International Journal of Older People Nursing最新文献_第3页

Expanding the Scope of Fall-Free Bathrooms: Insights From Taoyuan Psychiatric Center 扩大无倒浴室的范围：桃园精神治疗中心的启示。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-08-04 DOI: 10.1111/opn.12636

Chi-Hua Lan, Lien-Chung Wei

引用次数: 0

Realising Person-Centredness: Transitioning to a Clustered Domestic Model of Aged Residential Care for People With and Without Dementia 实现以人为本：为痴呆症患者和非痴呆症患者过渡到集中式家庭养老护理模式。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-07-31 DOI: 10.1111/opn.12632

Kay Shannon, Catherine Cook, Stephen Neville

Introduction

Many older people who cannot live independently live in aged residential care facilities to obtain support with social and healthcare needs. Despite old age being a precious time for people to live well, many facility residents have limited access to activities that promote their well-being and connectedness. In New Zealand, one provider of aged residential care developed a village inspired by de Hogeweyk in the Netherlands, where resident engagement in valued activities supports continuing lifelong identities.

Methods

The study aimed to explain the transition from a traditional Aged Residential Care facility to a clustered domestic model of care. A critical realist theoretical perspective underpinned case study research. Data comprised transcripts of interviews with key informants, facility staff, residents and their families, records of observation of residents' daily lives, organisational documents, photographs and the first author's study journal.

Results

The intersection of philosophical workplace change to support delivery of person-centred care and a change in the physical environment enabled realisation of the organisational vision of residents living normal lives.

Conclusion

Policy makers and practitioners must be aware that while a domestic-scale environment provides cues to normal living, staff who know residents and what is important to them enable participation in community and valued activities.

Implications for Practice

Innovative living arrangements are a synthesis of philosophical aspirations, architectural and design vision, dedicated leadership and committed teamwork.

导言：许多无法独立生活的老年人住在老年护理机构，以获得社会和医疗保健方面的支持。尽管晚年是人们好好生活的宝贵时光，但许多养老机构的住户很少有机会参加能促进他们身心健康和人际交往的活动。在新西兰，一家老年寄宿护理机构受荷兰 de Hogeweyk 村的启发，开发了一个村落，在那里，居民参与有价值的活动有助于延续终身身份：本研究旨在解释从传统的老年寄宿护理设施向集中式家庭护理模式的过渡。案例研究以批判现实主义理论为基础。数据包括与主要信息提供者、设施工作人员、居民及其家人的访谈记录、居民日常生活观察记录、组织文件、照片和第一作者的研究日志：结果：为支持提供以人为本的护理而进行的工作场所理念变革与物质环境变革的交汇，实现了让住院者过上正常生活的组织愿景：政策制定者和从业人员必须意识到，虽然家庭规模的环境提供了正常生活的线索，但了解住户及其重要需求的员工能够帮助住户参与社区活动和有价值的活动：创新性的生活安排是理念抱负、建筑和设计愿景、尽职尽责的领导和全心全意的团队合作的综合体。

{"title":"Realising Person-Centredness: Transitioning to a Clustered Domestic Model of Aged Residential Care for People With and Without Dementia","authors":"Kay Shannon, Catherine Cook, Stephen Neville","doi":"10.1111/opn.12632","DOIUrl":"10.1111/opn.12632","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Many older people who cannot live independently live in aged residential care facilities to obtain support with social and healthcare needs. Despite old age being a precious time for people to live well, many facility residents have limited access to activities that promote their well-being and connectedness. In New Zealand, one provider of aged residential care developed a village inspired by de Hogeweyk in the Netherlands, where resident engagement in valued activities supports continuing lifelong identities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study aimed to explain the transition from a traditional Aged Residential Care facility to a clustered domestic model of care. A critical realist theoretical perspective underpinned case study research. Data comprised transcripts of interviews with key informants, facility staff, residents and their families, records of observation of residents' daily lives, organisational documents, photographs and the first author's study journal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intersection of philosophical workplace change to support delivery of person-centred care and a change in the physical environment enabled realisation of the organisational vision of residents living normal lives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Policy makers and practitioners must be aware that while a domestic-scale environment provides cues to normal living, staff who know residents and what is important to them enable participation in community and valued activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Innovative living arrangements are a synthesis of philosophical aspirations, architectural and design vision, dedicated leadership and committed teamwork.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Voices Unheard: A Reflective Lifeworld Research Study of Older Arabic-Speaking Female Migrants and Their Experience of Existential Loneliness 无人倾听的声音：对讲阿拉伯语的老年女性移民及其存在孤独感体验的反思性生活世界研究》（A Reflective Lifeworld Research Study of Older Arabic-Speaking Female Migrants and Their Experience of Existential Loneliness）。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-07-26 DOI: 10.1111/opn.12633

Jonas Olofsson, Katarina Sjögren-Forss, Ann-Cathrine Bramhagen, Margareta Rämgård

Introduction

Existential loneliness (EL) is an unavoidable, deeper sense of loneliness. EL has been described as disconnection from life and the universe, experienced even in the presence of family and friends. Meaninglessness, loss of health and significant others seem to trigger older persons EL. Older Arabic-speaking women are a large migrant group in Sweden and there is a lack in knowledge about their experience of EL. Therefore, this study aimed to describe the phenomenon of EL as experienced by older Arabic-speaking female migrants.

