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The future of artificial intelligence in gerontological nursing in Saudi Arabia
Background
As a part of Vision 2030, Saudi Arabia initiated a health transformation program to enhance the quality and efficiency of healthcare services through digitizing the health sector and introducing various technological innovations.
Methods
A qualitative approach was used to explore the future of artificial intelligence (AI) of eight postgraduate students in the gerontological nursing program by investigating their perceptions, experiences, and challenges. The data was presented as key themes and subthemes using thematic analysis methods.
Results
The thematic analysis revealed the precise role of AI in gerontological nursing. While participants strongly believe that AI has the potential to improve patient care and nursing efficiency, they also expressed significant concerns regarding ethical implications.
Conclusions
The research highlights that AI is pivotal in developing healthcare solutions for older adults. By automating routine tasks and offering personalized medical and social interactions, AI can potentially transform gerontological nursing practices.
Journal Article
Nursing for wellness in older adults
\"Ensure the most effective wellness-oriented nursing care for older adults--in any healthcare setting. Confidently deliver wellness-oriented care for older adults across a changing healthcare environment with the latest evidence-based coverage of gerontological nursing. Comprehensively revised and updated, Nursing for Wellness in Older Adults, Eighth Edition fosters your understanding of both the physiologic and psychosocial aspects of aging, as well as broader issues of cultural competence, legal matters, and ethical concerns. Organized around the author's proven Functional Consequences Theory for Promoting Wellness in Older Adults, this trusted text focuses on equipping you to work proactively with older adults to promote high levels of functioning and quality of life, despite the limitations associated with aging, disease, and related conditions. Technology to Promote Wellness in Older Adults boxes familiarize you with technology-based interventions for promoting wellness in older adults. Interprofessional Collaboration (IPC) coverage emphasizes strategies for working with other healthcare professionals in managing care of older patients. Global Perspective boxes illustrate proven international approaches to quality gerontological nursing. Unfolding Patient Stories authored by the National League for Nursing challenge you to apply your understanding to realistic patient scenarios. A Transitional Care Unfolding Case Study helps you manage a patient requiring care across a variety of healthcare settings. Case Studies (both multipart and standalone) encourage you to apply nursing theory to real-life situations. Quality and Safety Education in Nursing (QSEN) examples help you apply knowledge and skills to care plans for unfolding cases. Assessment, Intervention, Evidence-Based Practice, Cultural Considerations, Diversity Note, and Caregiver Wellness boxes detail helpful approaches and tools for effective wellness-oriented nursing practice. Online Learning Activities point readers to the book's companion web page to access related resources, articles, and evidence-based guidelines.\" -- Provided by publisher.
Book
Exploring the Influencing Factors of Professional Identity in Geriatric Nursing Among Undergraduate Nursing Interns From a Life Course Perspective: A Qualitative Study
With the intensifying global trend of population aging, the importance of geriatric nursing is becoming increasingly prominent. Understanding how nursing students develop professional identity within the context of geriatric care can help foster their interest and competence, thereby ensuring the quality of care services in an aging society.
This study aims to explore, from a life course perspective, the multiple factors that influence the formation of professional identity in geriatric nursing among nursing students.
An exploratory descriptive qualitative design was employed. Semistructured interviews were conducted with 16 undergraduate nursing students. Thematic analysis was used to identify key themes related to the formation of professional identity.
Four main themes emerged from the data: (1) Early life experiences shaping emotional connection and basic impressions of older adults, (2) cognitive construction and challenges in geriatric nursing during education, (3) professional identity development and obstacles during clinical and volunteer experiences, and (4) realistic considerations and societal influences in career planning.
Nursing students' professional identity is dynamically constructed through the interplay of multidimensional experiences over the life course. Enhancing early exposure, enriching educational content, strengthening clinical support, and optimizing the broader social environment are crucial to promoting positive identification with geriatric nursing and advancing the development of a specialized workforce in this field.
Journal Article
Death coping ability, death attitude, and professional quality of life among geriatric nurses: a multicentre cross-sectional study
Background and aim
The ability of geriatric nurses to cope with death affects both their physical and mental health, as well as the quality of the hospice services they provide. The aim of this study was to investigate the death coping ability, death attitude, and professional quality of life of geriatric nurses, analyse the influencing factors of death coping ability, and explore the correlations among them.
Design
A multicentre cross-sectional study design was used and reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.
Methods
From October to November 2024, a convenience sampling method was used to survey 357 geriatric nurses from 9 hospitals in 8 provinces and cities, including Guangdong and Hubei, China, as the research subjects. The general information questionnaire, Coping With Death Scale (CDS), Death Attitude Profile-Revised (DAP-R), and Nurse Professional Quality of Life Scale were used for the investigation.
Results
The death coping ability score of the geriatric nurses was 135.23 ± 33.04 points, the total death attitude score was 96.65 ± 21.04 points, and the total raw professional quality of life score was 90.00 ± 11.91 points. Pearson correlation analysis revealed that the death coping ability of geriatric nurses was positively correlated with death attitudes, negatively correlated with secondary trauma and occupational burnout, and positively correlated with compassion satisfaction. Regression analysis revealed that age, frequency of sharing experiences of caring for terminally ill patients with others, participation in death-related courses or training, attitude towards death, and professional quality of life were factors influencing geriatric nurses’ ability to cope with death (
P
< 0.05).
