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Background: Living in poverty negatively affects the biopsychosocial health of older adults. Nursing students need to develop competence to promote health and self-care behaviours amongst older adults living in poverty in high-income countries. Aim: To explore nursing students' perceptions of a service learning programme aimed at promoting health and self-care among older adults living in poverty in a high-income country. Methods: A descriptive qualitative study was conducted with 37 nursing students recruited from a university in Southeastern Spain. Participants completed a service learning programme in which they conducted preventive home visits to older adults living in poverty. Data were collected through in-depth interviews and analysed using a reflexive thematic analysis. Results: Three key themes were developed: (1) service learning as a different way of learning, (2) as an active learning approach to bridge the theory–practice gap, and (3) to provide insight into an unknown side of nursing. Conclusions: By providing opportunities for active, experiential learning in real-world contexts, service learning was perceived by the nursing students as a methodology that helps to bridge the gap between theory and practice. Participating in a service learning programme with older adults living in poverty not only fosters emotional engagement, reflective practice, and the development of essential non-technical skills in nursing students, but it also prepares them to advocate for older adults living in poverty in a high-income country. [ABSTRACT FROM AUTHOR]

Aim: To understand the experience of low‐income older adults living in poverty in a high‐income country. Design: A qualitative study based on Gadamer's hermeneutic phenomenology. Methods: A convenience sample of twenty‐seven low‐income older adults were interviewed in‐depth between September 2021 and January 2022. Fleming's method for conducting phenomenological qualitative studies was followed and ATLAS.ti software was used for data analysis. Results: Three main themes were extracted from the analysis: (i) 'living in the shadow of poverty', (ii) 'unprotected by the 'social shield' of the welfare state' (iii) 'the struggle to attain good health'. Conclusion: Living in poverty affects all spheres of life. Older adults living in poverty feel excluded from social support policies and laws. This has a negative impact on the older adults' mental health and can lead to social isolation. Implications for the Profession and/or Patient Care: Nursing interventions to promote health amongst older adults living in poverty should include an assessment of the patient's social determinants and a focus on increasing social participation. Older people living in poverty experience difficulties accessing formal social support so nurses should implement patient navigation interventions that aim to help them overcome the complexities of the system. Nursing interventions to improve mental health amongst older adults living in poverty are much needed. Impact: Living in poverty increases older adults' vulnerability. Older adults living in poverty suffer from mental health issues as they live under constant pressure to meet their basic needs and lack formal social support. These findings are important for nurses, who play a pivotal role in the design, implementation and evaluation of policies and interventions that promote health equity. Reporting Method: The study has been conducted following the COREQ guidelines. Patient or Public Contribution: There has been no public or patient involvement in the design or development of the study. [ABSTRACT FROM AUTHOR]

• The SCSES-Sp measures four dimensions of the construct self-efficacy in self-care. • The SCSES-Sp is a valid and reliable tool to assess self-efficacy in self-care. • The SCSES-Sp can be used with Spanish-speaking, community-dwelling older adults. To test the psychometric properties of the Spanish version of the Self-Care Self-Efficacy Scale (SCSES-Sp) in community-dwelling older adults with chronic multimorbidity. A sample of 1013 community-dwelling older adults with chronic multimorbidity participated in an observational cross-sectional study that was carried out in 3 phases. Confirmatory factor analysis showed that the SCSES-Sp has 4 dimensions: "self-efficacy in self-care behaviours based on clinical knowledge", "self-efficacy in self-care maintenance", "self-efficacy in self-care monitoring", and "self-efficacy in self-care management". A panel of independent experts considered the content of the SCSES-Sp valid. Convergent validity analysis showed moderate-strong correlations between all of the SCSES-Sp's dimensions and the reference criteria chosen. Reliability was good for the SCSES-Sp and all its dimensions. Test-retest reliability analysis showed that the SCSES-Sp was temporally stable. The SCSES-Sp is a valid and reliable tool to assess self-efficacy in self-care in Spanish-speaking, community-dwelling older adults with chronic multimorbidity. [ABSTRACT FROM AUTHOR]