Methods

This study was based on a phenomenological approach known as reflective lifeworld research (RLR). Ten older migrated Arabic-speaking women were included in the study. Lifeworld interviews were conducted to collect data. The data were analysed in accordance with the phenomenological RLR principles of openness, flexibility and bridling.

Results

This study shows that EL is experienced when there is a lack of attachment to place and people. EL is experienced more distinctively in the beginning of the migration process. It was difficult sharing feelings of EL with anyone. Feelings of meaninglessness occurred when entering a new lifeworld and triggered EL. EL was however attenuated when being able to practise their religion.

Conclusion

Lack of attachment to place and people as well as feelings of meaninglessness brought existential loneliness to the fore for the older Arabic-speaking female migrants. There was a collision of lifeworlds not at least by the fact moving as a Muslim woman to one of the most secular countries in the world. Practising their religion attenuated their EL. To promote better health for this group of women, it is of importance to be aware of EL and its mode of expression.

Implications for Practice

It is crucial to let the voice of older Arabic-speaking female migrants be heard and to be aware of their experience of EL and its mode of expression in order to promote better health. Further, educational training for nursing professionals and nursing students needs to be provided to develop skills how to be aware of and address EL.

简介存在性孤独（EL）是一种不可避免的、更深层次的孤独感。存在孤独感被描述为与生活和宇宙的脱节，即使在家人和朋友在场的情况下也会有这种体验。无意义感、失去健康和重要他人似乎都会引发老年人的孤独感。在瑞典，讲阿拉伯语的老年妇女是一个庞大的移民群体，对她们的 EL 体验缺乏了解。因此，本研究旨在描述讲阿拉伯语的老年女性移民所经历的 EL 现象：本研究基于一种被称为反思性生活世界研究（RLR）的现象学方法。十名讲阿拉伯语的老年移民妇女被纳入研究。通过生活世界访谈收集数据。根据现象学 RLR 的开放性、灵活性和桥接原则对数据进行了分析：本研究表明，当对地点和人缺乏依恋时，就会出现 EL。在移民过程的初期，EL 的体验更为明显。很难与任何人分享 EL 的感受。在进入一个新的生活世界时，无意义感会出现，并引发 EL。然而，在能够信奉宗教的情况下，EL 有所减弱：结论：缺乏对地方和人的依恋以及无意义感使讲阿拉伯语的老年女性移民的生存孤独感凸显出来。作为一名穆斯林妇女移居到世界上最世俗化的国家之一，生活世界发生了碰撞。信奉宗教削弱了她们的 EL。为了促进这一妇女群体的健康，了解 EL 及其表达方式非常重要：让讲阿拉伯语的老年女性移民发出自己的声音，并了解她们的 EL 经验及其表达方式，对于促进她们的健康至关重要。此外，还需要为护理专业人员和护理专业学生提供教育培训，以培养他们了解和处理 EL 的技能。

{"title":"Voices Unheard: A Reflective Lifeworld Research Study of Older Arabic-Speaking Female Migrants and Their Experience of Existential Loneliness","authors":"Jonas Olofsson, Katarina Sjögren-Forss, Ann-Cathrine Bramhagen, Margareta Rämgård","doi":"10.1111/opn.12633","DOIUrl":"10.1111/opn.12633","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Existential loneliness (EL) is an unavoidable, deeper sense of loneliness. EL has been described as disconnection from life and the universe, experienced even in the presence of family and friends. Meaninglessness, loss of health and significant others seem to trigger older persons EL. Older Arabic-speaking women are a large migrant group in Sweden and there is a lack in knowledge about their experience of EL. Therefore, this study aimed to describe the phenomenon of EL as experienced by older Arabic-speaking female migrants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was based on a phenomenological approach known as reflective lifeworld research (RLR). Ten older migrated Arabic-speaking women were included in the study. Lifeworld interviews were conducted to collect data. The data were analysed in accordance with the phenomenological RLR principles of openness, flexibility and bridling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study shows that EL is experienced when there is a lack of attachment to place and people. EL is experienced more distinctively in the beginning of the migration process. It was difficult sharing feelings of EL with anyone. Feelings of meaninglessness occurred when entering a new lifeworld and triggered EL. EL was however attenuated when being able to practise their religion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Lack of attachment to place and people as well as feelings of meaninglessness brought existential loneliness to the fore for the older Arabic-speaking female migrants. There was a collision of lifeworlds not at least by the fact moving as a Muslim woman to one of the most secular countries in the world. Practising their religion attenuated their EL. To promote better health for this group of women, it is of importance to be aware of EL and its mode of expression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>It is crucial to let the voice of older Arabic-speaking female migrants be heard and to be aware of their experience of EL and its mode of expression in order to promote better health. Further, educational training for nursing professionals and nursing students needs to be provided to develop skills how to be aware of and address EL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

‘You Just Struggle on Your Own’: Exploring Older People and Their Caregivers' Perspectives About Falls Prevention Education in Hospitals 你只是在独自挣扎"：探讨老年人及其护理人员对医院预防跌倒教育的看法。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-07-12 DOI: 10.1111/opn.12628

Anne-Marie Hill, Sharmila Vaz, Jacqueline Francis-Coad, Leon Flicker, Meg E. Morris, Tammy Weselman

Background

Providing older patients with an opportunity to participate in individualised falls preventive education, has been shown to reduce hospital falls. However, few studies have explored older peoples' perspectives of hospital falls prevention education. This study aimed to explore older people and their caregivers' knowledge and awareness about hospital falls prevention, including their reflections on the education they received when hospitalised.

