TY  - JOUR
AB  - BACKGROUND: Social care staff shortages are having a detrimental impact across the health and care system. There are reports of care homes closing, stopping nursing services and not admitting new residents because of challenges with staff shortages. AIM: To develop an explanatory framework of strategies used to attract, recruit, and retain registered nurses and care workers working in care homes. Explain how and why strategies work, for whom, the conditions needed and the costs involved. DESIGN AND METHODS: A realist synthesis approach was used. In step 1, strategies were identified and initial programme theories developed using data from stakeholder consultations (n = 10), theory gleaning interviews with registered nurses and care workers (n = 13), and evidence retrieved from scoping literature searches (n = 50). Strategies (and initial programme theories) prioritised by sector stakeholders focused on staff recruitment and retention, and were taken forward for testing/refinement. Step 2 involved searching academic databases and social care websites for evidence. Step 3 involved screening and selecting records relevant to the prioritised initial programme theories. Relevant data were extracted and analysed to identify context-mechanism-outcome configurations. To assess rigour, the appropriateness of research methods, and the plausibility/transparency of grey literature were assessed. Step 4 involved testing and refining the programme theories, with programme theories sense checked/refined by sector stakeholders. Existing and established theories were used to help further explain the programme theories and develop an overarching explanatory framework. RESULTS: During step 1, strategies used to attract, recruit, and retain registered nurses and care workers were identified and initial programme theories developed (n = 22). Ten strategies and initial programme theories were prioritised for testing/refining and were focused on recruitment and retention: staff recognition, flexible working, career development, salary package, early investment, induction, continuous feedback, caring community, effective interviewing and listening to all staff. From the focused literature searches, 153 papers were included and data from these were used to test and refine the prioritised strategies and initial programme theories, and throughout the process collated into five final theories: effective interviewing, career development, reward and recognition, promoting work-life balance and caring conversations. These strategies do not operate independently; they interact and work together. Effective interviewing sets accurate expectations, and loyalty starts to develop through setting an accurate 'psychological contract' which is fulfilled over time. Opportunities for career development, rewarding and recognising staff, providing flexible working options and supporting staff with caring conversations help staff to feel listened to, respected and valued, which in turn, develops job satisfaction. Supportive leaders and a sense of inclusion and fairness are needed for these strategies to work. These strategies provide staff with positive experiences, and these are reciprocated through employee commitment and loyalty. Supporting staff through providing caring conversations and opportunities for career development also help staff feel empowered. CONCLUSIONS: This is the first realist synthesis in this field. The findings provide practical strategies for improving staff recruitment and retention. LIMITATIONS: Stakeholder consultations did not include the views of staff who had left care work. FUTURE WORK: Understanding how to attract new staff to the social care workforce remains an important research gap. STUDY REGISTRATION: This study is registered as PROSPERO CRD42021261112. FUNDING: This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR131016) and is published in full in Health and Social Care Delivery Research; Vol. 14, No. 21. See the NIHR Funding and Awards website for further award information.
We worked on understanding strategies which can help with attracting, recruiting, and retaining registered nurses and care workers in care homes. In the first step we interviewed registered nurses and care workers, talked to stakeholders (e.g. care home managers), and took insights from relevant research papers. The information was used to identify 22 practical strategies, and develop rough ideas around why the strategies work, for which staff, the conditions needed, and the costs involved. Registered nurses, care workers and wider sector stakeholders prioritised 10 strategies focused on staff recruitment and retention (and not on attracting new staff): staff recognition, flexible working, career development, salary package, early investment, induction, continuous feedback, caring community, effective interviewing and listening to all staff. These were taken forward for further testing and developing. In steps 2–4, we searched online library databases and social care websites for relevant papers (n = 153) and information from these papers was used to build on the rough ideas developed during step 1. Stakeholders helped with refining the final findings. The 10 prioritised strategies were combined into 5: effective job interviews, providing opportunities for career development, rewarding and recognising staff, promoting work–life balance, and caring conversations. The strategies interact and work together. The way staff are recruited is important for retaining staff. Setting accurate expectations during the job interview stage avoids creating false impressions, and this helps with developing staff commitment. Providing staff with career development opportunities, rewards and recognition, flexible working options, and caring conversations helps staff feel listened to, respected, and valued, and this creates job satisfaction. Giving staff opportunities for career development and supporting staff with caring conversations also helps with building staff confidence. Overall, providing staff with positive experiences means staff will also respond positively in return in terms of being committed and loyal to the employer. Supportive leaders and a sense of inclusion and fairness are needed for these strategies to work well. This research has described ways of improving staff recruitment and retention, understanding how to attract new staff remains an important research gap.
eng
AD  - School of Healthcare, University of Leeds, Leeds, UK.
Nurturing Innovation in Care Home Excellence in Leeds, Leeds, UK.
Social Work, Education & Community Wellbeing, Northumbria University, Newcastle, UK.
Nursing, Midwifery and Health, Northumbria University, Newcastle, UK.
Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
National Care Forum, Coventry, UK.
School of Health and Social Work, University of Hertfordshire, Hatfield, UK.
Northumbria Law School, Northumbria University, Newcastle, UK.
AN  - 42246554
AU  - Devi, R.
AU  - Haunch, K.
AU  - Dalkin, S.
AU  - Bate, A.
AU  - King, N.
AU  - Wright, J.
AU  - Jones, L.
AU  - Goodman, C.
AU  - Winterburn, K.
AU  - Feenan, E.
AU  - Kennedy, V.
AU  - Spilsbury, K.
DA  - Jun
DO  - 10.3310/gjrd0408
DP  - NLM
IS  - 21
KW  - Humans
*Nurses/supply & distribution
*Nursing Homes/organization & administration
*Nursing Staff/supply & distribution
Personnel Loyalty
*Personnel Selection/methods/organization & administration
Personnel Turnover
Care home
Care worker
Long-term care
Recruitment and retention
Registered nurse
Social care
Workforce
L1  - internal-pdf://2500572516/Attracting, recruiting, and retaining register.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 2755-0060
SP  - 1-142
ST  - Attracting, recruiting, and retaining registered nurses and care workers in care homes: the REACH realist review
T2  - Health Soc Care Deliv Res
TI  - Attracting, recruiting, and retaining registered nurses and care workers in care homes: the REACH realist review
VL  - 14
ID  - 146
ER  - 

