The behavioral and psychological symptoms of dementia (BPSD), which appear in all dementia patients, demand sizable commitments of time and effort from nurses. This study aims to identify issues related to the workloads of nurses who provide care for dementia patients via qualitative meta-synthesis. Eleven articles were selected using a systematic review flowchart, which were then evaluated for their quality using the Critical Appraisal Skills Program checklist. Collected data were analyzed using a line-of-argument method. Theme clusters were “increased workload due to characteristics of dementia”, “increased mental stress”, “difficulty associated with playing a mediator role in addition to nursing duties”, and “lacking systematic support for dementia patient care”. To reduce the workload and mental stress of nurses in dementia care, supportive measures appropriate for their occupational characteristics should be developed, based on workload estimates that account for the attributes of dementia patients.

Aim: This study explored nurses' experiences of communicating with patients with aphasia.Design: A naturalistic paradigm approach was adopted to describe the phenomenon of interest.Methods: Participants were neurological nurses employed in various neurological departments and recruited using purposive sampling. Group interviews were conducted for 1 hr and 30 min using semi‐structured open‐ended questions. The Consolidated Criteria for Reporting Qualitative Research checklist was followed.Results: Four generic categories were derived: “Conversations with the aphasic patients are frustrating, which leads to impatience among nurses, and they eventually dismiss the patients,” “Feeling responsible for communicating with aphasic patients but also experiencing guilt for not being able to give adequate care in practice,” “Concerns about communication methods with aphasic patients” and “Desire to learn ways to communicate with aphasic patients.” Appropriate education and support should be given to nurses to facilitate communication with aphasic patients to ensure that they are not excluded from medical benefits because of communication difficulties.

As simulation-based education has emerged as a crucial alternative for developing integrated practical skills in a safe environment, several foundations have been established in recent years. Now that simulation education has become more established, researchers have identified the need to explore the barriers, facilitators, and future directions of high-fidelity simulation education. The purpose of this study was to enhance our understanding of the barriers and strategies in utilizing high-fidelity simulation in nursing education, specifically regarding its facilitators, barriers, and future directions from the perspective of a nursing educator. A qualitative descriptive study was utilized using semi-structured interviews. The participants included 10 nursing faculty members from various institutions. Data were collected from October 23 to November 1, 2024, and analyzed using Elo and Kyngäs’s inductive content analysis method. Twenty-six themes and 9 theme clusters were identified based on 96 meaningful statements related to the facilitators, barriers, and future direction of high-fidelity simulation education. The theme clusters were “realistic and secure educational setting,” “learner satisfaction,” “certain constraints,” “discrepancy with clinical practice,” “lack of staff expertise,” “absence of a supportive system,” “improved reflection of clinical reality,” “collaboration and sharing,” and “sustained institutional support.” The findings underscore the importance of developing scenarios that reflect current clinical environments to enhance student engagement in simulation education. However, challenges such as high costs, technical limitations, and resource constraints still exist. Overcoming these barriers requires additional institutional support, collaboration, and information sharing among stakeholders. Specific strategies for promoting high-fidelity simulation in nursing should be explored further.

Background: Involving family caregivers in a team-based approach has become increasingly important. Simulation-based interventions in nursing have been effective. However, the effect of simulation on family caregiver education is not widely known and is limited. Objective: This study aimed to describe the current state of simulation-based interventions in family caregivers of patients with chronic diseases. Methods: This systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The literature search was conducted in PubMed, CINAHL, PsycINFO, and Cochrane with a medical librarian’s help. This review included quantitative, primary, peer-reviewed English-written research articles that reported outcomes for family caregivers. We focused on the data about purpose, design, setting, population, intervention characteristics, and outcomes. Before analyzing the selected studies, we evaluated the risk of bias using the revised Cochrane Risk-Of-Bias tool for randomized trials. Results: Our search yielded 9 articles that met the inclusion criteria. The majority of the 9 articles analyzed were designed in a quasi-experimental design. In addition, most studies focused on certain diseases and used low-fidelity simulators. The simulation content mainly focused on technical simulations to help care for patients. Some simulations had a positive influence on family caregivers’ knowledge, attitudes, and skills. Conclusions: We expect more simulation-based interventions for caregivers, especially those targeting diverse populations, using appropriate modalities and randomized control designs.

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Purpose: This review was comprised of an integrative analysis of the literature on the current state of dementia and related issues in Hong Kong, Japan, South Korea, Taiwan, and Thailand. Methods: Published reports and policy documents from MEDLINE, CINAHL, PubMed, and each government’s database were used in this review. Results: All five Asian regions are projected to become super-aged societies within 12 years, and the number of people with dementia has increased in these regions. All five regions have established dementia policies, which include improving dementia awareness, risk reduction, early diagnosis, and support programs for caregivers. However, there is a lack of information systems for sharing dementia data and research funding for dementia. Conclusion: It is necessary to establish a dementia committee for Asian regions to actively address the challenges posed by the upcoming super-aged societies and to complement the insufficient research. This review provides future directions for dealing with diverse dementia-related issues and can serve as the basis for forming an Asian dementia committee.