Methods

A qualitative, exploratory study with focus groups and semistructured interviews was conducted. Participants were a purposively selected sample of community-dwelling older people (65+ years) admitted to a hospital in the past 5 years and caregivers of older people. Data were thematically analysed using deductive and inductive approaches, and a capability–opportunity–motivation–behaviour model was applied to understand key determinants of implementing falls education for hospitalised older people.

Results

Participants' [n = 46 (older people n = 37, age range 60–89 years), caregivers n = 9] feedback identified five themes: distress and disempowerment if the participant did have a hospital fall or nearly fell, anxiety and uncertainty about what behaviour was required while in hospital, insufficient and inconsistent falls prevention education, inadequate communication and underlying attitudes of ageism. Applying a behaviour change model suggested that older people and their caregivers did not develop falls prevention knowledge, awareness or motivation to engage in falls prevention behaviour. Older people were also provided with limited opportunities to engage in falls preventive behaviour while in hospital.

Conclusion

Older people in our study received sporadic education about falls prevention during their hospital admissions which did not raise their awareness and knowledge about the risk of falls or their capability to engage in safe falls preventive behaviour. Conflicting messages may result in older people feeling confused and anxious about staying safe in hospital.

背景：为老年患者提供参与个性化跌倒预防教育的机会，已被证明可以减少医院跌倒。然而，很少有研究探讨老年人对医院跌倒预防教育的看法。本研究旨在探讨老年人及其护理人员对医院跌倒预防的了解和认识，包括他们对住院期间所接受教育的反思：方法：采用焦点小组和半结构化访谈的方式进行了一项定性探索性研究。研究对象是有目的性地抽取的过去 5 年中在医院住院的社区老年人（65 岁以上）以及老年人的照顾者。采用演绎法和归纳法对数据进行主题分析，并应用能力-机会-动机-行为模型来了解对住院老年人实施跌倒教育的关键决定因素：参与者[n=46（老年人 n=37，年龄范围为 60-89 岁），护理人员 n=9]的反馈意见确定了五个主题：如果参与者确实在医院跌倒或差点跌倒，则会感到痛苦和无能为力；对住院期间的行为要求感到焦虑和不确定；预防跌倒教育不足且不一致；沟通不足以及潜在的年龄歧视态度。应用行为改变模型表明，老年人及其护理人员并没有形成预防跌倒的知识、意识或参与预防跌倒行为的动机。老年人在住院期间参与预防跌倒行为的机会也很有限：结论：在我们的研究中，老年人在住院期间接受了零星的预防跌倒教育，但这并没有提高他们对跌倒风险的认识和知识，也没有提高他们采取安全的预防跌倒行为的能力。相互矛盾的信息可能会导致老年人对住院期间的安全感到困惑和焦虑。

{"title":"‘You Just Struggle on Your Own’: Exploring Older People and Their Caregivers' Perspectives About Falls Prevention Education in Hospitals","authors":"Anne-Marie Hill, Sharmila Vaz, Jacqueline Francis-Coad, Leon Flicker, Meg E. Morris, Tammy Weselman","doi":"10.1111/opn.12628","DOIUrl":"10.1111/opn.12628","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Providing older patients with an opportunity to participate in individualised falls preventive education, has been shown to reduce hospital falls. However, few studies have explored older peoples' perspectives of hospital falls prevention education. This study aimed to explore older people and their caregivers' knowledge and awareness about hospital falls prevention, including their reflections on the education they received when hospitalised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative, exploratory study with focus groups and semistructured interviews was conducted. Participants were a purposively selected sample of community-dwelling older people (65+ years) admitted to a hospital in the past 5 years and caregivers of older people. Data were thematically analysed using deductive and inductive approaches, and a capability–opportunity–motivation–behaviour model was applied to understand key determinants of implementing falls education for hospitalised older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants' [<i>n</i> = 46 (older people <i>n</i> = 37, age range 60–89 years), caregivers <i>n</i> = 9] feedback identified five themes: distress and disempowerment if the participant did have a hospital fall or nearly fell, anxiety and uncertainty about what behaviour was required while in hospital, insufficient and inconsistent falls prevention education, inadequate communication and underlying attitudes of ageism. Applying a behaviour change model suggested that older people and their caregivers did not develop falls prevention knowledge, awareness or motivation to engage in falls prevention behaviour. Older people were also provided with limited opportunities to engage in falls preventive behaviour while in hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Older people in our study received sporadic education about falls prevention during their hospital admissions which did not raise their awareness and knowledge about the risk of falls or their capability to engage in safe falls preventive behaviour. Conflicting messages may result in older people feeling confused and anxious about staying safe in hospital.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12628","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transferability of Effective Consultation Skills for Decision-Making Support in the Voluntary Surrender of Older Adult Drivers' Licences in Super-Aged Japan 在日本超高龄人群自愿放弃老年驾照的决策支持中，有效咨询技能的可转移性。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-07-11 DOI: 10.1111/opn.12630

Yoko Miyoshi, Shin-ichi Yoshioka, Miwa Yamamoto

Introduction

Previously, we identified eight effective consultation skills to support decision-making in the voluntary surrender of older adult drivers' licences in super-aged Japan. This study aimed to clarify the transferability of these skills.

