TY  - JOUR
AB  - AIM: To explore the relationship between sleep and cognitive frailty in older adults., DESIGN: A systematic review and meta-analysis., DATA SOURCES: The Web of Science, Cochrane Library, CINAHL, Embase, PsycINFO and PubMed databases were searched from inception to October 28, 2024., METHODS: Two investigators independently conducted literature screening, data extraction and quality assessment. The Joanna Briggs Institute Critical Appraisal Tool and Newcastle-Ottawa Scale were used to evaluate methodological quality. This review followed PRISMA guidelines., RESULTS: This review included 13 articles involving 14,223 individuals, and 10 studies included in the meta-analysis. Across 13 studies, the overall prevalence of cognitive frailty was 25%. Sleep problems were categorised into four categories; the results reported that poor sleep quality, long sleep time and insomnia were correlated with the presence of cognitive frailty. However, the relationship between short sleep time and cognitive frailty was not significant., CONCLUSIONS: This review quantitatively suggested that sleep parameters such as long sleep time, insomnia and poor sleep quality were correlated with the presence of cognitive frailty. Future research should adopt longitudinal designs and use validated instruments to measure both quantitative and qualitative aspects of sleep, thereby facilitating a thorough examination of the strength of the relationship between sleep and cognitive frailty, as well as the direction of causality., IMPACT: The review highlights the need to integrate comprehensive sleep assessments and targeted interventions into nursing care plans for older adults to enhance their sleep health. The findings will provide support for the development of effective interventions to prevent and manage cognitive frailty in the older population., PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. Copyright © 2025 John Wiley & Sons Ltd.
AU  - Ma, Xuehan
AU  - Yao, Gengxin
AU  - Wan, Xinyu
AU  - Xu, Yiran
AU  - Yang, Yali
AU  - Zheng, Lishuang
AU  - Li, Xin
AU  - Qiu, Yiming
AU  - Chen, Li
AU  - Wang, Xinxin
AU  - Li, Guichen
DB  - Ovid MEDLINE(R) <August Week 2 2025 to February Week 3 2026>
DO  - https://dx.doi.org/10.1111/jan.17081
IS  - 3
KW  - Humans
Aged
Aged, 80 and over
Female
*Sleep/ph [Physiology]
Male
*Cognitive Dysfunction
*Frail Elderly/px [Psychology]
*Sleep Wake Disorders
*Sleep Initiation and Maintenance Disorders
Sleep Quality
Middle Aged
*Frailty
PY  - 2026
RN  - SUB
SE  - Ma, Xuehan. School of Nursing, Jilin University, Changchun, China.
Yao, Gengxin. School of Nursing, Jilin University, Changchun, China.
Wan, Xinyu. School of Nursing, Jilin University, Changchun, China.
Xu, Yiran. School of Nursing, Jilin University, Changchun, China.
Yang, Yali. School of Nursing, Jilin University, Changchun, China.
Zheng, Lishuang. School of Nursing, Jilin University, Changchun, China.
Li, Xin. School of Nursing, Jilin University, Changchun, China.
Qiu, Yiming. School of Nursing, Jilin University, Changchun, China.
Chen, Li. School of Nursing, Jilin University, Changchun, China.
Chen, Li. Department of Pharmacology, College of Basic Medical Sciences, Jilin University, Changchun, China.
Wang, Xinxin. The First Hospital of Jilin University, Changchun, China.
Li, Guichen. School of Nursing, Jilin University, Changchun, China.
SN  - 1365-2648
0309-2402
SP  - 1991-2003
ST  - Relationship Between Sleep and Cognitive Frailty in Older Adults: A Systematic Review and Meta-Analysis
T2  - Journal of advanced nursing
TI  - Relationship Between Sleep and Cognitive Frailty in Older Adults: A Systematic Review and Meta-Analysis
UR  - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=40432567
https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:40432567&id=doi:10.1111%2Fjan.17081&issn=0309-2402&isbn=&volume=82&issue=3&spage=1991&pages=1991-2003&date=2026&title=Journal+of+Advanced+Nursing&atitle=Relationship+Between+Sleep+and+Cognitive+Frailty+in+Older+Adults%3A+A+Systematic+Review+and+Meta-Analysis.&aulast=Ma&pid=%3Cauthor%3EMa+X%3BYao+G%3BWan+X%3BXu+Y%3BYang+Y%3BZheng+L%3BLi+X%3BQiu+Y%3BChen+L%3BWang+X%3BLi+G%3C%2Fauthor%3E%3CAN%3E40432567%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E
VL  - 82
Y2  - 20250528//
ID  - 74
ER  - 

TY  - JOUR
AB  - BACKGROUND AND OBJECTIVES: Alzheimer's disease and related dementias (ADRD) significantly affects older adults and their caregivers, necessitating innovative caregiving solutions. This systematic review and meta-analysis evaluate the efficacy of the application of AI-based socially assistive robots (AI-SARs) in ADRD care. RESEARCH DESIGN AND METHODS: A comprehensive literature search of randomized controlled trials was conducted across 11 databases (e.g., PubMed, Web of Science) following PRISMA guidelines. Eligible trial studies must be interventions that adopted AI-SARs in supporting older adults with ADRD or family caregivers. Outcomes analyzed included care recipient cognitive function, depression, anxiety, and agitation. RESULTS: Fourteen studies were included in the systematic review and ten in the meta-analysis. AI-SAR interventions showed a statistically significant reduction in depression (SMD = -0.30; 95% CI: -0.56 to -0.03; p = .027) and agitation (SMD = -0.26; 95% CI: -0.49 to -0.03; p = .027). No significant effects were found on cognitive function (SMD = -0.07; 95% CI: -0.30 to 0.16; p = .555), or anxiety (SMD = 1.12; 95% CI: -1.73 to 3.98; p = .440). DISCUSSION AND IMPLICATIONS: AI-SARs may reduce depressive symptoms and agitation among older adults with ADRD. However, evidence for other outcomes remains inconclusive. Future research should focus on large-scale trials with standardized outcomes and explore the role of AI-SARs in supporting caregivers. © The Author(s) 2026. Published by Oxford University Press on behalf of the Gerontological Society of America. All rights reserved. 
AD  - School of Social Work, University of Central Florida, Orlando, FL, 32816-3358USA.
School of Social Work, Michigan State University, East Lansing, MI, 48824USA.
University Library, University of Illinois at Urbana Champaign, Urbana, IL, 61801USA.
AN  - 41769820
AU  - Chen, X. S.
AU  - Jiang, L.
AU  - Sun, F.
AU  - Feng, Y.
DA  - Mar 2
DO  - 10.1093/geront/gnag019
DP  - NLM
ET  - 20260302
KW  - Alzheimer’s disease and related dementias
human-technology interaction
informal caregiving
long-term care
psychosocial interventions
LA  - eng
N1  - 1758-5341
Chen, Xiayu Summer
Orcid: 0000-0003-3747-3947
Jiang, Lin
Orcid: 0000-0001-8983-0446
Sun, Fei
Orcid: 0000-0001-6291-1879
Feng, Yali
Orcid: 0000-0003-1066-9659
Journal Article
United States
2026/03/02
Gerontologist. 2026 Mar 2:gnag019. doi: 10.1093/geront/gnag019.
PY  - 2026
RN  - SUB
SN  - 0016-9013
ST  - AI-Based Social Assistive Robots in Dementia Care: A Systematic Review and Meta-Analysis
T2  - Gerontologist
TI  - AI-Based Social Assistive Robots in Dementia Care: A Systematic Review and Meta-Analysis
ID  - 57
ER  - 