TY  - JOUR
AB  - OBJECTIVES: Workforce interventions may relieve the growing demand for long-term care (LTC) homes, but their effectiveness in improving resident care remains unclear. We evaluated the impact of LTC home staffing interventions designed to facilitate organizational change at the team level and examined barriers and facilitators to implementation. DESIGN: We systematically searched MEDLINE, Embase, Cochrane Central, Cochrane Reviews, CINAHL, and Web of Science from inception to January 26, 2025. SETTING AND PARTICIPANTS: Randomized controlled trials of staffing interventions in LTC homes were included. METHODS: We conducted a rapid living systematic review with random effects meta-analyses, when possible. Risk of bias was assessed using Cochrane RoB 1.0, and certainty was assessed with Grading of Recommendations Assessment, Development and Evaluation. Barriers and facilitators were thematically analyzed. RESULTS: Eleven trials contributed to intervention effects. Skill-mix adjustment may have reduced resident hospitalizations [risk ratio (RR), 0.68; 95% CI, 0.51-0.91; low certainty]. For clinical health indicators (RR, 0.90; 95% CI, 0.72-1.13) and mortality (RR, 1.16; 95% CI, 0.88-1.54), the effects were small and uncertain. For quality of life (QoL) measures, there was little to no effect (standardized mean difference, -0.10; 95% CI, -0.22 to 0.03; moderate certainty). Studies involving family and volunteer integration in the LTC workforce showed little to no difference in QoL, and the clinical impacts were unknown. Certainty of evidence ranged from moderate to very low due to high risk of bias caused by deviations from intended interventions and selective outcome reporting. Staffing shortages and low fidelity were common barriers to implementation. The most common facilitators were staff engagement in the intervention design and structured training. CONCLUSIONS AND IMPLICATIONS: Skill-mix adjustments may reduce hospitalizations in LTC, but effects on other outcomes remain uncertain. Moderate-certainty evidence did not show QoL improvements. Future trials should prioritize resident-important outcomes and report intervention implementation and contextual factors.
AD  - Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Bruyère Health Research Institute, University of Ottawa, Ottawa, ON, Canada. Electronic address: Odewi090@uottawa.ca.
Bruyère Health Research Institute, University of Ottawa, Ottawa, ON, Canada.
Center for Evidence-Based Medicine, School of Basic Medical Science, Lanzhou University, Lanzhou, Gansu, China.
Center for Evidence-Based Medicine, School of Basic Medical Science, Lanzhou University, Lanzhou, Gansu, China; Center for Evidence-Based Social Science, School of Public Health, Lanzhou University, Lanzhou, Gansu, China; Innovation Laboratory of Evidence-Based Social Science, Lanzhou University, Lanzhou, Gansu, China.
Health Technology Assessment Center, School of Public Health, Lanzhou University, Lanzhou, Gansu, China; Cross-Innovation Laboratory of Evidence-based Social Sciences, Lanzhou University, Lanzhou, Gansu, China.
SPOR Evidence Alliance, Toronto, ON, Canada.
Horizon Health Network, Moncton, NB, Canada; School of Graduate Studies, University of New Brunswick, Fredericton, NB, Canada.
Bruyère Health, Ottawa, ON, Canada.
Bruyère Health Research Institute, University of Ottawa, Ottawa, ON, Canada; Bruyère Health, Ottawa, ON, Canada.
Division of Geriatric Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Knowledge Translation Program, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Bruyère Health Research Institute, University of Ottawa, Ottawa, ON, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada; Centre for Integrated Care, St Joseph's Health System, Hamilton, ON, Canada; The Research Institute of St Joseph's Hamilton, Hamilton, ON, Canada.
Bruyère Health Research Institute, University of Ottawa, Ottawa, ON, Canada; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
AN  - 41956438
AU  - Dewidar, O.
AU  - Ghogomu, E.
AU  - Barbeau, V.
AU  - Sabri, H.
AU  - Abud, A.
AU  - Legere, J.
AU  - Tong, K.
AU  - Li, Y.
AU  - Dela Cruz, N. A.
AU  - Al Ameer, A.
AU  - Ratnasekera, N.
AU  - Xie, W.
AU  - Tao, J.
AU  - Brunet, G.
AU  - Prince, C.
AU  - Strome, L.
AU  - Weir, J.
AU  - Donskov, M.
AU  - Poushinsky, N.
AU  - Hebert, P. C.
AU  - Watt, J. A.
AU  - Webber, C.
AU  - Costa, A.
AU  - Welch, V.
C1  - Disclosure The authors declare no conflicts of interest.
DA  - Jun
DO  - 10.1016/j.jamda.2026.106184
DP  - NLM
ET  - 20260421
IS  - 6
KW  - Humans
*Long-Term Care/organization & administration
*Nursing Homes/organization & administration
Nursing Home Residents
*Personnel Staffing and Scheduling/organization & administration
Randomized Controlled Trials as Topic
Long-term care
nursing homes
practice models
quality of care
residential aged care
workforce interventions
L1  - internal-pdf://2700581938/Effects of Structural Workforce Interventions.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 1525-8610
SP  - 106184
ST  - Effects of Structural Workforce Interventions on Resident and Staff Outcomes in Long-Term Care Facilities: A Rapid Living Systematic Review
T2  - J Am Med Dir Assoc
TI  - Effects of Structural Workforce Interventions on Resident and Staff Outcomes in Long-Term Care Facilities: A Rapid Living Systematic Review
VL  - 27
ID  - 164
ER  - 

TY  - JOUR
AB  - Existing infection prevention and control measures focus primarily on acute health-care settings; however, residents and staff in long-term care facilities are also at risk of acquiring health-care-associated infections. In this Review, we systematically evaluated the evidence on the effectiveness of infection prevention and control interventions for preventing health-care-associated infections and antimicrobial resistance in long-term care facilities for older people to inform WHO's global guidelines. We searched the databases Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, MEDLINE, and WHO Institutional Repository for Information Sharing (IRIS) for publications from Jan 1, 2009, to Aug 15, 2024, for studies meeting the Cochrane Effective Practice and Organisation of Care design criteria. Two independent reviewers extracted the data and assessed their quality using the Cochrane Effective Practice and Organisation of Care risk-of-bias criteria. 25 studies were included and synthesised narratively. Evidence from the Review supports the effectiveness of multifaceted interventions using the WHO multimodal improvement strategy (six of eight studies), and, to a lesser extent, vaccination (two of two studies). Evidence for other interventions such as education, oral care improvement, air quality improvement, hand hygiene improvement, decolonisation efforts, and surveillance was inconclusive. However, the synthesised evidence is constrained by high (n=19) or unclear (n=6) risk of bias, study heterogeneity, and reliance on studies from high-income settings, thereby affecting generalisability. Furthermore, evidence-based infection prevention guidelines for long-term care should allow adaptability and consider contextual factors influencing implementation.
AD  - School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK. Electronic address: lucyna.gozdzielewska@gcu.ac.uk.
Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland, NHS Scotland Assure, NHS National Services Scotland, Glasgow, UK.
School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK; KS Healthcare Consulting Ltd (S3 Global Health), Glasgow, UK.
Consultant to Library & Digital Information Networks, World Health Organization, Kobe, Japan.
Infection Prevention and Control Hub, WHO, Geneva, Switzerland.
Department of Communicable Diseases, Eastern Mediterranean Office, WHO, Cairo, Egypt.
AN  - 42302810
AU  - Gozdzielewska, L.
AU  - Andrews, R.
AU  - Collins, J.
AU  - Hill, G.
AU  - Hooker, E.
AU  - Kc, D.
AU  - Kilpatrick, C.
AU  - Ness, V.
AU  - Ntani, S. N.
AU  - Ramage, G.
AU  - Kothari, K. U.
AU  - Deeves, M.
AU  - Allegranzi, B.
AU  - Reilly, J.
C1  - Declaration of interests LG and JR report a grant from WHO to complete this study. The funder of the study contributed to the design of the study and revised the study protocol and manuscript but had no role in data collection, data analysis, or data interpretation. GH is the Director of the WHO Collaborating Centre for Nursing and Multidisciplinary Rehabilitation at Glasgow Caledonian University. All other authors declare no competing interests.
DA  - Jun 16
DO  - 10.1016/j.lanhl.2026.100859
DP  - NLM
ET  - 20260616
L1  - internal-pdf://3615201280/Effectiveness of infection prevention and cont.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 2666-7568
SP  - 100859
ST  - Effectiveness of infection prevention and control interventions in reducing health-care-associated infections in long-term care facilities for older people: a systematic review
T2  - Lancet Healthy Longev
TI  - Effectiveness of infection prevention and control interventions in reducing health-care-associated infections in long-term care facilities for older people: a systematic review
ID  - 142
ER  - 

TY  - JOUR
AB  - AIM: To systematically identify the contextual factors leading to (re)admission to psychiatry of people with dementia and behaviour that challenges living in nursing homes. Behaviour that challenges is understood as a social construct that reflects individual and environmental factors and their interaction. DESIGN: The 5-step Whittemore & Knafl method was followed for this integrative review. DATA SOURCES: The databases MEDLINE, CINAHL, Cochrane Library, GeroLit and PsychINFO and the study registers ISRCTN, PROSPERO and DRKS were searched. Hand search and citation tracking were used. METHODS: Inclusion and exclusion criteria were applied. Two independent reviewers assessed the quality of the studies via the Mixed Method Appraisal Tool and Joanna Briggs Institute's instruments. Data synthesis and integration were based on The Convergent Integrated Approach for Mixed Methods Systematic Reviews and the thematic analysis of Braun and Clarke. RESULTS: 1161 articles were identified, 8 articles/studies were retained. The contextual factors could be specified as 'crisis determining factors' (main theme). Three sub-themes were identified: multifactoriality and -dimensionality of dementia and behaviour that challenges; structural and systemic barriers and lack of effective interprofessional and patient-centred collaboration. CONCLUSION: Dementia crises often lead to hospitalisation. A key crisis-determining factor is interprofessional collaboration. High-quality studies on this topic are lacking. The existing results originate mainly from Europe and should be interpreted with caution in view of contextual and methodological limitations. Policymakers should promote cross-sector care models, the deployment of psychiatric crisis teams, Advance Care Planning and digital communication tools. REPORTING METHOD: We based our reporting on the PRISMA 2020 statement. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. TRIAL REGISTRATION: PROSPERO 2022 CRD42022367169; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022367169.
AD  - University of Bremen, Bremen, Germany.
Rheinhessen-Fachklinik Alzey, Alzey, Germany.
Catholic University of Applied Sciences Mainz, Mainz, Germany.
AN  - 42142368
AU  - Henni Rached, I.
AU  - Ledtermann, I.
AU  - Stemmer, R.
C1  - The authors declare no conflicts of interest.
C2  - PMC13179823
DA  - May
DO  - 10.1002/nop2.70592
DP  - NLM
IS  - 5
KW  - Humans
*Dementia/psychology/therapy
*Nursing Homes/organization & administration/statistics & numerical data
*Geriatric Psychiatry/methods
Aged
*Patient Admission/statistics & numerical data
admission
behavioural and psychological symptoms of dementia (BPSD)
challenging behaviour
hospitalisation
interprofessional collaboration
nursing homes
people with dementia
psychiatry
L1  - internal-pdf://1654374855/From Nursing Homes to Geriatric Psychiatry_ Co.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 2054-1058
SP  - e70592
ST  - From Nursing Homes to Geriatric Psychiatry: Contextual Factors Associated With the Admission of People With Dementia and Behaviour That Challenges-An Integrative Review
T2  - Nurs Open
TI  - From Nursing Homes to Geriatric Psychiatry: Contextual Factors Associated With the Admission of People With Dementia and Behaviour That Challenges-An Integrative Review
VL  - 13
ID  - 151
ER  - 

