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Quality in Ageing and Older Adults最新文献

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Learning from the experience and effectiveness of retirement village and extra care housing responses to the COVID-19 pandemic 学习退休村和额外护理住房应对新冠肺炎大流行的经验和有效性
IF 1.5 Q2 Nursing Pub Date : 2021-11-04 DOI: 10.1108/qaoa-09-2021-0071
R. Dutton
PurposeThis paper aims to describe the RE-COV study and to summarise its findings. It focuses particularly on the implications of lessons learned for national, operational and building design policy and practice.Design/methodology/approachInvitations to take part in a RE-COV study survey were emailed to the operators of 270 retirement villages and older people’s extra care housing schemes in England which were known to the Elderly Accommodation Counsel. Completed questionnaires were returned from 38 operators, online or electronically, between December 2020 and February 2021.FindingsSurvey findings evidenced the breadth and depth of the operators’ responses, the effects these had on residents’ lives and worthwhile changes which could be made. Outcomes demonstrated included higher levels of protection for residents from the COVID-19 virus compared to older people living in the general community, and high levels of residents feeling safe, supported and reassured.Practical implicationsThe findings are used to offer evidence-based recommendations for housing operators, building designers and policymakers which could enhance resident, staff and operators’ health and well-being, both going forward and during possible future pandemics.Social implicationsThere is evidence that retirement villages and extra care housing provided safe, resilient and supportive environments during the first year of the pandemic which were highly valued by residents.Originality/valueThis study addressed a knowledge gap regarding how the COVID-19 pandemic had impacted housing-with-care stakeholders, evidencing specifically how operators had responded, and what their response achieved.
目的本文旨在描述RE-COV研究并总结其发现。它特别侧重于吸取的经验教训对国家、业务和建筑设计政策和实践的影响。设计/方法/方法参加RE-COV研究调查的邀请通过电子邮件发送给了英国270个退休村和老年人额外护理住房计划的运营商,老年人住宿顾问知道这些计划。在2020年12月至2021年2月期间,38家运营商通过在线或电子方式返回了完整的问卷。调查结果证明了运营商的回答的广度和深度,这些回答对居民生活的影响,以及可以做出的有价值的改变。结果表明,与生活在普通社区的老年人相比,居民对新冠肺炎病毒的保护水平更高,居民感到安全、支持和放心的程度更高。实际意义这些发现被用于为住房运营商、建筑设计师和政策制定者提供基于证据的建议,这些建议可以增强居民、员工和运营商的健康和福祉,无论是在未来还是在可能的流行病期间。社会影响有证据表明,在疫情的第一年,退休村和额外护理住房提供了安全、有弹性和支持性的环境,受到了居民的高度重视。创意/价值这项研究解决了新冠肺炎大流行如何影响住房和信用卡利益相关者的知识差距,具体证明了运营商的应对方式以及他们的应对措施。
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引用次数: 1
Post-pandemic challenges for all ages in an ageing society 老龄化社会中所有年龄段的疫情后挑战
IF 1.5 Q2 Nursing Pub Date : 2021-10-24 DOI: 10.1108/qaoa-08-2021-0063
S. Burke
PurposeThis paper aims to highlight lessons from the COVID-19 pandemic for planning for the future of our ageing society. It looks at trends, changes in our society and implications for people of all ages. It focusses on the importance of planning and whether COVID-19 will lead to long-term changes.Design/methodology/approachThis paper draws on the author’s experiences running an intergenerational organisation during the pandemic and other work associated with ageing well.FindingsThis paper highlights some of the risks and unknowns we face going forwards and points to lessons and opportunities for “building back better”.Research limitations/implicationsThis paper is based on a review of published articles and viewpoints.Practical implicationsThe COVID-19 pandemic has challenged people of all ages in different ways, some of which have tested intergenerational solidarity. At the same time, the pandemic has raised issues which we must all address going forward: planning for future pandemics, planning for an ageing society and ensuring that future planning works for all generations. This