Anabel Chica-Pérez

Background/Objectives: Coronary heart disease (CHD) is a major cause of morbidity, disability, and loss of autonomy among older adults. Nursing interventions may support rehabilitation and continuity of care, although their characteristics and delivery remain heterogeneous. This scoping review aimed to map nursing interventions implemented and evaluated to support rehabilitation and functional improvement in older adults with CHD, focusing on how these interventions were organised and delivered, the roles assumed by nurses, and the outcomes assessed. Methods: A scoping review was conducted following Joanna Briggs Institute’s guidance and reported according to PRISMA-ScR. PubMed, CINAHL, Scopus, Web of Science, and Cochrane were searched between November 2025 and February 2026. Eligibility criteria followed the Population–Concept–Context framework. Quantitative and mixed-method intervention studies involving adults with CHD with a mean age ≥60 years were included. Study selection was performed independently by two reviewers. Results: Twelve studies were included. Most interventions were multicomponent (10/12), commonly integrating health education, exercise, psychosocial support, and self-care strategies. Nine programs combined face-to-face care with remote follow-up, and ten were directly led and delivered by nurses. Intervention duration ranged from four weeks to six months. Outcomes included functional, physiological, psychological, self-care, and quality-of-life domains. Favourable findings were frequently reported for functional capacity, anxiety and depression, self-care, self-efficacy, and health-related quality of life, whereas cardiovascular and physiological findings were less consistent. Conclusions: Nursing interventions for older adults with CHD are predominantly multicomponent and delivered across hospital and home settings. Further research should assess long-term outcomes and improve representation of very old, frail, and digitally vulnerable populations.

Purpose Chronic rhinosinusitis with nasal polyps (CRSwNP) is an inflammatory disease that affects quality of life. Diagnostic delays, symptom recurrence, and treatment failure increase the uncertainty and frustration of those affected. The objective of this study was to retrospectively explore the lived experiences of people with severe, biologic-treated CRSwNP from the onset of symptoms through to the failure of both appropriate medical therapy and surgery, in relation to the impact of the disease on their quality of life. Methods A qualitative study based on Gadamer’s hermeneutics was conducted. Between April 2024 and April 2025, 16 adults with severe biologic-treated CRSwNP participated in the study. They were selected through purposive sampling in a single airway clinic. Medical history was taken, nasal examination was performed, and imaging tests were undertaken, followed by in-depth interviews. Data were interpreted following a Gadamerian hermeneutic-circle approach, operationalised through Fleming’s method. Results Three main themes were developed: (1) the silent burden of symptoms and their impact on daily life; (2) the odyssey to obtain a diagnosis; and (3) the experience of treatment failure and the associated emotional strain. Conclusions People with severe, biologic-treated CRSwNP experience communication and sleep difficulties, impaired sex life, discrimination and self-medication, which substantially deteriorates their quality of life. This is compounded by diagnostic uncertainty, the need for self-management, treatment failure, and the ongoing search for information. Family support has a meaningful impact on their biopsychosocial well-being. These findings illustrate how physical, emotional and social dimensions are intertwined throughout this disease trajectory.

Fibromyalgia syndrome (FMS) is a multisystemic rheumatic syndrome characterised by widespread chronic musculoskeletal pain as well as emotional, cognitive, and sleep disorders (Ablin et al., 2011; ...