TY  - JOUR
AB  - BackgroundSmart home technologies and assistive robots play a role in enhancing the well-being of older adults. This study aims to evaluate the factors and acceptance level of these technologies among seniors and to explore the factors affecting their acceptance.MethodsThree databases were systematically searched using keywords to identify relevant articles. The retrieved studies were screened based on eligibility criteria. Key features of the studies and the acceptance status of the aforementioned technologies among seniors were documented in a data extraction form.ResultsTwenty-seven studies met the eligibility criteria. Robots (74.1%), sensors (18.5%), wireless technologies (3.7%), and smart home voice assistants (3.7%) were utilized by seniors. Remote patient monitoring (33.3%) was the most prevalent application of these technologies. Approximately 89% of the studies reported positive attitudes toward these technologies. "Technology convenience" (22.2%) emerged as the most significant reason for smart technology acceptance. Conversely, "concerns about privacy and security" (14.8%) and "lack of need for technology" (14.8%) were the most frequently cited reasons for non-acceptance.ConclusionsTo enhance the adoption of reviewed technologies, it is crucial to implement strategies that raise awareness, ensure data security, and address the actual needs of this demographic in both the design and implementation phases.
AD  - Department of Geriatric Medicine, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Information Technology, Ferdows Faculty of Medical Sciences Birjand University of Medical Sciences, Ferdows, Iran.
Department of Health Information Management and Technology, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran.
AN  - 42028681
AU  - Jaberi, R.
AU  - Rostam Niakan Kalhori, S.
AU  - Bahador, F.
AU  - Heydarian, S.
AU  - Javanmard, Z.
C1  - Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
DA  - Apr-Jun
DO  - 10.1177/14604582261436632
DP  - NLM
ET  - 20260424
IS  - 2
KW  - Humans
*Robotics/methods/instrumentation
Aged
*Patient Acceptance of Health Care/psychology/statistics & numerical data
Aged, 80 and over
Telemedicine/instrumentation
*Home Care Services
acceptance
older adults
robotics
smart home
systematic review
L1  - internal-pdf://2883081113/Influencing factors and acceptance levels of r.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 1460-4582
SP  - 14604582261436632
ST  - Influencing factors and acceptance levels of robotic and smart home health technologies among older adults: A systematic review
T2  - Health Informatics J
TI  - Influencing factors and acceptance levels of robotic and smart home health technologies among older adults: A systematic review
VL  - 32
ID  - 159
ER  - 

TY  - JOUR
AB  - BACKGROUND: The growing global population of older adults presents significant challenges for health and social care systems, requiring effective quality improvement (QI) interventions to enhance care delivery and outcomes. While various QI strategies have been implemented across care settings, evidence regarding their effectiveness and implementation experiences remains fragmented. OBJECTIVE: This mixed-methods systematic review aims to examine both the effectiveness and experiences of QI interventions designed to improve care for older adults across diverse healthcare settings. METHODS: A comprehensive search was conducted across multiple bibliographic databases and supplementary sources for studies published from 1990 onward. Studies were included if they reported an explicit QI intervention with implementation and evaluation components. Both quantitative and qualitative studies were included, and findings were synthesized using a convergent integrated approach. Data extraction and critical appraisal were conducted using established methodological frameworks. RESULTS: A total of 23 studies were included, comprising nine qualitative, 12 quantitative, and two mixed-methods studies. QI interventions were categorized into key domains, including education and training, communication and collaboration, technology-based interventions, person-centered care, and health and well-being promotion. Quantitative findings demonstrated improvements in outcomes such as staff competence, patient safety, quality of life, and care coordination. Qualitative findings highlighted the importance of user engagement, contextual fit, communication, and organizational support in the successful implementation of QI interventions. Technology-based interventions showed potential benefits but were highly dependent on usability, training, and integration into care practices. CONCLUSION: QI interventions can improve outcomes and care experiences for older adults when implemented within supportive and context-sensitive care systems. No single intervention type is sufficient in isolation; rather, effective improvement requires a combination of strategies tailored to user needs and care contexts. Future research should focus on strengthening implementation processes and evaluating long-term sustainability across diverse settings. SYSTEMATIC REVIEW REGISTRATION: https://doi.org/10.2196/56346.
AD  - Department of Medicine and Optometry, Linnaeus University, Kalmar, Sweden.
Faculty of Health Studies, University of Bradford, Bradford, United Kingdom.
Faculty of Engineering and Digital Technologies, University of Bradford, Bradford, United Kingdom.
Management School, University of Sheffield, Sheffield, United Kingdom.
School of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom.
AN  - 42158189
AU  - Jabin, M. S. R.
AU  - Bi, N.
AU  - Mirza, A.
AU  - Chilaka, M.
AU  - Yaroson, E. V.
AU  - Samuriwo, R.
C1  - The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
C2  - PMC13182273
DO  - 10.3389/fpubh.2026.1813536
DP  - NLM
ET  - 20260430
KW  - Humans
*Quality Improvement/organization & administration
Aged
*Health Services for the Aged/standards
accessibility
active ageing
co-design
communication
health and well-being promotion
patient safety
person-centred care
risk reduction
L1  - internal-pdf://2378988498/Effectiveness and experiences of quality impro.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 2296-2565
SP  - 1813536
ST  - Effectiveness and experiences of quality improvement interventions in older care: a mixed-methods systematic review
T2  - Front Public Health
TI  - Effectiveness and experiences of quality improvement interventions in older care: a mixed-methods systematic review
VL  - 14
ID  - 150
ER  - 

TY  - JOUR
AB  - BACKGROUND AND OBJECTIVES: Demand for home-based care is growing, yet the attractiveness of this sector remains low due to poor working conditions. This threatens the sustainability of this service, which is often preferred by older adults. To address this issue, it is necessary to understand of the home care environment. Thus, the aim of this review is to develop a theory-informed framework that explains how multilevel conditions influence the well-being of home care workers. RESEARCH DESIGN AND METHODS: A mixed methods systematic review was conducted. The last updated search was conducted on 8 April 2026. Searches covered Jan 2000-April 2026. Two reviewers independently coded the data, synthesised the findings using a convergent integrated approach, and integrated the evidence using the Job Demands-Resources and Work-Home Resources theories. RESULTS: 79 studies were included. High workload volume and intensity and, emotional demands with limited organisational resources were linked to strain, while adequate supervision, information flow, training, access to material resources, and supportive relationships mitigated harm and sustained motivation. The patterns were most pronounced among direct-hire and migrant workers. Negative consequences of the devaluation of care work and the crucial role of legal rights awareness emerged as novel contributions to the field. DISCUSSION AND IMPLICATIONS: This theory-informed review addresses fragmented evidence on home care workers' well-being, identifies where demand rises and resources thin under efficiency pressures, and points decision-makers-especially in direct-hire and migrant-reliant systems-to specific practices for retaining the workforce and safeguarding care quality.
AD  - All authors work in the Faculty of Psychology, University of Seville, Seville, Spain, Camilo Jose Cela, 41018, Seville, Spain.
AN  - 42323859
AU  - Kuradchik-Pekarskaya, V.
AU  - Martinez-Corts, I.
AU  - Gago-Valle, C.
AU  - Medina, F. J.
DA  - Jun 20
DO  - 10.1093/geront/gnag131
DP  - NLM
ET  - 20260620
KW  - carers
mental health
occupational health
quality of care
vulnerable populations
L1  - internal-pdf://3734762930/Antecedents of Well-Being of Home Care Workers.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 0016-9013
ST  - Antecedents of Well-Being of Home Care Workers: A Mixed-Methods Systematic Review
T2  - Gerontologist
TI  - Antecedents of Well-Being of Home Care Workers: A Mixed-Methods Systematic Review
ID  - 139
ER  - 

