Explore our archives to access past issues of the Asian Journal of Research in Gerontological Nursing (AJRGN). Our archives provide a comprehensive repository of research articles, reviews, and case studies that have contributed to the field over the years.
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Volume 2
Issue 2 JULY – DECEMBER 2025
Volume 2(Issue 2) JULY – DECEMBER 2025 Research Articles
Co-Creating Mental Health Solutions with Youth Experiencing Early-Stage Schizophrenia
Vol.2(2); Pages:1-9. Published on November 2025
Abstract
Dissatisfaction and unmet need is an incentive to the premature de-engagement of young adults recently diagnosed with schizophrenia. To fill this gap, in this study, service users were involved as co-designers to develop a smartphone-based solution that helps support their needs. The current paper marks the first step in a three-stage participatory design process to determine the extent of the needs of young adults with newly diagnosed schizophrenia and understand how digital tools can be designed to support those needs successfully. Methods: Using the participatory principles of design and the qualitative approach the data were gathered: 45 hours of participant observation and six semi-structured interviews with now participants in a first-episode psychosis program, located in Denmark. The participants demonstrated low health literacy and a high degree of being unsure how to deal with the diagnosis, and this fact shows an essential need to empower and provide individual attention. Six most important digital characteristics were found and this includes real-time guidance, recovery monitoring, symptom alerting, medication tracking, readily available health information, and immediate communication with medical practitioners. The adolescents and young people struggling with earlystage schizophrenia need multidimensional, adaptive tools that can help them rely on themselves and feel confident. The technology of a smartphone is a potentially beneficial platform to provide timely and personal sustainable support to improve engagement and recovery.
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A Case of Perampanel-Induced Psychosis in a Teenager with Intellectual Disability and Refractory Epilepsy
Vol.2(2); Pages:10-17. Published on November 2025
Abstract
Perampanel is a non-competitive rationale AMPA receptor antagonist and used as add-on maintenance treatment in individuals with unresponsive epilepsy, as it was demonstrated to be effective in the management of seizures. It does however have numerous benefits but increasingly it has also been associated with serious psychiatric side effects which include acute psychosis. In the described case unsettling acute-onset psychotic symptoms manifested in form of hallucinations, paranoia, and disorganized behavior happened to a 22-yearold woman with longstanding pharmacoresistant epilepsy shortly after the start of perampanel treatment. They were psychiatric in nature with the symptoms arising within two weeks after initiating the medication and disappearing fully after withdrawing the medication thereby suggesting that there is probable causal association. An indepth clinical assessment and literature review indicates that perampanel-induced psychosis is a serious issue, nevertheless this is a rare one and is more dangerous in patients with predisposing psychiatric histories. This case demonstrates that targeting prescribing of perampanel requires close psychiatric observation and personalized risk evaluation and therefore, clinicians should be cautious of the initial symptoms of the neuropsychiatric decompensation.
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Caregivers’ Perspectives on Supporting Loved Ones with Psychosis Triggered By Substance Use
Vol.2(2); Pages:18-27. Published on November 2025
Abstract
The SIPD is one of the conditions causing substantial problems to the patients and their relatives, who perform all the care duties in most cases. This paper will delve into both the emotional, psychological, and social effects of being a family caregiver to individuals with SIPD by examining their experiences. Themes of stigma, caregiver burnout, communication breakdown and difficulty in attaining mental healthcare became evident because of long-form qualitative interviews. Respondents stressed that more organized support systems are necessary, the issue of healthcare participation should be enhanced, and the level of awareness must be raised. The results reiterate how demanding SIPD care can be and support family-based comprehensive treatment planning.