Background/Objectives: Chronic heart failure (CHF) is a leading cause of global morbidity and mortality, particularly among older adults, significantly impacting their quality of life and imposing a substantial economic burden. While pharmacological and surgical treatments remain essential, non-pharmacological interventions led by nurses are gaining prominence due to their comprehensive approach and biopsychosocial impact. The objective of this study was to synthesise and integrate such interventions for community-dwelling older adults with CHF. Methods: An integrative review was conducted in accordance with the Joanna Briggs Institute protocols and the PRISMA statement, utilising a systematic search across databases including PubMed and Cochrane. Qualitative, quantitative, and mixed-methods studies evaluating non-pharmacological interventions in the home setting were included, whilst those targeting non-specific populations were excluded. Following a rigorous screening process, 12 studies were selected, and their methodological quality was appraised based on study design. Results: The 12 included studies involved a total of 2466 participants and addressed interventions across the domains of education, physical activity, telehealth, and nutrition, with programme durations ranging from 4 weeks to 16 months. Notable improvements were observed in physical capacity, cognitive function, quality of life, and self-care capabilities, alongside potential reductions in hospitalisations reported in some studies. However, considerable methodological variability was identified across the literature. Conclusions: This review synthesises non-pharmacological nursing interventions for older adults with CHF, demonstrating varied benefits across multiple biopsychosocial domains. The findings emphasise the critical need for further research to evaluate the economic viability of these programmes and to adapt interventions to enhance the delivery of community-based care.

Aim: To explore the perceptions of older female caregivers living in poverty in a high‐income country regarding their health and self‐care needs. Design: Descriptive qualitative study. Methods: Seventeen semi‐structured interviews were conducted with older female caregivers between October 2023 and March 2024. The reflexive thematic analysis method described by Braun & Clarke was followed, and ATLAS.ti 25 software was used for data analysis. Results: The analysis identified one main overarching theme, ‘Caring as an expected role that shapes identity and daily life’ and two interrelated themes: (1) ‘The need for a holistic approach to self‐care’ and (2) ‘Caring on empty in the context of economic hardship and limited support’. Conclusion: Self‐care among older female caregivers living in poverty is constrained by caregiving expectations and socioeconomic disadvantage. Addressing their health needs requires nursing interventions that recognise caregiving as a central element of their lives and adopt holistic, context‐sensitive approaches. Implications for the Profession and/or Patient Care: Nursing interventions should comprehensively assess older female caregivers' multidimensional health needs and enhance access to integrated support and services, addressing structural gender and socioeconomic inequities to strengthen health, dignity, and resilience. Impact: Living in poverty exacerbates the challenges older female caregivers face in attending to their own health and self‐care, increasing the risk of exhaustion, distress, and chronic illness. Recognising and addressing these needs through equitable, targeted interventions is essential to reduce health inequalities. Reporting Method: The study has been reported following the COREQ guidelines. Patient or Public Contribution: Limited patient and public involvement was incorporated, focusing on verification of their transcripts, ensuring accuracy and credibility in the interpretation of their accounts.

Background/Objectives: Irregular maritime migration is a global health challenge as it combines exposure to extreme physical risks with profound psychosocial vulnerability. Understanding the role of maritime rescue professionals is essential for designing effective public health strategies that respond to these realities. The objective of this study was to explore and describe the experiences of SASEMAR professionals involved in the emergency care and rescue of irregular migrants arriving by small boat to the Spanish coast. Methods: Using a qualitative descriptive design, we conducted in-depth interviews and focus groups with 12 SASEMAR professionals. Thematic analysis was performed using Braun and Clarke’s approach with ATLAS.ti software. Results: The findings were grouped into three overarching themes: (1) Innovative Emergency Response Systems for Vulnerable Populations; (2) Holistic Health Approaches in Maritime Emergency Care; and (3) Integrated Approaches to Resource Use and Migrant Care Policies. Conclusions: Rescuing irregular migrants at sea requires coordinated, flexible, and multidisciplinary strategies to address diverse profiles and challenging conditions. Strengthening rescue capacity and policies is essential to ensure effective, human care during maritime emergencies.