TY  - JOUR
AB  - BACKGROUND: Social isolation is a prevalent issue among older people in long-term care facilities (LTCFs), with profound negative impacts on their quality of life and mental health. However, the authentic experiences and underlying mechanisms of social isolation among older people in LTCFs remain understudied. A nuanced understanding of these experiences is essential for designing targeted nursing interventions. OBJECTIVE: This study aimed to systematically review and synthesize qualitative evidence to explore the experiences of social isolation among older adults in LTCFs and analyze them in terms of causes, mechanisms, outcomes, and strategies. METHODS: A systematic review and qualitative meta-synthesis were conducted. We searched PubMed, Web of Science, Embase, PsycInfo, Cochrane Library, CINAHL, Scopus, Chinese Biomedical Literature Database, CNKI, Wanfang Data, and Weipu (VIP) with no restriction on the start year, up to February 2025. Two reviewers (WL and ZM) independently screened studies, extracted data using a Microsoft Excel spreadsheet, and assessed study quality with the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Qualitative data synthesis was performed following Thomas and Harden's thematic and content analysis method, including line-by-line coding of participant quotes, organizing codes into descriptive themes, and developing analytical themes. RESULTS: A total of 4856 papers were retrieved through systematic searches, and 14 qualitative studies met the inclusion criteria. Four overarching analytical themes were identified: (1) root cause: person-environment mismatch (encompassing 4 interrelated dimensions: imbalance between declining individual capacity and insufficient environmental support, negative self-perception paired with inadequate positive environmental feedback, personal biases conflicting with homogeneous institutional social ecology, and disrupted social roles due to rigid institutional management); (2) overt behavioral patterns: proactive isolation, defensive isolation, and adaptive isolation; (3) inner emotional experiences: feelings of confinement, sorrow, and weariness; and (4) strategies for restoring person-environment match: active engagement in interaction, rational acceptance of coexistence, and passive avoidance and withdrawal. Notably, person-environment mismatch was confirmed as the core mechanism driving the onset and persistence of social isolation in this population. CONCLUSIONS: Person-environment mismatch is the fundamental driver of social isolation among older adults in LTCFs. Interventions should prioritize restoring person-environment alignment-including optimizing physical environments, reconstructing supportive social environments, and enhancing psychological empowerment. Future studies should focus on developing tools to quantify person-environment matching degrees in LTCFs and conduct longitudinal evaluations of targeted interventions to further reduce social isolation and promote active social participation among older people.
AD  - School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Department of Psychology, Academy of Advanced Interdisciplinary Studies, Wuhan University, Wuhan, China.
AN  - 41996152
AU  - Li, W.
AU  - Mei, Z.
AU  - Tu, W.
AU  - Song, Y.
AU  - Zhao, Y.
AU  - Bai, Y.
AU  - Xu, G.
C1  - Conflicts of Interest: None declared.
C2  - PMC13135159
DA  - Apr 17
DO  - 10.2196/78142
DP  - NLM
ET  - 20260417
KW  - Humans
Qualitative Research
*Social Isolation/psychology
Aged
*Quality of Life/psychology
*Long-Term Care/psychology
Aged, 80 and over
Female
Male
Ltcf
long-term care facility
meta-synthesis
older people
social isolation
systematic review
L1  - internal-pdf://1780442705/_Living Inside the Walls__ Systematic Review a.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 2561-7605
SP  - e78142
ST  - "Living Inside the Walls": Systematic Review and Qualitative Meta-Synthesis
T2  - JMIR Aging
TI  - "Living Inside the Walls": Systematic Review and Qualitative Meta-Synthesis
VL  - 9
ID  - 161
ER  - 

TY  - JOUR
AB  - Pressure injuries remain a significant and costly complication among long-term bedridden adult and older adult patients, leading to increased morbidity, complications, and a diminished quality of life. This review aimed to summarize interventions for the prevention and care of pressure ulcers among long-term bedridden adult and older adult patients in the community. Fourteen databases were searched from March 2013 to March 2024, yielding 16 studies for final analysis. Two interconnected core elements were identified: 1) multidimensional intervention pathways and 2) three targeted preventive measures. The pathways include face-to-face education/training, home visits, digital tools (WeChat/smartphone apps), multidisciplinary collaboration, and remote follow-up. The targeted measures-position management with pressure-relief techniques, skin integrity maintenance, and nutritional/fluid support-were associated with improvements in PU-related outcomes: combined repositioning and pressure-relief devices were associated with lower PU incidence, temperature-controlled skin care with zinc oxide was associated with reduced skin redness, high-protein diets and omega-3 supplements were associated with improved skin resilience and barrier function, and integrated protocols (Braden-stratified repositioning/app monitoring) may improve care efficiency. Limitations included heterogeneity in study designs and outcome measures, incomplete reporting of implementation details, and limited geographical representation, as most were conducted in China (14/16), with only one study each from Finland and India. The certainty of evidence ranged from very low to moderate across outcomes; therefore, the findings should be interpreted cautiously. This review highlights potentially adaptable strategies for community-based PU prevention and care. It underscores the need for standardized, long-term studies to enhance the generalizability and sustainability of intervention strategies. Prospero Registration Number: CRD42024524789.
AD  - Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Meaung, Khon Kaen, Thailand.
Basic Teaching and Research Section of Nursing, School of Nursing, Youjiang Medical University for Nationalities, Baise, Guangxi, People's Republic of China.
Department of Adult and Geriatric Nursing, Princess Agrarajakumari Faculty of Nursing, Chulabhorn Royal Academy, Lak Si, Bangkok, Thailand.
Outpatient Department, Chinese Community Health Service Center of Yunyan District of Guiyang, Guiyang, Guizhou, People's Republic of China.
AN  - 42111681
AU  - Meng, L.
AU  - Banharak, S.
AU  - Sommana, C.
AU  - Ransinyo, K.
AU  - Cheumnok, W.
AU  - Tian, J.
C1  - The authors report no conflicts of interest in this work.
C2  - PMC13155244
DO  - 10.2147/tcrm.S592581
DP  - NLM
ET  - 20260504
KW  - aged
bedridden patients
community health services
home care service
long-term care
pressure ulcers
systematic review
L1  - internal-pdf://2018672102/Prevention and Care of Pressure Ulcers in Long.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 1176-6336 (Print)
1176-6336
SP  - 592581
ST  - Prevention and Care of Pressure Ulcers in Long-Term Bedridden Adult and Older Adult Patients in the Community: A Systematic Review
T2  - Ther Clin Risk Manag
TI  - Prevention and Care of Pressure Ulcers in Long-Term Bedridden Adult and Older Adult Patients in the Community: A Systematic Review
VL  - 22
ID  - 154
ER  - 

