Purpose Nurses at the nursing home are very busy, as they have to take care of the residents, organise the necessary documentation, enter nursing and care data, take care of the tasks of administering therapies and medications, provide important information to colleagues and respond as quickly as possible to urgent calls. The purpose of this study is to upgrade the existing IP nurse call system at the nursing home with the ‘NURSECARE’ system, to improve nursing and care services, continuously store the performed work of the employed medical staff and integrated SIP protocol (communication between nurses with iNurse and resident’s rooms – NurseTab). Design/methodology/approach The introduction of the “NURSECARE” system will facilitate and optimise the work of nurses at the nursing home. Findings The study findings improve the quality of services and programmes and other forms of assistance by increasing the effectiveness of management and leadership. Originality/value The study findings improve the quality of services and programmes and other forms of assistance by increasing the effectiveness of management and leadership.

Purpose This study aims to analyze the psychological benefits of digital and paper-based cognitive training in users with a lack of technological knowledge and a low level of education. Design/methodology/approach In total, 60 individuals (Mage = 78.38; SDage = 9.15) attending a day center were recruited to complete a cognitive training program, 30 of them in digital format. They were all assessed on cognitive skills, technological knowledge and depressive symptomatology before and after the training. Regardless of age, education and technological knowledge, all participants completed the respective cognitive training program. Findings The results of this study indicate that it is feasible to use both digital and paper-based tasks in cognitive training for individuals aged over 60, with low levels of education and digital literacy. Although different, in both cases it will be possible to obtain cognitive benefits. Research limitations/implications Cognitive training with digital or paper-based material can facilitate visual mnesic processing. Both visual and verbal skills can be trained through other non-digital materials. Originality/value This study contributes to understanding the benefits of both types of materials used in working with older people.

Purpose This study aims to explore the feasibility and acceptability of digital reminiscence therapy (RT) using touchscreen technology for people with dementia (PwD) in Jordanian care homes. Design/methodology/approach Semi-structured interviews were conducted with 14 residents and 7 care home staff. Findings Thematic analysis revealed four key themes: ease of use, supportive environment, engaging content and perceived positive impacts on quality of life (QoL). Participants highlighted enhanced communication, improved cognitive abilities and psychological well-being as primary benefits. Research limitations/implications These findings underscore the potential of digital RT to improve dementia care while adapting interventions to sociocultural contexts. Originality/value This study offers original insights into the feasibility and acceptability of digital RT in a Middle Eastern context, focusing on PwD in Jordanian care homes. By addressing the unique cultural and resource limitations of low- and middle-income countries, the study highlights the potential of culturally adapted, technology-enabled interventions to enhance QoL, communication and emotional well-being for PwD. The findings provide valuable guidance for practitioners and policymakers on integrating digital RT into dementia care practices, making a significant contribution to the global discourse on innovative, non-pharmacological approaches for older populations.

Purpose This study aims to validate and adapt the Health-Related Quality of Life (HRQoL) scale for use among elderly patients in Arabic-speaking care homes. Design/methodology/approach A total of 210 participants completed the Arabic-translated HRQoL scale to assess its reliability, validity and cultural adaptation. Internal consistency, test–retest reliability, exploratory factor analysis and content validity were examined. Findings Results demonstrated high internal consistency (Cronbach’s alpha = 0.85–0.90), robust test–retest reliability (intraclass correlation coefficient = 0.91) and strong construct validity Originality/value This study provides a culturally adapted and psychometrically validated HRQoL scale tailored for Arabic-speaking elderly care home residents. It addresses a significant gap in the availability of reliable tools to assess HRQoL in this population. By ensuring linguistic and cultural relevance, this study offers a robust instrument for evaluating quality of life, guiding interventions and improving care practices. The findings contribute to advancing evidence-based geriatric care in Arabic-speaking contexts, with implications for broader application in similar cultural settings. This work supports efforts to enhance the well-being and dignity of elderly individuals in care homes.

