Aims: To explore how older adult‐family caregiver dyads jointly manage multiple chronic conditions. Specifically, it investigates how dyads (i) prioritise chronic diseases, (ii) make and negotiate decisions related to self‐care and (iii) define and distribute self‐care tasks and caregiver contributions. Design: A qualitative descriptive study using dyadic data collection and analysis. Methods: Semi‐structured interviews were conducted separately with chronically ill older adults and their family caregivers between July and December 2024. A hybrid inductive‐deductive content analysis was applied. Dyadic analysis compared intra‐dyad perspectives to identify patterns of agreement and disagreement. Results: Thirty‐four dyads ( n = 68 participants) were interviewed. Older adults had a mean age of 80.09 years (SD = 6.95) and were affected by a median of four chronic conditions. Family caregivers had a mean age of 51.71 years (SD = 14.59), with most being the older adults' children (66.67%) and women (82.35%). Five categories, comprising 25 subcategories, were derived from the data. Disease prioritisation varied within dyads: older adults often focused on conditions with the most disabling symptoms, while caregivers emphasised those with higher risks of complication. Decision‐making roles ranged from older adult‐led to caregiver‐led to shared. Care organisation followed three models: collaborative, older adult‐directed, or caregiver‐directed. Challenges in managing diseases included treatment adherence, care coordination, emotional burden and addressing multiple symptoms simultaneously. Role distribution in disease management and decision‐making was complex and occasionally misaligned, sometimes resulting in conflict. Collaborative dyads reported greater adaptability and balance, while incongruent dyads experienced relational and organisational strain. Conclusion: Managing multiple chronic conditions in older adults is a relational process shaped by interpersonal dynamics and shared responsibilities with family caregivers. Recognising dyadic relational patterns is essential for designing targeted educational interventions. Nurses should incorporate dyadic assessments into routine care to improve outcomes for older adults and reduce caregiver burden. Implications for the Profession and/or Patient Care: This study highlights the importance of viewing chronic disease management as a dyadic process, rather than an individual task, involving both the older adult and the family caregiver. Tailored strategies that account for the relational dynamics within dyads, such as decision‐making roles and care task distribution, are essential for effective chronic disease management. Reporting Method: Consolidated criteria for reporting qualitative studies (COREQ). Patient or Public Contribution: None.

The aim of this study was to compare nurses' attitudes and practices regarding the nutrition of patients in medical and surgical units. A multicenter cross-sectional study was conducted among 282 nurses in acute care hospitals, including 180 nurses in medical and 102 in surgical units. A convenience sampling method was used for data collection between June 2024 and September 2024. Nurses' attitudes toward nutrition were assessed using the validated Italian version of the Staff Attitudes to Nutritional Nursing Geriatric Care (SANN-G) scale. An inferential analysis has been performed. Most nurses exhibited neutral or negative attitudes toward nutrition. Only 3.2% of nurses demonstrated a positive attitude. Significant differences emerged in the specific attitude dimensions between medical and surgical units, with nurses in surgical units reporting higher scores toward nutritional care than those in medical units (P = 0.029). Regression analysis showed that working in the surgical unit was associated with higher scores on the SANN-G scale (P = 0.042), while having received training in nutrition was associated with higher scores (P = 0.004). Malnutrition in hospitalized patients, particularly older adults, is a critical issue requiring a comprehensive approach that includes nutritional assessment, dietary education, and individualized dietary plans, with active involvement of family members and caregivers. Targeted nutrition training programs should be integrated into continuing education for nurses to enhance their role in nutritional care and improve patient outcomes.

Background/Objectives: This study aims to describe the experiences of healthcare professionals collaborating with Intercultural Mediators (IMs) in the care relationships with migrant patients. Methods: This study is a qualitative descriptive study. A total of 13 healthcare professionals (9 nurses and 4 physicians) working in two public hospitals in Italy participated in face-to-face semi-structured interviews between June and July 2024. Interviews were audio-recorded, transcribed verbatim and analyzed using inductive qualitative content analysis. Results: Three main categories emerged: (1) the experience of healthcare professionals in the relationship with migrant patients; (2) the linguistic and intercultural mediator as a supportive relational role; and (3) limitations in language and intercultural mediation. Participants described difficulties in mutual understanding due to cultural and linguistic barriers and emphasized the central role of the mediator as a bridge between diverse cultural worlds. IMs were described as essential in promoting trust, improving therapeutic adherence, and supporting culturally sensitive communication. However, organizational challenges included limited availability of IMs, poor integration into clinical teams, and the lack of structured, continuous support system. Conclusions: IMs are perceived as key actors in facilitating communication, trust, and therapeutic adherence with migrant patients. Yet their integration within healthcare teams remains underutilized due to organizational barriers. The findings inform managers and policymakers about the necessity of structurally integrating IMs within clinical teams and implementing intercultural competence programmes to ensure equitable and culturally sensitive care for migrant patients.

Background and Objectives: The Self-Care of Chronic Illness Inventory (SC-CII) is a theoretically grounded instrument comprising three scales measuring self-care maintenance, monitoring and management behaviors in adults with chronic illnesses. Although its validity and reliability have been demonstrated in cross-sectional studies, the stability of its psychometric properties over time has not been examined. This study aimed to test the longitudinal measurement equivalence of the three SC-CII Scales. Research Design and Methods: Longitudinal measurement equivalence was assessed over a 12-month period using a Confirmatory Factor Analysis (CFA) approach. Patients aged 65 or older with multiple chronic conditions (MCCs) were enrolled. Four increasingly restrictive level of invariance were tested: configural, metric, scalar and strict invariance at the first and second-order level. Results: Participants (N = 630) had a mean age of 77 years, were mostly female. For the Self-Care Maintenance scale, full metric invariance and partial scalar and strict invariance were achieved at both first- and second-order levels. For the Self-Care Monitoring scale, full metric and scalar invariance, and partial strict invariance were established. For the Self-Care Management scale, full metric, full scalar (first-order), partial scalar (second-order) and partial strict (first- and second-order) were achieved. Discussion and Implications: The SC-CII proved to be longitudinally stable, confirming its suitability for repeated assessments of self-care. The SC-CII can be confidently used by nurses to monitor self-care behaviors and evaluate changes during the disease trajectory, supporting the development of tailored interventions. This study demonstrated the SCCII’s temporal equivalence, strengthening its use in clinical and research settings.