{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T06:47:47Z","timestamp":1791787667632,"version":"4.3.4"},"reference-count":66,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":283,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100018684","name":"National Health Commission of the People's Republic of China","doi-asserted-by":"publisher","award":["WKJ-ZJ-2406"],"award-info":[{"award-number":["WKJ-ZJ-2406"]}],"id":[{"id":"10.13039\/501100018684","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Population 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\u2014older adults, family carers and health professionals\u2014remain underexplored from a multifaceted approach, hindering the development of integrated care systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the experiences, perceived challenges and collaborative needs of older adults, family carers and health professionals about disability management in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a descriptive qualitative study using semistructured, in\u2010depth 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\u2019s ecological systems theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Key themes were identified across four ecological levels: (1) microsystem: insufficient awareness and excessive burden; (2) mesosystem: cross\u2010agency care coordination and interprofessional integration; (3) exosystem: policies and allocation of social resources; and (4) macrosystem: the dual influence of filial piety culture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Disability 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\u2010oriented 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\u2010building to support sustainable healthy ageing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/6577817","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T06:24:01Z","timestamp":1791786241000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018It Should Be All Hands on Deck\u2019: A Qualitative Exploration of Shared Experiences and Needs of Older Adults, Family Carers, and Health Professionals in Disability Management in China"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3249-0579","authenticated-orcid":false,"given":"Yitong","family":"Mao","sequence":"first","affiliation":[{"name":"Nursing Department The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)  Hangzhou Zhejiang 310009 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8902-0846","authenticated-orcid":false,"given":"Zhiting","family":"Guo","sequence":"additional","affiliation":[{"name":"Nursing Department The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)  Hangzhou Zhejiang 310009 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1552-7732","authenticated-orcid":false,"given":"Yajun","family":"Ma","sequence":"additional","affiliation":[{"name":"Nursing Department The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)  Hangzhou Zhejiang 310009 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4374-8831","authenticated-orcid":false,"given":"Yuping","family":"Zhang","sequence":"additional","affiliation":[{"name":"Nursing Department The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)  Hangzhou Zhejiang 310009 China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7671-3590","authenticated-orcid":false,"given":"Jingfen","family":"Jin","sequence":"additional","affiliation":[{"name":"Nursing Department The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)  Hangzhou Zhejiang 310009 China"},{"name":"Key Laboratory of the Diagnosis and Treatment of Severe Trauma and Burn of Zhejiang Province  Hangzhou China"},{"name":"Zhejiang Provincial Clinical Research Centre for Emergency and Critical Disease  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_13_1_2","first-page":"3","volume-title":"Handbook of the Economics of Population Aging","author":"Bloom D.","year":"2016"},{"key":"e_1_2_13_2_2","volume-title":"Ageing","author":"World Health Organization","year":"2021"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/jagr.0000000000000026"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1590\/s0034-8910.2013047004570"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02914.x"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw037"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2019.100424"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glz007"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011164"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2012.10.001"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-022-02105-z"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S321640"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gly011"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)33109-4"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0733464817748779"},{"key":"e_1_2_13_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/13545701.2018.1438639"},{"key":"e_1_2_13_17_2","unstructured":"AkabasS. 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