Purpose This study aims to assess the knowledge and attitudes of 420 nurses toward caring for older people in primary health-care centers in the southern region of Jordan. Design/methodology/approach Data collected through an electronic survey was analyzed using the Statistical Package for the Social Sciences (SPSS) version 23.0. Findings The findings revealed that 91.0% of nurses had limited knowledge, with only 7.1% demonstrating average knowledge and 1.9% showing good knowledge about older people care. Furthermore, 85.2% of participants held neutral attitudes toward aged care, while 12.4% had positive attitudes and 2.4% exhibited negative attitudes. A significant correlation was observed between knowledge and attitude scores (p-value = 0.000). Gender and marital status were found to influence attitudes, with significant statistical relationships (p-values: gender = 0.000, marital status = 0.004). These results emphasize the importance of improving nursing education in geriatric care and promoting positive attitudes toward caring for older people patients. Practical implications The study highlights the need for ongoing professional development to enhance patient outcomes and the quality of care for the older people population. Further longitudinal research and comparative analyses are recommended to deepen the understanding of knowledge and attitudes across various health-care settings. Originality/value The study revealed a significant correlation between nursing practitioners’ knowledge and attitudes toward geriatric care, with gender and marital status significantly influencing attitudes, while age did not. This underscores the need for further research.

Purpose India’s growing elderly population necessitates ensuring indoor thermal comfort because of their vulnerability to temperature-related illnesses and reduced capacity to regulate body temperature. Currently, thermal sensation (TS) assessment scales, designed for those between 20 and 60 years of age, may not accurately capture the preferences of elderly adults. To address the gap, this study aims to identify appropriate scaling methods to help the elderly understand the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE-55) seven-point TS scale clearly. Design/methodology/approach Four scaling methods – color, emoji, landscape images and regional images scales – identified from literature were analyzed using quantitative approaches. The differences between two age groups (<60 years and = 60 years) were examined using frequency distribution differences and independent sample t-test methods. Findings Results indicated that both younger/middle-aged (<60 years) and elderly individuals (= 60 years) were adept at identifying color and regional images scale, while emoji and landscape images scale posed challenges for the elderly. Furthermore, a tailored questionnaire instrument was developed to enhance the comprehension of TS questions for the elderly. One sample t-test results indicated that the proposed questionnaire instrument is a better fit to support ASHRAE-55 seven-point TS scale, making it particularly effective for the elderly population. Originality/value This research presents a novel, tailored questionnaire instrument that significantly enhances the elderly population’s comprehension of TS questions, thereby improving the accuracy of thermal comfort assessments and contributing to the creation of better indoor thermal environments for the elderly people.

Purpose This study aims to establish if risk factors for venous thromboembolism (VTE) in older hospitalized psychiatric patients differ from geriatric inpatients and if the current risk assessment tools being used are suitable. Design/methodology/approach The authors undertook a single centre retrospective review of 75 records for presence of predetermined risk factors. In total, 55 discharged patients with thrombotic events within geriatric settings were compared with 20 from mental health settings. Differences in risk factors were determined using t-test and Fisher’s exact test. Findings VTE patients in geriatric units were older and had reduced mobility. Psychiatric patients were more likely to be dehydrated and treated with psychotropics. Whilst rates of VTE screening were comparable in both settings, geriatric inpatients were more frequently prescribed thromboprophylaxis. Research limitations/implications Older psychiatric inpatients differ from those in medical/surgical settings in their profiles and risk factors for VTE. Approaches for VTE risk management also differed. Practical implications The study suggests the need for VTE screening tools and treatment protocols specific to older psychiatric settings. Social implications Targeted approaches may improve outcomes specific to each group. Originality/value To the best of the authors’ knowledge, this is the first attempt in comparing VTE risk factors across acute physical health care and mental health settings.