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Psychotic Manifestations Triggered by Severe Hyperglycemia in a Female with Type 1 Diabetes: A Clinical Case Insight
Vol.2(2); Pages:28-34. Published on November 2025
Abstract
Metabolic disorders can lead to psychosis which is rarely reported as a neuropsychiatric complication of controlled diabetes. This case study presents a 23-year-old female with known Type 1 Diabetes Mellitus (T1DM) having developed acute psychotic symptoms on the background of severe hyperglycemia in the absence of diabetic ketoacidosis. She displayed persecutory delusions, visual hallucinations and disorganized behavior, which improved within few minutes of aggressive insulin therapy and fluid replacement. No previous mental history was mentioned. Laboratory and neuroimaging results excluded structural, infectious or toxic causes. It is also shown in this case how hyperglycemia may cause neuropsychiatric symptoms, and there needs to be additional consideration of metabolic causes to the differential diagnosis of acute psychosis. It is essential to early identify and correct metabolic imbalance to reverse the psychiatric symptoms and prevent the misdiagnosis and unnecessarily long-term antipsychotic therapy. Another issue brought to attention in the case is the necessity of intensive glycemic control and multidisciplinary approach to care in young patients with diabetes whose case is complicated by neuropsychiatric alterations.
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Re-evaluating the Biomedical Model of Psychosis: A Kuhnian Perspective on Paradigm Shift
Vol.2(2); Pages:35-43. Published on November 2025
Abstract
The given paper discusses the existing crisis in the biological paradigm of psychosis in the light of the theory of scientific revolutions formulated by Thomas Kuhn. Even though the neurochemical, genetic, and structural brain abnormalities have been explored over several decades, the biomedical model has failed to produce reliably clinically transformative data on psychosis causation and treatment. Indicators of these states of stagnation are associated with the symptoms of a Kuhnian paradigm in distress: they include increasing anomalies, conceptual disaggregation, and opposition to alternative models. Based on the historical as well as modern critiques, the paper states that the field of psychosis is heading towards scientific revolution where the psychosocial, phenomenological, and integrative perspectives might provide a more coherent picture. According to the analysis, dominant assumptions in psychiatry should be critically re-examined and be more open to interdisciplinary paradigms better explaining the context of lived experience and social circumstances.
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Epsom Salts and Hot Water Are Compared for Their Ability to Alleviate Joint Pain in Elderly Individuals in Coimbatore
Vol.2(2); Pages:44-53. Published on October 2025
Abstract
Degenerative joint diseases like osteoarthritis often affect older adults, leading to joint pain as the cushioning tissue wears down. These conditions develop gradually, causing pain, stiffness, and swelling. Epsom salt, rich in magnesium sulfate, can ease pain and aid detoxification, promoting healing. Many elderly individuals suffer from knee pain, impacting their quality of life. Epsom salt is affordable, easy to find, and provides various health benefits. Aim: A comparison of the effectiveness of Epsom salt and plain hot water in relieving joint pain among geriatric patients at a selected hospital, Coimbatore.Methodology: The purpose of the study was to compare between Epsom salts and plain application of the impact of hot water on the reduction of joint pain in geriatric patients of a selected hospital in Coimbatore. The conceptual framework employed in the research was Widenbach’s Helping Art Clinical Nursing Theory, Modified (1964). Sixty respondents were chosen by means of simple random sampling. Demographic and clinical information was collected on the first day by interview, and the baseline level of joint pain had been determined using the Numerical Rating Pain Scale in both groups.The application of Epsom salt was administered to the first experimental group, twice daily, and 10 minutes per day during the 5 days, whereas the second experimental group was treated with plain application of hot water. On the 5th day, the same the Numerical Rating Pain Scale was also used to re-assess both groups pain levels as compared to the pain occurring at the joints. Result: The standard deviation and the mean of the pain scores were 1.9 +0.8 in the experimental group 1 and 5 +0.9 in the experimental group 2 in the post-test. An independent t-test value was 14.36 (p < 0.001), That cannot be regarded statistically significant difference at a p of p = 0.005 level. Conclusion: Joint pain influences the quality of life and functioning to a great extent, and it is most appropriate to discuss the strategies of pain management and enhanced mobility. The results of this research show that the application of Epsom salt proved to be an effective pain reliever of the joints among geriatric patients. This study has underscored the possibility of using Epsom salt which is a nonpharmacological intervention implies that nurses and community health workers can employ this therapy to aid in reducing joint pain.
