Special Issue “Nursing Care for Older Health” deals with a number of challenges facing the health system, the welfare system, and the family members of older adults as a result of the increase in life expectancy and the need for nursing care for the elderly. This Special Issue will discuss issues related to the role of the health and welfare system in ensuring nursing care for older adults, the economic challenges facing the public system as a result, the economic challenges of households to ensure nursing care for older family members, and social consequences involving the need for family members to arrange nursing care for the older adults in the family. This Special Issue may also examine manpower-related issues related to the provision of nursing services to older adults, technological changes that are expected to occur in the coming years in the nursing system, and the implications of the COVID-19 pandemic on the challenges of regulating nursing care for older adults.

Prof. Dr. Aviad Tur-Sinai
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

  • nursing care
  • economic expenditure
  • community health services
  • financing of health
  • quality of care
  • manpower
  • technology
  • long-term care
  • informal care
  • formal care

Published Papers (7 papers)

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Research

10 pages, 218 KiB  
Article
Knowledge, Attitudes, and Practices of Nurses toward Risk Factors and Prevention of Falls in Older Adult Patients in a Large-Sized Tertiary Care Setting
by Saad Mohammad Alsaad, Mshari Alabdulwahed, Nabeel Mohammed Rabea, Shabana Tharkar and Abdulaziz A. Alodhayani
Healthcare 2024, 12(4), 472; https://doi.org/10.3390/healthcare12040472 - 14 Feb 2024
Viewed by 1147
Abstract
The objective was to assess the knowledge, attitudes, and practices of nurses toward the prevention of falls in older hospitalized patients. A cross-sectional study employing a 54-item questionnaire was conducted on 370 nurses at a tertiary care referral center. The mean age of [...] Read more.
The objective was to assess the knowledge, attitudes, and practices of nurses toward the prevention of falls in older hospitalized patients. A cross-sectional study employing a 54-item questionnaire was conducted on 370 nurses at a tertiary care referral center. The mean age of the study population was 36.3 ± 7.7 years, with the majority being females (282; 76.8%). Most of them had attended fall prevention training (335; 90.5%). More than 98% knew fall prevention policies and safety goals, according to their response to a fall and risk assessment, but were less aware of the risk factors of falls, such as recurrent falls (61%), depression (44%), and lower-extremity numbness (40.5%). Similarly, 99% had positive attitudes toward risk assessment, fall prevention intervention, and response to a fall. Around 55% thought they were responsible for patients’ falls, and 96% felt the need to undergo more training on fall prevention. Furthermore, 92% strictly followed fall prevention policies and 85.4% followed the color-coding system for high-risk patients. Despite the preventive measures in place, 33% encountered patient falls, and 82.2% experienced unwitnessed patient fall incidents in their units. Although the nurses had higher levels of knowledge about the policies, they lacked information on the risk factors. There is a significant scope that warrants great attention concerning the adherence to guidelines and the provision of fall prevention training programs, with a focus on the intrinsic causative factors of falls. Full article
(This article belongs to the Special Issue Nursing Care for Older Health)
17 pages, 795 KiB  
Article
Effects of a Clinical Simulation-Based Training Program for Nursing Students to Address Social Isolation and Loneliness in the Elderly: A Quasi-Experimental Study
by María Jesús Hernández-López, María Ruzafa-Martínez, César Leal-Costa, Antonio Jesús Ramos-Morcillo, Isidora Díaz-García, María Verónica López-Pérez, Solanger Hernández-Méndez and Jessica García-González
Healthcare 2023, 11(18), 2587; https://doi.org/10.3390/healthcare11182587 - 19 Sep 2023
Viewed by 1044
Abstract
Introduction: The population of older adults is rapidly increasing worldwide, presenting both prospects and complexities for society and healthcare professionals to maximize the functional capacity of this age group. Social isolation and loneliness significantly affect this population. The objective was to determine the [...] Read more.
Introduction: The population of older adults is rapidly increasing worldwide, presenting both prospects and complexities for society and healthcare professionals to maximize the functional capacity of this age group. Social isolation and loneliness significantly affect this population. The objective was to determine the effectiveness, satisfaction, and perceptions of the simulation-based education practices of a training program for nursing students, which was created to palliate the social isolation and loneliness of older adults. Method: A quasi-experimental study was conducted with nursing students who participated in an online training program using teleservice based on high-fidelity clinical simulation. The program included asynchronous theoretical training and synchronous practical training using an online platform. Five scenarios were designed using simulated phone calls to address the social isolation and loneliness of older adults. Results: Twenty-five nursing students participated in the program, and they had a mean age of 27.44, with 76% of them being women. After the training program, the participants showed statistically significant improvements (p < 0.05) with respect to their knowledge and attitudes towards older adults, and the program was adapted to the best educational practices in simulations. Conclusions: Simulation-based online training efficiently improved the knowledge and attitudes of nursing students towards older adults, improving their ability to address social isolation and loneliness. The high satisfaction and adhesion to the best educational practices underline the usefulness of high-fidelity online simulations, especially in situations in which face-to-face training is not feasible, and accessibility and equilibrium could be guaranteed between work and personal life. Full article