TY  - JOUR
AB  - AIM: Identify and describe research that explores interest-holder perceptions and definitions of foodservice quality in residential aged care., METHODS: This review follows the Joanna Briggs Institute methodological framework for conducting scoping reviews and was reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. PubMed, Embase, CINAHL, and Scopus were used to search for peer-reviewed literature. Grey literature was searched through Google and six Australian government sources. No restrictions were applied to methodology, year, or geographical location published. Findings were synthesised into distinct interest-holder and foodservice component groups using meta-synthesis., RESULTS: A total of 31 eligible texts, including peer-reviewed (n = 17) and grey literature (n = 14) were included in this review. Texts identifying perceptions (n = 23) were predominantly those of residents (n = 11) while definitions of quality (n = 13) were all described by researchers and experts. Despite some agreement that foodservice quality is associated with how acceptable food or meals are to residents, there is a lack of consensus on what defines quality, with none of the literature addressing quality across the whole foodservice system., CONCLUSION: Published research and reports that examine the perspectives of interest-holders in residential aged care provided no consensus on definitions or clear sets of indicators defining foodservice quality. Further research is required to understand the perceptions of foodservice quality in order to guide the development and implementation of specific measures to support assessment and evaluation. Copyright © 2025 The Author(s). Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia.
AU  - Zilujko, Jessica
AU  - Abbey, Karen
AU  - Capra, Sandra
DB  - Ovid MEDLINE(R) <August Week 2 2025 to February Week 3 2026>
DO  - https://dx.doi.org/10.1111/1747-0080.70005
IS  - 1
KW  - Humans
*Food Services/st [Standards]
*Homes for the Aged/st [Standards]
Australia
Aged
Perception
PY  - 2026
RN  - OPEN
SE  - Zilujko, Jessica. School of Human Movement and Nutrition Sciences (HMNS), Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Abbey, Karen. School of Human Movement and Nutrition Sciences (HMNS), Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Capra, Sandra. School of Human Movement and Nutrition Sciences (HMNS), Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
SN  - 1747-0080
1446-6368
SP  - 43-55
ST  - Exploring and understanding perceptions and definitions of foodservice quality in residential aged care: A scoping review
T2  - Nutrition & dietetics : the journal of the Dietitians Association of Australia
TI  - Exploring and understanding perceptions and definitions of foodservice quality in residential aged care: A scoping review
UR  - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=40190257
https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:40190257&id=doi:10.1111%2F1747-0080.70005&issn=1446-6368&isbn=&volume=83&issue=1&spage=43&pages=43-55&date=2026&title=Nutrition+%26+Dietetics&atitle=Exploring+and+understanding+perceptions+and+definitions+of+foodservice+quality+in+residential+aged+care%3A+A+scoping+review.&aulast=Zilujko&pid=%3Cauthor%3EZilujko+J%3BAbbey+K%3BCapra+S%3C%2Fauthor%3E%3CAN%3E40190257%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E
VL  - 83
Y2  - 20250407//
ID  - 76
ER  - 

TY  - JOUR
AB  - BACKGROUND: With global aging, dementia prevalence is rising, imposing significant burdens. Reminiscence therapy (RT) shows promise for improving cognition in older adults with cognitive impairment or dementia, but evidence remains inconsistent, potentially moderated by factors like age, intervention frequency, and setting. AIMS: This systematic review and network meta-analysis aimed to evaluate RT's efficacy on cognitive function in older patients with cognitive impairment or dementia and identify moderating factors through subgroup analyses. METHODS: A comprehensive search was conducted across 11 English and Chinese databases from inception until May 1, 2025, to identify eligible randomized controlled trials (RCTs) evaluating RT versus standard care in older adults with cognitive impairment or dementia, utilizing the cognitive outcome. Two independent reviewers screened the studies, extracted data, and assessed risk of bias and evidence quality. Using RevMan 5.4 for meta-analysis and subgroup analysis. RESULTS: Twenty-four RCTs involving 1,963 patients were included. RT significantly improved cognitive function, with benefits sustained at follow-up. RT also improved memory, reduced depression, and enhanced quality of life, but not executive function. Subgroup analyses revealed significantly greater cognitive improvement in patients aged 60-70 years, with intervention frequencies of 12-16 sessions, and in nursing home settings. CONCLUSION: RT is an effective intervention for improving cognition, memory, depression, and quality of life in older adults with cognitive impairment or dementia. Patient age, intervention frequency, and setting are potential moderators of its cognitive efficacy, providing actionable insights for optimizing clinical RT protocols.
AD  - School of Nursing, Shanghai University of Traditional Chinese Medicine, No. 1200, Cailun Road, Pudong New Area, Shanghai, 201203, China.
School of Exercise and Health, Shanghai University of Sport, Shanghai, 200438, China.
Nursing Department, Shanghai Second Rehabilitation Hospital, Shanghai, 200940, China.
Scientific research department, Shanghai Second Rehabilitation Hospital, No. 25, Lane 860, Changjiang Road, Baoshan District, Shanghai, 200940, China. 2105093658@qq.com.
School of Nursing, Shanghai University of Traditional Chinese Medicine, No. 1200, Cailun Road, Pudong New Area, Shanghai, 201203, China. yuwuchina@aliyun.com.
AN  - 41514114
AU  - Wang, S.
AU  - Li, K.
AU  - Peng, X.
AU  - Xue, Y.
AU  - Liang, L.
AU  - Shen, Q.
AU  - Chen, Y.
AU  - Wu, C.
C1  - Declarations. Competing interests: The authors declare no competing interests. Human and animal rights: This study is a systematic review and meta-analysis. As it involves secondary analysis of previously published data, human and animal rights are not applicable. Informed consent: Informed consent was obtained in the original studies.
C2  - PMC12819563
DA  - Jan 9
DO  - 10.1007/s40520-025-03300-4
DP  - NLM
ET  - 20260109
IS  - 1
KW  - Aged
Aged, 80 and over
Humans
Middle Aged
*Cognition
*Cognitive Dysfunction/therapy/psychology
*Dementia/therapy/psychology
Quality of Life
Randomized Controlled Trials as Topic
Treatment Outcome
Cognitive impairment
Dementia
Meta-analysis
Non-pharmacological intervention
Reminiscence therapy
LA  - eng
N1  - 1720-8319
Wang, Shan
Li, Kunpeng
Peng, Xiaoyu
Xue, Yehua
Liang, Libing
Shen, Qunsong
Chen, Yeping
Wu, Caiqin
2024-E-66/Shanghai Baoshan Science and Technology Commission/
Journal Article
Network Meta-Analysis
Systematic Review
Germany
2026/01/10
Aging Clin Exp Res. 2026 Jan 9;38(1):45. doi: 10.1007/s40520-025-03300-4.
PY  - 2026
RN  - OPEN
SN  - 1594-0667 (Print)
1594-0667
SP  - 45
ST  - The efficacy of reminiscence therapy on the cognition of older patients with cognitive impairment or dementia: a meta-analysis based on regulatory factors
T2  - Aging Clin Exp Res
TI  - The efficacy of reminiscence therapy on the cognition of older patients with cognitive impairment or dementia: a meta-analysis based on regulatory factors
VL  - 38
ID  - 72
ER  - 

TY  - JOUR
AB  - OBJECTIVES: Worldwide, nursing homes are increasingly becoming a place for the last phase of life, with residents often being hospitalised near death. This might have changed by implementing end-of-life care structures more widely over years. Therefore, we aimed to systematically investigate trends in end-of-life hospitalisations among nursing home residents. DESIGN: Systematic review. DATA SOURCES: MEDLINE (via PubMed), CINAHL and EMBASE were searched from inception to 24 April 2025, supplemented by citation searching. ELIGIBILITY CRITERIA: Observational studies with ≥100 deceased residents reporting proportions of in-hospital deaths or hospitalisations in the last month of life for at least two observations being at least 3 years apart were included. DATA EXTRACTION AND SYNTHESIS: Studies were summarised descriptively. Percentage point changes between the initial and last observations of end-of-life hospitalisations were calculated. Study quality was assessed using the Joanna Briggs Institute's tool. RESULTS: We screened 4122 records for eligibility and included 12 studies published in 13 articles covering data from Belgium, Germany, Japan and the USA. Reported number of included residents ranged from 1647 to 2 954 276 and most studies assessed only one period in the month before death, mostly in-hospital deaths. 10 studies assessed trends in in-hospital deaths; those with higher initial proportions (from 30.3% to 79.2%, n=8) indicated a decrease (-2.0 to -23.5 percentage points). Trends on hospitalisations in the last month of life (n=5) were heterogeneous. Only three studies stratified findings by age, sex or presence of dementia. End-of-life hospitalisations for all age groups and both sexes have decreased over time, but this trend is inconclusive for residents with and without dementia. CONCLUSIONS: Trends in end-of-life hospitalisations vary between countries. As more policies have been implemented worldwide in recent years aiming to improve end-of-life care in nursing homes, longitudinal studies investigating trends from other countries are needed. PROSPERO REGISTRATION NUMBER: CRD420251038131.
AD  - Department of Health Services Research, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Institute for Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
Department of Health, Long-term Care and Pensions, University of Bremen, Bremen, Germany.
High-Profile Area of Health Sciences, University of Bremen, Bremen, Germany.
AN  - 41736811
AU  - Wandscher, K.
AU  - Hoffmann, F.
AU  - Czwikla, J.
C1  - The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: FH was also author of two studies and KW was also author of one study included in this review. Apart from this, there are no conflicts of interest.
C2  - PMC12927325
DO  - 10.1136/bmjph-2025-003998
DP  - NLM
ET  - 20260218
IS  - 1
KW  - Prevalence
Systematic Review
trends
LA  - eng
N1  - 2753-4294
Wandscher, Kathrin
Orcid: 0009-0008-2771-4472
Hoffmann, Falk
Czwikla, Jonas
Journal Article
England
2026/02/25
BMJ Public Health. 2026 Feb 18;4(1):e003998. doi: 10.1136/bmjph-2025-003998. eCollection 2026.
PY  - 2026
RN  - OPEN
SN  - 2753-4294
SP  - e003998
ST  - Trends in end-of-life hospitalisations of nursing home residents: a systematic review
T2  - BMJ Public Health
TI  - Trends in end-of-life hospitalisations of nursing home residents: a systematic review
VL  - 4
ID  - 60
ER  - 