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Issue 1 JANUARY- JUNE 2025
Volume 2(Issue 1) JANUARY- JUNE 2025 Research Articles
Advancing Holistic Care Approaches in Gerontological Nursing
Vol.2(1); Pages:1-9. Published on February 2025
Abstract
The expanding population of elderly people leads to an increasing need for superior gerontological nursing services. Gerontological nursing focuses on treating elderly patients as complete people by understanding all their physical mental social and spiritual and emotionally related health aspects rather than simply handling diseases. The combined approach provides tailored individualized care resulting in improved senior health quality for each patient. The healthcare field now recognizes integrative therapy approaches such as aromatherapy with music therapy mindfulness practices and cognitive-behavioral interventions because these treatments effectively address mental and emotional well-being. The healthcare accessibility of older adults improved through assistive technologies and artificial intelligence and telehealth applications which provide person-focused care at home and inside long-term care environments. Healthcare professionals must receive training in holistic nursing practices because it enables them to deliver effective care services to various groups of aging patients. Social connections between older adults receive major support from family and community-based support systems to combat isolation and depression risk factors. This paper investigates present-day developments and advancements in holistic gerontological nursing emphasizing interdisciplinary team work along with cultural sensitivity and long-lasting care approaches. Through holistic nursing approaches healthcare providers enhance the well-being together with dignity while maintaining the independence of older adults to develop more compassionate and effective gerontological nursing care.
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Linking Objective and Subjective Dimensions in an Elderly Wellness Index
Vol.2(1); Pages:10-18. Published on February 2025
Abstract
Measuring elderly well-being requires a complete method because it involves multiple aspects both in objective and subjective ways. Two measurement approaches exist for documenting elderly well-being: objective methodological data regarding health status and income and social participation together with subjective assessments of life satisfaction and emotional well-being and perceived quality of life provide complete individual understanding. The research seeks to build an Elderly Wellness Index (EWI) which unites economic and health metrics with personal happiness and psychological aspects to achieve complete knowledge of aging well-being. The proposed index combines objective health indicators with socioeconomic security requirements along with subjective evaluation tools for wellness measurement. It comprises physical condition criteria and cognitive abilities assessment and financial wellbeing analysis with social service accessibility measurement while embracing happiness assessments and self-evaluation evaluations for well-being assessment. The research employs survey data combined with medical records and psychometric assessments to develop an index that demonstrates full well-being status of elderly citizens existing in various cultural environments.
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Integrating Healthy Ageing Strategies into Gerontological Policy and Practice
Vol.2(1); Pages:19-27. Published on February 2025
Abstract
Societies have focused on Healthy Ageing since they began to deal with an aging population and longer life expectancies. The process of healthy ageing results in functional ability which allows well-being to develop in older age and involves physical aspects and mental performance as well as social capabilities. This paper evaluates how healthy ageing strategies get integrated throughout gerontological health and social care policies together with their implementation practices. The World Health Organization’s Decade of Healthy Ageing serves as the main framework to underline the necessity of uniting healthcare systems with social services along with urban planning elements and community-based programs for holistic care.The research presents evidence-based interventions by presenting approaches to preventive healthcare together with chronic disease management elements and social engagement programs and digital healthcare systems and age-friendly environments. The paper tackles healthcare equity challenges alongside resource allocation and ageism problems and supports disease-centered model exchanges for person-centered holistic care. Different national case studies showcase policy initiatives which lead to improved senior quality of life alongside healthcare cost reductions while promoting elderly community integration.Healthy ageing principles which governments and healthcare providers integrate into gerontological policy and practice create environments that sustain active and independent and dignified ageing throughout life. Next-generation research needs to analyze policy performance while solving diversity issues in senior experiences and developing better collaboration between stakeholders to build enduring aging strategies which benefit all communities around the world.
