Advances in Dementia Nursing: Functional Health, Carer Experiences, and Culturally Inclusive Care Approaches

A special issue of Nursing Reports (ISSN 2039-4403). This special issue belongs to the section "Nursing Care for Older People".

Deadline for manuscript submissions: 30 October 2026 | Viewed by 1465

Special Issue Editor


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Guest Editor
Faculty of Health and Medical Sciences, School of Biomedicine, The University of Adelaide, Adelaide, SA 5005, Australia
Interests: dementia care; refugee and CALD ageing; functional health trajectories in older adults; culturally inclusive assessment and interventions; carer experiences and support; nursing workforce education in aged care

Special Issue Information

Dear Colleagues,

The global rise in the prevalence of dementia poses profound challenges for healthcare systems, carers, and societies, demanding innovative and culturally inclusive approaches to care. For this Special Issue, “Advances in Dementia Nursing: Functional Health, Carer Experiences, and Culturally Inclusive Care Approaches”, we invite contributions that address the multifaceted nature of dementia care across settings and populations. We welcome empirical, theoretical, and review papers that explore functional health trajectories, the lived experiences of family and professional carers, and the implementation of culturally sensitive nursing practices. Of particular interest are studies focusing on refugees and culturally and linguistically diverse (CALD) older adults, who face unique barriers to timely diagnosis and equitable care. We encourage submissions employing quantitative, qualitative, or mixed methods that offer insights into assessment tools, care models, workforce education, and policy translation. By integrating global perspectives and multidisciplinary collaboration, this Special Issue will strengthen the evidence base for dementia nursing and advance person-centred, culturally responsive care for older people worldwide.

Dr. Wenpeng You
Guest Editor

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Keywords

  • dementia care
  • functional health
  • carers’ experiences
  • culturally inclusive care
  • refugee ageing
  • CALD populations
  • nursing education
  • person-centred care
  • global health
  • health equity

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Published Papers (2 papers)

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Research

18 pages, 247 KB  
Article
Nurses’ Experiences of Caring for Patients with Dementia in Supportive Treatment and Nursing Hospitals in Lithuania: A Qualitative Study
by Agnė Jakavonytė-Akstinienė and Karolina Adomavičiūtė
Nurs. Rep. 2026, 16(4), 124; https://doi.org/10.3390/nursrep16040124 - 8 Apr 2026
Viewed by 322
Abstract
Background: Dementia is one of the most common diseases of the elderly worldwide. Sharing experiences of caring for patients with dementia with other carers is essential to improve the quality of care, promote better outcomes, and learn from others. Aim: to explore nurses’ [...] Read more.
Background: Dementia is one of the most common diseases of the elderly worldwide. Sharing experiences of caring for patients with dementia with other carers is essential to improve the quality of care, promote better outcomes, and learn from others. Aim: to explore nurses’ experiences of working with patients with dementia in Lithuanian supportive treatment and nursing hospitals. Methods: A qualitative descriptive design was employed in this study, with data collected through semi-structured interviews. Nurses with direct experience caring for patients with dementia in supportive treatment and nursing hospitals were recruited through purposive sampling. This sampling strategy was chosen to ensure that participants could provide rich, contextual, and experience-based insights into the phenomenon under investigation. Open-ended questions were divided into three themes: 1. Identifying nursing needs. 2. Care for people with dementia. 3. Patient behavior management and situation management. To ensure methodological rigor and transparency, the Consolidated Criteria for Reporting Qualitative Research (COREQ) were applied throughout the study’s planning, data collection, and analysis processes. Results: Nine nurses working in three different Lithuanian hospitals participated in the study. Theme 1: respondents reported that the needs of patients with dementia depend on their previous lifestyle and hobbies, as well as on essential physiological needs such as eating and drinking, bathing and personal hygiene, and the absence of pain. Theme 2: All participants emphasized that ensuring a safe environment is crucial for people with dementia. Theme 3: When faced with inappropriate patient behaviour, nurses attempt to calm the patient, speak gently, provide distraction, or, when necessary, temporarily separate the patient from others. Additional actions include administering medication and stabilizing the patient. Overall, these findings illustrate that dementia care requires continuous emotional presence, situational judgment, and adaptation to each patient’s individual needs. Conclusions: Patients with dementia require highly individualized care focused on nutrition, hygiene, pain control, and communication. Nurses’ daily activities centered on essential bodily care, medication management, and mobility support to maintain safety and prevent complications. Full article
16 pages, 264 KB  
Article
Mealtime Assistance by Family and Professional Caregivers: An Observational Study of Cognitively Impaired Older Adults in Hospitals and Nursing Homes
by Hui-Chen (Rita) Chang, FungKuen (Tebbin) Koo, Juyang (Amy) Hui, Hansen (Cindy) Tang and Wenpeng You
Nurs. Rep. 2026, 16(1), 6; https://doi.org/10.3390/nursrep16010006 - 24 Dec 2025
Cited by 1 | Viewed by 803
Abstract
Background: Malnutrition is common among older adults with cognitive impairment and contributes to frailty and poorer health outcomes. Many individuals with dementia require mealtime assistance, yet differences in caregiving practices across hospital and nursing home settings remain underexplored. Aim: The aim of this [...] Read more.
Background: Malnutrition is common among older adults with cognitive impairment and contributes to frailty and poorer health outcomes. Many individuals with dementia require mealtime assistance, yet differences in caregiving practices across hospital and nursing home settings remain underexplored. Aim: The aim of this study was to compare eating encouragement practices, feeding skills, feeding difficulties, and nutritional status between family caregivers in hospitals and professional caregivers in nursing homes. Methods: A cross-sectional observational study was conducted between June 2020 and December 2023 in New South Wales, Australia. The study included 82 older adults (≥65 years) with cognitive impairment: 31 hospital patients supported by family caregivers and 51 nursing home residents supported by assistant nurses. Eating encouragement, feeding skills, and feeding difficulties were assessed using structured observation tools, and nutritional status was evaluated using the Mini Nutritional Assessment–Short Form (MNA-SF). Group differences were analysed using chi-square tests and independent t-tests (p < 0.05). Results: Family caregivers in hospitals demonstrated stronger relational and engagement-based practices, including consistent handwashing (χ2 = 31.945, p < 0.001), encouraging self-feeding (χ2 = 21.678, p < 0.001), verbal cueing (χ2 = 12.083, p = 0.002), touch prompting (χ2 = 51.817, p < 0.001), and sitting face to face (χ2 = 38.697, p < 0.001). Nursing home caregivers showed more advanced technical skills, such as task simplification (χ2 = 54.135, p < 0.001), mirroring (χ2 = 78.456, p < 0.001), hand-over-hand guidance (χ2 = 73.076, p < 0.001), mouth- and lip-opening techniques (both χ2 = 81.000, p < 0.001), and stronger choking management (p < 0.001). Feeding difficulties also differed: refusal behaviours were more common in nursing homes, while distraction and oral–motor issues were more frequent in hospitals. Overall, nursing home residents had significantly poorer nutritional status (t = −12.592, p < 0.001). Conclusions: Family caregivers provide stronger relational support, whereas professional caregivers demonstrate superior technical competence. Integrating these complementary strengths may enhance mealtime care and reduce malnutrition among cognitively impaired older adults. Full article
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