Purpose Residential Medication Management Reviews (RMMR) are a key component of safe, high-quality aged care service delivery. The RMMR is an interdisciplinary approach to medication management that relies on collaboration, communication and integration of systems. Acting as an improvement opportunity, the purpose of this paper is to present findings from a regional study, aimed at assessing the impact of RMMR on falls and hospital admissions and identifies barriers to impactful research in this area. Design/methodology/approach A three-year retrospective quantitative longitudinal practice audit was conducted in a regional state-managed high-care residential facility in Queensland, Australia. Data was collected pre-RMMR and six months post-RMMR. Findings The data collected was insufficient to achieve statistical significance or demonstrate the impact of RMMR on health outcomes. Factors impeding the research included limited ability to collect the data due to the lack of integration of information systems and limited stakeholder engagement resulting in poor recruitment. This highlights the need for improvement in RMMR processes and practices, and indeed wider research collaboration in the aged care sector. Research limitations/implications Thís paper acts as a call to action to improve research and interprofessional collaboration in Australian aged care. Originality/value The aged care industry needs high-quality research to drive practice improvement and collaborative care and service delivery. This paper advocates for improvements in the aged care sector with respect to research engagement and communication pathways between service providers. Advancement in systems integration for information sharing, recruitment of participants and stakeholder engagement will support evidence-based practice and process change.

Purpose This research aims to understand how family caregivers interact with the Danish healthcare sector while taking care of a relative with dementia. Design/methodology/approach Nine individual interviews of family caregivers were conducted in 2022. Data collection used a phenomenological narrative approach, and the analysis was influenced by Klaus Høyer “tin-opener” analytic method. Findings Family caregivers experienced significant ambivalence surrounding the diagnosis. Many family caregivers felt that professionals failed to adequately prepare them for their new informal caregiver role, resulting in feelings of shame and unpreparedness. The identified themes underscores the significant time commitment and the neglect of self-care associated with the role of informal caregivers. Research limitations/implications Research should focus on developing supportive interventions for family caregivers to be able to support their needs. Furthermore, research should ensure that family caregivers are prepared for their tasks without being trained and able to carry out health professionals’ tasks. Practical implications Insight into how the family caregivers experience the interaction with the Danish healthcare sector can help healthcare service providers better support the family caregivers and contribute with more tailored support, which may ensure a higher quality of healthcare delivery. Originality/value The authors of this study reveal the unseen and quiet work that occurs in everyday life when caring for a person with dementia and being the primary point of contact with the healthcare sector. It is important to consider family caregivers’ experiences with the healthcare sector when developing healthcare interventions to support family caregivers better. This will help tailor the interventions to their needs.

Purpose This exploration begins with understanding the concept of age-friendly cities and communities as guided by the World Health Organisation. The purpose of this study is to assesses the potential of the concept of age-friendly cities and how these initiatives are driven by commitments to create an environment that promotes active ageing, leveraging digital tools and technologies to enhance connectivity, accessibility and overall well-being of the older. Design/methodology/approach The viewpoint discussed the diverse ways in which the unique concept of age-friendly cities or living areas can be explored in India. Such concepts will create a more inclusive society for the older people around us. Findings The viewpoint highlighted a few global cases of age-friendly cities. It emphasised their innovative approaches, lessons learned, best practices and challenges. These real-time examples inspire, showing us the potential and success of such initiatives. They also help us understand the areas we must work on to create such environments for our older people. The chapter also evaluates the initiatives and projects undertaken in India so far to enhance the living experience of the older, integrating digital technologies. By analysing India’s journey towards age-friendly initiatives, the discussion provides detailed insights for policymakers and other societal stakeholders to broaden the development framework that holistically incorporates the ageing population’s needs. Originality/value The concept of age-friendly cities in India is not just a new approach but a crucial one in the near future. Owing to the existing diversity in our country, this discussion presented in this viewpoint will help to emphasise the need to create separate policies and implement the same at various levels. Ageing is inevitable, and this study’s reflections will also allow families and society to prioritise the needs of older adults in their families and around them. This work will also create an opportunity for all society’s stakeholders to look at older adults’ needs differently and more practically, underlining the urgency and importance of this issue.