TY  - JOUR
AB  - Touch-based therapies (massage, acupressure, reflexology/shiatsu, and therapeutic/healing touch) are used in dementia care, but effectiveness remains uncertain. The authors evaluated their impact on behavioural and psychological symptoms of dementia (BPSD) and pain, and extracted pragmatic "dose" and delivery parameters to inform a research blueprint. The authors searched major databases (MEDLINE, CINAHL, PsycINFO, Embase, CENTRAL) for studies from January 2005 to February 2023 involving people with any dementia aetiology/severity in community, residential, or inpatient settings. Eligible designs included randomised, quasi-experimental, and pre-post studies with a comparator (usual care, attention/quiet presence, or sham/light-touch). Data were extracted to a prespecified template; study quality was appraised using CASP tools. Owing to substantial clinical and methodological heterogeneity, the authors conducted a structured narrative synthesis as opposed to meta-analysis. Thirty-three studies met inclusion: 21 massage, 8 acupressure, 3 therapeutic/healing touch, and 2 reflexology/shiatsu. Most were in long-term care or inpatient settings. Interventions typically used brief, repeated sessions (5-20 minutes, several times per week for 2-6 weeks). The most consistent finding was short-term calming, particularly reductions in agitation immediately post-session or over brief treatment courses, with the clearest pattern for massage and acupressure. Effects on broader neuropsychiatric symptoms (e.g., NPI/NPI-NH domains) and pain were mixed. Where monitored, no serious adverse events were reported; minor transient issues (e.g., brief restlessness, skin sensitivity with aromatherapy oils) were infrequent and acceptability generally high. Risk of bias was mixed (≈49% low, 42% moderate, 9% high), and durability beyond 4-8 weeks was rarely assessed. Current evidence provides preliminary indications that brief, touch-based therapies may offer short-term calming effects when used alongside person-centred care, although certainty remains low and findings should be interpreted cautiously. The authors propose a pragmatic research blueprint that predefines session length, frequency, and course duration; uses attention/sham controls; adopts core outcomes (e.g., Cohen Mansfield Agitation Inventory (CMAI), Neuropsychiatric Inventory/Neuropsychiatric Inventory adapted for Nursing Homes (NPI/NPI-NH); Pain Assessment in Advanced Dementia (PAINAD) where relevant); ensures blinded assessment; and extends follow-up. The authors recommend that future work should prioritise feasibility/pilot studies, followed by adequately powered trials to determine effectiveness, durability, and scalability for practice.
AD  - School of Health and Life Sciences, University of the West of Scotland, Paisley, UK. RINGGOLD: 6413
School of Education and Social Sciences, University of the West of Scotland, Paisley, UK. RINGGOLD: 6413
Professional Services, University of the West of Scotland, Paisley, UK. RINGGOLD: 6413
AN  - 42060857
AU  - Mitchell, B.
AU  - Harkess-Murphy, E.
AU  - Douglas-Smith, N.
AU  - Cheyne, J.
DA  - Apr 30
DO  - 10.1177/14713012261445473
DP  - NLM
ET  - 20260430
KW  - Bpsd
accupressure
agitiation
alzheimers
dementia
massage
nonpharmacological
pain
L1  - internal-pdf://1372117370/Touch-Based Therapies in Dementia Care_ A Syst.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - *OPEN
SN  - 1471-3012
SP  - 14713012261445473
ST  - Touch-Based Therapies in Dementia Care: A Systematic Review and Narrative Synthesis
T2  - Dementia (London)
TI  - Touch-Based Therapies in Dementia Care: A Systematic Review and Narrative Synthesis
ID  - 157
ER  - 

TY  - JOUR
AB  - PURPOSE: To analyze the correlation between spontaneous physical activity (PA) and sedentary behavior (SB) objectively measured using wearable devices and frailty syndrome (FS) in older adults. METHODS: The PubMed/Medline, Web of Science, and Cochrane Library databases were used as sources of information. The search equation used was "(accelerometer OR physical activity) AND (elderly OR 'older adult' OR older) AND (frailty) AND ('nursing home' OR institutionalized)." RESULTS: Twenty-three studies were included. Of these, 14 studies examining PA were eligible for meta-analysis. A random effects correlation analysis of these 14 studies revealed a significant inverse correlation between PA and FS (r = -0.48, 95% CI = [-0.5585, -0.3560], Z = -8.39, p < 0.0001), indicating statistically significant between-study variance and high heterogeneity (I (2) = 84%). Regarding SB, 11 of the 16 studies were meta-analyzed. Random-effects meta-analysis showed that 8 of the 11 analyzed studies presented a significant positive association between SB and FS (r = 0.334, CI = [0.2233; 0.4259], Z = 6.67, p < 0.0001), with statistically significant between-study variance and high heterogeneity (I (2) = 86.9%). Sensitivity analysis revealed that removing one study increased the inverse correlation coefficient between PA and FS from -0.33 to -0.46 and increased the positive correlation coefficient between SB and FS from 0.22 to 0.39. CONCLUSION: Lower PA and high SB time are significantly associated with high FS incidence among older people. These findings highlight the importance of promoting PA and reducing SB to prevent FS and its complications in later life.
AD  - Department of Physical Education, Sport and Human Movement, Universidad Autónoma de Madrid, Madrid, Spain, uam.es.
Advanced Research in Integrative Physiology for Life Research Group (IAFIV), Universidad de Burgos, Burgos, Spain, ubu.es.
AN  - 42253316
AU  - Encarnação, S. G.
AU  - Martinez, W. A. L.
AU  - Martínez-Ferrán, M.
AU  - Pareja-Galeano, H.
C1  - The authors declare no conflicts of interest.
C2  - PMC13239306
DO  - 10.1155/jare/6085101
DP  - NLM
ET  - 20260531
KW  - accelerometer
frailty
lifestyle
physical inactivity
L1  - internal-pdf://4227664308/Correlation Between Objectively Measured Spont.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
SN  - 2090-2204 (Print)
2090-2204
SP  - 6085101
ST  - Correlation Between Objectively Measured Spontaneous Physical Activity and Sedentary Behavior With Frailty Syndrome in Older Adults: A Systematic Review and Meta-Analysis of Observational Studies
T2  - J Aging Res
TI  - Correlation Between Objectively Measured Spontaneous Physical Activity and Sedentary Behavior With Frailty Syndrome in Older Adults: A Systematic Review and Meta-Analysis of Observational Studies
VL  - 2026
ID  - 145
ER  - 

TY  - JOUR
AB  - Social robots have emerged as a potential intervention in elderly care, which may alleviate the caregiving burden, promote the health of caregivers, and influence the relationship between older adults and caregivers. This systematic review aims to investigate the effectiveness of social robots on the outcome of caregivers of older adults. Relevant literature was searched in seven electronic databases, and a total of 11 relevant articles were included after screening. The results showed that social robots had an impact on the caregiver’s workload, well-being, and interaction with older adults. However, there was no consistent evidence that the effects were all positive. Social robots could bring positive feelings to caregivers, increase communication with older adults, and reduce physical labor; however, they could also increase the time caregivers spend on using and training to use robots and reduce their quality of life. In addition, different types of social robots will have various impacts on caregivers. The existing results highlight the potential of social robots, but the evidence is limited to formulating conclusions about the direct effect on caregivers of older adults. The effectiveness of social robots on caregivers deserves more exploration, and more high-quality studies are recommended.
AU  - Fan, Bolin
AU  - Lou, Vivian Weiqun
AU  - Huang, Yuting
DA  - 2026/05/12
DO  - 10.1007/s12369-026-01396-w
IS  - 5
L1  - internal-pdf://3757043809/Social Robots in Elderly Care_ A Systematic Re.pdf
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
SN  - 1875-4805
SP  - 60
ST  - Social Robots in Elderly Care: A Systematic Review of the Effectiveness on Formal and Informal Caregivers
T2  - International Journal of Social Robotics
TI  - Social Robots in Elderly Care: A Systematic Review of the Effectiveness on Formal and Informal Caregivers
UR  - https://doi.org/10.1007/s12369-026-01396-w
VL  - 18
ID  - 136
ER  - 

TY  - JOUR
AB  - A systematic review and narrative synthesis was completed to explore the relationships between climate change, the care of older people, and corresponding expenditure. While literature on these topics exists individually, a gap remains in linking all three. The interconnected challenges of an aging global population with increasing care needs and the rising frequency and severity of climate and weather events emphasize the urgency of minimizing related risks and their financial costs. Three databases were systematically searched from 1980–2023, identifying 36 peer-reviewed articles. Evidence suggests that climate and weather exposures lead to spending for recovery, preparedness, lifestyle, public administration, health and care, and temperature regulation. The narrative synthesis, structured around the disaster management phases of preparedness, response, and recovery, revealed several behavioral, environmental, economic, social, sociodemographic, and structural determinants that appear to influence older peoples’ reactions to climate and weather events and financial consequences. Three key influences present across the narrative seem to shape spending and care outcomes: having strong support systems, access to user-friendly information, and existing economic resources. Available literature on preparedness and recovery was limited, as most studies related to response expenditure. Future research should adopt a life-course approach to aging and preparedness using longitudinal designs to investigate how behaviors and choices made earlier in an individual’s life affect care, response, and recovery expenditure in older age. More stratified results would further allow for analysis of vulnerable subgroups and a clearer understanding of when climate and weather-related expenditures emerge. This review indicates the need for research and policy to consider the interconnected nature of the climate crisis. More focus should be given to preparedness efforts and behavior change to reduce the impact of climate and weather events on future expenditure and care needs. Other The protocol for this research has been published in PROSPERO with the registration number CRD42023443060. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-026-27435-9.
AD  - Climate Service Center Germany (GERICS), Helmholtz Zentrum Hereon, Hamburg, Germany. keriin.katsaros@hereon.de.
Department of Global Health, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany. keriin.katsaros@hereon.de.
Institute for Chemistry and Biology of the Marine Environment, Carl Von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Climate Service Center Germany (GERICS), Helmholtz Zentrum Hereon, Hamburg, Germany.
AN  - 42026525
AU  - Katsaros, K.
AU  - Traue, A.
AU  - Huang-Lachmann, J. T.
C1  - Declarations. Competing interests: The authors declare no competing interests.
C2  - PMC13107738
DA  - Apr 23
DO  - 10.1186/s12889-026-27435-9
DP  - NLM
ET  - 20260423
IS  - 1
KW  - Climate change
Financial expenditure
Long-term care
Narrative synthesis
Older people
Systematic review
L1  - internal-pdf://2580215304/Climate change, trending outcomes for the care.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
SN  - 1471-2458
ST  - Climate change, trending outcomes for the care of older people, and financial expenditure: a systematic review and narrative synthesis
T2  - BMC Public Health
TI  - Climate change, trending outcomes for the care of older people, and financial expenditure: a systematic review and narrative synthesis
VL  - 26
ID  - 130
ER  - 

