The transcription factor ChREBP mediates lipid accumulation in the liver in response to thyroid hormone.

Aim: To clarify the concept of quiet quitting in nursing practice. Design: Concept analysis using Walker and Avant's concept analysis methodology. Methods: The eight‐step method by Walker and Avant guided the concept analysis. Data Sources: A systematic literature search was conducted in CINAHL, PsycINFO, Scopus and MEDLINE without date restrictions, identifying 36 empirical and theoretical articles published in English. Results: Quiet quitting in nursing is defined by four key attributes: minimal compliance with job expectations, psychological and emotional detachment, withdrawal of discretionary effort and lingering in role despite dissatisfaction. Antecedents include unhealthy work environments, psychosocial strain (e.g., burnout, moral distress) and individual/demographic influences (e.g., age, coping strategies). Consequences include impaired team dynamics, reduced care quality and organisational decline and increased turnover intentions. Twenty‐five studies used validated measurement tools, notably the Quiet Quitting Scale. Conclusion: Quiet quitting is a subtle form of disengagement distinct from burnout and turnover. It reflects an adaptive coping response to sustained dissatisfaction and unmet expectations. It is both widespread and underrecognized, with implications for healthcare sustainability. Implications for Professional and Client Care: Understanding and addressing quiet quitting is essential for safeguarding professional standards, promoting nurse engagement and ensuring high‐quality patient care. Early identification and systemic reforms are critical to mitigating its impact. Impact: This study addresses the emerging challenge of nurse quit quitting. Findings can inform leadership, education and policy development globally, particularly in healthcare settings facing workforce strain, moral distress and retention challenges. Reporting Method: This article adheres to the PRISMA‐ScR reporting guidelines. Patient or Public Contribution: This study did not include patient or public involvement in its design, conduct, or reporting.

Background/Objectives: The aging migrant population faces unique healthcare challenges due to linguistic, cultural, and systemic barriers. Home healthcare services play a crucial role in supporting aging migrants, yet accessibility and effectiveness remain inconsistent across different healthcare systems. This scoping review examines the experiences of aging migrants in home healthcare settings and explores the impact of these services on their health and well-being. This review aims to synthesize the existing literature on home healthcare experiences among aging migrants, highlighting the facilitators and barriers to effective service delivery and the implications for policy and practice. Method: A scoping review was conducted using the Joanna Briggs Institute (JBI) framework. A comprehensive search was performed across multiple databases, including CINAHL, Medline, and Scopus, for articles published between 2000 and 2024. Studies were selected based on predefined inclusion criteria focusing on home healthcare experiences among aging migrants. Data extraction and thematic analysis were conducted to identify key themes. Results: The review identified 35 studies across various geographical regions, highlighting four key themes: (1) Cultural and Linguistic Accessibility, (2) The Role of Informal Caregiving, (3) Structural and Systemic Challenges, and (4) Health Outcomes and Identity Preservation. The findings indicate that language barriers, cultural stigma, and systemic exclusion significantly hinder equitable access to home healthcare. Informal caregiving by family members remains a primary support mechanism, though it places considerable strain on caregivers. The lack of culturally competent healthcare services and inadequate policy frameworks exacerbate disparities in care. Conclusions: This review highlights the critical need for systemic reforms to improve healthcare accessibility for aging migrants. Policies must prioritize cultural competence training for healthcare providers, expand multilingual healthcare services, and integrate informal caregiving into formal support structures. Investment in community-driven healthcare initiatives and targeted outreach programs can help bridge existing service gaps. While home healthcare plays a vital role in supporting aging migrants, structural inequities and cultural barriers continue to hinder equitable access. Addressing these disparities requires comprehensive policy interventions, enhanced provider training, and culturally inclusive care models. Future research should explore innovative frameworks that incorporate culturally responsive practices to ensure effective and equitable home healthcare for aging migrant populations.

As global populations age, there is increasing demand for effective, person-centered healthcare solutions that support older adults to age in place. Home healthcare has emerged as a crucial strategy to address the complex health and social needs of older adults while reducing reliance on institutional care. This umbrella review aimed to synthesize evidence from existing systematic reviews and meta-analyses on home healthcare services and interventions targeting older adults. A comprehensive search was conducted across five databases and gray literature sources, including Google Scholar, for reviews published between 2000 and 2025. The review followed the Joanna Briggs Institute methodology and PRISMA statement. Twenty reviews met the inclusion criteria, encompassing a total of over 3.1 million participants. Interventions were grouped into four categories: integrated and multidisciplinary care, preventive and supportive home visits, technological and digital interventions, and physical, transitional, and environmental support. Results indicated that many interventions led to improved health outcomes, including enhanced functional ability, reduced hospital readmissions, and increased satisfaction. However, effectiveness varies depending on the intervention type, delivery model, and population. Challenges such as caregiver burden, digital exclusion, and implementation in diverse settings were noted. This review highlights the promise of home healthcare interventions and underscores the need for context-sensitive, equitable, and scalable models to support aging populations.