TY  - JOUR
AB  - AIMS: To critically appraise and synthesise the evidence about the effects and experiences of care models and interventions to improve person-centred care for older people in long-term care facilities. DESIGN: A mixed methods systematic review, following the Joanna Briggs Institute guidance and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES: MEDLINE, PubMed, CINAHL, PsycINFO, Embase, Web of Science, Cochrane Library, and Thaijo were searched to identify relevant primary research published in English and Thai from January 2000 to February 2024. REVIEW METHODS: All relevant primary research with quantitative, qualitative, and mixed methods design was included. A convergent synthesis approach was used to synthesise and integrate findings. RESULTS: 4070 records were identified, of which 30 studies were retained: 12 quantitative, nine qualitative, and nine mixed methods studies. The evidence revealed five themes: (1) personalised preference, social engagement, and well-being; (2) autonomy and dignity; (3) a home-like environment; (4) family involvement and satisfaction; and (5) organisational and staff support. CONCLUSION: This review indicated that person-centred care models and interventions could improve residents' quality of life, autonomy, and promote individual care provision, create an environment based on individual needs, and involve families in care, although challenges such as staff shortages and lack of managerial support may hinder successful implementation. Future work is required to evaluate and identify effective strategies to strengthen organisational support, including leadership development, staff retention, and resource allocation, and evaluate how organisational culture influences the adoption and success of person-centred care practices. IMPACT: The review provides valuable insights and a comprehensive understanding of the care models and interventions specifically designed to improve person-centred care and enhance the quality of life for older people in long-term care facilities. PATIENT OR PUBLIC CONTRIBUTION: Not applicable. TRIAL REGISTRATION: The protocol was registered with the PROSPERO (CRD42024509504).
AD  - Department of Nursing and Midwifery, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.
Department of Nursing Administration, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
AN  - 41692992
AU  - Udkunta, K.
AU  - Efstathiou, N.
AU  - Guo, P.
DA  - Feb 15
DO  - 10.1111/jan.70527
DP  - NLM
ET  - 20260215
KW  - long‐term care
long‐term care facilities
model of care
nurse
nursing
older people
person‐centred care
systematic review
LA  - eng
N1  - 1365-2648
Udkunta, Kedsaraporn
Orcid: 0009-0007-9738-0191
Efstathiou, Nikolaos
Orcid: 0000-0001-5811-8982
Guo, Ping
Orcid: 0000-0003-0979-7047
University of Birmingham/
Chiang Mai University/
Journal Article
Review
England
2026/02/16
J Adv Nurs. 2026 Feb 15. doi: 10.1111/jan.70527.
PY  - 2026
RN  - OPEN
SN  - 0309-2402
ST  - Models of Care and Interventions to Improve Person-Centred Care for Older People in Long-Term Care Facilities: A Mixed Methods Systematic Review
T2  - J Adv Nurs
TI  - Models of Care and Interventions to Improve Person-Centred Care for Older People in Long-Term Care Facilities: A Mixed Methods Systematic Review
ID  - 68
ER  - 

TY  - JOUR
AB  - BACKGROUND: Polypharmacy and inappropriate medication are common amongst people with life-limiting conditions. Whilst deprescribing may help reduce these medication-related issues, supporting evidence in this population group is limited. AIM: To synthesise evidence on the outcomes of deprescribing in people with life-limiting conditions. DESIGN: Systematic review. DATA SOURCE: MEDLINE, Embase, Scopus, PsycINFO and CINAHL were searched. Original studies published between Jan 2000 and Dec 2024 in English were included. RESULT: A total of 17,457 hits were screened, of which 46 original studies met the inclusion criteria. Most eligible studies were pre-post interventional (n = 14) or cohort studies (n = 14), conducted primarily in nursing homes or long-term care facilities (n = 20) and hospitals (n = 16). The majority originated from North America (n = 20) and Australia (n = 7). A wide range of outcome variables were examined, with a primary focus on clinical outcomes. All studies assessing the impact on the number of medications used reported either a reduction in overall medication burden or inappropriate medications (n = 15), or no significant change (n = 3). Regarding mortality, most studies (10 studies) reported no impact, while 3 studies each reported increased and decreased mortality. For other outcomes, the majority of studies reported that deprescribing had no effect. CONCLUSION: This systematic review suggests that deprescribing offers some benefits, including reduced medication burden and costs in people with life-limiting conditions. While there is no strong evidence for harm, a small proportion of patients reported increased risks, so careful monitoring is essential. Further research should explore how deprescribing outcomes vary by disease condition and medication type.
AD  - NIHR Newcastle Patient Safety Research Collaboration, Newcastle University, Newcastle upon Tyne, UK.
Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK.
Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
St Oswald's Hospice, Newcastle upon Tyne, UK.
School of Pharmacy, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
AN  - 41724578
AU  - Shrestha, R.
AU  - Shaw, E.
AU  - Mullen, L.
AU  - Sinclair, D.
AU  - Dewhurst, F.
AU  - Todd, A.
DA  - Feb 22
DO  - 10.1177/02692163261416281
DP  - NLM
ET  - 20260222
KW  - deprescription
inappropriate medication
medication optimisation
older adults
palliative care
LA  - eng
N1  - 1477-030x
Shrestha, Rajeev
Orcid: 0000-0003-1822-3969
Shaw, Emily
Mullen, Liam
Orcid: 0009-0002-0418-9843
Sinclair, David
Dewhurst, Felicity
Todd, Adam
Journal Article
Review
England
2026/02/23
Palliat Med. 2026 Feb 22:2692163261416281. doi: 10.1177/02692163261416281.
PY  - 2026
RN  - OPEN
SN  - 0269-2163
SP  - 2692163261416281
ST  - Outcomes of deprescribing for people with life-limiting conditions: A systematic review
T2  - Palliat Med
TI  - Outcomes of deprescribing for people with life-limiting conditions: A systematic review
ID  - 64
ER  - 

TY  - JOUR
AB  - When considering the entire lifecycle of products, including manufacturing, distribution, use, and end-of-life disposal, health-system solid waste contributes substantially to health-system greenhouse gas emissions, making the issue an important target for sustainability and decarbonisation action. In this systematic review, we examined sustainability principles and interventions that have been implemented in Australia and other high-income countries to reduce the greenhouse gas emission footprint of solid waste in the health-care and aged-care sectors, considering the waste hierarchy for the efficient use of resources. We identified 107 primary research articles and systematic reviews. A range of waste-management interventions were described, including a transition to electronic health records; removal of rarely used single-use items from preprepared sterile surgical packs; reuse of personal protective equipment, surgical textiles, procedural instruments, and non-invasive medical devices; introduction of recycling streams and recycling surgical blue wrap; and training staff on appropriate waste segregation. 54 of the 57 studies that reported economic costs found cost savings associated with interventions aimed at reducing waste and emissions. Although the scale, type, and reported effect of interventions vary considerably, the evidence gathered in this Review prioritises interventions further up the waste hierarchy, namely reduce, reuse, reprocess, and refurbish interventions.
AD  - National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; Institute for Global Health, University College London, London, UK; HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia. Electronic address: alice.mcgushin@cdc.gov.au.
HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia.
HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia; Asthma Australia, Canberra, ACT, Australia.
National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia.
Department of Critical Care, Medicine, Dentistry and Health Sciences Division, University of Melbourne, Melbourne, VIC, Australia; Departments of Anaesthesia and Intensive Care, Western Health, Melbourne, VIC, Australia.
National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia.
National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; School of Public Health, The University of Sydney, Sydney, NSW, Australia.
AN  - 41698385
AU  - McGushin, A.
AU  - Okokon, E.
AU  - Haddock, R. E.
AU  - O'Brien, A. T.
AU  - Turner, M. R.
AU  - McGain, F.
AU  - McGinley, C.
AU  - Wyns, A.
AU  - Vardoulakis, S.
AU  - Skellern, M.
C1  - Declaration of interests FM has received royalties for co-patenting the McMonty hood and is a co-founder of ReResp, an N95 mask company. FM has received National Health and Medical Research Council (NHMRC) grants and other grants for lifecycle assessments of reusable and single-use medical devices. FM has no other competing interests to declare. All the other authors declare no competing interests.
DA  - Feb 13
DO  - 10.1016/j.lanplh.2025.101418
DP  - NLM
ET  - 20260213
LA  - eng
N1  - 2542-5196
McGushin, Alice
Okokon, Enembe
Haddock, Rebecca E
O'Brien, Anne T
Turner, Murray R
McGain, Forbes
McGinley, Christopher
Wyns, Arthur
Vardoulakis, Sotiris
Skellern, Madeleine
Journal Article
Review
Netherlands
2026/02/17
Lancet Planet Health. 2026 Feb 13:101418. doi: 10.1016/j.lanplh.2025.101418.
PY  - 2026
RN  - OPEN
SN  - 2542-5196
SP  - 101418
ST  - Interventions to reduce greenhouse gas emissions from health-system solid waste: a systematic review
T2  - Lancet Planet Health
TI  - Interventions to reduce greenhouse gas emissions from health-system solid waste: a systematic review
ID  - 67
ER  - 