paper explores all these themes in the light of lessons from COVID-19. Firstly, despite much risk assessment and scenario planning, we were not well placed in the UK or across the world to respond to the multiple challenges of COVID-19. Have we learned the lessons to be able to deal better with the inevitable pandemics that will follow in the future? It is also well documented that the pandemic has exacerbated existing inequalities in our society. What will the long-term impact be for longevity and will less healthy lives reverse the trend of increasing life expectancy? Secondly, what are the lessons for our ageing society? As life expectancy rises, what will the quality of life be like in those added years? Many of today’s babies can expect to have a 100-year life. What does that mean for the way we lead our lives and can we ensure that everyone can age well? Third, these are not just issues for older people, but for people of all ages and generations. The Covid-19 experience has been different for younger and older people – whether it has been health or job security, income, taxation or housing. Questions of intergenerational fairness have again raised their heads, alongside the longer term impact for future generations.Social implicationsFirstly, despite much risk assessment and scenario planning, we were not well placed in the UK or across the world to respond to the multiple challenges of COVID-19. Have we learned the lessons to be able to deal better with the inevitable pandemics that will follow in the future? It is also well documented that the pandemic has exacerbated existing inequalities in our society. What will the long-term impact be for longevity and will less healthy lives reverse the trend of increasing life expectancy? Secondly, what are the lessons for our ageing society? As life expectancy rises, what will the quality of life
目的本文旨在强调新冠肺炎疫情的教训,以规划我们老龄化社会的未来。它着眼于我们社会的趋势、变化以及对所有年龄段的人的影响。它关注规划的重要性,以及新冠肺炎是否会导致长期变化。设计/方法论/方法本文借鉴了作者在疫情期间管理代际组织的经验以及其他与老龄化相关的工作。发现本文强调了我们未来面临的一些风险和未知,并指出了“重建得更好”的教训和机会。研究局限性/含义本文基于对已发表文章和观点的回顾。实际含义新冠肺炎大流行以不同的方式对所有年龄段的人提出了挑战,其中一些挑战考验了代际团结。与此同时,这场大流行病提出了我们今后都必须解决的问题:为未来的大流行病做规划,为老龄化社会做规划,并确保未来的规划对所有世代都有效。本文结合新冠肺炎的教训探讨了所有这些主题。首先,尽管进行了大量风险评估和情景规划,但我们在英国或世界各地都没有做好应对新冠肺炎多重挑战的准备。我们是否吸取了教训,能够更好地应对未来不可避免的流行病?也有充分的证据表明,新冠疫情加剧了我们社会中现有的不平等现象。对寿命的长期影响是什么?不太健康的生活会扭转预期寿命增加的趋势吗?第二,我们的老龄化社会有什么教训?随着预期寿命的提高,在这些增加的年份里,生活质量会是什么样子?今天的许多婴儿都有望拥有100岁的寿命。这对我们的生活方式意味着什么?我们能确保每个人都能很好地衰老吗?第三,这些不仅是老年人的问题,也是各个年龄段和各代人的问题。新冠肺炎的经历对年轻人和老年人来说是不同的——无论是健康还是工作保障、收入、税收还是住房。代际公平问题以及对子孙后代的长期影响再次引起人们的关注。社会影响首先,尽管进行了大量的风险评估和情景规划,但我们在英国或世界各地都没有做好应对新冠肺炎多重挑战的准备。我们是否吸取了教训,能够更好地应对未来不可避免的流行病?也有充分的证据表明,新冠疫情加剧了我们社会中现有的不平等现象。对寿命的长期影响是什么?不太健康的生活会扭转预期寿命增加的趋势吗?第二,我们的老龄化社会有什么教训?随着预期寿命的提高,在这些增加的年份里,生活质量会是什么样子?今天的许多婴儿都有望拥有100岁的寿命。这对我们的生活方式意味着什么?我们能确保每个人都能很好地衰老吗?第三,这些不仅是老年人的问题,也是各个年龄段和各代人的问题。将老年人和年轻人聚集在一起并鼓励有意义的混合的措施将有助于提高几代人之间的理解和认识。这对我们的社会和社区有着巨大的影响。原创性/价值本文得出两个主要结论。首先,有句名言:“没有计划就是计划失败”。这适用于本文中讨论的关于未来流行病、老龄化社会和子孙后代的所有问题。第二,新冠肺炎大流行的经验应该成为改变我们生活方式和开创新局面的催化剂。我们不能像以前那样继续下去。
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引用次数: 1
Editorial 社论
IF 1.5 Q2 Nursing Pub Date : 2021-10-11 DOI: 10.1108/qaoa-06-2021-073
F. Poland
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引用次数: 0
Aging researchers in early stages (ARIES): a model for career development collaboration of researchers in aging. 早期老龄研究人员:老龄研究人员职业发展协作模式。
IF 1.5 Q2 Nursing Pub Date : 2021-10-11 Epub Date: 2021-03-22 DOI: 10.1108/qaoa-01-2021-0012
Kei Ouchi, Shalender Bhasin, Ariela R Orkaby

Purpose –: Individuals over age 65 represent the fastest-growing segment of the population, yet they are also the least studied group and are most likely to be excluded from research most likely to apply to them. A significant reason for this deficit has been a dearth of scientists and clinicians to care for and study the many diseases that impact older adults.