Methods

We collected text data by interviewing 11 safe-driving counsellors (four police officers, four clerical staff and three nurses) in the License Division of the National Police Agency from February to March 2022. Interviews were semi-structured and conducted by telephone or email. During the interview, participants were asked to recall their experiences as counsellors providing decision-making support to older drivers and to compare their experiences with the eight consultation skills. We analysed the content of the responses by quantitative text analysis with KH Coder 3 software.

Results

As a characteristic of the words and phrases used by counsellors in their narratives about consultation skills, the most frequently extracted words from among 3147 words were think, parties and family, and promote had the highest mediation centrality. The eight subgraphs were ‘Respecting the will of relevant parties from their standpoint is natural’, ‘Listening attentively and empathetically to relevant parties is effective’, ‘Presenting objective data to guide decisions is successful’, ‘Showing cognitive functioning test results is often effective’, ‘Counselors with medical expertise can elicit positive counseling outcomes’, ‘Intervention by medical or police counselors facilitates the decision to surrender voluntarily’, ‘Counseling skills need to be improved’ and ‘A diagram of the 8 skills is helpful for inexperienced counselors’.

Conclusion

The results suggest that the eight consultation skills have similarities and are transferable. This transferability might contribute to practical application or cohort follow-up study research. These skills can be incorporated into counsellor training, and counsellors can be expected to use these skills in the future. Regardless of the safe-driving counsellor's years of experience, the skills can help them provide uniform and accurate support in decision-making regarding the voluntary surrender of older adult drivers' licences. These skills are a promising approach to help older adults lead safe and secure lives as they age.

导言：此前，我们在日本超高龄老年人自愿放弃驾照的决策过程中发现了八种有效的咨询技巧。本研究旨在阐明这些技能的可移植性：方法：2022 年 2 月至 3 月，我们对警察厅驾照科的 11 名安全驾驶顾问（4 名警官、4 名文职人员和 3 名护士）进行了访谈，收集了文本数据。访谈采用半结构式，通过电话或电子邮件进行。在访谈过程中，我们要求参与者回忆他们作为顾问为老年司机提供决策支持的经历，并将他们的经历与八种咨询技巧进行比较。我们使用 KH Coder 3 软件对回答内容进行了定量文本分析：作为咨询师在叙述咨询技巧时使用的词和短语的特征，从 3147 个词中提取最多的词是 "思考"、"当事人 "和 "家庭"，"促进 "具有最高的中介中心性。8个子图分别是："站在当事人的立场尊重当事人的意愿是自然的"、"用心倾听并移情于当事人是有效的"、"提出客观数据以指导决策是成功的"、"展示认知功能测试结果通常是有效的"、具有医学专业知识的心理咨询师能够取得积极的咨询效果"、"由医学或警务心理咨询师进行干预有助于做出自愿自首的决定"、"心理咨询技能有待提高 "以及 "8 项技能的示意图对缺乏经验的心理咨询师很有帮助"。结论研究结果表明，八种咨询技能具有相似性和可迁移性。这种可迁移性可能有助于实际应用或队列跟踪研究。这些技能可以纳入咨询师的培训中，咨询师在未来也有望使用这些技能。无论安全驾驶辅导员有多少年的经验，这些技能都能帮助他们在老年人自愿放弃驾照的决策中提供统一、准确的支持。这些技能是帮助老年人在年老时过上安全和有保障生活的一种很有前途的方法。

{"title":"Transferability of Effective Consultation Skills for Decision-Making Support in the Voluntary Surrender of Older Adult Drivers' Licences in Super-Aged Japan","authors":"Yoko Miyoshi, Shin-ichi Yoshioka, Miwa Yamamoto","doi":"10.1111/opn.12630","DOIUrl":"10.1111/opn.12630","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Previously, we identified eight effective consultation skills to support decision-making in the voluntary surrender of older adult drivers' licences in super-aged Japan. This study aimed to clarify the transferability of these skills.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We collected text data by interviewing 11 safe-driving counsellors (four police officers, four clerical staff and three nurses) in the License Division of the National Police Agency from February to March 2022. Interviews were semi-structured and conducted by telephone or email. During the interview, participants were asked to recall their experiences as counsellors providing decision-making support to older drivers and to compare their experiences with the eight consultation skills. We analysed the content of the responses by quantitative text analysis with KH Coder 3 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>As a characteristic of the words and phrases used by counsellors in their narratives about consultation skills, the most frequently extracted words from among 3147 words were <i>think</i>, <i>parties</i> and <i>family</i>, and <i>promote</i> had the highest mediation centrality. The eight subgraphs were ‘Respecting the will of relevant parties from their standpoint is natural’, ‘Listening attentively and empathetically to relevant parties is effective’, ‘Presenting objective data to guide decisions is successful’, ‘Showing cognitive functioning test results is often effective’, ‘Counselors with medical expertise can elicit positive counseling outcomes’, ‘Intervention by medical or police counselors facilitates the decision to surrender voluntarily’, ‘Counseling skills need to be improved’ and ‘A diagram of the 8 skills is helpful for inexperienced counselors’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest that the eight consultation skills have similarities and are transferable. This transferability might contribute to practical application or cohort follow-up study research. These skills can be incorporated into counsellor training, and counsellors can be expected to use these skills in the future. Regardless of the safe-driving counsellor's years of experience, the skills can help them provide uniform and accurate support in decision-making regarding the voluntary surrender of older adult drivers' licences. These skills are a promising approach to help older adults lead safe and secure lives as they age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics and Activities of Nurses in Expanded Roles Employed in Swiss Nursing Homes: A Cross-Sectional Study 瑞士养老院中担任扩展角色的护士的特点和活动：一项横断面研究。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-07-11 DOI: 10.1111/opn.12631