(This article belongs to the Special Issue Nursing Care for Older Health)
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16 pages, 1346 KiB  
Article
Service Climate and Nurses’ Collaboration with Families of Older Patients in the Care Process during Hospitalization
by Hedva Vinarski-Peretz, Michal Mashiach-Eizenberg, Nasra Idilbi and Dafna Halperin
Healthcare 2023, 11(18), 2485; https://doi.org/10.3390/healthcare11182485 - 07 Sep 2023
Viewed by 779
Abstract
This study focuses on the concrete role of the presence of a ward’s service climate in cultivating nurses’ collaboration with family members. Accordingly, this study examined the moderating role of the service climate in the link between nurses’ attitudes toward the family and [...] Read more.
This study focuses on the concrete role of the presence of a ward’s service climate in cultivating nurses’ collaboration with family members. Accordingly, this study examined the moderating role of the service climate in the link between nurses’ attitudes toward the family and their collaboration with family members in the care process. This is the second article of a series of studies we conducted among health staff in Israeli public hospitals. Relying on the patient- and family-centered care approach and using a cross-sectional study of 179 nurses from 13 internal medicine, surgical and geriatric wards at a large public hospital in Israel, we conducted a multiple regression analysis to test the contribution of all relationship variables to predicting nurses’ collaborative behavior with the family in the care process during elderly hospitalization. The findings indicate that service climate had a conditional moderating effect on the relationship between nurses’ perception of the family as a burden and their collaboration with the family in nursing care. Namely, in the absence of a targeted service climate, nurses form perceptions about the families as a burden, which in turn affects their distinct non-collaboration, and vice versa. Full article
(This article belongs to the Special Issue Nursing Care for Older Health)
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15 pages, 265 KiB  
Article
Patient Safety Subcultures among Nursing Home Staff in Italy: A Cross-Sectional Study
by Ilaria Tocco Tussardi, Lucia Cazzoletti, Maria Elisabetta Zanolin, Annarita Comini, Donatella Visentin, Emanuele Torri, Stefano Tardivo and Francesca Moretti
Healthcare 2023, 11(13), 1962; https://doi.org/10.3390/healthcare11131962 - 07 Jul 2023
Viewed by 670
Abstract
Nursing home (NH) residents are vulnerable subjects and highly susceptible to adverse events. Knowledge of patient safety culture (PSC) is essential for an organization to ensure patient safety. However, research on PSC in NHs, and its variability among staff, is still scarce. This [...] Read more.
Nursing home (NH) residents are vulnerable subjects and highly susceptible to adverse events. Knowledge of patient safety culture (PSC) is essential for an organization to ensure patient safety. However, research on PSC in NHs, and its variability among staff, is still scarce. This study aimed to explore whether and how PSC differed among NH staff (Managers, Nurses, Direct Care Staff, Support Staff, Administrative Staff and Other Providers) in the Autonomous Province of Trento, Italy. This study employed a cross-sectional design and collected data from 1145 NH providers using the Nursing Home Survey on Patient Safety Culture (NHSPSC). Data were analyzed using linear mixed models, with each of the 12 NHSPSC domains as a response variable. The majority of the respondents (61.6%) were Direct Care Staff members. ‘Feedback and Communication about Incidents’ and ‘Overall Perceptions of Resident Safety’ were the domains with the highest proportions of positive answers (PPAs). For most staff categories, ‘Staffing’ was the domain with the lowest PPA. Support Staff showed significantly lower scores in the majority of domains (8/12). Shorter job tenure, fewer weekly working hours, working mostly during the day and working in highly specialized areas were associated with higher scores in several domains. Interventions to improve PSC must consider the differences between professional groups. Further research is needed to explore the relationship between job-related features and perceptions of patient safety among NH workers. Full article
(This article belongs to the Special Issue Nursing Care for Older Health)
16 pages, 1022 KiB  
Article
Learning and Developing Together for Improving the Quality of Care in a Nursing Home, Is Appreciative Inquiry the Key?
by Regula Van Graas and Robbert J. Gobbens
Healthcare 2023, 11(13), 1840; https://doi.org/10.3390/healthcare11131840 - 24 Jun 2023
Viewed by 1371
Abstract
To investigate the impact of Appreciative Inquiry (AI) on learning and developing together for improving the quality of care in a nursing home, and to explore experiences following the four phases of the AI cycle, an AI was performed as part of participative [...] Read more.