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Enhancing Gerontological Nursing Through Age-Friendly Communities, Health Systems, and Public Health Integration
Vol.2(1); Pages:28-35. Published on February 2025
Abstract
Gerontological nursing improves both the health results and quality of life for older adults within the overarching framework of age-friendly communities and the health system and public health measures. An aging global population creates a necessity to merge healthcare domains and create comprehensive person-centered care which fits current health and social demands of senior citizens. The promotion of supportive environments as central elements in age-friendly communities lets older people reach independence and wellness goals and the implementation of evidence-based elder care through “What Matters, Medication, Mentation, and Mobility” practices in age-friendly health systems defines this approach. Public health approaches including preventive care and chronic disease management and health equity policies improve gerontological nursing practice by handling health determinants and decreasing these factors among seniors.The following study examines how these three domains function as compatible elements which jointly influence gerontological nursing practice. This document showcases successful methods of uniting community support programs with medical care systems and presents technological solutions for aging-in-place frameworks and models which merge healthcare services with social assistance. The paper identifies workforce shortages together with policy limitations and the necessity for interprofessional collaboration as main obstacles faced by gerontological nurses. A combined strategy between community initiatives and healthcare services reinforced with public health strategies leads to sustainable aging models for diverse populations.
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Advancing Health Equity: Nursing’s Philosophical, Theoretical, and Ethical Approaches to Eliminating Health Disparities
Vol.2(1); Pages:36-41. Published on February 2025
Abstract
Health equity functions as the essential goal of healthcare practice because it removes unequal health outcomes that impact minority communities disproportionately. Nursing practices advocacy and follows ethical principles alongside patient-centered care to help resolve these disparities because advocacy is the core of nursing as a profession. This paper investigates the philosophical framework combined with theoretical and ethical perspectives which direct nursing professionals toward achieving health equity. The nursing profession bases its work on three philosophical values which ensure equal health services without regard to social position or racial makeup or regional setting. The health inequities require systematic analysis through nursing frameworks which include Jean Watson’s Theory of Human Caring and Madeleine Leininger’s Transcultural Nursing Theory and the Social Determinants of Health model. Nursing professionals who defend vulnerable populations must follow ethical principles consisting of beneficence, nonmaleficence, autonomy and justice for their advocacy work. The reduction of healthcare disparities requires nursing staff to provide culturally adaptable services as well as support policy changes and establish community programs with collaboration from multiple healthcare specialties. The ethical evaluation of healthcare policies combined with resource distribution receives analysis in terms of nurses’ ethical commitments through interdisciplinary philosophical and ethical framework evaluation. The paper ends with proposed strategies for nursing practice along with education and research instructions to improve equitable healthcare delivery methods. Health disparities require nursing professionals to take action as a moral requirement which strengthens nursing values including advocacy and justice and compassionate care.
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Volume 1
Issue 2 JULY – DECEMBER 2024
Volume 1 (Issue 2) JULY – DECEMBER 2024 Research Articles
Delineating Boundaries in Competency Frameworks, Nursing Perspectives, and Interdisciplinary Collaborations for Optimal Patient Care
Vol.1(2); Pages:1-10. Published on July 2024
Abstract
Competency frameworks are essential in defining the skills, knowledge, and attributes required for effective nursing practice, ensuring consistent and high-quality patient care. This paper explores the integration of these frameworks with nursing perspectives and interdisciplinary collaborations to enhance patient outcomes. It delves into how delineating clear boundaries within these areas can improve role clarity, professional identity, and teamwork, leading to better healthcare delivery. The nursing perspective is crucial in understanding patient needs and advocating for their welfare, while interdisciplinary collaborations bring together diverse expertise to address complex health issues. However, challenges such as overlapping roles, communication barriers, and professional hierarchies can hinder these efforts. This paper reviews current literature on competency frameworks in nursing, examines the impact of nursing perspectives on patient care, and discusses the benefits and obstacles of interdisciplinary collaborations. It also provides recommendations for establishing clear boundaries to optimize the contributions of each discipline in patient care, fostering a more cohesive and effective healthcare environment.