TY  - JOUR
AB  - BACKGROUND: Older people residing in aged care homes often have complex health needs that can lead to hospitalisations, some of which are potentially avoidable. To address this, nurse-led or nurse-involved interventions have been implemented to reduce unnecessary hospital presentations., OBJECTIVE: To review and synthesise evidence on the impact of nurse-led or nurse-involved hospital avoidance outreach interventions on health service use for aged care home residents., DESIGN: A mixed-methods systematic review guided by the Joanna Briggs Institute framework., DATA SOURCES: Databases searched included Ovid Medline, Scopus, and the Cumulative Index of Nursing and Allied Health Literature (CINAHL)., METHODS: An initial search was conducted in October 2022 to identify peer-reviewed studies published in English between January 2011 to October 2022, with an update in August 2025. Titles, abstracts, and full text selections were screened by two or more independent reviewers and assessed for methodological quality. A convergent segregated approach was used for data synthesis and integration., FINDINGS: Twenty-four studies met the inclusion criteria: 16 quantitative, seven qualitative and one mixed-method study. The majority were conducted in Australia (n = 21), with others in Finland, Denmark and France. Nurse-led or nurse-involved hospital avoidance interventions were associated with reductions in emergency department presentations, re-presentations and hospital admissions via the emergency department. Four studies reported cost savings, although findings were heterogeneous. Health professionals reported positive experiences, but the perspectives of aged care home residents and their families were underrepresented. Key enablers of intervention success included staff support, leadership, rapid response outreach interventions, technological infrastructure, and outreach team expertise. Operational barriers include inconsistent guidelines and policies, limited service hours, and challenges with technology implementation., CONCLUSION: This review highlights growing evidence base supporting nurse-led and nurse-involved outreach interventions to avoid hospitalisation for unwell aged care home residents. The enablers and barriers identified in this systematic review offer valuable insights for clinicians and researchers planning or refining hospital avoidance initiatives., REGISTRATION: The protocol for this systematic review was registered at the PROSPERO register on 31 December 2022 [CRD42022385659]. Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.
AU  - Mari, Elsie
AU  - King, Jennie
AU  - Jeon, Yun-Hee
AU  - Jeong, Sarah Yeun-Sim
DB  - Ovid MEDLINE(R) <August Week 2 2025 to February Week 3 2026>
DO  - https://dx.doi.org/10.1016/j.ijnurstu.2025.105286
KW  - Humans
Aged
*Homes for the Aged
*Nursing Homes
*Hospitalization
PY  - 2026
RN  - OPEN
SE  - Mari, Elsie. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia; Central Coast Local Health District, PO Box 361, New South Wales, 2250, Gosford, Australia. Electronic address: emar0757@uni.sydney.edu.au.
King, Jennie. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia; Central Coast Local Health District, PO Box 361, New South Wales, 2250, Gosford, Australia. Electronic address: Jennie.King@health.nsw.gov.au.
Jeon, Yun-Hee. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia. Electronic address: yun-hee.jeon@sydney.edu.au.
Jeong, Sarah Yeun-Sim. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia; Central Coast Local Health District, PO Box 361, New South Wales, 2250, Gosford, Australia. Electronic address: yeun.jeong@sydney.edu.au.
SN  - 1873-491X
0020-7489
SP  - 105286
ST  - Nurse-involved hospital avoidance outreach interventions for aged care home residents: A mixed-method systematic review
T2  - International journal of nursing studies
TI  - Nurse-involved hospital avoidance outreach interventions for aged care home residents: A mixed-method systematic review
UR  - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41308519
https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41308519&id=doi:10.1016%2Fj.ijnurstu.2025.105286&issn=0020-7489&isbn=&volume=174&issue=&spage=105286&pages=105286&date=2026&title=International+Journal+of+Nursing+Studies&atitle=Nurse-involved+hospital+avoidance+outreach+interventions+for+aged+care+home+residents%3A+A+mixed-method+systematic+review.&aulast=Mari&pid=%3Cauthor%3EMari+E%3BKing+J%3BJeon+YH%3BJeong+SY%3C%2Fauthor%3E%3CAN%3E41308519%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E
VL  - 174
Y2  - 20251114//
ID  - 80
ER  - 

TY  - JOUR
AB  - BACKGROUND: The global need to improve access to primary care in residential aged care homes (RACHs) has driven interest in virtual care models. Despite rapid telehealth adoption, little is known about the sociotechnical factors influencing use in aged care settings, particularly from the perspectives of primary care providers, aged care staff, and residents. This review applied the Systems Engineering Initiative for Patient Safety (SEIPS) framework to synthesise evidence on barriers, enablers, processes, and outcomes of virtual care delivery in RACHs and primary care., METHODS: We conducted a systematic review in accordance with PRISMA guidelines and registered with PROSPERO (CRD42024562423). Databases searched included MEDLINE, Embase, CINAHL, and Scopus (January 2016-March 2025). Eligible studies reported qualitative, quantitative, or mixed-methods findings on virtual care involving RACHs and primary care. Data were extracted using a SEIPS-informed template and synthesised deductively across sociotechnical domains., FINDINGS: Thirteen studies met the inclusion criteria. Common barriers included limited digital literacy, sensory and cognitive impairments, poor audio-visual quality, lack of staff training, and workflow disruption. System-level challenges included poor technology interoperability, inadequate digital infrastructure, and insufficient organisational and policy support. Enablers included strong clinician-resident relationships, access to remote monitoring tools, and peer support. Reported outcomes were mixed: improved access, communication, and reduced emergency transfers were noted, alongside concerns about increased workload, reduced relational care, and diagnostic limitations. Studies reporting resident perspectives are lacking., INTERPRETATION: Virtual care has the potential to improve aged care access and outcomes, but effective implementation requires more than technology alone. Hybrid models integrating virtual with in-person care require supportive policies, funding models, and organisational workflows. Addressing interoperability gaps, infrastructure needs, and increasing co-design with residents are essential to create virtual care models that are sustainable, person-centred, and scalable in primary care and aged care contexts. Copyright © 2025 The Authors. Published by Elsevier B.V. All rights reserved.
AU  - Makeham, Meredith A. B.
AU  - Jayawardena, Tamasha
AU  - Elkheir, Samiha
AU  - Carrigan, Ann
AU  - Soumya
AU  - Russell, Heather
AU  - Prgomet, Mirela
AU  - Tyagi, Vaibhav
AU  - Huben, Amy Von
AU  - Baysari, Melissa
AU  - Bamgboje-Ayodele, Adeola
DB  - Ovid MEDLINE(R) <August Week 2 2025 to February Week 3 2026>
DO  - https://dx.doi.org/10.1016/j.ijmedinf.2025.106218
KW  - *Primary Health Care
Humans
*Telemedicine
*Homes for the Aged
Aged
*Patient Safety
PY  - 2026
RN  - OPEN
SE  - Makeham, Meredith A B. Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Australia. Electronic address: meredith.makeham@sydney.edu.au.
Jayawardena, Tamasha. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia.
Elkheir, Samiha. Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Australia.
Carrigan, Ann. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia.
Soumya. Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Australia; Apunipima Cape York Health Council, Queensland, Australia.
Russell, Heather. School of Rural Health Dubbo/Orange, Faculty of Medicine and Health, The University of Sydney, Australia.
Prgomet, Mirela. Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia.
Tyagi, Vaibhav. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia.
Huben, Amy Von. Leeder Centre for Health Policy, Economics & Data, Faculty of Medicine and Health, The University of Sydney, Australia.
Baysari, Melissa. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia.
Bamgboje-Ayodele, Adeola. Discipline of Design, School of Architecture, Design and Planning, The University of Sydney, Australia.
SN  - 1872-8243
1386-5056
SP  - 106218
ST  - Virtual care in residential aged care and primary care settings: a systematic literature review using the SEIPS framework
T2  - International journal of medical informatics
TI  - Virtual care in residential aged care and primary care settings: a systematic literature review using the SEIPS framework
UR  - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41411901
https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41411901&id=doi:10.1016%2Fj.ijmedinf.2025.106218&issn=1386-5056&isbn=&volume=207&issue=&spage=106218&pages=106218&date=2026&title=International+Journal+of+Medical+Informatics&atitle=Virtual+care+in+residential+aged+care+and+primary+care+settings%3A+a+systematic+literature+review+using+the+SEIPS+framework.&aulast=Makeham&pid=%3Cauthor%3EMakeham+MAB%3BJayawardena+T%3BElkheir+S%3BCarrigan+A%3BSoumya%3BRussell+H%3BPrgomet+M%3BTyagi+V%3BHuben+AV%3BBaysari+M%3BBamgboje-Ayodele+A%3C%2Fauthor%3E%3CAN%3E41411901%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E
VL  - 207
Y2  - 20251210//
ID  - 81
ER  - 