To investigate the impact of Appreciative Inquiry (AI) on learning and developing together for improving the quality of care in a nursing home, and to explore experiences following the four phases of the AI cycle, an AI was performed as part of participative action research. Interviews, group discussions, creative methods of storytelling, and reflections were used in the AI sessions. Staff members were interviewed to evaluate the AI process. All of the interviews were recorded and transcribed. Data were analyzed thematically using Maxqda and were discussed by the interviewers until consensus was reached. The sessions resulted in ten action proposals to improve healthcare. One proposal was worked out in agreements on cooperation. The evaluation revealed that the sessions have given a boost to the team spirit, and involvement at the location leading to more cooperation and communication during the shifts. The evaluation indicated that it is important to convert the action plans of the sessions into actions, which are then evaluated. AI was advised as a way of learning where everyone is involved, and mutual agreements are made. This study has shown that AI can be a valuable way to support learning and development to promote the quality of care in a nursing home. Full article
(This article belongs to the Special Issue Nursing Care for Older Health)
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15 pages, 1468 KiB  
Article
Crosswalk between Charlson Comorbidity Index and the American Society of Anesthesiologists Physical Status Score for Geriatric Trauma Assessment
by Oluwaseun John Adeyemi, Ariana Meltzer-Bruhn, Garrett Esper, Charles DiMaggio, Corita Grudzen, Joshua Chodosh and Sanjit Konda
Healthcare 2023, 11(8), 1137; https://doi.org/10.3390/healthcare11081137 - 15 Apr 2023
Cited by 1 | Viewed by 1081
Abstract
The American Society of Anesthesiologists Physical Status (ASA-PS) grade better risk stratifies geriatric trauma patients, but it is only reported in patients scheduled for surgery. The Charlson Comorbidity Index (CCI), however, is available for all patients. This study aims to create a crosswalk [...] Read more.
The American Society of Anesthesiologists Physical Status (ASA-PS) grade better risk stratifies geriatric trauma patients, but it is only reported in patients scheduled for surgery. The Charlson Comorbidity Index (CCI), however, is available for all patients. This study aims to create a crosswalk from the CCI to ASA-PS. Geriatric trauma cases, aged 55 years and older with both ASA-PS and CCI values (N = 4223), were used for the analysis. We assessed the relationship between CCI and ASA-PS, adjusting for age, sex, marital status, and body mass index. We reported the predicted probabilities and the receiver operating characteristics. A CCI of zero was highly predictive of ASA-PS grade 1 or 2, and a CCI of 1 or higher was highly predictive of ASA-PS grade 3 or 4. Additionally, while a CCI of 3 predicted ASA-PS grade 4, a CCI of 4 and higher exhibited greater accuracy in predicting ASA-PS grade 4. We created a formula that may accurately situate a geriatric trauma patient in the appropriate ASA-PS grade after adjusting for age, sex, marital status, and body mass index. In conclusion, ASA-PS grades can be predicted from CCI, and this may aid in generating more predictive trauma models. Full article
(This article belongs to the Special Issue Nursing Care for Older Health)
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14 pages, 483 KiB  
Article
Validation of the WHOQOL-BREF Quality of Life Questionnaire in an Urban Sample of Older Adults in a Neighbourhood in Zaragoza (Spain)
by Marta Gil-Lacruz, Miguel Cañete-Lairla, Jorge Navarro, Rosa Montaño-Espinoza, Iris Espinoza-Santander and Paulina Osorio-Parraguez
Healthcare 2022, 10(11), 2272; https://doi.org/10.3390/healthcare10112272 - 12 Nov 2022
Cited by 1 | Viewed by 2508
Abstract
Background: Nowadays, the increase in life expectancy needs to be matched by an increase in the wellbeing of older adults. A starting point is the definition of what is understood by health-related quality of life and its measurement in different contexts. Our research [...] Read more.
Background: Nowadays, the increase in life expectancy needs to be matched by an increase in the wellbeing of older adults. A starting point is the definition of what is understood by health-related quality of life and its measurement in different contexts. Our research translates these international priorities to a local base. Objective: To evaluate the psychometric characteristics of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) in a sample of older adults from a Spanish urban community (Casablanca). Methods: In collaboration with the local health centre, we designed and implemented the health neighbourhood survey. Interviews took place at subjects’ homes with 212 women and 135 men over the age of 60, who were residents in Casablanca. With the results, we evaluated the psychometric characteristics of WHOQOL-BREF and tested its reliability and validation. Results: The instrument has a high internal consistency with a Cronbach’s Alpha of 0.9. The items with higher correlation value were: ability to carry out activities in daily life, enough energy for daily life. The scale contributions of Physical Health dimension (0.809) and Psychological Health dimension (0.722) were notable. Conclusions: As with other studies, the instrument proved to be an integral evaluation of the diverse domains that condition the wellbeing of older adults. Full article
(This article belongs to the Special Issue Nursing Care for Older Health)
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