Aim: To explore how older women experiencing poverty in a high‐income country perceive their family caregiver role from a gender perspective. Design: Descriptive qualitative study. Method: A convenience sample of seventeen older female caregivers experiencing poverty was interviewed in‐depth between October 2023 and March 2024. Reflexive thematic analysis was conducted following the phases described by Braun & Clarke. ATLAS.ti software was used for data analysis. Results: Three main themes were developed from the data analysis: (1) The duality of family caregiving: between informal female support and structural neglect, (2) family care in later life as a continuation of a life devoted to others, (3) older female family caregiving as a gender issue. Conclusions: Older female caregivers experiencing poverty have limited formal support and unequal access to resources. Older women experiencing poverty experience both gratitude and despair in their caregiving role, which inevitably deteriorates their health. Implications for the Profession and/or Patient Care: Nursing interventions for older female caregivers experiencing poverty should include an assessment of social determinants of health, focusing on gender and socio‐economic barriers. Implementing system navigation interventions, such as community‐based case management, resource referral programmes, and personalised care coordination, could connect older female family caregivers to essential resources and support networks, thus addressing their mental health needs and promoting equity, which would enhance their overall well‐being and dignity. Impact: Experiencing poverty increases the vulnerability of older female caregivers, exacerbating gender inequality. These women often face mental health issues as they face the pressure of meeting their own needs and those of their care recipients with a lack of formal support. This neglect can lead to serious health problems, which emphasises the need for equitable nursing interventions. Reporting Method: The study is reported following the COREQ guidelines. Patient or Public Contribution: No patients or public were involved in the study development and implementation.

Aim: To assess the care needs of older adults living in poverty in a high‐income country and to analyse their relationship with other outcome variables. Design: A cross‐sectional study. Method: Data were collected between September 2022 and February 2024 from 384 older adults in southeastern Spain. Descriptive statistics were calculated to assess older adults' care needs. A multiple linear regression analysis was carried out to determine the percentage by which the socio‐demographic or outcome variables could explain the number of met care needs among older adults in poverty. Results: Around 20% of the care needs amongst older adults living in poverty were unmet. The most frequently unmet care need was related to money (53.6%). Almost 30% of participants were at risk of malnutrition, 18% felt lonely, and 80% perceived a low level of social support. Age, history of falls, emergency room visits, functionality, perceived social support, quality of life and nutritional status significantly predicted the number of needs met. Conclusion: The health conditions of older adults living in poverty are suboptimal and may negatively influence their care needs. Nurses should consider these factors when designing, implementing and evaluating interventions to promote the biopsychosocial health of this population. Implications for the Profession and/or Patient Care: Nursing interventions to promote health amongst older adults living in poverty should focus on identifying unmet care needs, particularly those related to financial and social support. Interventions should prioritise improving nutritional status, enhancing social support networks and addressing loneliness. Impact: Living in poverty increases older adults' vulnerability due to unmet financial, nutritional and social support needs. These unmet needs can negatively affect older adults' physical and mental health. Reporting Method: The study has been reported following the STROBE guidelines. Patient or Public Contribution: The study's participants only participated in the data collection process.

Aim: To examine and map health programmes that have been implemented and evaluated to improve health outcomes amongst older adults who are the primary family caregivers for their partners. Methods: A scoping review was carried out, following the methodology of the Joanna Briggs Institute (JBI) and PRISMA-ScR reporting guidelines. The search was conducted in six databases (PubMed/Medline, Cochrane, CINAHL, Web of Science, Scopus, and EMBASE) between December 2023 and March 2024. Results: Eleven studies were included, covering different health programmes implemented and evaluated with the aim of improving health outcomes in older adults who assume the role of primary family caregiver for their partner. The programmes were carried out by multidisciplinary teams and psychologists. The programmes varied in content, frequency, and duration. Discrepancies were found in the effects of the interventions on stress, depression, quality of life, and caregiver burden. Conclusions: This scoping review shows that programmes aimed at improving health outcomes in older adults who are the primary family caregiver for their partner vary widely in both content and effectiveness. While some interventions reduced the burden and psychological distress, others did not show clear improvements in quality of life. It can be concluded that there is a need for randomised controlled trials that rigorously evaluate the outcomes of long-term, personalised interventions.