TY  - JOUR
AB  - BACKGROUND: Impaired balance is among the leading causes of injury, hospitalization, and death in older adults. Previous studies have shown that exergaming is a viable and well-accepted strategy for promoting optimal functional levels in older adults. Hence, this systematic review aimed to examine the effects of commercially available exergame interventions on balance performance among institutionalized older adults. METHODS: This study was a systematic review of recent randomized controlled trials (RCTs) in care facility settings published between 2016 − 2025. Four electronic databases (CENTRAL, PubMed, CINAHL, and SPORTDiscus) were searched. RCTs examining the effects of commercial exergame systems on balance performance among care facility residents aged 60 years and older were included. Random-effects models were used for meta-analyses. Risk of bias (RoB) and certainty of evidence (CoE) assessments were conducted using the Cochrane RoB2 and GRADE tools, respectively. RESULTS: A total of 14 RCTs (n = 724; age: 66.5─86.8 years) were included. Overall, our pooled data showed that exergame interventions significantly improved balance performance among older adults in care facilities [Timed Up-and-Go (TUG) (11 RCTs; n = 588): standardized mean difference (SMD)=-0.87 s, 95%CI -1.47 to -0.27 s, P = 0.004, I2 = 91%; Berg Balance Scale (BBS) (6 RCTs; n = 354): weighted mean difference (WMD) = 2.88, 95%CI 0.36 to 5.41, P = 0.03, I2 = 93%; Tinetti test (2 RCTs; n = 56): WMD = 4.58, 95%CI 2.64 to 6.51, P < 0.00001, I2 = 0%]. By excluding studies having high RoB, our sensitivity analyses with lower heterogeneity consistently showed that exergame interventions improved TUG test time (6 RCTs; n = 280; SMD=-0.53 s, 95%CI -0.99 to -0.07 s, P = 0.03, I2 = 70%) and BBS test scores (5 RCTs; n = 228; WMD = 4.20, 95%CI 1.25 to 7.16, P = 0.005, I2 = 47%). Compared with usual care, exergame training also induced significant improvements in balance [TUG (6 RCTs; n = 194): SMD=-0.80 s, 95%CI -1.37 to -0.23 s, P = 0.006, I2 = 70%; BBS (4 RCTs; n = 131): WMD = 5.48, 95%CI 4.46 to 6.50, P < 0.00001, I2 = 0%]. However, there was no significant difference when compared with other types of exercise training (e.g., conventional balance training, multicomponent exercises, and routine activities), suggesting that exergame training exhibited comparable effects on balance with conventional physical training. Further subgroup analyses showed that higher training doses (≥ 9 weeks) were more likely to result in improvements in balance control. Additionally, care facility types and exergame systems served as moderators in the subgroup analyses. No study-related adverse events or fall incidents were reported. The RoB ranged from “some concerns” to “high”, whereas the CoE was very low. CONCLUSION: Despite very low CoE, exergaming can be considered as a therapeutic modality adjuvant to already existing options to enhance the comprehensiveness of services provided in care facilities. Given that only a small number of studies are included in most of our analyses, further high-quality RCTs with larger samples of participants are urgently needed. FUNDING: College Research Grant (CRG2023/01) and School Research Grant (2023-04-52-SRG230401) from Tung Wah College, Hong Kong SAR. PROTOCOL REGISTRATION NUMBER: PROSPERO CRD42023469693.
AD  - School of Nursing, Tung Wah College, 16/F, Ma Kam Chan Memorial Building, 31 Wylie Road, Kowloon, Hong Kong SAR, People's Republic of China. wilsonleung@twc.edu.hk.
Translational Research Centre for Digital Mental Health, Tung Wah College, Kowloon, Hong Kong SAR, People's Republic of China. wilsonleung@twc.edu.hk.
School of Nursing, Tung Wah College, 16/F, Ma Kam Chan Memorial Building, 31 Wylie Road, Kowloon, Hong Kong SAR, People's Republic of China.
School of Management, Tung Wah College, Kowloon, Hong Kong SAR, People's Republic of China.
School of Nursing, Tung Wah College, 16/F, Ma Kam Chan Memorial Building, 31 Wylie Road, Kowloon, Hong Kong SAR, People's Republic of China. simlc@alumni.cuhk.net.
Translational Research Centre for Digital Mental Health, Tung Wah College, Kowloon, Hong Kong SAR, People's Republic of China. simlc@alumni.cuhk.net.
School of Nursing, Tung Wah College, 16/F, Ma Kam Chan Memorial Building, 31 Wylie Road, Kowloon, Hong Kong SAR, People's Republic of China. lornasuen@twc.edu.hk.
School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
AN  - 41981489
AU  - Leung, W. K. C.
AU  - Yau, C. Y. C.
AU  - Chan, B. C. L.
AU  - Wong, Y. Y. Y.
AU  - Chow, J. N. L.
AU  - Lam, S. C.
AU  - Suen, L. K. P.
AU  - Moyle, W.
C1  - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
C2  - PMC13200400
DA  - Apr 14
DO  - 10.1186/s12877-026-07471-1
DP  - NLM
ET  - 20260414
IS  - 1
KW  - Balance exercises
Balance training
Care facilities
Exercise training
Exergaming
Institutionalization
Institutionalized older adults
Long-term care
Physical activity
Physical training
L1  - internal-pdf://2273560961/Standalone commercial exergame training to imp.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
SN  - 1471-2318
ST  - Standalone commercial exergame training to improve balance in older adults in care facilities: a systematic review and meta-analysis of recent 10-year randomized controlled trials
T2  - BMC Geriatr
TI  - Standalone commercial exergame training to improve balance in older adults in care facilities: a systematic review and meta-analysis of recent 10-year randomized controlled trials
VL  - 26
ID  - 163
ER  - 

TY  - JOUR
AB  - BACKGROUND: Quality indicators (QIs) are important for tracking and enhancing healthcare quality. In residential aged care homes (RACHs), medication-related QIs help ensure the quality of medication usage and patient care. To ensure the effective use of QIs, it is essential that they are reliable and satisfy other psychometric properties. This study explored the psychometric properties, including validity, reliability, feasibility, applicability, sensitivity, measurability, appropriateness, and usefulness, of medication-related QIs used in RACHs, as well as the methodologies employed in studies evaluating these QIs. METHODS: A systematic search was conducted using CINAHL, MEDLINE, PsycINFO, Scopus, and Web of Science Core Collection, covering studies published since inception until December 2025. Covidence software was used for title and abstract screening and full-text reviewing. Medication-related QIs, psychometric properties evaluated, and the employed methodology were extracted from the studies and were critically analyzed to provide an understanding of current QI evaluation techniques. RESULTS: The search identified 15 247 studies. After removing duplicates and applying inclusion/exclusion criteria, 21 full-text studies were included, with an average methodological quality score of 60% based on the Mixed Methods Appraisal Tool. Psychotropic drug use and polypharmacy were commonly tested medication-related QIs. Validity (reported in 12 studies), reliability (in 9 studies), and feasibility (in 8 studies) were the most frequently assessed psychometric properties. The Delphi method was the primary approach for validity and feasibility testing. CONCLUSIONS: There were inconsistencies among the methods used for testing the psychometric properties of the QIs. This highlights the need for a standardized protocol for testing medication-related QIs for use in aged care to ensure their reliability and effectiveness.
AD  - Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, ACT 2617, Australia.
School of Pharmacy and Pharmacology, University of Tasmania, Sandy Bay, TAS 7005, Australia.
School of Health and Biomedical Sciences, RMIT Bundoora West Campus, RMIT University, Bundoora, VIC 3083, Australia.
AN  - 42127986
AU  - Liyanage, L. S.
AU  - Naunton, M.
AU  - Cox, L. S.
AU  - Sudeshika, T.
AU  - Peterson, G. M.
AU  - Kosari, S.
C1  - No known conflict of interests.
C2  - PMC13198374
DA  - Apr 13
DO  - 10.1093/intqhc/mzag063
DP  - NLM
IS  - 2
KW  - Humans
*Psychometrics
*Homes for the Aged/standards
*Quality Indicators, Health Care/standards
Reproducibility of Results
Aged
*Nursing Homes/standards
L1  - internal-pdf://3352119005/Methodological evaluation of the psychometric.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
SN  - 1353-4505 (Print)
1353-4505
ST  - Methodological evaluation of the psychometric properties of medication-related quality indicators in residential aged care homes: a systematic review
T2  - Int J Qual Health Care
TI  - Methodological evaluation of the psychometric properties of medication-related quality indicators in residential aged care homes: a systematic review
VL  - 38
ID  - 152
ER  - 