TY  - JOUR
AB  - Oral health is an important yet often overlooked determinant of healthy ageing, with growing evidence linking it to physical frailty in older adults. Findings from systematic reviews and meta-analyses on the associations between oral health indicators and physical frailty among older adults are evaluated and summarised. Systematic reviews, with or without meta-analyses, assessing oral health indicators (exposures) and physical frailty (outcomes) in adults with mean age >=60 years were included. The methodologies of included reviews were appraised using the Assessing the Methodological Quality of Systematic Reviews (AMSTAR-2) tool. The certainty of evidence associated with meta-analysis outcomes was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. PubMed (MEDLINE), Scopus, Web of Science and Cochrane Library, within the past 10 years, up to July 2025 were used. From the 654 records identified, 12 systematic reviews with 4 meta-analyses were included. All 12 reviews presented data from community-dwelling older adults, and 5 also included the institutionalised, hospitalised and home care populations. Findings suggested that physical frailty was significantly associated with (1) number of teeth, particularly <=20 teeth and (2) impaired oral functions, including masticatory function assessed using various measures, tongue pressure, oral diadochokinesis and oral frailty. Evidence regarding the association between periodontal disease and physical frailty was insufficient and inconclusive. There is currently limited evidence on oral dryness, oral dysbiosis, oral pain and use/nonuse of denture. This umbrella review identified significant associations between poor oral health indicators and physical frailty, highlighting the importance of oral health in healthy ageing. Considerable heterogeneity in frailty definitions, oral health measures and study designs limits the ability to draw definitive conclusions or infer causality. Findings across systematic reviews are summarised, providing a comprehensive overview of associations between oral health and physical frailty. Research gaps and conflicting results were also identified to guide future studies. Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.
AU  - Lokman, Najihah
AU  - Nayan, Noor Aziella Mohd
AU  - Choong, Elaine Kar Man
DB  - Ovid MEDLINE(R) <August Week 2 2025 to February Week 3 2026>
DO  - https://dx.doi.org/10.1016/j.identj.2025.109319
IS  - 1
KW  - Aged
Aged, 80 and over
Humans
*Frail Elderly
*Frailty
Meta-Analysis as Topic
*Oral Health
Systematic Reviews as Topic
PY  - 2026
RN  - OPEN
SE  - Lokman, Najihah. Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia. Electronic address: najihah@um.edu.my.
Nayan, Noor Aziella Mohd. Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia.
Choong, Elaine Kar Man. Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia; Faculty of Dentistry, The University of Hong Kong, Hong Kong.
SN  - 1875-595X
0020-6539
SP  - 109319
ST  - Oral Health Determinants of Frailty in Older Adults: An Umbrella Review of Systematic Reviews and Meta-Analyses
T2  - International dental journal
TI  - Oral Health Determinants of Frailty in Older Adults: An Umbrella Review of Systematic Reviews and Meta-Analyses
UR  - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41380483
https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41380483&id=doi:10.1016%2Fj.identj.2025.109319&issn=0020-6539&isbn=&volume=76&issue=1&spage=109319&pages=109319&date=2026&title=International+Dental+Journal&atitle=Oral+Health+Determinants+of+Frailty+in+Older+Adults%3A+An+Umbrella+Review+of+Systematic+Reviews+and+Meta-Analyses.&aulast=Lokman&pid=%3Cauthor%3ELokman+N%3BNayan+NAM%3BChoong+EKM%3C%2Fauthor%3E%3CAN%3E41380483%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E
VL  - 76
Y2  - 20251210//
ID  - 78
ER  - 

TY  - JOUR
AB  - BACKGROUND: Immersive virtual reality (VR) is increasingly used to support cognition, mobility, and emotional well‑being in older adults with mild cognitive impairment (MCI), dementia, or frailty. Evidence is expanding but fragmented across small randomized and feasibility trials. We synthesized recent studies to clarify benefits, risks, and implementation considerations. METHODS: Following PRISMA 2020, we searched PubMed and CINAHL from 1 January 2019 to 15 October 2025. Eligible studies enrolled adults aged ≥ 65 years with MCI, dementia, or frailty/cognitive frailty; delivered immersive or semi‑immersive VR via head‑mounted display or large‑screen projection (interactive tasks or 360° content); and reported cognitive, mobility, or emotional/behavioral outcomes in randomized, quasi‑experimental, or pre-post designs. Two reviewers independently screened and extracted data. Risk of bias was appraised with RoB 2 (randomized trials) or JBI tools (non‑randomized). Heterogeneity precluded meta‑analysis; we conducted a structured narrative synthesis. RESULTS: Seventy records were identified (PubMed 28; CINAHL 42); after removing 9 duplicates, 61 records were screened, 24 full texts were assessed, and 13 studies were included (10 randomized; 3 feasibility/mixed‑methods). The most consistent improvements occurred in executive function and processing speed among participants with MCI or cognitive frailty; several trials also reported modest gains in global cognition. Multiple trials showed better Timed Up & Go and Berg Balance outcomes and enhanced anticipatory postural adjustments versus comparators. In residential care, immersive reminiscence and group VR reduced anxiety and apathy and were well tolerated. Adverse events were uncommon and mild; adherence was high with supervised delivery. Most randomized trials had some concerns for bias; one was at overall low risk. CONCLUSIONS: Immersive and semi-immersive VR interventions appear feasible for supervised delivery in older adults with MCI or cognitive frailty and may be associated with improvements in cognitive and mobility outcomes. Evidence for emotional and behavioral outcomes in institutional settings is promising but preliminary. Programs with adequate exposure (2-3 sessions/week for 8-12 weeks; ≥ 15 total hours), adaptive challenge, and supervision were most frequently associated with positive outcomes. Larger multicenter randomized trials with standardized outcomes and embedded implementation and economic evaluations are needed.
AD  - Research Organization, Shimonoseki City University, 2‑1‑1, Daigaku‑cho, Shimonoseki, Yamaguchi, 751‑8510, Japan. kkubota@m.u-tokyo.ac.jp.
Department of Healthcare Information Management, The University of Tokyo Hospital, Tokyo, Japan. kkubota@m.u-tokyo.ac.jp.
Entertainment & Care Lab. Co, Ltd., Tokyo, Japan. kkubota@m.u-tokyo.ac.jp.
Entertainment & Care Lab. Co, Ltd., Tokyo, Japan.
Graduate School, International University of Health and Welfare, Tokyo, Japan.
AN  - 41530684
AU  - Kubota, K.
AU  - Katayama, T.
AU  - Takamaru, K.
AU  - Ishii, Y.
AU  - Adachi, L.
AU  - Tanabe, R.
AU  - Tsubota, K.
C1  - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
C2  - PMC12888722
DA  - Jan 13
DO  - 10.1186/s12877-025-06957-8
DP  - NLM
ET  - 20260113
IS  - 1
KW  - Humans
*Cognitive Dysfunction/therapy/psychology
Aged
*Virtual Reality
*Dementia/therapy/psychology
*Frailty/therapy/psychology
Anxiety
Cognitive frailty
Dementia
Dual‑task
Executive function
Mild cognitive impairment
Mobility
Older adults
Systematic review
Virtual reality
LA  - eng
N1  - 1471-2318
Kubota, Kazumi
Orcid: 0000-0003-2270-2313
Katayama, Tomohiro
Takamaru, Kei
Ishii, Yousuke
Adachi, Leona
Tanabe, Ryunosuke
Tsubota, Kosuke
Journal Article
Systematic Review
England
2026/01/14
BMC Geriatr. 2026 Jan 13;26(1):189. doi: 10.1186/s12877-025-06957-8.
PY  - 2026
RN  - OPEN
SN  - 1471-2318
SP  - 189
ST  - Immersive virtual reality for older adults with mild cognitive impairment, dementia, or cognitive frailty: a systematic review and narrative synthesis (2019-2025)
T2  - BMC Geriatr
TI  - Immersive virtual reality for older adults with mild cognitive impairment, dementia, or cognitive frailty: a systematic review and narrative synthesis (2019-2025)
VL  - 26
ID  - 71
ER  - 

