Effectiveness of a multimodal information technology-based hand hygiene strategies on reducing healthcare-associated infections in nursing homes: A cluster-randomized controlled trial.

Aim: To assess the effectiveness of a multimodal information technology-based hand hygiene strategy in improving knowledge, compliance, accuracy, and healthcare-associated infections density in Taiwan's nursing homes.

Background: Hand hygiene is the most effective and cost-efficient method for preventing healthcare-associated infections. However, compliance rates among healthcare workers in Taiwan remain low (3.

Development of Core Health Indicators and Integrated Health Assessment Toolkit for Older Adults With Dementia.

Background: The interaction between dementia and changes in health status accelerates the progression of dementia and health deterioration. Although health indicators exist for older adults, comprehensive ones for dementia are lacking.

Objective: To (1) establish core health indicators for older adults with dementia, (2) develop an integrated health assessment toolkit for older adults with dementia, and (3) test the feasibility and applicability of the integrated health assessment toolkit.

Effectiveness of swallowing rehabilitation exercises in older adults with swallowing disorders: systematic review and network meta-analysis of randomized controlled trials.

Purpose: This study aimed to evaluate the comparative effectiveness of swallowing rehabilitation exercises in older adults with dysphagia to identify the most beneficial interventions.

Materials And Methods: A systematic review and network meta-analysis were conducted using six databases (PubMed, Embase, CINAHL, Cochrane Library, PsycINFO, and Airiti Library) searched on 15 August 2024. Randomized controlled trials involving adults aged ≥65 years with dysphagia were included.

The correlation between geriatric syndromes and perceived meaning in life among older adults.

Approximately 42% of older adults experience at least one geriatric syndrome. Meaning in life is essential in maintaining quality of life and well-being of older adults. This study aimed to develop a model illustrating the relationships between geriatric syndromes and meaning in life.

The Effects of Training on Older Volunteers' Skill Competency, Volunteer Motivation, Self-Efficacy, and Work Satisfaction: A Cluster Randomized Trial.

This longitudinal cluster-randomized trial investigated older volunteers' changes following a 3-month training program. A total of 156 older Taiwanese volunteers in the community care centers participated in this study (  = 80,  = 76).   Older volunteers' skills/competency and psychosocial variables were assessed at baseline, one and three months.

[Strategies for Promoting Timely Palliative Care in Outpatient Clinics].

With cancer now the leading cause of death, the importance of palliative care importance is increasingly evident. However, the focus of current policies is on inpatient and home-based care, which neglects the specialized needs of outpatients and results in many not receiving timely palliative care. Integrating palliative care into outpatient clinics using standardized referral criteria and automated systems will allow for timely patient selection and intervention, early symptom management, and psychological support as well as promote patient autonomy in treatment decision-making.

Effects of the Vitality Acupunch Exercise Program on Older Adults With Probable Sarcopenia: A Mixed Methods Pilot Study.

Age-related loss of muscle mass and strength is a highly prevalent condition in older adults in long-term care (LTC) facilities. This pilot study aimed to test the effects of a vitality acupunch (VA) exercise program on muscle mass, muscle strength, muscle endurance, functional fitness, activities of daily living, quality of life, and sleep quality of older adults in LTC facilities with probable sarcopenia in the United States and understand the experiences of residents who participated in the VA program. A mixed-methods experimental design was used for this study.

Inequality in Older Volunteering: Association Between Volunteer Competency and Demographic Profiles.

The present survey research investigated older people's volunteering competency relating to social inequality by exploring the latent ability profile and demographic correlates of 1,000 older volunteers in 73 community care centersin southern Taiwan. Older volunteers were classified into advanced (n = 509), basic (n = 214), and novice (n = 277) groups. Demographics examined included: individualistic characteristics (religious beliefs), resources (education; number of chronic diseases), andsocial factors (serving area and spoken language, volunteering duration, marital status, and gender).

Comparing the effects of different acupoint-stimulating therapies in mitigating post-stroke spasticity and motor dysfunction in older stroke survivors: A network meta-analysis of randomized trials.

Acupoint-stimulating therapies have often been used to manage stroke-related spasticity and motor dysfunction. However, the effects of different acupoint-stimulating therapies in older stroke survivors have been unclear. This systematic review and network meta-analysis compared the effects of different acupoint-stimulating therapies in managing spasticity and motor dysfunction in older stroke survivors.

Social Skill Abilities and Demographic Correlates of Older Volunteers.

Older age is associated with reduced social networks while social skill abilities are important assets for older people to cope with these situations. To better understand older people's social skill ability and important demographic correlates, the present cross-sectional survey research interviewed 1000 Taiwanese older volunteers from 73 community care centers. Findings of a mixed model indicated that education and serving area outweighed other demographic factors significantly correlated with older volunteers' social skill ability.

Factors of Influence on Diabetes Awareness in Older People With Chronic Obstructive Pulmonary Disease Comorbid With Type 2 Diabetes Mellitus.

Background: Type 2 diabetes mellitus (T2DM) is a common comorbidity in patients with chronic obstructive pulmonary disease (COPD) and has been associated with an increased risk of mortality in this population.

Purpose: This study was designed to investigate the predictive factors of diabetes awareness (DA), including diabetes knowledge (DK), and diabetes care behaviors (DCB) among older people with both COPD and T2DM.

Methods: This was a cross-sectional descriptive correlation study.