TY  - JOUR
AB  - INTRODUCTION: Aged care systems are under increasing pressures, demanding optimised interdisciplinary teams. Pharmacist roles are expanding into these teams, and successful integration requires an understanding of team member perspectives. AIM: This systematic review and meta-synthesis aimed to identify, analyse and present the published literature pertaining to healthcare professional perspectives of the roles of pharmacists working in residential aged care settings. METHOD: A systematic search of literature published between 2000 and 2025, in English language only, was undertaken across Embase, Medline, CINAHL and Web of Science. Primary studies addressing the research aim were eligible for inclusion. The Mixed Methods Appraisal Tool was used to assess methodological quality of each paper; no papers were excluded based on quality. Two researchers independently reviewed and reached consensus agreement for all studies to include. Both researchers undertook a thematic synthesis of qualitative data to identify analytic themes. RESULTS: After removing duplicates, 1874 unique papers were identified through database searching and an additional two papers identified through citation searching. After screening, we included 39 papers for data extraction and analysis. Three overarching themes were identified. Theme 1: 'Supporting the role' describes how pharmacist roles in aged care are supported through building trust with the team, education and experience, access to information, specific attributes, organisational buy-in, favourable models of care, and role clarity. Theme 2: 'Medicines expertise activities' describes how pharmacists perform three key roles valued by healthcare staff: knowledge and communication brokers, filling existing gaps in care, and optimising quality use of medicines. Theme 3: 'Helping the team' illustrates health professionals' perception of three distinct outcomes of pharmacist input (ie enhanced confidence, improved workforce capacity and capability, and improved person-centred care). CONCLUSION: This meta-synthesis of the evidence regarding the perceptions of healthcare professionals on the role of pharmacists in aged care provides contextual information for individuals, organisations and policy-makers for future implementation. Pharmacists are perceived to improve stakeholder confidence, staff capacity and capability, and overall person-centred care. Embedded roles that foster interdisciplinary collaboration are preferred to irregular visiting roles. These embedded roles are enabled through a range of mechanisms that policymakers, organisations and individuals may leverage for successful implementation in future iterations.
AD  - School of Pharmacy and Biomedical Science, College of Health, Adelaide University, Level 6, Bradley Building, Adelaide, SA, 5000, Australia. Tiernan.mcdonough@adelaide.edu.au.
University of Western Australia, Perth, WA, 6009, Australia. Tiernan.mcdonough@adelaide.edu.au.
School of Pharmacy and Biomedical Science, College of Health, Adelaide University, Level 6, Bradley Building, Adelaide, SA, 5000, Australia.
Monash Rural Health, Monash University, Bendigo, 3550, Australia.
University of Western Australia, Perth, WA, 6009, Australia.
AN  - 42207476
AU  - McDonough, T.
AU  - Griffin, E.
AU  - Page, A.
AU  - Kalisch Ellett, L.
AU  - Etherton-Beer, C.
AU  - Johnson, J.
C1  - Declarations. Competing interests: The authors declare no competing interests. Ethics approval: Not required.
DA  - May 28
DO  - 10.1007/s11096-026-02166-4
DP  - NLM
ET  - 20260528
KW  - Health personnel
Homes for the aged
Interprofessional relations
Nursing homes
Professional role
L1  - internal-pdf://4260983683/Healthcare professionals' perspectives of phar.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
ST  - Healthcare professionals' perspectives of pharmacist roles in residential aged care: a qualitative systematic review and meta-synthesis
T2  - Int J Clin Pharm
TI  - Healthcare professionals' perspectives of pharmacist roles in residential aged care: a qualitative systematic review and meta-synthesis
ID  - 148
ER  - 

TY  - JOUR
AB  - BACKGROUND: The strengths-based approach (SBP) shifts the focus away from a deficits approach to explore people's potential to achieve personal outcomes, wellbeing, and promotes independence through collaborative conversations. Unfortunately, little evidence exists on how strengths-based practice relates to older people from black and minority ethnic communities. This qualitative systematic review aimed to explore how strengths and assets in the lives of older people from minority ethnic communities mapped against core elements of SBP in social care, and identify implications for practice. METHOD: A systematic search and review of the literature was conducted, with the qualitative studies appraised using the Critical Appraisal Skills Programme (CASP). An abductive approach was adopted to the data extraction and synthesis. RESULTS: None of the studies referred to SBP in relation to older people from minority ethnic communities. The review tended to emphasis factors which negatively influenced people's wellbeing rather than strengths per se. but were included in order to recognise the difficulties which people face, and the structural nature of these is a core aspect of SBP. Important factors shared by older people within black and minority ethnic communities in relation to their wellbeing, had similarities with that of the general population including dignity, self-respect, security, and social connection, with these often built on a personal, familial and community strengths. A common aspect across many ethnic minority communities was the importance of faith and religion, and the need to have a valued role. A further pertinent finding was a lack of culturally appropriate statutory services that meet the needs of older people. CONCLUSIONS: The principles of SBP will remain a focus for social care services through their correlation to values of practitioners, and the recognition that state funded services will not be able to meet increasing demands due to ageing populations with multiple health and care needs. Twinned with the increasing proportion of older people in the UK from black and minority ethnic communities, this means that a better understanding of what contributes to their wellbeing will be crucial if services are to build on their strengths and provide culturally appropriate support.
A strengths-based approach was introduced ten years ago for assessment of older people in by health and social care professionals the UK. It attempted to move away from exploring people can’t do, to instead consider the individual’s abilities, their family, networks, and their potential to achieve personal outcomes and wellbeing. Despite it existing for over a decade little research studies have looked at how strengths-based practice relates to older people from black and minority ethnic communities. Therefore, the aim of the review of existing research studies that have taken place was to explore what older people from minority ethnic communities understand as strengths and assets within their day to day lives, and how these strengths relate to the core elements of Strengths -Based Practice in social care. The review found that none of the articles specifically referred to or considered strengths-based in relation to older people from minority ethnic communities in their approach. With the review finding that the studies often focused upon the negatives in people’s lives rather than any strengths. The review found that factors shared by older people within black and minority ethnic communities as important to their wellbeing had many similarities with that of the general population including dignity, self-respect, security, and social connection, with these often built on a personal, familial and community strengths. A common aspect across many ethnic minority communities was the importance of faith and religion, and the need to have a valued role. A further pertinent finding was a lack of culturally appropriate statutory services that meet the needs of older people.
eng
AD  - Social Work and Social Care, University of Birmingham School of Social Policy, Birmingham, England, B15 2TT, UK.
AN  - 42205858
AU  - Sobo-Allen, L.
AU  - Miller, R.
AU  - Bond, L.
C1  - No competing interests were disclosed.
C2  - PMC13202198
DO  - 10.3310/nihropenres.14218.1
DP  - NLM
ET  - 20260319
KW  - Strengths
Strengths- based practice
ethnic minority
older people
wellbeing
L1  - internal-pdf://0953811916/An understanding of 'strengths' and 'strengths.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
SN  - 2633-4402
SP  - 26
ST  - An understanding of 'strengths' and 'strengths based approach' within older people from ethnic minorities in the UK. A qualitative systematic review
T2  - NIHR Open Res
TI  - An understanding of 'strengths' and 'strengths based approach' within older people from ethnic minorities in the UK. A qualitative systematic review
VL  - 6
ID  - 149
ER  - 