Design/methodology/approach –: In this manuscript, the difficulties associated with raising new generations of researchers in aging and offer suggestions for how early-stage clinician-scientists can foster career development in aging are discussed. This paper draws upon a local example, ARIES, to explain how early-stage investigators can be brought together with the goal of creating a pipeline of future leaders in aging research.

Findings –: The model may empower more early-stage clinicians to successfully pursue aging research.

Originality/value –: The current success of aging researchers in the early stages serves as a model for creating similar career development programs designed for early-stage researchers in aging.

目的:65岁以上的人是人口中增长最快的一部分,但他们也是研究最少的群体,最有可能被排除在最可能适用于他们的研究之外。造成这种不足的一个重要原因是缺乏科学家和临床医生来照顾和研究影响老年人的许多疾病。设计/方法/方法:本文讨论了培养新一代老龄化研究人员的困难,并为早期临床科学家如何促进老龄化领域的职业发展提供了建议。本文以当地的白羊座为例,解释了如何将早期研究人员聚集在一起,以建立一个未来衰老研究领域的领导者管道。研究发现:该模型可能使更多早期临床医生能够成功地进行衰老研究。独创性/价值-:目前老年研究人员在早期阶段的成功可以作为一个模型,为早期老年研究人员设计类似的职业发展计划。
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引用次数: 0
The neglected contributions of self-efficacy to older adults’ financial capacity 被忽视的自我效能感对老年人经济能力的贡献
IF 1.5 Q2 Nursing Pub Date : 2021-09-15 DOI: 10.1108/qaoa-05-2021-0043
Hassam Waheed
PurposeAn ageing population comes with its own set of challenges such as impaired financial capacity and resultant dependency on others to manage financial affairs. Dependency, in turn, as the evidence suggests, creates opportunities for financial exploitation of older adults. Related studies have primarily examined the clinical features and correlates of financial capacity or have attempted to develop its multidimensional measures. Both of which do little to resolve issues associated with impaired financial capacity. This paper aims to make a case for future researchers to assess older adults’ financial capacity from a non-clinical aspect.Design/methodology/approachDrawing on the notion of self-efficacy, as encapsulated within the social cognitive theory, this paper presents evidence from a host of different domains to demonstrate the potential contributions of self-efficacy to older adults’ financial capacity.FindingsThe contributions of self-efficacy in preserving older adults’ financial capacity appear to be much more profound than is currently acknowledged in the literature, thereby overlooking potentially promising and cost-effective interventions for autonomous ageing.Originality/valueThis paper presents a novel application of self-efficacy to autonomous ageing. Within this context, potential routes to the deployment of self-efficacy-based interventions are also discussed.
目的人口老龄化带来了一系列挑战,如经济能力受损和由此产生的对他人管理财务的依赖。证据表明,依赖反过来又为老年人的经济剥削创造了机会。相关研究主要考察了临床特征和财务能力的相关性,或试图制定其多维措施。这两种方法都无助于解决与财政能力受损相关的问题。本文旨在为未来的研究人员从非临床方面评估老年人的经济能力提供一个案例。设计/方法/途径基于社会认知理论中自我效能感的概念,本文从多个不同领域提供证据,以证明自我效能感对老年人经济能力的潜在贡献。研究结果自我效能感在保持老年人经济能力方面的贡献似乎比目前文献中所承认的要深远得多,因此忽视了自主老龄化潜在的有前途和具有成本效益的干预措施。原创性/价值本文提出了自我效能感在自主衰老中的新应用。在此背景下,还讨论了部署基于自我效能的干预措施的潜在途径。
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引用次数: 0
Accessibility and informational barriers to an age friendly railway 无障碍和信息障碍的老年人友好铁路
IF 1.5 Q2 Nursing Pub Date : 2021-09-13 DOI: 10.1108/qaoa-02-2021-0015
C. Musselwhite, Kelly K. Roberts
PurposeAgainst a backdrop in an increase in the number of older people in the United Kingdom (UK) and an increase in the amount of travel per person for this age group, the number of older people using the railway is in decline. The purpose of this paper is to report on an investigation is a first step towards ascertaining why through audits of issues and problems on rolling stock and station platforms.Design/methodology/approachRolling stock and station audits were carried out by older people across a rail network in the South West of the UK. A total of 72.2 hours of auditing took place across different sizes of station and different types of rolling stock.FindingsTwo main themes were found across both rolling stock and station audits: accessibility and information provision. With regards to accessibility, boarding and especially alighting from the train was the key issue. Across stations and in rolling stock luminance, was a key issue for older people with places being too dark or moving from places that were bright to dark. Use of stairs at stations between platforms, especially when the station is crowded was an issue. In terms of information, key issues were found with signage being too cluttered, small, hidden and inconsistent and audible announcements being difficult to decipher.Practical implicationsThere must be improvements made to railways to help older people feel more safe and secure using them. It is suggested step free and level accessibility is found boarding and alighting from the train, but also from station entrance to carriage. Better signage is needed throughout the station and on trains, with large repeated fonts used. Lighting needs to be revisited throughout to ensure areas are bright and well-lit both on station platforms and onboard. Further research needs to look at these findings in relation to slip, trips and fall accident rates.Originality/valueThere is very little research on older people’s perceptions and barriers to railway use. This adds value in being one of the only studies to do so, especially from the perspective of older people themselves as co-researchers.