Purpose The impact of dependence on self-care on people’s lives is very significant, with consequences for the person and their caregivers. The purpose of this study is to map the evidence on the factors that influence the empowerment of the person dependent on self-care on returning home. Design/methodology/approach Scoping review according to the criteria proposed by the Joanna Briggs Institute: population (people with a dependence on self-care), concept (factors that influence training) and context (return home after hospitalization in a medical-surgical context). The research was carried out from March 1 to April 30, 2022, in the databases CINAHL and MEDLINE (via EBSCO), Scielo, LILACS, Cuiden and MedicLatina; Gray literature searched RCAAP, DART-Europe and OpenGrey. Studies published in Portuguese, Spanish and English were included, with no time limit. Findings One hundred and eighty-one articles were obtained, which, after analysis according to the criteria, resulted in seven studies included for review, ranging from 2007 to 2021, with a level of evidence between 2. c and 4. a (according to Joanna Briggs Institute), and two thematic areas/four categories emerging. Research limitations/implications The need for information and training, the relationship and proximity with the health-care team, the design of nursing care targeted at the person’s level of dependence, education, gender, type of surgical intervention and postoperative period, physical space and lack of privacy and audiovisual media. Originality/value The perception of these factors proves to be important in the person’s training process, with the nurse’s role being highlighted due to their emphasis on the transition home.

Purpose The purpose of this study was to describe the association between sedentary time and social engagement among older adults living in megacities in India. Design/methodology/approach Data from a cross-sectional survey conducted in New Delhi and Chennai were used for analysis. In the total sample (n = 528), 65% of older adults self-reported engaging in high (≥180 min/day) volumes of sedentary time. There were no associations between sedentary time and social engagement in older females. Findings Among older males, those reporting high levels of communicating or visiting with family and friends had lower odds of reporting ≥ 180 min/day of sedentary time (OR: 0.51, CI: 0.27–0.98) compared to those reporting low levels of this type of social engagement. Older males reporting high levels of participating in a club (OR: 2.27, CI: 1.19–4.3) or participating in religious activities (OR: 1.97, 1.01–3.85) were approximately two times more likely to report ≥ 180 min/day sedentary time compared to those reporting low levels of these types of social engagement. Originality/value These data suggest that the type of social activity appears to significantly affect self-reported sedentary time among older males, but not females. These findings have implications for interventions aimed at improving active aging among older adults living in megacities in India.

Purpose This paper aims to explore the outcomes of an analysis on day by day task – journey planning conduct of senior citizens by using a modern dynamic model and a family unit travel overview, gathered in Bhubaneswar, Odisha, of India in 2018. The task-journey planning display assumes an unique time–space-constrained planning development. Design/methodology/approach The main commitment of this paper is to reveal day by day task – journey planning conduct through a comprehensive dynamic framework. Numerous behavioural subtleties are revealed by the subsequent empirical model. These incorporate the role that income plays in directing outside time consumption decisions of senior citizens. Senior citizens in the most elevated and least salary classes will in general have minor varieties in time consumption decisions than those in middle pay classifications. Generally speaking, the time consumption decisions become progressively steady with expanding age, demonstrating that more task durations and lower task recurrence become progressively predominant with increasing age. Findings Day by day task-type and area decisions reveal a reasonable irregular utility-amplifying level headed conduct of senior residents. Unmistakably expanding spatial availability to different task areas is an urgent factor in characterizing every day outside task interest of senior residents. It is likewise evident that the assorted variety of outside task-type decisions decreases with rise in age and senior citizens are major touchy to auto journey hour than to travel or non-mechanized journey hour. Originality/value The fundamental constraint to the dynamic structure is that the mode decision model was viewed as exogenic to the demonstrating framework. The essential purpose behind this supposition that was that senior citizens in the Bhubaneswar are overwhelmingly customers of the local car. Coordination of the mode decision display part inside this structure would deliver a full task-based journey request model that could catch trip age, starting times, outing circulation and mode decision using a solitary demonstrating framework.