TY  - JOUR
AB  - AIM: To systematically review and synthesize evidence on online education interventions targeting nursing staff in hospital, community and long-term care settings, examine relationships between intervention characteristics and outcomes and propose a structured typology of interventions. BACKGROUND: Global population aging increases demand for skilled and confident geriatric nursing staff. Online education offers a flexible and scalable approach to continuing professional development, yet evidence on its design, implementation and effectiveness remains fragmented and heterogeneous. DESIGN: Systematic review with narrative synthesis. METHODS: PubMed, Web of Science and CINAHL were searched for studies published between 2014 and 2026. Study quality was independently assessed using the JBI critical appraisal tool and MMAT. Narrative synthesis guided conceptual analysis of intervention characteristics, typology development and reported outcomes. RESULTS: Eighteen studies were included. Four intervention types were identified: (1) Multimedia Knowledge Modules, (2) Integrated Clinical Tools, (3) Remote Monitoring and Feedback Systems and (4) Social-Mediated Learning Platforms (e.g., WeChat). Nursing knowledge and confidence consistently improved across studies. Resident-level outcomes-such as nutritional intake, cognitive function, physical activity and delirium incidence-varied and were closely linked to intervention design. Integrated interventions (Types 2-3) produced the most consistent positive effects. Evidence predominantly originated from Western contexts, with limited cross-cultural adaptation. CONCLUSION: This review presents the first evidence-based typology of online geriatric nursing education interventions, categorizing interventions by design and potential impact. Future development should emphasize integrated, practice-supportive systems, culturally responsive adaptations and rigorous evaluation of resident outcomes.
AD  - School of Nursing and Midwifery, Parramatta South Campus, Western Sydney University, Australia.
School of Nursing, University of Wollongong, Australia.
School of Nursing and Midwifery, Parramatta South Campus, Western Sydney University, Australia; School of Nursing and Midwifery, University of Sydney, Australia.
School of Nursing and Midwifery, Parramatta South Campus, Western Sydney University, Australia. Electronic address: rita.chang@westernsydney.edu.au.
AN  - 42140053
AU  - Tang, H. C.
AU  - Razaghi, K.
AU  - Cheng, Y. C.
AU  - Koo, F. K.
AU  - Chang, H. R.
C1  - Declaration of Competing Interest The authors declare no conflicts of interest. All authors have actively contributed to both the conceptual design and execution of the research, as well as to the initial drafting and critical revisions of the manuscript.
DA  - May 12
DO  - 10.1016/j.nepr.2026.104852
DP  - NLM
ET  - 20260512
KW  - Aged care
Continuing professional development
E-learning
Geriatric care
Nursing staff
Older adults
Online education
Online training
L1  - internal-pdf://2484648764/Online geriatric nursing education_ A systemat.pdf
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - OPEN
SN  - 1471-5953
SP  - 104852
ST  - Online geriatric nursing education: A systematic review and typological analysis of interventions and outcomes
T2  - Nurse Educ Pract
TI  - Online geriatric nursing education: A systematic review and typological analysis of interventions and outcomes
VL  - 94
ID  - 118
ER  - 

TY  - JOUR
AB  - BACKGROUND AND OBJECTIVES: Nursing homes (NHs) are key to supporting older adults' quality of life (QoL). With many QoL instruments available, selecting an appropriate tool is challenging. This study inventories instruments used with NH residents, and examines whether they conceptualize QoL as a multidimensional construct. RESEARCH DESIGN AND METHODS: A systematic review was conducted to identify QoL instruments used in NHs. Five databases were searched in March 2025 using terms related to "elderly", "nursing home", "questionnaire", "psychometrics", and "quality of life". Empirical English- or Dutch-language studies were eligible, with no geographic or date restrictions. Reference and citation searches were added. Quality was assessed using COSMIN Risk of Bias checklist, and questionnaire characteristics and QoL subdomains were analyzed using a QoL concept map. RESULTS: A total of 15,516 records were identified (MEDLINE n = 4,536; Web of Science n = 4,738; CINAHL n = 1,395; Scopus n = 3,395; Embase n = 1452), of which 6,680 duplicates were removed. After screening 8,836 titles and abstracts, 370 full texts were assessed, yielding 28 eligible studies. Most questionnaires were setting-specific, QoL-focused, and designed for self-report. Across all instruments, 157 unique themes were mapped onto seven QoL dimensions; 'context and environment' and 'social relationships' were most common, whereas 'relationship with staff' and 'physical health' were addressed less often. DISCUSSION AND IMPLICATIONS: This study provides an overview of conceptual and practical diversity in QoL tools for NH residents. It highlights the absence of a standardized, comprehensive tool tailored to both residents and the NH context.
AD  - Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Flemish Institute for Quality of Care vzw, Ghent, Belgium.
Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Competence Center of Nursing, University Hospital Leuven, Leuven, Belgium.
AN  - 42082392
AU  - Gruyaert, C.
AU  - Pattyn, E.
AU  - Leemans, K.
AU  - Deschodt, M.
AU  - De Smedt, D.
AU  - Trybou, J.
DA  - May 4
DO  - 10.1093/geront/gnag066
DP  - NLM
ET  - 20260504
KW  - Evaluation
Long-term Care
Person-centered care
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - SUB
SN  - 0016-9013
ST  - Assessing Quality of Life in Nursing Home Residents: A Systematic Review of Measurement Tools
T2  - Gerontologist
TI  - Assessing Quality of Life in Nursing Home Residents: A Systematic Review of Measurement Tools
ID  - 126
ER  - 

TY  - JOUR
AB  - Frailty and its subtypes including physical, cognitive, multidimensional and social frailty have been reported to be associated with a wide range of adverse outcomes in older adults. However, little effort has been made to collate and assess the credibility of this evidence. The aim of this umbrella review was to systematically evaluate the certainty of associations between frailty subtypes and adverse health outcomes across community, nursing home and hospital settings. We registered an a priori protocol with PROSPERO (CRD420251123204) and searched five databases from inception to August 2025. We included 37 systematic reviews and meta-analyses. Methodological quality was assessed using a measurement tool to assess systematic reviews (AMSTAR) 2. Evidence credibility was evaluated using predefined statistical criteria. Non-pooled outcomes were judged by the grading of recommendations assessment, development, and evaluation (GRADE) approach. A total of 31 frailty-related outcomes and 11 prefrailty-related outcomes were identified, with a corrected covered area of 0.98%. Pooled analyses showed suggestive evidence for associations of frailty with mortality (pooled relative risk (RR) 2.07) and prefrailty with mortality (pooled RR 1.38). Frailty was also associated with higher risks of hospitalisation, institutionalisation, falls, fractures, cognitive decline and depression. Cognitive frailty showed a markedly elevated risk of dementia (pooled RR 3.75). Multidimensional frailty had the highest mortality risk. Social frailty was associated with mortality and functional decline. Hospital-based evidence indicated that frailty predicted delirium, in-hospital death and post-discharge mortality. Although most non-pooled outcomes presented low to moderate certainty, the direction of effects was consistent. These findings support early detection and multidimensional management of frailty, particularly cognitive and social frailty.
AD  - Beijing University of Chinese Medicine, Beijing, Beijing, China.
Peking Union Medical College Hospital, Beijing, Beijing, China.
AN  - 42234808
AU  - Yu, Y.
AU  - Guo, H.
AU  - Li, Z.
AU  - Lv, Z.
AU  - Chen, Y.
DA  - Jun 1
DO  - 10.1093/ageing/afag145
DP  - NLM
IS  - 6
KW  - Humans
*Frailty/mortality/psychology
*Frail Elderly/statistics & numerical data
Systematic Reviews as Topic
Meta-Analysis as Topic
Aged
Geriatric Assessment
Institutionalization
Accidental Falls/statistics & numerical data
Hospitalization/statistics & numerical data
Risk Factors
Aged, 80 and over
frailty
older adults
outcomes
systematic review
umbrella review
LA  - eng
N1  - ARIIA SR Collection 2026
PY  - 2026
RN  - SUB
SN  - 0002-0729
ST  - Frailty-related multiple health outcomes in older individuals: an umbrella review of systematic reviews and meta-analyses
T2  - Age Ageing
TI  - Frailty-related multiple health outcomes in older individuals: an umbrella review of systematic reviews and meta-analyses
VL  - 55
ID  - 147
ER  -