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Evaluating Clinical Methods and Measuring Outcomes in Breast Cancer Rehabilitation
Vol.1(2); Pages:11-18. Published on August 2024
Abstract
Breast cancer rehabilitation is a critical aspect of care that addresses the physical, psychological, and functional challenges faced by survivors. Despite advances in treatment, many women experience significant impairments that can be mitigated through targeted rehabilitation strategies. This paper reviews the current methodologies employed in the clinical examination and outcomes assessment of breast cancer rehabilitation. We explore the various domains of rehabilitation including physical therapy, occupational therapy, and psychosocial interventions, and how they contribute to improving quality of life. Specific emphasis is placed on the use of standardized clinical tests for physical function, such as range of motion and strength, as well as patient-reported outcome measures that assess pain, fatigue, lymphedema, and psychological status. The integration of these tools into clinical practice is discussed, along with their implications for improving patient care. We also consider the role of interdisciplinary teams and the importance of personalized rehabilitation plans. Future directions are suggested, focusing on the need for robust, longitudinal studies to better understand the long-term benefits of various rehabilitation interventions and the development of consensus guidelines for practitioners.
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Exploring Quality Assurance in Nursing Education through Qualitative Insights from Students and Newly Graduated Nurses
Vol.1(2); Pages:19-27. Published on October 2024
Abstract
This study explores the perspectives of students and newly graduated nurses on quality assurance in nursing education. Using qualitative methods, including in-depth interviews and focus group discussions, the research examines the effectiveness of current educational standards, curricula, and support systems in preparing nursing students for professional practice. Key themes identified include the importance of practical experience, mentorship, and the integration of clinical skills into the curriculum. The study highlights both the strengths and weaknesses of existing quality assurance measures and provides recommendations for enhancing nursing education to better meet the needs of the healthcare environment.
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Integrating Holistic Care Approaches in Pediatric Nursing Practice
Vol.1(2); Pages:28-35. Published on October 2024
Abstract
Integrating holistic care approaches in pediatric nursing practice involves a comprehensive strategy that considers the physical, emotional, social, and spiritual needs of children and their families. This approach aims to provide compassionate, individualized care that promotes healing and well-being. Integrative nursing in a pediatric setting includes the use of complementary therapies, such as therapeutic touch, guided imagery, and aromatherapy, alongside conventional medical treatments. It emphasizes a partnership between healthcare providers, children, and their families to support the child’s overall development and resilience. This abstract outlines the benefits, challenges, and implementation strategies for integrating holistic care in pediatric nursing practice, focusing on enhancing patient outcomes and improving the quality of life for young patients.
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Enhancing Life Quality in Pediatric Cancer Care Through Clay-Based Therapeutic Interventions
Vol.1(2); Pages:36-42. Published on November 2024
Abstract
The use of complementary and alternative therapies, such as clay therapy, has gained attention for its potential benefits in improving the quality of life (QoL) for pediatric oncology patients. This study aims to investigate the impact of clay therapy on the QoL of children undergoing cancer treatment. Pediatric oncology patients often experience physical, emotional, and psychological challenges due to the disease and its treatments. Clay therapy, known for its soothing and therapeutic properties, may offer relief from symptoms such as pain, fatigue, and anxiety, potentially enhancing the overall well-being of these patients. This research involves a quantitative approach, employing validated QoL questionnaires to measure changes in physical health, emotional well-being, social interaction, and school functioning among participants receiving clay therapy. The study will also explore caregivers’ perceptions of clay therapy’s impact on their children’s quality of life. The findings will contribute to understanding how non-pharmacological interventions like clay therapy can be integrated into pediatric oncology care to improve patient outcomes and support a holistic approach to treatment.