Purpose In the current scenario, with rapid socioeconomic transformation occurring in all aspects of society, the adversities experienced by older adults have come to the forefront. The lived experiences within joint families are making it harder for the elderly to adjust to the changed familial setup. In such a situation, they undergo many problems which are most often overlooked and considered not worthy of serious attention. Loneliness and isolation are the most crucial and serious issues experienced by the elderly within the nuclear family. After spending a significantly larger part of their lives within large families, with caring people, interdependent, adjusting to the changing familial setup has become hard and strenuous. Moreover, lack of emotional support is yet another major concern of the elderly. As they grow older, care and emotional support become necessary to maintain an effective and active life in old age. However, such emotional support and care that the joint family offered is missing in the changing familial setup. Now, in light of these issues, this paper aims to explore the multidimensional concerns of the elderly (60 years and above) who, on account of familial transitioning from joint to nuclear in Kashmir, are experiencing isolation and other, hard to adjust, life changes. The paper is based on 20 oral narratives conducted, over time, with elderly people undergoing life changes due to family transition from joint to nuclear. The finding of the study revealed that the elderly experience a greater degree of change in their lifestyle due to the family transition from joint to nuclear. Design/methodology/approach This is a qualitative study that describes the multidimensional concerns of the older adults. The study was conducted in the union territory of Jammu and Kashmir using in-depth face-to-face interviews with 20 respondents aged 60 years and above who have witnessed a transition in family from joint to nuclear and have undergone many problems during this transition. Apart from this, two interviews with the sons of older persons were also included in the study to know the status of age in the current situation. After the data was collected from the first 10 respondents, the study witnessed a data saturation, as the same set of results were obtained. Meanwhile, 3 more respondents were included in the study to make sure that no data was left behind; however, again same results were witnessed. This led the investigator to halt the data collection process. Thereafter, the data was then analyzed using Braun and Clarke's (2006) thematic analysis technique, which involved familiarizing oneself with the data, looking for themes, validating and refining themes, identifying and labeling themes and finally creating the report. Findings The traditional joint family is undergoing rapid transformation in the current scenario. With a trend toward the nuclearization of families, which resulted in the diminishing status of the elderly, the vulnerabilities of the elderly have come to the forefront (Kumar et al., 2014). The transition of the family from joint to nuclear can be difficult for the elderly as it involves the elderly having to adjust and adapt to a new social milieu, which can be quite complex as it involves major changes in their lifestyle and daily routine. The elderly may also experience difficulty with increased social isolation and reduced family interaction. Such problems may seem insignificant and trivial to the younger ones, but stepping into the shoes of the elderly would help us understand the intensity and vulnerability of such problems. This cultural shift is quickly making changes, in part due to the rise of individualism in modern societies and the existence of a consumerist perspective among the younger generations. Such situations lead to greater alienation and isolation among the elderly from society in general and the members of the family in particular. Originality/value The is an empirical study conducted to know the status of older adults in nuclear families.

Purpose This correlational study conducted at Ban Phaeo Hospital, Thailand, aimed to assess the health literacy levels of 105 older adult stroke survivors from November 2021 to February 2022. Design/methodology/approach The study uncovered a moderate level of health literacy among participants, as indicated by a mean score of 66.85 (SD = 8.151). Findings Significant positive correlations were observed between health literacy and several key factors, including patient-provider relationships (r = 0.550, p < 0.001), social support (r = 0.548, p < 0.001) and perceived health status (r = 0.484, p < 0.001). These findings emphasize the interconnectedness of health literacy with critical elements of healthcare engagement and well-being. Research limitations/implications To advance stroke prevention in the older adult population, future research should focus on evaluating nurse-led interventions designed to enhance health literacy. Social implications Raising awareness about the influence of patient-provider relationships, social support networks and perceived health status represents the initial stride toward a successful strategy for elevating health literacy and preventing recurrent strokes in this demographic. Originality/value This work is entirely original, all authors listed contributed to the project and have approved the final draft for submission. This work of art has not been published or is under consideration elsewhere. This study addresses the crucial gap in the literature by uncovering moderate health literacy levels among older adult stroke survivors. It delves into the intricacies of health literacy in this population, establishing correlations with patient-provider relationships, social support and perceived health status. The study emphasizes the critical role of health literacy in healthcare engagement and well-being, advocating for nurse-led interventions to enhance health literacy and prevent recurrent strokes in older adults.