目的在英国老年人数量增加和该年龄段人均出行量增加的背景下,使用铁路的老年人数量正在下降。本文的目的是报告调查情况,这是通过对机车车辆和车站平台问题的审计来确定原因的第一步。设计/方法/方法英国西南部铁路网的老年人对机车车辆和车站进行了审计 对不同规模的车站和不同类型的机车车辆进行了数小时的审计。发现在机车车辆和车站审计中发现了两个主要主题:可访问性和信息提供。关于可达性,上车,尤其是下车是关键问题。对于那些地方太暗或从明亮的地方变为黑暗的老年人来说,跨车站和机车车辆的亮度是一个关键问题。在站台之间的车站使用楼梯是一个问题,尤其是在车站拥挤的时候。在信息方面,发现了关键问题,标志过于杂乱、狭小、隐蔽、不一致,声音公告难以解读。实际意义必须改进铁路,帮助老年人在使用铁路时感到更安全。建议从火车上下,以及从车站入口到车厢,都可以实现无台阶和水平无障碍。整个车站和火车上都需要更好的标识,使用大的重复字体。整个过程中需要重新检查照明,以确保车站站台和车上的区域明亮且照明良好。进一步的研究需要将这些发现与滑倒、绊倒和跌倒事故率联系起来。原创性/价值关于老年人对铁路使用的看法和障碍的研究很少。这增加了作为唯一这样做的研究之一的价值,特别是从老年人自己作为联合研究者的角度来看。
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引用次数: 2
More invisible and vulnerable: the impact of COVID-19 on older persons in displacement in Durumi IDP camp Abuja, Nigeria 更加无形和脆弱:2019冠状病毒病对尼日利亚阿布贾Durumi国内流离失所者营地中流离失所的老年人的影响
IF 1.5 Q2 Nursing Pub Date : 2021-08-16 DOI: 10.1108/QAOA-10-2020-0049
P. Ekoh, P. U. Agbawodikeizu, Elizabeth Onyedikachi George, C. Ezulike, U. Okoye
PurposeThe novel coronavirus disease (COVID-19) pandemic has further intensified the vulnerability of older persons in displacement and rendered them more unseen. This study aims at exploring the impact of COVID-19 on older people in displacement.Design/methodology/approachData were obtained using semi-structured interviews from 12 older persons at Durumi IDP camp Abuja, while observing strict infection control measures. The data were inductively coded with Nvivo and analysed thematically.FindingsFindings revealed that the economic and psychosocial fallout of the COVID-19 pandemic has increased older persons in displacement poverty, psychological stress and placed them at risk of ageism, social isolation and may subsequently lead to secondary displacement, thereby losing all progress, development and resilience built after initial displacement.Social implicationsThis paper concluded by encouraging the need for all stakeholders to pay more attention to this invisible yet vulnerable group to ensure no one is left behind as people fight through this pandemic and its social implications.Originality/valueTo the best of the authors’ knowledge, this study is the first to explore the impact of COVID-19 on older people in displacement in Nigeria. This is because they have been relatively invisible to research endeavours.