Christian Saladino, Lauriane Favez, Christine Serdaly, Dietmar Ausserhofer, Sabina De Geest, Franziska Zúñiga

Background

As the number of nursing home residents with multiple healthcare needs grows, the demand for nursing expertise increases. The implementation of new care models involving nurses with expanded roles is crucial for ensuring quality care in nursing homes.

Objectives

To investigate the characteristics and activities of nurses employed in nursing homes in expanded roles and the factors associated with variation in the activities performed.

Methods

This multicentre cross-sectional survey in Switzerland collected data from a convenience sample of 118 nursing homes between September 2018 and October 2019. From a subsample of 62 nursing homes, we analysed the characteristics and activities of 104 nurses in expanded roles. Associations between the activities performed and the educational background of the nurses in expanded roles, their direct supervisors' positions and the presence of physicians in the nursing homes were examined.

Results

Most Registered Nurses in expanded roles were diploma educated (48%), with fewer having a bachelor's (35%) or master's degree (17%). Overall, direct clinical practice and guidance and coaching activities were conducted monthly to weekly; consultation, evidence-based practice, collaboration and ethical decision-making activities were conducted monthly. We saw variations where a higher educational background was associated with more frequent evidence-based practice activities (z = 3.47, p < 0.001), and if direct supervisors were ward managers, nurses in expanded roles worked more frequently below their scope of practice (z = 4.10, p < 0.001).

Conclusion

This is the first study to use Hamric's integrative Advanced Practice Nursing model to examine the activities of nurses in expanded roles in nursing homes. We found considerable variation in their activities, where nursing homes seem to adapt their roles to their educational background and the local context.

Implications for Practice

Our findings show the importance of clarifying role expectations for Registered Nurses in expanded roles, allowing them to practice at the top of the licence to meet residents' complex he

背景：随着有多种医疗保健需求的疗养院居民人数不断增加，对护理专业知识的需求也随之增加。实施新的护理模式，让护士发挥更大的作用，对于确保养老院的护理质量至关重要：调查疗养院中担任扩展角色的护士的特点和活动，以及与所从事活动差异相关的因素：这项在瑞士进行的多中心横断面调查于 2018 年 9 月至 2019 年 10 月期间从 118 家养老院的便利样本中收集了数据。在 62 家养老院的子样本中，我们分析了 104 名担任扩展角色的护士的特征和活动。我们研究了所从事的活动与扩大角色护士的教育背景、其直接主管的职位以及疗养院中是否有医生之间的关联：结果：大多数担任扩展角色的注册护士都受过文凭教育（48%），拥有学士学位（35%）或硕士学位（17%）的人数较少。总体而言，直接临床实践、指导和辅导活动每月至每周进行一次；咨询、循证实践、合作和伦理决策活动每月进行一次。我们发现，教育背景越高，循证实践活动开展得越频繁（z = 3.47，p 结论：教育背景越高，循证实践活动开展得越频繁：这是首次使用 Hamric 的综合高级实践护理模式来研究护理院中角色扩大的护士的活动。我们发现她们的活动存在很大差异，养老院似乎根据她们的教育背景和当地情况调整她们的角色：我们的研究结果表明，明确对担任扩展角色的注册护士的角色期望非常重要，这可以让她们在执业许可的最高级别上开展工作，以满足居民复杂的医疗保健需求。

{"title":"Characteristics and Activities of Nurses in Expanded Roles Employed in Swiss Nursing Homes: A Cross-Sectional Study","authors":"Christian Saladino, Lauriane Favez, Christine Serdaly, Dietmar Ausserhofer, Sabina De Geest, Franziska Zúñiga","doi":"10.1111/opn.12631","DOIUrl":"10.1111/opn.12631","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As the number of nursing home residents with multiple healthcare needs grows, the demand for nursing expertise increases. The implementation of new care models involving nurses with expanded roles is crucial for ensuring quality care in nursing homes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate the characteristics and activities of nurses employed in nursing homes in expanded roles and the factors associated with variation in the activities performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This multicentre cross-sectional survey in Switzerland collected data from a convenience sample of 118 nursing homes between September 2018 and October 2019. From a subsample of 62 nursing homes, we analysed the characteristics and activities of 104 nurses in expanded roles. Associations between the activities performed and the educational background of the nurses in expanded roles, their direct supervisors' positions and the presence of physicians in the nursing homes were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most Registered Nurses in expanded roles were diploma educated (48%), with fewer having a bachelor's (35%) or master's degree (17%). Overall, direct clinical practice and guidance and coaching activities were conducted monthly to weekly; consultation, evidence-based practice, collaboration and ethical decision-making activities were conducted monthly. We saw variations where a higher educational background was associated with more frequent evidence-based practice activities (<i>z</i> = 3.47, <i>p</i> < 0.001), and if direct supervisors were ward managers, nurses in expanded roles worked more frequently below their scope of practice (<i>z</i> = 4.10, <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This is the first study to use Hamric's integrative Advanced Practice Nursing model to examine the activities of nurses in expanded roles in nursing homes. We found considerable variation in their activities, where nursing homes seem to adapt their roles to their educational background and the local context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Our findings show the importance of clarifying role expectations for Registered Nurses in expanded roles, allowing them to practice at the top of the licence to meet residents' complex he","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12631","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of an Instrument to Assess Health and Social Care Professionals' Knowledge and Attitudes Towards Later-Life Intimacy and Sexuality (HSCP-KALLIS): A Delphi Study 开发一种工具来评估卫生和社会护理专业人员对晚年亲密关系和性的认识和态度（HSCP-KALLIS）：德尔菲研究。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-07-08 DOI: 10.1111/opn.12629