Purpose Positive aging aims to promote the physical health and psychological well-being of older adults for them to age successfully. Under the domain of positive aging, this study aims to explore the mediating role of self-compassion between forgiveness and psychological well-being in older adults. Design/methodology/approach It was based on a quantitative research design, with a sample of 250 individuals within the age group of 60–75 years. Data was collected using Self-compassion Scale (2003), Heartland Forgiveness Scale (2005) and Psychological Well-being Scale. Analysis was performed using Pearson’s correlation, linear regression, followed by the generalised linear model of mediation. Findings The results revealed a significant (p ≤ 0.001), high and positive correlation between self-compassion and forgiveness (r = 0.821), forgiveness and psychological well-being (r = 0.852) and self-compassion and psychological well-being (r = 0.802). Linear regression suggested that self-compassion and forgiveness are significant (p ≤ 0.001) predictors of psychological well-being, causing a variance of 75.6%. Mediation revealed significant (p ≤ 0.001) direct, indirect and total effect between the variables, showing that self-compassion partially mediates the relationship between forgiveness and psychological well-being. Research limitations/implications The findings provide valuable insights on how fostering self-compassion along with forgiveness can improve psychological well-being among the elderly, however, research on additional variables, drawing comparisons between gender, economic status and clinical populations can be further explored. Nevertheless, this study can be used to develop interventions and therapeutic techniques to enhance self-compassion and forgiveness to improve psychological well-being among older adults. Originality/value As per the best knowledge of the researcher, this work is original as it is a primary research and no data has been collected of a similar nature from the participants.

Purpose Older people in Ethiopia are a vulnerable group due to the lack of governmental and societal support. The absence of national social protection and the decline in family support contributes to older adults’ vulnerability, furthering a climate of ageism. This study aims to explore the role of the Ethiopian Elders and Pensioner's National Association (EEPNA) in reframing the image of older adults and advocating for their rights. Design/methodology/approach Data were collected using multiple approaches: interviews with older adult members of EEPNA (n = 8), a focus group of older members (n = 7) and key informant interviews (n = 3). Narrative data was analyzed using thematic content analysis. Findings Findings revealed that EEPNA plays a pivotal role in promoting access to services and advocating for older adults’ rights, offering capacity-building programs, supporting vulnerable older adults to gain access to secure incomes and strengthening the network of older peoples’ associations. Older participants noted that the government had not ratified the National Convention for Older People, creating a considerable challenge to the association’s efforts. Practical implications Stakeholders can advocate with and on behalf of older adults to enhance the societal view of older adults in Ethiopia and to promote policies to increase their access to needed resources. Originality/value Using a strengths-based approach, this study presents the perspectives of older adult advocates who are fighting to create awareness of the needs of vulnerable older people in Ethiopia and to advance their rights.

Purpose This study aims to identify and characterize the intended legacies of transgender women from Spain and Portugal who embarked on their gender transition at 40+ years. Design/methodology/approach Semi-structured interviews focusing on intended legacies were performed with seven participants (three Portuguese and four Spanish), aged 52–66 years. The interviews were submitted for thematic analysis. Findings The main findings show that all participants reported intended legacies: personal, to be remembered as a good person; broader, to support younger transgender persons to come out earlier in life and to guide and mentor other transgender persons; and composite, to contribute by being a positive role model and being happily engaged in contributing to others. Originality/value This understanding may help in developing adequate practices that promote involvement of transgender persons who are in middle to late life in supporting transgender persons rights and well-being.