Establishing psychometric properties of the older volunteer competency scale in the community.

Aim(s): To investigate the factorial structure, test-retest reliability, and internal consistency of the Older Volunteer Competency Scale and establish its psychometric properties.

Design: Cross-sectional survey.

Methods: A total of 1,000 older volunteers were recruited through random sampling and asked to complete the Older Volunteer Competency Scale.

Effects of Different Mind-body Exercises in Managing Chronic Pain of Older Adults: A Network Meta-analysis of Randomized Trials.

Introduction: Mind-body exercises (MBEs) were shown to be effective in managing chronic pain among older adults in several recent studies. However, the differences in the effects of different MBEs remained unclear.

Objective: To compare the effects of different MBEs in managing chronic pain in older adults.

Effects of Temperature, Duration, and Heating Height of Foot Thermal Therapy on Sleep Quality of Older Adults: A Systematic Review and Meta-Analysis.

Sleep disturbances, which are common problems in older adults, often lead to cognitive decline and depression and may even increase mortality risk. Foot thermal therapy is a simple and safe approach for improving sleep and is associated with relatively few side effects. However, the effect of different operations of foot thermal therapy on sleep quality in older adults is inconclusive.

[Concept Analysis of Fusion Leadership].

Important concepts in leadership management related to the field of medical care management include servant leadership, charismatic leadership, and transformational leadership. Since the 2020 emergence of the coronavirus pandemic, the world has faced the immediate challenges of epidemic prevention and control. Although national government and medical system officials as well as scholars have weighed in on this issue, their leadership does not appear to line up the core ideas of leadership.

Comparing Different Stretching Exercises on Pain, Stiffness, and Physical Function Disability in Older Adults With Knee Osteoarthritis.

Objective: To assess and compare the effects of different stretching exercise programs on pain, stiffness, and physical function disability in older adults with knee osteoarthritis (KOA).

Data Sources: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline for network meta-analysis (NMA). Relevant randomized controlled trials were identified by searching 7 databases up to December 2022.

Types of Voluntary Work and Influence of Participation for Older Volunteers: A Systematic Review of Qualitative Studies.

This systematic review synthesized findings on socio-demographic characteristics of older adults who engaged in formal volunteering, types of voluntary work for engagement, and the outcomes resulting from different types of voluntary work participation. Studies published in peer-reviewed journals were identified from six electronic databases. Studies were included if they: (1) involved a study sample of adults aged 65 and older or had a mean age of 65 , (2) reported any type of formal voluntary work at any setting, and (3) reported at least one influence of voluntary work on volunteers.

A Feasibility Evaluation of the Need-Centered Watch-Assess-Need Intervention-Think Education and Training Program for Behavioral and Psychological Symptoms of Dementia.

Background: Despite the high prevalence of dementia among residents living in long-term care facilities in Taiwan, most care providers in these facilities have not received adequate training to deal with the behavioral and psychological symptoms of dementia (BPSD). An original care and management model for BPSD has been developed, and model-based recommendations for an education and training program have been made. However, empirical testing has not yet been conducted to determine the efficacy of this program.

[Precision Health in Nursing Practice].

Precision health is a new trend in medical care that follows in the footsteps of precision medicine. While precision medicine focuses on treating diseases after occurrence, precision health places greater emphasis on preventative healthcare and health empowerment to prevent and predict disease. Precision health aims to assess the social, economic, cultural, and environmental factors of individuals based on their unique biology, genomics, and other factors and to provide personalized healthcare, preventive medicine, and health promotion through disease prediction to empower people to lead the best possible healthy life.

Acupunch Exercise Improved Muscle Mass, Hand Grip Strength, and Sleep Quality of Institutional Older Adults with Probable Sarcopenia.

This study tested the effectiveness of a 6-month vitality acupunch (VA) exercise program on muscle mass, hand grip strength, and sleep quality in institutional older adults with probable sarcopenia. A cluster randomized controlled trial was conducted. A total of 103 older adults were assigned to the experimental group ( = 52) and control group ( = 51) according to the institution they inhabited.

VR exergame interventions among older adults living in long-term care facilities: A systematic review with Meta-analysis.

Background: To improve the motivation toward exercise in older adults, exergames have shifted from entertainment to rehabilitation.

Objectives: To review the training focus of exergames and analyze the effectiveness of exergame training on physical, psychological, or cognitive outcomes among older adults in long-term care facilities (LTCFs).

Methods: This review followed the PRISMA guidelines.

Effects of Tabletop Games on Cognition in Older Adults: A Systematic Review and Meta-Analysis.

Studies have shown that leisure activities, such as tabletop games, not only increase social interactions and reduce depression among older adults, but also help improve their cognitive function. However, the effects of tabletop games on cognition in older adults are yet to be comprehensively analyzed. The purpose of this study was to review and examine the effects of tabletop games on cognition in older adults.

[Role Function and Policy Prospects of Long-Term Care Nurses in Taiwan: Evidence-Based Policy Recommendations of Professional Nursing Organizations].

Professional nursing organizations represent an important channel for the nursing profession to influence health policy, represent and protect the interests of nurses, and advocate for the further development of the profession. Facing the rapidly increasing aging population and emerging needs of long-term care in Taiwan, the Taiwan Nurses Association launched an integrated project to propose policy advice on the development of nursing in long-term care. In this paper, the relevant findings in the domestic and foreign literature are summarized to better define the role function and core competence of long-term care nurses.