Yung-Hui Chen, Cindy Jones, Amy Bannatyne, Maria Horne

Aims

We aimed to ascertain the content validity of an instrument to assess health and social care professionals' knowledge and attitudes towards later-life intimacy and sexuality (HSCP-KALLIS).

Background

For older adults, intimacy and sexuality are important in maintaining their quality of life and well-being. However, addressing these needs remains challenging for health and social care professionals, particularly for nursing staff providing 24-h direct care to older people with dementia or those identified as lesbian, gay, bisexual, transgender, intersex or queer/questioning individuals. Existing instruments assessing knowledge and attitudes towards later-life intimacy and sexuality are dated and fail to adequately address dementia and sexual diversity.

Design

A two-round modified Delphi study was conducted.

Methods

Initially, 79 knowledge and attitude items were generated through an integrative review. Panellists rated each item's clarity and importance using online questionnaires. The content validity index for the individual and overall items was calculated. The panellists' written feedback—along with their knowledge level of later-life intimacy and sexuality—was obtained.

Results

Panellists included health and social care professionals (n = 9); healthcare-related educators (n = 2); researchers specialising in later-life intimacy, sexuality, dementia care and sexual diversity support (n = 7); and family carers of older people with dementia (n = 2). The instrument was revised based on the feedback received. The components of dementia, LGBTIQ+ and the provision of sex worker services in healthcare settings were highlighted by the panellists. Notably, 46 knowledge and 40 attitude items fulfilled the consensus criteria for clarity and importance.

Conclusions

Acceptable content validity was established for the knowledge and attitude items. Further research is required to establish the psychometric properties of the HSCP-KALLIS. This instrument has implications for clinical practice—specifically, in nursing care—by addressing issues to improve awareness regarding later-life intimacy and sexuality in health

目的：我们旨在确定一种工具（HSCP-KALLIS）的内容有效性，以评估医疗和社会护理专业人员对晚年亲密关系和性行为的认识和态度：背景：对于老年人来说，亲密关系和性行为对于维持他们的生活质量和幸福感非常重要。然而，对于医疗和社会护理专业人员来说，满足这些需求仍具有挑战性，尤其是对于那些为患有痴呆症的老年人或那些被认定为女同性恋、男同性恋、双性恋、变性人、双性人或同性恋/疑问者的老年人提供 24 小时直接护理的护理人员来说。现有的评估晚年亲密关系和性行为的知识和态度的工具已经过时，未能充分解决痴呆症和性取向多样性的问题：设计：进行了两轮改良德尔菲研究：方法：最初，通过综合审查产生了 79 个知识和态度项目。小组成员通过在线问卷对每个项目的清晰度和重要性进行评分。计算了单个和整体项目的内容效度指数。同时还获得了小组成员的书面反馈以及他们对晚年亲密关系和性行为的了解程度：小组成员包括医疗和社会护理专业人士（9 人）；医疗相关教育工作者（2 人）；专门从事晚年亲密关系、性行为、痴呆症护理和性多样性支持的研究人员（7 人）；以及痴呆症老年人的家庭照顾者（2 人）。根据收到的反馈意见对该工具进行了修订。小组成员强调了痴呆症、LGBTIQ+ 以及在医疗机构中提供性工作者服务等内容。值得注意的是，46 个知识项目和 40 个态度项目在清晰度和重要性方面达到了共识标准：结论：知识和态度项目的内容有效性可以接受。还需要进一步的研究来确定 HSCP-KALLIS 的心理测量特性。该工具对临床实践--特别是护理工作--有一定的指导意义，它能解决在医疗机构中提高对晚年亲密关系和性行为认识的问题：HSCP-KALLIS 有可能为医疗和社会护理专业人员，特别是护理人员提供有关晚年亲密关系和性行为的知识和态度的教育需求信息。HSCP-KALLIS的研究结果可用于发展晚年亲密关系和性行为的能力，制定相关政策和指导方针，以支持医疗机构中老年人的亲密关系和性行为需求。