Purpose This study aims to determine the relationship between health literacy and the self-care of hypertension in older adults in five regions in Jordan. Design/methodology/approach A cross-sectional study was conducted with 1,100 older adult patients with hypertension who had follow-ups in cardiac clinics of the five biggest hospitals in five regions of Jordan. The research instruments included a Health Literacy Questionnaire (CHEWQ) and the self-care of hypertension inventory. Findings The average health literacy score was 8.52 ± 1.6, indicating inadequate health literacy, while their self-care of hypertension score was 42.33 ± 10.9, indicating low self-care. Inadequate health literacy and factors such as marital status, education level, income and overall health status were linked to poor self-care of hypertension (p < 0.05). Practical implications This study suggests that there is a need to assess the effectiveness of various health literacy interventions, such as educational programs and customized communication strategies, in enhancing self-care behaviors across diverse populations, particularly among the elderly. Originality/value The study findings highlight the need for nursing interventions aimed at improving health literacy to enhance the ability of older adults in Jordan to manage their hypertension.

Purpose This paper aims to examine the relationship between self-care management and quality of life in elderly hypertensives at the Jember Nursing Home. Design/methodology/approach Thirty-five respondents were collected for a cross-sectional study with consecutive sampling. This study used the Hypertension Self-Management Behavior Questionnaire and Quality of Life-Elderly, as well as a questionnaire about individual characteristics. Kendall's Tau-b Test was used to analyze the data obtained from this study. Findings The majority of the elderly in the Jember Nursing Home reported having moderate self-care management (46.9%) and moderate quality of life (57.1%). This study found a significant positive correlation between self-care management and quality of life (p-value = 0.001), which was weak and significant (r = 0.282). Research limitations/implications This research has limitations on the number of respondents used in this study, because this research was only conducted in one place (one site center). Include the respondent's features more in the past history, and only a few are related to the physical health domain. So that further research can be conducted on more respondents, with a wider coverage of locations and adding some of the characteristics of respondents related to the domain of physical and psychological health. Practical implications The role of gerontology in overcoming loneliness in the elderly is to increase health service activities, both primary and secondary, such as monitoring blood pressure, providing consultations and routine examinations for the elderly related to hypertension and being able to control the dietary intake of hypertensive foods in the elderly. Originality/value Elderly in nursing homes experience hypertension due to poor self-care management problems, which will have an impact on worsening quality of life conditions.

Purpose This study aims to gain an understanding of how caring for an ageing population affects caregivers’ psychological well-being, quality of life and ability to tolerate distress. This study provides valuable insights into the challenges faced by family caregivers and underscores the critical need for comprehensive support systems. Design/methodology/approach A correlational method and cross-sectional research design was used for the study. For this, a sample of 200 caregivers in the age range of 25–60 years who were taking care of the geriatric population above the age of 70 years for a minimum of one year were chosen. Four questionnaires − Burden Scale for Family Caregivers, Psychological Well-Being Scale, World Health Organization’s Quality of Life Scale-BRIEF version and Distress Tolerance Scale were chosen. Correlation and multivariate regression were calculated using statistical package for social sciences (SPSS) 21 and Jamovi 3.4.1. Findings This study found that there is a negative correlation of caregiver burden with psychological well-being, quality of life and distress tolerance. The sub-domains of self-acceptance, psychological health and tolerance levels were most impacted for the caregivers. Through multivariate regression, it was found that the caregiver burden significantly predicted psychological well-being and quality of life. Research limitations/implications This study focuses on the English-speaking caregivers which may overlook the diverse linguistic and cultural variations within the broader caregiver community in India and the data collection exclusively targeted family caregivers providing support to geriatric population without chronic illnesses. This restriction could potentially limit the generalizability of the findings to the broader caregiving context. Practical implications The implications of this research are that for caregivers, this study underscores the importance of tailored support programmes that address the negative impact of caregiver burden on psychological well-being and quality of life. Health-care professionals can use the findings to incorporate mental health assessments and interventions within caregiving contexts, recognizing the interconnected nature of these variables. Policymakers can use the findings to inform policies related to caregiver support and health-care resource allocation. Originality/value In India, the social norm is that children are expected to take care of their parents when they become old. Taking care of elderly parents can be challenging, even emotionally. As a result, this study will focus on how caregivers’ psychological well-being, quality of life and ability to tolerate distress are affected. Consequently, promoting the creation of community support groups and workplace mental health programmes which could give caregivers a forum to voice their concerns.