TY  - JOUR
AB  - PURPOSE: Delirium is a common geriatric syndrome that presents as an acute change in mental status and is associated with adverse outcomes. The primary aim of this systematic review and meta-analysis was to determine its prevalence in the nursing home population. METHODS: MEDLINE, CINAHL, PsycInfo, and Web of Science were searched up to July 11, 2025. Eligible studies reported cross-sectional prevalence data on delirium in the nursing home population, identified using formal diagnostic criteria (DSM-III or ICD-10 onwards) or validated detection tools. Two reviewers independently screened records, extracted data, and assessed quality. A random-effects meta-analysis was conducted to pool the overall prevalence. The reporting adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS: A total of nine studies were included, and prevalence data on delirium from eight distinct study populations were analyzed. The prevalence of delirium ranged from 1.0% to 57.9%. The pooled prevalence, encompassing 4291 nursing home residents aged ≥ 65 years, was 18.8% (95% CI: 7.4%-40.2%; I2 = 96.9%; Wald-Chi2-Test = 227.66, p < 0.001). Dementia was present in up to 86.2% of residents. Four studies reported factors associated with the prevalence of delirium, with cognitive impairment most frequently identified as a factor in all four studies. CONCLUSION: Delirium was identified as a common health issue in most of the included studies, although prevalence rates were heterogeneous. Future research should prioritize the development of effective detection and prevention strategies, the validation of tools tailored to the nursing home setting, and the conduct of robust, internationally comparable prevalence assessments.
AD  - German Center for Neurodegenerative Diseases (DZNE), Stockumer Str. 12, 58453, Witten, Germany. Alexandre.Houdelet-Oertel@dzne.de.
Faculty of Health, School of Nursing Science, Witten/Herdecke University, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany. Alexandre.Houdelet-Oertel@dzne.de.
Faculty of Medicine, Institute of General Practice and Family Medicine (AM RUB), Ruhr University Bochum, Universitätsstr. 150, 44801, Bochum, Germany.
Department of Medical Informatics, Biometry and Epidemiology (AMIB), Ruhr University Bochum, Universitätsstr. 150, 44801, Bochum, Germany.
School VI - Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 114-118, 26129, Oldenburg, Germany.
German Center for Neurodegenerative Diseases (DZNE), Stockumer Str. 12, 58453, Witten, Germany.
Faculty of Health, School of Nursing Science, Witten/Herdecke University, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany.
Faculty of Medicine, Department of Health Services Research, Institute for Diversity Medicine, Ruhr University Bochum, Universitätsstr. 150, 44801, Bochum, Germany.
AN  - 41714526
AU  - Houdelet-Oertel, A.
AU  - Lauer, R.
AU  - Molitor, V.
AU  - Walter, R.
AU  - Dörner, J.
AU  - Palm, R.
AU  - Otte, I.
AU  - Vollmar, H. C.
AU  - Holle, B.
C1  - Declarations. Conflict of interest: The authors have no competing interests to declare that are relevant to the content of this article. Ethical approval: Ethical approval and written consent were not required. Informed consent: For this type of study, no informed consent is required.
DA  - Feb 19
DO  - 10.1007/s41999-026-01422-0
DP  - NLM
ET  - 20260219
KW  - Associated factors
Delirium
Meta-analysis
Nursing home
Prevalence
Systematic review
LA  - eng
N1  - Houdelet-Oertel, Alexandre
Orcid: 0009-0007-1269-2074
Lauer, Romy
Orcid: 0000-0002-0404-6095
Molitor, Vincent
Orcid: 0000-0002-0108-4459
Walter, Roberto
Orcid: 0000-0002-3350-8754
Dörner, Jonas
Orcid: 0000-0002-7631-9881
Palm, Rebecca
Orcid: 0000-0002-4910-8413
Otte, Ina
Orcid: 0000-0003-0280-0899
Vollmar, Horst Christian
Orcid: 0000-0002-0117-7188
Holle, Bernhard
Orcid: 0000-0003-2549-7765
01VSF20003/Gemeinsame Bundesausschuss/
Journal Article
Review
Switzerland
2026/02/20
Eur Geriatr Med. 2026 Feb 19. doi: 10.1007/s41999-026-01422-0.
PY  - 2026
RN  - OPEN
SN  - 1878-7649 (Print)
1878-7649
ST  - Prevalence of delirium among older nursing home residents: a systematic review and meta-analysis
T2  - Eur Geriatr Med
TI  - Prevalence of delirium among older nursing home residents: a systematic review and meta-analysis
ID  - 65
ER  - 

TY  - JOUR
AB  - Dementia and pain are common in nursing home (NH) residents. Several studies have investigated the relation between pain and neuropsychiatric symptoms (NPS) in NH residents with dementia, but there is a lack of systematic reviews regarding this relation. The aim was to systematically review observational studies studying the relation between pain and NPS in NH residents with dementia. A systematic search was conducted in the PubMed, MEDLINE, CINAHL, APA PsycInfo, AgeLine, Cochrane, and Idunn databases for studies published from January 2013 to June 2025. Studies with a quantitative design where self-report, staff assessment, and/or chart review were used to assess pain and NPS were included. Of 530 articles considered, 18 studies (15 cross-sectional studies and 3 longitudinal studies), 19 articles, were included (N = 84 to 97,789 participants). Fourteen articles had good or strong quality, while five had fair or poor quality. A variety of assessment tools for assessing pain and NPS were used, both self-reporting and staff-reporting. The presence and the severity of pain were associated with more frequent and more severe NPS, while changes in pain were associated with changes in NPS. An association between the presence of pain and agitation/aggression was frequently reported, as well as between pain and depressive symptoms. The findings in studies reporting the association between other NPS and pain were inconclusive. In conclusion, strong associations between pain and agitation/aggression and depression were reported in NH residents wtih dementia. Assessing and treating pain is important. There is still a lack of longitudinal studies.
AD  - Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway. Electronic address: anne-sofie.helvik@ntnu.no.
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Surgical Nursing, Faculty of Nursing, Akdeniz University, Antalya, Türkiye.
Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway; Research center for Age-related Functional Decline and Disease, Innlandet Hospital Trust, Ottestad, Norway.
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
AN  - 41747305
AU  - Helvik, A. S.
AU  - Temür, B. N.
AU  - Bergh, S.
AU  - Tevik, K.
C1  - Declaration of competing interest The authors have no competing interests, and they have not received any funding for doing this systematic review. No AI-tools have been used to improve the article
DA  - Feb 25
DO  - 10.1016/j.gerinurse.2026.103977
DP  - NLM
ET  - 20260225
KW  - Alzheimer disease
Bpsd
Behavioral assessment
Care homes
Daily pain
End of life
Long-term care facilities
Nps
Neuropsychiatric symptoms
Nursing home
Pain
Persistent pain
Presence of pain
Residential aged care settings
LA  - eng
N1  - 1528-3984
Helvik, Anne-S
Temür, Büşra Nur
Bergh, Sverre
Tevik, Kjerstin
Journal Article
Review
United States
2026/02/26
Geriatr Nurs. 2026 Feb 25;69:103977. doi: 10.1016/j.gerinurse.2026.103977.
PY  - 2026
RN  - OPEN
SN  - 0197-4572
SP  - 103977
ST  - A systematic review of the relation between pain and neuropsychiatric symptoms in nursing home residents with dementia
T2  - Geriatr Nurs
TI  - A systematic review of the relation between pain and neuropsychiatric symptoms in nursing home residents with dementia
VL  - 69
ID  - 59
ER  - 

