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Dementia and Cognitive Impairment Research · Journal article
Journal of Advanced Nursing · August 12, 2026
A consensus or society position rather than new primary data.
This is a proposed nursing-centred conceptual framework for integrated brain-health assessment in minority older adults, developed through structured literature synthesis across gerontology, dementia epidemiology, pharmacology, cultural care, and service access. It is not an empirical validation but a theoretical model intended to guide nursing practice toward diagnostic justice and earlier recognition of cognitive vulnerability.
Discursive theoretical paper with structured literature synthesis. Conceptual; addresses minority older adults in primary care, chronic disease and community settings. Intervention: NeuroCommunity Ageing Framework—a proposed nursing model integrating metabolic-vascular, cognitive-clinical, pharmacological, family-caregiving, cultural-linguistic and systemic-service determinants.
Framework integrates metabolic-vascular, cognitive-clinical, pharmacological, family-caregiving, cultural-linguistic and systemic-service determinants of brain health Positions nurses to recognise cognitive vulnerability earlier, conduct culturally informed medication review, support caregivers, and address language and stigma barriers Hepatic calibration presented strictly as hypothesis-generating research construct, not clinical interpretation rule
Framework integrates metabolic-vascular, cognitive-clinical, pharmacological, family-caregiving, cultural-linguistic and systemic-service determinants of brain health
Nurses may use this framework to embed brain-health case-finding within primary care, chronic disease and community settings, with attention to cultural validity, medication safety, caregiver support and equitable service navigation. The framework is intended to advance diagnostic justice but requires empirical validation before adoption in clinical practice.
A discursive theoretical paper proposing a nursing-centred conceptual framework for brain-health assessment in minority older adults, grounded in cross-disciplinary literature synthesis but not empirical testing.
As stated by the source record.
Nurses may use this framework to embed brain-health case-finding within primary care, chronic disease and community settings, with attention to cultural validity, medication safety, caregiver support and equitable service navigation. The framework is intended to advance diagnostic justice but requires empirical validation before adoption in clinical practice.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
What is missing. This record has no reported figures. That is a gap in the analysis, not a judgement about the study.
AIM(S): To propose the NeuroCommunity Ageing Framework as a nursing-centred theoretical model for integrated brain-health assessment towards diagnostic justice in minority ageing populations. DESIGN: Discursive theoretical paper presenting a conceptual framework derived from cross-disciplinary synthesis. METHODS: A structured theoretical synthesis integrated literature on gerontological nursing, dementia epidemiology, multidomain prevention, clinical pharmacology, family caregiving, culturally responsive care, service access and systemic factors relevant to blood-based Alzheimer's disease biomarkers. RESULTS: The framework integrates metabolic-vascular, cognitive-clinical, pharmacological, family-caregiving, cultural-linguistic and systemic-service determinants of brain health. It positions nurses to recognise cognitive vulnerability earlier, conduct culturally informed medication review, support caregivers, address language and stigma barriers and navigate service access. Hepatic calibration is presented strictly as a hypothesis-generating research construct for future biomarker validation in multimorbid older adults, not as a clinical interpretation rule. CONCLUSION: The framework offers a nursing-oriented model for culturally valid dementia assessment, medication safety, caregiver support and equitable service navigation. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The framework may support nurses in embedding brain-health case-finding within primary care, chronic disease and community settings. IMPACT: The paper addresses delayed dementia recognition among minority older adults and proposes a practical nursing framework advancing diagnostic justice. REPORTING METHOD: No specific reporting guideline directly applies to this discursive theoretical paper; it was prepared according to principles of transparent narrative synthesis. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.