Purpose This study aims to identify the reasons for unmet health-care needs and related barriers among the Roma population with chronic diseases in Jordan. Design/methodology/approach A descriptive survey with a cross-sectional design was conducted, involving a sample of 347 Jordanian Roma participants. Data collection was performed using a structured questionnaire based on the Canadian Community Health Survey. Findings The analysis revealed that within the three categories of reasons for unmet health-care needs (accessibility, availability and acceptability), “Transportation issues” under the accessibility category constitute the most reported reasons: (mean = 90.4%, SD = 22.6%), followed by “Cost” (mean = 89.0%, SD = 26.2%) and “Care not available in the area” (mean = 85.8%, SD = 23.6%). Predictors of unmet health-care needs were being married, having health insurance and self-perception of mental health (OR = 0.215, p = 0.044), (OR = 0.391, p = 0.008) and (OR = 0.302, p = 0.002) respectively. Originality/value Unmet health-care needs are highly prevalent among Jordanian Roma, rendering them a vulnerable group susceptible to other diseases. To address this pressing issue, concerted and comprehensive efforts should be made to improve the utilization and accessibility of health-care services within this community. Furthermore, efforts should be made to elevate their social standing and status. facilitate their integration into the broader community.

Purpose The purpose of this paper is to assess the perceived level of Jordanian nurses’ competencies in offering care to the community during a disaster. Design/methodology/approach A correlational descriptive design was used to assess nurses’ competencies in offering care for the community during a disaster. Findings A total of 370 nurses (55 % males) aged 25−55 agreed to participate. The mean score of competencies of nurses who offer care to the community during the disaster was 2.11 (SD = 0.59) points. The results of correlation coefficient tests revealed a significant positive correlation between stated competencies level and nurses’ sex, receiving disaster education and training with rpb (371) = 0.13, p < 0.01; rpb (598) = 0.15, p = 0.004; rpb (598) = 0.21, p < 0.001, respectively. Furthermore, the “care of communities” subscale had a weak positive correlation with the. Originality/value Nurses play a critical role in disaster response. However, there was a gap in nurses’ competencies for disaster, which shows there is a crucial need to include disaster management courses in the nursing curriculum and update disaster management courses in hospitals based on nurses’ needs to improve their competencies during disasters.

Purpose This paper aims to validate and adapt the Arabic version of Holden Communication Scale (HCS) for assessing communication skills among old people with dementia in care home. Design/methodology/approach A study involving 210 elderly residents from Jordanian care homes was conducted, where they completed the Arabic version of the HCS. Internal consistency and factor analysis techniques were precisely used to assess the scale's reliability. Additionally, cognitive function evaluation used the Arabic iteration of the Saint Louis University Mental Status (SLUMS) questionnaire, while communication skills were comprehensively appraised using the HCS. Findings The Arabic HCS has strong content validity, with a one-component structure accounting for 60% of the variation and a three-factor structure accounting for 77.2% of the variance. The original three-subgroup structure of the scale was recreated, and internal consistency varied from 0.85 to 0.87, indicating good reliability. Originality/value This study aimed to assess the reliability and validity of the Arabic version of the HCS among old people with dementia residing in care homes. The authors conducted examination of its psychometric properties within this unique population.