TY  - JOUR
AB  - OBJECTIVES: This systematic review examined the use of immersive virtual reality (IVR) to support multidimensional mental health among older adults. METHODS: Seven databases were searched for peer-reviewed studies published between January 2020 and March 2025, with forward and backward citation tracking completed in April 2025 (PROSPERO ID: CRD42025644394). Eligible studies involved adults aged 60 years and older, used fully immersive IVR via head-mounted displays, and assessed mental health outcomes. Ten studies met inclusion criteria, spanning randomized, quasi-experimental, pre - post, and mixed-methods designs across North America, Europe, and Asia. RESULTS: Eight of the 10 studies reported improvements in mental health. Virtual nature and guided meditation were most strongly associated with reductions in depression and anxiety, while reminiscence-based IVR improved positive affect and life satisfaction. Controlled studies showed stronger correlation than uncontrolled designs. Barriers such as discomfort, cybersickness, and low digital literacy were commonly addressed through facilitator support and age-friendly design, with feasibility demonstrated across community and long-term care settings. CONCLUSIONS: Immersive virtual reality is a promising non-pharmacological approach to supporting mental health and reducing social isolation in older adults. CLINICAL IMPLICATIONS: When appropriately adapted, brief, facilitator-supported IVR sessions may improve mental health outcomes among older adults in community and institutional settings.
AD  - Department of Sociology, University of Nebraska-Lincoln, Lincoln, USA.
University of Benin, Benin City, Nigeria.
Huntsman Cancer Institute, University of Utah, Salt Lake City, USA.
College of Public Affairs, University of Baltimore, Baltimore, USA.
Resident Unit, Purdue University, Lafayette, USA.
AN  - 41778450
AU  - Folorunsho, S.
AU  - Lawal, O.
AU  - Olamide, C.
AU  - Osawe, E.
AU  - Adedoyin, O.
DA  - Mar 4
DO  - 10.1080/07317115.2026.2639141
DP  - NLM
ET  - 20260304
KW  - Anxiety
depression
immersive virtual reality
loneliness
mental health
older adults
LA  - eng
N1  - 1545-2301
Folorunsho, Sunkanmi
Lawal, Olabisi
Olamide, Comfort
Osawe, Etinosa
Adedoyin, Oluwatobi
Journal Article
Review
United States
2026/03/04
Clin Gerontol. 2026 Mar 4:1-12. doi: 10.1080/07317115.2026.2639141.
PY  - 2026
RN  - OPEN
SN  - 0731-7115
SP  - 1-12
ST  - Immersive Virtual Reality to Promote Mental Health in Older Adults: A Systematic Review
T2  - Clin Gerontol
TI  - Immersive Virtual Reality to Promote Mental Health in Older Adults: A Systematic Review
ID  - 56
ER  - 

TY  - JOUR
AB  - BACKGROUND: Aged care has recently undergone major transformations due to demographic aging and the concomitant need to manage health care costs. New emerging technologies (ETs) have started to play central roles in the daily management of older adults. For these transformations to effectively promote successful and active aging, it is essential to understand the opinions of older adults on the impact that technology can have on their vulnerabilities and aging process. OBJECTIVE: This work aims to study the ethically related impact of ETs on cognitively healthy older adults' vulnerabilities. METHODS: Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review of empirical (qualitative) evidence exploring the relationship between ETs and older adults' vulnerabilities as perceived by older adults (older than 65 years) without cognitive impairments. Five major databases (PubMed, Web of Science, Embase, CINAHL, and Philosopher's Index) were queried on March 1, 2022. After eliminating duplicates, titles, abstracts, and full texts were screened for relevance. Data analysis and synthesis followed the preparatory steps of the coding process detailed in the Qualitative Analysis Guide of Leuven methodology, which involved carefully reading the publications included, identifying significant themes, and constructing conceptual schemes for each paper. The quality of the publications was evaluated by using the Critical Appraisal Skills Program. RESULTS: A total of 11,631 results were obtained. Eventually, 70 articles were included, and of these, 46 articles had a high level of methodological quality. The remaining 24 articles had moderate quality. ETs appeared to have an ambivalent effect, mitigating some already existing vulnerabilities, and at the same time, worsening already existing vulnerabilities or creating new vulnerabilities. For example, unconventional monitoring techniques (eg, wearables) often mitigated relational vulnerability, helping to maintain independence and remain at home and in one's community. Conversely, these same devices may negatively affect moral vulnerability, threatening older adults' privacy linked to data confidentiality. CONCLUSIONS: This systematic review, which focused on the perceptions of older adults without cognitive impairments, enriches the vast literature about the everyday management and care of seniors by exploring the ethical implications of ETs. This research is complementary to another systematic review of qualitative evidence, which analyzed the views of older people with cognitive disorders on the same topic. Although a certain ambivalence in the use of ETs was identified by both population groups, it is interesting how cognitively healthy older adults give more importance to some dimensions of vulnerability, such as the moral and relational ones, which, in the case of cognitively impaired older adults, are not as significant. Two important aspects identified were the respect of privacy and data security, and the perceived risk of control and surveillance linked to the use of monitoring technologies.
AD  - Department of Oncology and Hemato-Oncology, University of Milan, Via Santa Sofia 9/1, Milan, 20122, Italy, 39 02 5031 3223.
Centre for Biomedical Ethics and Law, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
AN  - 41712785
AU  - Fasoli, A.
AU  - De Luca, M.
AU  - Beretta, G.
AU  - Gastmans, C.
AU  - Sanchini, V.
C1  - Conflicts of Interest: None declared.
C2  - PMC12919910
DA  - Feb 19
DO  - 10.2196/69676
DP  - NLM
ET  - 20260219
KW  - Prisma
aged care
emerging technologies
ethical issues
impairments
older adults
vulnerability
LA  - eng
N1  - 1929-073x
Fasoli, Annachiara
Orcid: 0009-0006-8990-4306
De Luca, Maria
Orcid: 0009-0001-5604-5465
Beretta, Giorgia
Orcid: 0000-0002-4579-6917
Gastmans, Chris
Orcid: 0000-0002-5522-0639
Sanchini, Virginia
Orcid: 0000-0001-7756-3010
Journal Article
Review
Canada
2026/02/19
Interact J Med Res. 2026 Feb 19;15:e69676. doi: 10.2196/69676.
PY  - 2026
RN  - OPEN
SN  - 1929-073X (Print)
1929-073x
SP  - e69676
ST  - Emerging Technologies and Vulnerabilities in Older Adults Without Cognitive Impairments: Systematic Review of Qualitative Evidence
T2  - Interact J Med Res
TI  - Emerging Technologies and Vulnerabilities in Older Adults Without Cognitive Impairments: Systematic Review of Qualitative Evidence
VL  - 15
ID  - 66
ER  - 

TY  - JOUR
AB  - BACKGROUND: Population ageing has an impact on the need for long-term care (LTC) because functional limitations increase with age. Most older adults require support from family or formal LTC providers; thus, there is an urgent need for strategies to strengthen LTC workforce recruitment and retention., OBJECTIVE: To conduct an umbrella review to assess the strategies used to improve recruitment, retention, working conditions, and skills development of the formal LTC workforce., METHODS: Following the PRIOR guidelines and after protocol registration on PROSPERO, we conducted an umbrella review and searched four databases: MEDLINE, Embase, CINAHL, and Web of Science for intervention studies between 1946 and June 2024. Eligible studies were systematic reviews of interventions targeting formal LTC workers caring for adults aged 60 years and older. Two reviewers screened, extracted data, and appraised methodological quality., RESULTS: Of 10,475 screened articles, 19 reviews met the inclusion criteria. Continuing professional development and peer-led training consistently improved staff knowledge and competencies, and sometimes job satisfaction and turnover. The evidence for well-being programs and policies was limited and heterogeneous; overall, most reviews were of low quality., CONCLUSIONS: Future research should improve the context and workforce roles, adopt standardized outcomes, and rigorously evaluate organizational and policy interventions. Copyright © 2025. Published by Elsevier B.V.
AU  - Badache, Andreea Corina
AU  - Dobrosavljevic, Maja
AU  - Barber, Sarah Louise
DB  - Ovid MEDLINE(R) <August Week 2 2025 to February Week 3 2026>
DO  - https://dx.doi.org/10.1016/j.healthpol.2025.105496
KW  - Humans
*Long-Term Care
*Personnel Selection/mt [Methods]
Personnel Turnover
Job Satisfaction
Middle Aged
*Health Workforce
Working Conditions
PY  - 2026
RN  - OPEN
SE  - Badache, Andreea Corina. Centre for Health Development, World Health Organization, Kobe, Japan; Orebro University, School of Health Sciences, Orebro, Sweden; Babes-Bolyai University, School of Public Health, Cluj-Napoca, Romania. Electronic address: badachea@who.int.
Dobrosavljevic, Maja. Orebro University, School of Medical Sciences, Orebro, Sweden.
Barber, Sarah Louise. Centre for Health Development, World Health Organization, Kobe, Japan.
SN  - 1872-6054
0168-8510
SP  - 105496
ST  - Strategies to improve recruitment, retention, working conditions, and skills among the long-term care workforce: An umbrella review of existing evidence
T2  - Health policy (Amsterdam, Netherlands)
TI  - Strategies to improve recruitment, retention, working conditions, and skills among the long-term care workforce: An umbrella review of existing evidence
UR  - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41270339
https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41270339&id=doi:10.1016%2Fj.healthpol.2025.105496&issn=0168-8510&isbn=&volume=163&issue=&spage=105496&pages=105496&date=2026&title=Health+Policy&atitle=Strategies+to+improve+recruitment%2C+retention%2C+working+conditions%2C+and+skills+among+the+long-term+care+workforce%3A+An+umbrella+review+of+existing+evidence.&aulast=Badache&pid=%3Cauthor%3EBadache+AC%3BDobrosavljevic+M%3BBarber+SL%3C%2Fauthor%3E%3CAN%3E41270339%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E
VL  - 163
Y2  - 20251109//
ID  - 79
ER  - 