{"title":"Development of an Instrument to Assess Health and Social Care Professionals' Knowledge and Attitudes Towards Later-Life Intimacy and Sexuality (HSCP-KALLIS): A Delphi Study","authors":"Yung-Hui Chen, Cindy Jones, Amy Bannatyne, Maria Horne","doi":"10.1111/opn.12629","DOIUrl":"10.1111/opn.12629","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>We aimed to ascertain the content validity of an instrument to assess health and social care professionals' knowledge and attitudes towards later-life intimacy and sexuality (HSCP-KALLIS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>For older adults, intimacy and sexuality are important in maintaining their quality of life and well-being. However, addressing these needs remains challenging for health and social care professionals, particularly for nursing staff providing 24-h direct care to older people with dementia or those identified as lesbian, gay, bisexual, transgender, intersex or queer/questioning individuals. Existing instruments assessing knowledge and attitudes towards later-life intimacy and sexuality are dated and fail to adequately address dementia and sexual diversity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A two-round modified Delphi study was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Initially, 79 knowledge and attitude items were generated through an integrative review. Panellists rated each item's clarity and importance using online questionnaires. The content validity index for the individual and overall items was calculated. The panellists' written feedback—along with their knowledge level of later-life intimacy and sexuality—was obtained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Panellists included health and social care professionals (<i>n</i> = 9); healthcare-related educators (<i>n</i> = 2); researchers specialising in later-life intimacy, sexuality, dementia care and sexual diversity support (<i>n</i> = 7); and family carers of older people with dementia (<i>n</i> = 2). The instrument was revised based on the feedback received. The components of dementia, LGBTIQ+ and the provision of sex worker services in healthcare settings were highlighted by the panellists. Notably, 46 knowledge and 40 attitude items fulfilled the consensus criteria for clarity and importance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Acceptable content validity was established for the knowledge and attitude items. Further research is required to establish the psychometric properties of the HSCP-KALLIS. This instrument has implications for clinical practice—specifically, in nursing care—by addressing issues to improve awareness regarding later-life intimacy and sexuality in health","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12629","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Experiences of Hospital Admission in a Single Room for Older Persons With Dementia and Their Families: A Scoping Review 痴呆症老年人及其家人入住单人病房的经历：范围审查》。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-07-06 DOI: 10.1111/opn.12626

Susanne Friis Søndergaard, Tina Skov, Anne Bendix Andersen

Introduction

When older persons with dementia are admitted to hospital, they often feel disoriented and confused and their cognitive impairment may worsen, purely due to the sudden change in their environment. As such hospital design is recognised as an important aspect in the care and well-being of older persons with dementia. As the number of persons with dementia is increasing, the experience of admission to a hospital with, for example, single rooms is more relevant than ever.

Aim and Methods

This scoping review aimed to identify, explore and conceptually map the literature reporting on what older people with dementia and their families experienced during admission to a hospital with single room accommodation. We followed the Joanna Briggs Institute recommendations for undertaking a scoping review. In addition, we used the Preferred Reporting Items for Systematic reviews (PRISMA-ScR) Checklist, which assisted the development and reporting of this scoping review.

Results

We included 10 sources within a time frame of 23 years (1998–2021). The sources originate from Europe, Australia and Canada.

We identified three conceptual maps: Safety and security, Privacy and dignity and Sensorial stimulation. Our review demonstrates that the themes of the three conceptual maps are experienced as mutually interdependent for the older persons with dementia and their families.

Conclusion

We conclude that it is not merely the single room design that determines what the older persons with dementia and their families experience as important; the exposure to sensorial stimulation and the presence of well-trained staff taking a dignified patient-centred approach are also crucial for their experience of high-quality nursing care.

导言：患有痴呆症的老年人入院时，往往会感到迷失方向和困惑，他们的认知障碍可能会加重，这完全是由于环境的突然改变造成的。因此，医院设计被认为是老年痴呆症患者护理和福祉的一个重要方面。随着痴呆症患者人数的不断增加，入住单人病房等医院的体验比以往任何时候都更加重要：本次范围界定综述旨在识别、探索并从概念上描绘有关痴呆症老年人及其家人在入住单人病房医院时的经历的文献报告。我们遵循乔安娜-布里格斯研究所（Joanna Briggs Institute）关于开展范围界定综述的建议。此外，我们还使用了系统性综述首选报告项目（PRISMA-ScR）核对表，该核对表有助于本范围界定综述的开发和报告：我们纳入了 23 年内（1998-2021 年）的 10 个资料来源。这些资料来源于欧洲、澳大利亚和加拿大。我们确定了三个概念图：安全与保障、隐私与尊严以及感官刺激。我们的研究表明，患有痴呆症的老年人及其家人认为这三个概念图的主题是相互依存的：我们得出的结论是，决定痴呆症老年人及其家人体验的重要因素不仅仅是单人病房的设计，感官刺激和训练有素的工作人员以病人为中心的尊严对于他们体验高质量的护理服务也至关重要。

