Exploring perceptions of frailty, resilience, and self-efficacy in older adults and caregivers in acute care context.

IF 2.1 4区 医学 Q2 NURSING Research in Nursing & Health Pub Date : 2024-02-01 Epub Date: 2023-11-19 DOI:10.1002/nur.22353
Siew Hoon Lim, Truls Østbye, Vivian Q H Seah, Fazila Aloweni
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Abstract

This study aimed to explore the experience and perceptions of frailty in hospitalized older adults and caregivers caring for older adults, in relation to resilience and self-efficacy. A qualitative explorative descriptive study design was utilized. Face to face interviews were conducted from September 2020 to July 2021 with 24 older adults who were 65 years and above and hospitalized in the acute care hospital. Ten informal family caregivers were also recruited. Data were analysed using an inductive content analysis approach. Frailty encompassed physical elements as well as manifestations of psychological traits, fear of the unknown, and being in control. Resilience was determined by individual psychological traits and mindset, and the possession of a coping mechanism. Self-efficacy could influence both frailty and resilience through inner motivation and assistance received. Older adults and family caregivers reported that considerable decline in physical health with age and level of perseverance can determine the level of frailty. Resilience and self-efficacy play a pivotal role in the context of frailty. Understanding resilience in this context will assist nurses to facilitate the use of individual and sociocultural resources to improve the way resilience is experienced by older adults. Various coping strategies can enhance self-efficacy and build greater resilience in older adults, including maintaining their active involvement in health management and social life.

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探讨老年人和护理人员在急症护理环境中的脆弱、恢复力和自我效能感。
本研究旨在探讨住院老年人和照顾老年人的护理人员对脆弱的体验和感知与心理弹性和自我效能感的关系。采用定性探索性描述性研究设计。从2020年9月至2021年7月,对24名65岁及以上在急症护理医院住院的老年人进行了面对面访谈。还招募了10名非正式家庭照顾者。数据分析采用归纳内容分析方法。脆弱包括身体因素,也包括心理特征的表现,对未知的恐惧,以及控制。心理弹性是由个体的心理特征、心态和应对机制所决定的。自我效能感可以通过内在动机和获得的帮助来影响脆弱和恢复力。老年人和家庭照顾者报告说,随着年龄的增长,身体健康状况和毅力水平的显著下降可以决定身体虚弱的程度。弹性和自我效能在脆弱的背景下起着关键作用。在此背景下理解复原力将有助于护士促进个人和社会文化资源的使用,以改善老年人体验复原力的方式。各种应对策略可以提高老年人的自我效能感,增强他们的适应能力,包括保持他们积极参与健康管理和社会生活。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
73
审稿时长
6-12 weeks
期刊介绍: Research in Nursing & Health ( RINAH ) is a peer-reviewed general research journal devoted to publication of a wide range of research that will inform the practice of nursing and other health disciplines. The editors invite reports of research describing problems and testing interventions related to health phenomena, health care and self-care, clinical organization and administration; and the testing of research findings in practice. Research protocols are considered if funded in a peer-reviewed process by an agency external to the authors’ home institution and if the work is in progress. Papers on research methods and techniques are appropriate if they go beyond what is already generally available in the literature and include description of successful use of the method. Theory papers are accepted if each proposition is supported by research evidence. Systematic reviews of the literature are reviewed if PRISMA guidelines are followed. Letters to the editor commenting on published articles are welcome.
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