TY  - JOUR
AB  - OBJECTIVES: Most medication errors occur in primary and long-term care, and a wide range of medication safety interventions have been implemented, but these are often expensive, with little evidence around cost-effectiveness. We report a systematic review of economic evaluations of these interventions within primary and long-term healthcare settings., METHODS: A comprehensive search was conducted in databases (Medline, Embase, Econlit and PsycINFO) for full economic evaluations of primary care interventions targeting all errors in the medication use process (January 2004 to September 2025). Methodological and reporting qualities were assessed using standard tools., RESULTS: From 8523 records, 44 studies evaluating interventions in general/family practice (22), community pharmacy (11) and nursing/care/residential homes (11) met the inclusion criteria, 24 of which were either pharmacy led (19) or multidisciplinary medication reviews (5). All but one study looked at prescribing or monitoring interventions only. A total of 12 studies included all patients, with 24 focusing on older adults (> 65 years) and 3 focusing on condition-specific groups. Most studies only included costs from a healthcare perspective (39). Outcomes ranged from prescribing errors (9), hospital utilisation (13) and health-related quality of life (15) to falls (6) and adverse drug events (6). In total, 21 studies carried out an incremental cost-effectiveness analysis (16 including the incremental cost per quality-adjusted life year gained), and 14 reported the intervention cost-effectiveness. Remaining studies were cost-consequence (18) and cost-benefit analyses (5). Study reporting quality varied considerably, with lack of transparency in the design of the decision-analytic model, varied reporting of costs, little consideration of indirect costs or the impact of loss of trust on future use of healthcare, limitations in handling of uncertainty or discounting and very little patient involvement around targeting patients or designing interventions. Of the ten studies using decision models, all scored poorly for model validation. The quality of studies has not improved over time., CONCLUSIONS: While some interventions demonstrated cost-effectiveness, study quality was variable, with generally poorly validated models. Study heterogeneity precluded meaningful direct comparison between studies. Significant research gaps remain as studies focused mainly on prescribing and monitoring errors, there was little or no investigation of technology-based interventions and there was inadequate targeting of patients most vulnerable to harm. Copyright © 2025. The Author(s).
AU  - Amritlal, Sneha T.
AU  - Chandler, Rosalyn
AU  - Mahboub-Ahari, Alireza
AU  - Paterson, Luke
AU  - Avery, Anthony J.
AU  - Ashcroft, Darren M.
AU  - Chuter, Antony
AU  - Elliott, Rachel A.
DB  - Ovid MEDLINE(R) <August Week 2 2025 to February Week 3 2026>
DO  - https://dx.doi.org/10.1007/s40273-025-01567-z
IS  - 3
KW  - Humans
Cost-Benefit Analysis
*Long-Term Care/ec [Economics]
*Medication Errors/ec [Economics]
*Medication Errors/pc [Prevention & Control]
*Primary Health Care/ec [Economics]
Aged
PY  - 2026
RN  - OPEN
SE  - Amritlal, Sneha T. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK.
Amritlal, Sneha T. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK.
Chandler, Rosalyn. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK.
Chandler, Rosalyn. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK.
Mahboub-Ahari, Alireza. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK.
Mahboub-Ahari, Alireza. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK.
Paterson, Luke. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK.
Paterson, Luke. Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Avery, Anthony J. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK.
Avery, Anthony J. Centre for Academic Primary Care, University of Nottingham, Nottingham, UK.
Ashcroft, Darren M. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK.
Ashcroft, Darren M. Centre for Pharmacoepidemiology and Drug Safety, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Chuter, Antony. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK.
Elliott, Rachel A. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK. Rachel.A.Elliott@manchester.ac.uk.
Elliott, Rachel A. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Rachel.A.Elliott@manchester.ac.uk.
SN  - 1179-2027
1170-7690
SP  - 299-316
ST  - Economic Evaluations of Medication Safety Interventions in Primary and Long-Term Care: A Systematic Review
T2  - PharmacoEconomics
TI  - Economic Evaluations of Medication Safety Interventions in Primary and Long-Term Care: A Systematic Review
UR  - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41318738
https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41318738&id=doi:10.1007%2Fs40273-025-01567-z&issn=1170-7690&isbn=&volume=44&issue=3&spage=299&pages=299-316&date=2026&title=Pharmacoeconomics&atitle=Economic+Evaluations+of+Medication+Safety+Interventions+in+Primary+and+Long-Term+Care%3A+A+Systematic+Review.&aulast=Amritlal&pid=%3Cauthor%3EAmritlal+ST%3BChandler+R%3BMahboub-Ahari+A%3BPaterson+L%3BAvery+AJ%3BAshcroft+DM%3BChuter+A%3BElliott+RA%3C%2Fauthor%3E%3CAN%3E41318738%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E
VL  - 44
Y2  - 20251129//
ID  - 73
ER  - 

TY  - JOUR
AB  - Background/Objectives: The aim of this study was to synthesise qualitative evidence from family members' experiences of long-term home care for older adults provided by live-in migrant caregivers. Methods: We conducted a systematic literature review with meta-synthesis using four online databases. The search included articles published between January 2016 and December 2025 on the CINAHL, PubMed, SCOPUS and WOS databases. Thematic synthesis of qualitative data was conducted. Results: Eleven papers from six different countries fulfilled the criteria and were included in the thematic synthesis. Four main themes were identified: 1. Not an easy decision. 2. A stranger at the heart of family life. 3. Two worlds that meet and need each other. 4. Improving the integration of migrant caregivers into family life. Hiring migrant caregivers to provide long-term home care for older adults can ease the burden on family caregivers, but it is an additional source of stress and worry. Conclusions: The family members of older adults call for greater financial and institutional support, as well as the involvement of social and health services in the training and education of families and migrant caregivers. Negotiation skills and the ability to reach consensus between older adults (OAs), family members and resident migrant caregivers are key to improving cohabitation and care for OAs. The primary goal is the well-being of the OAs, which involves overcoming cultural prejudices, learning together in response to the new situation, improving caregivers' training, and ensuring continuity of care.
AD  - Nursing, Physiotherapy and Medicine Department, University of Almeria, 04120 Almería, Spain.
Distrito Sanitario Poniente, 04750 Almería, Spain.
Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Santiago 7500000, Chile.
Hospital Vithas, 04120 Almería, Spain.
AN  - 41753996
AU  - Aliaga-Castellanos, S.
AU  - Martínez-Granero, S.
AU  - Fernández-Férez, A.
AU  - Granero-Molina, J.
AU  - Antequera-Raynal, L. H.
AU  - Granero-Heredia, G.
AU  - Jiménez-Lasserrotte, M. D. M.
C1  - The authors declare no conflicts of interest.
C2  - PMC12940384
DA  - Feb 13
DO  - 10.3390/healthcare14040483
DP  - NLM
ET  - 20260213
IS  - 4
KW  - family caregivers
long-term home care
migrant caregivers
older adult
qualitative research
LA  - eng
N1  - 2227-9032
Aliaga-Castellanos, Sandra
Martínez-Granero, Sergio
Orcid: 0009-0003-5477-4175
Fernández-Férez, Alba
Orcid: 0000-0002-2956-8770
Granero-Molina, José
Orcid: 0000-0002-7051-2584
Antequera-Raynal, Laura Helena
Granero-Heredia, Gonzalo
Orcid: 0009-0009-1251-861x
Jiménez-Lasserrotte, María Del Mar
Orcid: 0000-0001-8151-6866
Journal Article
Review
Switzerland
2026/02/27
Healthcare (Basel). 2026 Feb 13;14(4):483. doi: 10.3390/healthcare14040483.
PY  - 2026
RN  - OPEN
SN  - 2227-9032 (Print)
2227-9032
ST  - Family Members' Experiences of Long-Term Home Care for Older Adults Provided by Live-In Migrant Caregivers: A Meta-Synthesis of Qualitative Studies
T2  - Healthcare (Basel)
TI  - Family Members' Experiences of Long-Term Home Care for Older Adults Provided by Live-In Migrant Caregivers: A Meta-Synthesis of Qualitative Studies
VL  - 14
ID  - 58
ER  -