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Issue 1 JANUARY – JUNE 2024
Volume 1 (Issue 1) JANUARY – JUNE 2024 Research Articles
Behavioral Economics in Genomic Decision Making
Vol.1(1); Pages:1-9. Published on April 2024
Abstract
Behavioral economics offers a novel framework for comprehending decision-making processes in genomic contexts, illuminating how individuals make choices regarding genetic testing, treatment options, and risk management. This interdisciplinary approach integrates insights from psychology and economics to explore how cognitive biases, social influences, and emotional responses influence genomic decision making. By examining these factors, researchers can develop more effective interventions and policies to support informed choices and improve patient outcomes in genomic medicine.
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Innovative Approaches to Caring for Patients with Intractable Neurological Diseases
Vol.1(1); Pages:10-17. Published on May 2024
Abstract
Caring for patients with intractable neurological diseases presents significant challenges due to the progressive and often debilitating nature of these conditions. This paper explores the latest advancements in therapeutic approaches, patient management, and supportive care strategies. Emphasis is placed on interdisciplinary care models, the role of emerging technologies such as telemedicine and wearable health devices, and the importance of personalized care plans. Furthermore, the paper discusses the psychological and social support mechanisms essential for enhancing the quality of life of both patients and their caregivers. Through a comprehensive review of current practices and innovations, this study aims to provide a roadmap for healthcare professionals to improve outcomes and provide compassionate, effective care for those affected by these challenging diseases.
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Burnout among Junior Nurses: Influences of Demographics, Workplace Relationships, Psychological Flexibility, and Perceived Stress
Vol.1(1); Pages:28-36. Published on June 2024
Abstract
Burnout is a significant issue among junior nurses, impacting both their well-being and the quality of patient care. This study aims to explore the roles of demographic factors, workplace relationship dynamics, psychological flexibility, and perceived stress in the development of burnout among junior nurses. Utilizing a cross-sectional design, data were collected from 200 junior nurses through a structured questionnaire that included the Maslach Burnout Inventory, the Perceived Stress Scale, the Workplace Relationship Questionnaire, and the Acceptance and Action Questionnaire-II for measuring psychological flexibility. The results indicate that younger age, lower levels of experience, and lack of social support from colleagues and supervisors are significant demographic predictors of burnout. Furthermore, poor workplace relationships, characterized by high levels of conflict and low levels of cooperation, are strongly associated with increased burnout levels. Psychological flexibility emerged as a protective factor, mitigating the effects of perceived stress on burnout. The findings suggest that interventions aimed at improving workplace relationships and enhancing psychological flexibility could be effective strategies for reducing burnout among junior nurses. These insights are crucial for healthcare administrators and policymakers to develop targeted support systems and training programs to address this pervasive issue.
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Challenges in International Doctoral Nursing Education
Vol.1(1); Pages:37-46. Published on June 2024
Abstract
International doctoral education in nursing faces a myriad of challenges that can impact the academic and professional development of students. Language barriers are a primary obstacle, affecting not only classroom comprehension but also the ability to engage in academic discourse and produce high-quality research publications. Cultural differences further complicate the experience, leading to misunderstandings and difficulty in adapting to new educational environments. Financial constraints are significant, as international students often face higher tuition fees, limited access to scholarships, and additional living expenses. Moreover, navigating visa regulations and securing long-term residency permits can be daunting, adding stress and uncertainty to the academic journey. Institutional support systems, while crucial, are often inadequate in addressing the unique needs of international students. Mentorship and advisory services may lack the cultural competence necessary to provide effective guidance. Additionally, the varying standards of nursing practice and education across countries can lead to discrepancies in curriculum relevance and applicability, potentially diminishing the quality of education received. Technological disparities also play a role, as students from regions with less advanced digital infrastructure may struggle with online learning platforms and research tools.Social isolation and homesickness are common issues, impacting mental health and academic performance. The lack of a robust support network can exacerbate these feelings, leading to decreased motivation and increased dropout rates. Furthermore, international students may encounter discrimination or bias, both within academic institutions and the broader community, affecting their sense of belonging and overall well-being.
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Whether you’re looking for specific research findings or seeking to explore the history and evolution of gerontological nursing, our archives offer a valuable resource for practitioners, researchers, and students alike.
