Evidence map›Paper›PMID 42860794›Full record

ArticleJournal of nursing management2026

'It Should Be All Hands on Deck': A Qualitative Exploration of Shared Experiences and Needs of Older Adults, Family Carers, and Health Professionals in Disability Management in China.

Yitong Mao, Zhiting Guo, Yajun Ma, Yuping Zhang, Jingfen Jin

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yitong MaoNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Hangzhou, Zhejiang, 310009, China.ORCID https://orcid.org/0009-0006-3249-0579
Zhiting GuoNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Hangzhou, Zhejiang, 310009, China.ORCID https://orcid.org/0000-0002-8902-0846
Yajun MaNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Hangzhou, Zhejiang, 310009, China.ORCID https://orcid.org/0000-0002-1552-7732
Yuping ZhangNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Hangzhou, Zhejiang, 310009, China.ORCID https://orcid.org/0000-0002-4374-8831
Jingfen JinNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Hangzhou, Zhejiang, 310009, China.ORCID https://orcid.org/0000-0001-7671-3590

Funding

National Health Commission of the People's Republic of China WKJ-ZJ-2406
6 · The paper itself

Abstract

backgroundPopulation ageing has increased the demand for disability care services in China. Disability in older adults is associated with adverse health outcomes and therefore requires a collaborative approach involving hospitals, communities and families. However, the collaborative experiences and needs of key stakeholders-older adults, family carers and health professionals-remain underexplored from a multifaceted approach, hindering the development of integrated care systems.

objectiveTo explore the experiences, perceived challenges and collaborative needs of older adults, family carers and health professionals about disability management in China.

methodsWe conducted a descriptive qualitative study using semistructured, in-depth interviews. A total of 44 participants (17 older adults, 11 family carers and 16 health professionals) were recruited from hospitals and communities. Data were analysed using an inductive thematic framework approach guided by Bronfenbrenner's ecological systems theory.

resultsKey themes were identified across four ecological levels: (1) microsystem: insufficient awareness and excessive burden; (2) mesosystem: cross-agency care coordination and interprofessional integration; (3) exosystem: policies and allocation of social resources; and (4) macrosystem: the dual influence of filial piety culture.

conclusionDisability management for older adults in China is a complex, multilevel challenge anchored not only in resource deficits but also in a shared disability literacy deficit and culturally reinforced care dependencies. Filial piety emerged as a dual force that sustains family care while masking care needs and straining carers. Realising integrated care requires a shift from fragmented, reactive services to an interdependent, function-oriented continuum, with specialist nurses acting as pivotal coordinators across hospital, community and home. Future interventions and policy should prioritise multilevel frameworks that embed routine functional assessment and targeted caregiver capacity-building to support sustainable healthy ageing.

Indexed as

CaregiversHealth PersonnelPersons with DisabilitiesAdultAgedAged, 80 and overChinaFemaleHumansInterviews as TopicMaleMiddle AgedQualitative Researchdisabilityecological systems theoryfamily carershealth professionalsolder adultsqualitative

Identifiers

PMID42860794
PMCPMC13655497

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.