Conclusion
The death coping ability of geriatric nurses is moderate and is related to death attitude and professional quality of life. Nursing managers are encouraged to enhance death education or training for geriatric nurses to help them develop a positive attitude towards death, pay attention to the quality of professional life of geriatric nurses and improve their ability to cope with death.
Journal Article
Supporting Older Adults at Risk (SOAR): A Nurse-Led Model to Achieve Age-Friendly Care
Purpose:
To describe a model of nurse-led age-friendly care in the acute care setting and associated processes and outcomes aligned with the 4Ms Framework.
Method:
We implemented the Supporting Older Adults at Risk Model—a novel model of care that includes primary care geriatric nurse practitioner co-management and AGS CoCare®:HELP—and used descriptive statistics to evaluate outcomes aligned with each of the 4Ms: What Matters, Medication, Mentation, and Mobility.
Results:
Advance care planning conversations were documented for 81% of the selected sample, resulting in subsequent family meetings and goal-concordant care. Beers Criteria® and anticholinergic medications were identified and reduced. Mobility goals were identified for 100% of the selected sample and mobility was maintained or improved for 46%. Addressing mentation was done in alignment with What Matters.
Conclusion:
Nurses are well-positioned to lead age-friendly care and drive optimal outcomes in the acute care setting, especially considering the geriatrician work-force shortage.
Journal Article
Priority analysis of educational needs related to geriatric nursing competence among Chinese undergraduate nursing students: Application of Borich needs assessment, importance-performance analysis and locus for focus model
This study aimed to assess and identify the priority of educational needs for geriatric nursing competence among Chinese undergraduate nursing students.
The increased aging population puts new challenges in geriatric nursing care. Competence in geriatric nursing is essential for nursing students to be well-equipped to be qualified nurses in their future work to meet the growing demand for geriatric nursing. However, research on the educational needs of geriatric nursing competence among nursing students is limited.
A descriptive study with online questionnaire surveys was conducted.
The Geriatric Nursing Competence Scale for Clinical Nurses was used to measure nursing undergraduate students' perception of the importance and performance of geriatric nursing competence. Borich'sNeeds Assessment, Important-Performance Analysis (IPA) and the Locus for focus (LF)model were used to analyze thepriorityinnursingstudents' educational needs of geriatric nursing competence.
Items related to geriatric nursing competence had lower performance than importance, emphasizing the need for education. The results showed that three items in the professional practice competence and three items in professional development competence were determined to be the highest priority items by ranking the top 10 in Borich's Needs Assessment and located in the highly important but had low-performance quadrant of IPA and fell within the high-discrepancy and high-importance quadrant of the LF model simultaneously.
The priorities of educational needs for geriatric nursing competence among undergraduate nursing students identified in this study provide a reference for effective educational planning and innovation.
Journal Article
Wii-Hab for Pre-Frail Older Adults
Purpose To examine the effectiveness of a novel intervention aimed at decreasing indices related to frailty through systematic, Progressive Functional Rehabilitation (PFR). Methods Pre‐frail volunteers were recruited to participate in a 15 week exercise intervention or control group. Those who met study criteria and consented were randomized into one of three groups: control, seated exercise, or Wii®‐fit. Test measures were completed before and after the 15 week intervention period on all participants. Measures included: Senior Fitness Test, Body Weight, Balance Efficacy Scale, CHAMPS, Late‐Life Function and Disability Index, MOS SF‐36. Attendance was also recorded. Results There were improvements on several of the measures included in the Senior Fitness Test including chair stands, arm curls, step 2, six minute walk, sit and reach, and the timed up and go. A few participants did lose weight. All of the differences reflected improved physical functional status in the seated exercise or Wii‐fit groups compared with the control group. Discussion Increased physical activity was beneficial for all who participated. There were improvements in physical performance scores on several of the measures on the senior fitness test in both the seated exercise and Wii‐fit groups. Participants in the Wii‐fit group also showed improvement in their reported caloric expenditure and balance confidence. Conclusion This pilot study suggests a rehabilitation effect that was similar to the effect of community based senior fitness classes. A home video game console system with weight vest could be an effective alternative for pre‐frail senior adults to group exercise classes.
Journal Article
Aging Matters: A Multi-Site Study and Call to Action for Integrating Gerontological Content into Bachelor of Science, Associate Degree, and Practical Nursing Program Curricula
Purpose:
The current study examined differences in senior nursing students' knowledge, attitudes, and perceived competency about older adults, based on enrollment in Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN), and Practical Nursing (PN) programs offering gerontological nursing curricula content.
Method:
A nonexperimental, descriptive survey design was used. A total of 145 senior nursing students from five pre-licensure programs in Florida completed a 92-item survey incorporating the Palmore Facts on Aging Quiz 2, Kogan's Attitudes Toward Old People Scale, and the Hartford Geriatric Nurse Competency Tool. Data were analyzed using analysis of variance (ANOVA), multivariate ANOVA, and Pearson correlation.
Results:
Students demonstrated limited knowledge about older adults but reported high perceived competency. A statistically significant difference in knowledge was found between program types, with PN students scoring highest. A moderate positive correlation existed between knowledge and attitudes. No significant differences were found for attitudes or perceived competency by program.
Conclusion:
The current study underscores the need to systematically design an evidence-based curriculum inclusive of gerontological nursing content across BSN, ADN, and PN programs to prepare the future nursing workforce to care for older adults.
Journal Article