Introduction: Ambiguous loss is a profound yet underexplored phenomenon in the lives of aging migrants. Older adults who have experienced migration often face disruptions to their sense of belonging, identity, and continuity across borders. These losses are compounded by aging, health challenges, and social isolation. Despite its significance, ambiguous loss among aging migrants has not been conceptually analyzed in depth, limiting the development of culturally responsive care practices. Aim: This concept analysis aimed to identify the defining attributes of ambiguous loss among aging migrants and to develop a conceptual definition that enhances our understanding of the phenomenon and informs future research and practice. Method: Walker and Avant’s eight-step concept analysis framework was applied to examine the concept of ambiguous loss in the context of aging migrants. A systematic keyword search was conducted across four databases (CINAHL, Medline, SCOPUS, PsycINFO), Google Scholar, and relevant gray literature, covering the years of 2010–2024. Covidence software supported the screening process. From 367 records identified, 146 underwent full-text review, and 74 met inclusion criteria. The analysis drew on literature synthesis, case exemplars, antecedents, consequences, and empirical referents. This review followed PRISMA (2020) reporting guidelines. Results: Four defining attributes of ambiguous loss among aging migrants were identified: (a) physical, social, and emotional loss; (b) displacement and loss of homeland; (c) erosion of social identity and agency; and (d) cultural and transnational bereavement. A conceptual definition emerged, describing ambiguous loss as a multifaceted experience of disconnection, intensified by aging, illness, economic hardship, and social isolation. The analysis also highlighted antecedents such as forced migration and health decline, as well as consequences including diminished well-being, resilience challenges, and barriers to integration. Conclusions: Ambiguous loss among aging migrants is a complex construct encompassing intertwined physical, social, and cultural dimensions of loss. This conceptual clarity provides a foundation for developing culturally responsive care models that promote adaptation, resilience, and social inclusion among older migrants.

Background/Objectives: Family members are the principal providers of home-based care for migrant older adults. Linguistic, cultural, and structural barriers within health systems exacerbate the caregiver burden across emotional, physical and financial domains. Although home healthcare services may alleviate this burden, variability in access, cultural safety, and care coordination can also intensify it. This scoping review maps the evidence on the burden experienced by family caregivers who deliver home-based healthcare to migrant older adults and examines how these arrangements affect caregivers’ health and well-being. It synthesizes the literature on facilitators and barriers—including access, cultural-linguistic fit, coordination with formal services, and legal/immigration constraints—and distills implications for policy and practice to strengthen equitable, culturally responsive home care. Method: The Joanna Briggs Institute (JBI) scoping review framework was used to conduct the review. A comprehensive search was performed across six databases (CINAHL, Scopus, Web of Science, PsycINFO, MEDLINE and Sociological Abstracts) for articles published between 2000 and 2025. Studies were selected based on predefined inclusion criteria focusing on the family caregiver burden in providing home healthcare for migrant older adults. Data extraction and thematic analysis were conducted to identify key themes. Results: The review identified 20 studies across various geographical regions, highlighting four key themes: (1) Multidimensional Caregiver Burden, (2) The Influence of Gender, Family Hierarchy, and Migratory Trajectories on Caregiving, (3) Limited Access to Formal and Culturally Appropriate Support, and (4) Health Outcomes, Coping, and the Need for Community-Based Solutions. Conclusions: System-level reforms are required to advance equity in home healthcare for aging migrants. Priorities include establishing accountable cultural-safety training for providers; expanding multilingual access across intake, assessment, and follow-up; and formally recognizing and resourcing family caregivers (e.g., navigation support, respite, training, and financial relief). Investment in community-driven programs, frameworks and targeted outreach—co-designed with migrant communities—can mitigate isolation and improve uptake. While home healthcare is pivotal, structural inequities and cultural barriers continue to constrain equitable access. Addressing these gaps demands coordinated policy action, enhanced provider preparation, and culturally responsive care models. Future research should evaluate innovative frameworks that integrate community partnerships and culturally responsive practices to reduce the caregiver burden and improve outcomes for migrant families.