新型冠状病毒病(COVID-19)大流行进一步加剧了流离失所老年人的脆弱性,使他们更不受关注。本研究旨在探讨COVID-19对流离失所老年人的影响。设计/方法/方法通过对阿布贾Durumi国内流离失所者营地的12名老年人进行半结构化访谈获得数据,同时采取严格的感染控制措施。用Nvivo对数据进行归纳编码,并进行主题分析。调查结果显示,2019冠状病毒病大流行的经济和社会心理影响加剧了流离失所老年人的贫困和心理压力,使他们面临年龄歧视和社会孤立的风险,并可能随后导致第二次流离失所,从而失去在初次流离失所后所取得的所有进展、发展和复原力。社会影响本报告最后鼓励所有利益攸关方更多地关注这一无形但脆弱的群体,以确保在人们抗击这一流行病及其社会影响的过程中不让任何人掉队。原创性/价值据作者所知,本研究首次探讨了COVID-19对尼日利亚流离失所老年人的影响。这是因为它们对研究工作相对来说是不可见的。
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引用次数: 7
Exploring resilience in adult daughter and spousal carers of people living with dementia in North West England: an ecological approach 探索弹性在成年女儿和配偶照顾人生活在西北英格兰痴呆症:生态方法
IF 1.5 Q2 Nursing Pub Date : 2021-07-30 DOI: 10.1108/QAOA-12-2020-0063
W. Donnellan, K. Bennett, Natalie N. Watson
PurposeResearch has shown that informal carers of people living with dementia (PLWD) can be resilient in the face of caregiving challenges. However, little is known about resilience across different kinship ties. This study aims to update and build on our previous work, using an ecological resilience framework to identify and explore the factors that facilitate or hinder resilience across spousal and adult daughter carers of PLWD.Design/methodology/approachThis study conducted in-depth qualitative interviews with a purposive sample of 13 carers from North West England and analysed the data using a constructivist grounded theory approach (Charmaz, 2003).FindingsAdult daughters were motivated to care out of reciprocity, whereas spouses were motivated to care out of marital duty. Spouses had a more positive and accepting attitude towards caregiving and were better able to maintain continuity, which facilitated their resilience.Research limitations/implicationsResilience emerged on multiple levels and depended on the type of kinship tie, which supports an ecological approach to resilience. The implications of these findings are discussed.Originality/valueThis paper makes a novel contribution to the literature as it uses an in-depth qualitative methodology to compare resilience across spousal and adult daughter carers of PLWD. This study adopts an ecological approach to identify not just individual-level resilience resources but also interactive community- and societal-level resources.
研究表明,痴呆症患者(PLWD)的非正式护理人员在面对护理挑战时具有弹性。然而,人们对不同亲属关系的适应力知之甚少。本研究旨在更新和建立我们之前的工作,使用生态弹性框架来识别和探索促进或阻碍PLWD配偶和成年女儿照顾者的弹性的因素。设计/方法/方法本研究对来自英格兰西北部的13名护理人员进行了深入的定性访谈,并使用建构主义扎根理论方法分析了数据(Charmaz, 2003)。研究发现,成年女儿照顾孩子的动机是出于互惠,而配偶照顾孩子的动机是出于婚姻责任。配偶对照顾的态度更加积极和接受,并且能够更好地保持连续性,这有助于他们的复原力。研究局限/启示弹性出现在多个层面上,并取决于亲属关系的类型,这支持了生态方法的弹性。讨论了这些发现的意义。原创性/价值本文对文献做出了新颖的贡献,因为它使用了深入的定性方法来比较PLWD的配偶和成年女儿照顾者的弹性。本研究采用生态学的方法,不仅识别个体层面的弹性资源,而且还识别互动的社区和社会层面的资源。
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引用次数: 4
Book review 书评
IF 1.5 Q2 Nursing Pub Date : 2021-07-23 DOI: 10.1108/qaoa-03-2021-072
T. Backhouse
{"title":"Book review","authors":"T. Backhouse","doi":"10.1108/qaoa-03-2021-072","DOIUrl":"https://doi.org/10.1108/qaoa-03-2021-072","url":null,"abstract":"","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42654874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial 编辑
IF 1.5 Q2 Nursing Pub Date : 2021-07-23 DOI: 10.1108/qaoa-03-2021-071
F. Poland
{"title":"Editorial","authors":"F. Poland","doi":"10.1108/qaoa-03-2021-071","DOIUrl":"https://doi.org/10.1108/qaoa-03-2021-071","url":null,"abstract":"","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41952460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Quality in Ageing and Older Adults
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