{"title":"The Experiences of Hospital Admission in a Single Room for Older Persons With Dementia and Their Families: A Scoping Review","authors":"Susanne Friis Søndergaard, Tina Skov, Anne Bendix Andersen","doi":"10.1111/opn.12626","DOIUrl":"10.1111/opn.12626","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>When older persons with dementia are admitted to hospital, they often feel disoriented and confused and their cognitive impairment may worsen, purely due to the sudden change in their environment. As such hospital design is recognised as an important aspect in the care and well-being of older persons with dementia. As the number of persons with dementia is increasing, the experience of admission to a hospital with, for example, single rooms is more relevant than ever.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim and Methods</h3>\u0000 \u0000 <p>This scoping review aimed to identify, explore and conceptually map the literature reporting on what older people with dementia and their families experienced during admission to a hospital with single room accommodation. We followed the Joanna Briggs Institute recommendations for undertaking a scoping review. In addition, we used the Preferred Reporting Items for Systematic reviews (PRISMA-ScR) Checklist, which assisted the development and reporting of this scoping review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We included 10 sources within a time frame of 23 years (1998–2021). The sources originate from Europe, Australia and Canada.</p>\u0000 \u0000 <p>We identified three conceptual maps: <i>Safety and security</i>, <i>Privacy and dignity</i> and <i>Sensorial stimulation</i>. Our review demonstrates that the themes of the three conceptual maps are experienced as mutually interdependent for the older persons with dementia and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We conclude that it is not merely the single room design that determines what the older persons with dementia and their families experience as important; the exposure to sensorial stimulation and the presence of well-trained staff taking a dignified patient-centred approach are also crucial for their experience of high-quality nursing care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of an Evidence-Based Home Pursed Lip Breathing Protocol for Improving Health Outcomes in Patients With Chronic Obstructive Pulmonary Disease 为改善慢性阻塞性肺病患者的健康状况，开发并验证基于证据的家庭噘唇呼吸方案。

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-06-30 DOI: 10.1111/opn.12627

Houqiang Huang, Jun Da, Roger Watson, Mark Hayter, Min Huang

Aim

To develop and validate an evidence-based home pursed lip breathing (PLB) intervention protocol for improving related health outcomes (e.g., dyspnea and exercise capability) in patients with chronic obstructive pulmonary disease (COPD) and to present a detailed intervention development process.

Methods

This home PLB intervention protocol employed phase one of the Medical Research Council (MRC) Framework for Developing and Evaluating Complex Interventions to guide the development process of the PLB intervention. We searched for research evidence on 5 July 2023 from several databases, including PubMed, Embase (via Ovid), Cochrane Library, Google Scholar and China Biology Medicine Disk (CBM). Using the content validity index, a panel of experts assessed the appropriateness of the PLB protocol.

Results

We developed the preliminary home PLB intervention protocol on the basis of several underlying rationales, which encompass the extension of expiration time, enhancement of respiratory muscle strength, augmentation of tidal volume and integration of the most reliable research evidence obtained from four systematic reviews, five RCTs, five clinical trials, and 10 recommendations. We structured the PLB intervention with a designated time ratio of inspiration to expiration, set at 1:2. Additionally, this study recommends that the training parameters of the PLB intervention were as follows: three sessions per day, each lasting for 10 min, over 8 weeks. Individualised PLB training intensity adjusted the inhalation component according to each participant's tolerance level while emphasising the exhalation phase to ensure the complete expulsion of air from the lungs. The home PLB intervention protocol established strong content validity through consensus, which was reached among all panel experts. The item-level and scale-level content validity indices (CVIs) reached a maximum score of 1.0, indicating a high level of agreement and credibility in the protocol's content as evaluated by the expert panel.

Conclusion

An optimal evidence-based home PLB protocol has been adapted and developed to manage health-related outcomes of patients with COPD. The protocol is transparent and fully supported by relevant mechanisms, concrete evidence, recommendations and experts' consensus.

Implications for Practice

In this study, we consulted patients with COPD about the ‘Prepared Conditions Before PLB P

目的：开发和验证基于证据的家庭纯唇呼吸（PLB）干预方案，以改善慢性阻塞性肺病（COPD）患者的相关健康结果（如呼吸困难和运动能力），并介绍详细的干预开发过程：该家庭 PLB 干预方案采用了医学研究委员会（MRC）复杂干预措施开发与评估框架的第一阶段，以指导 PLB 干预措施的开发过程。我们于2023年7月5日在多个数据库中搜索研究证据，包括PubMed、Embase（通过Ovid）、Cochrane图书馆、谷歌学术和中国生物医学文献数据库（CBM）。专家小组使用内容效度指数评估了小儿脑瘫干预方案的适宜性：我们根据延长呼气时间、增强呼吸肌力量、增加潮气量等几个基本原理，并整合了4篇系统综述、5项RCT、5项临床试验和10项建议中最可靠的研究证据，制定了初步的家庭PLB干预方案。我们将吸气与呼气的时间比设定为 1:2，从而构建了 PLB 干预方案。此外，本研究还建议 PLB 干预的训练参数如下：每天三次，每次 10 分钟，持续 8 周。个性化 PLB 训练强度根据每位参与者的耐受程度调整吸气部分，同时强调呼气阶段，以确保将空气完全排出肺部。家庭肺活量干预方案的内容有效性很强，所有专家小组成员都达成了共识。项目级和量表级的内容效度指数（CVIs）达到了最高分 1.0，表明专家组对方案内容的评价具有高度的一致性和可信度：以证据为基础的最佳家庭 PLB 方案经过调整和开发，可用于管理慢性阻塞性肺病患者的健康相关结果。该方案是透明的，并得到了相关机制、具体证据、建议和专家共识的充分支持：在本研究中，我们就 "PLB 实践前的准备条件 "咨询了慢性阻塞性肺病患者，以确保采取适当措施预防慢性阻塞性肺病患者的潜在风险。此外，慢性阻塞性肺病患者也为公共小巴运动频率分布做出了贡献。

{"title":"Development and Validation of an Evidence-Based Home Pursed Lip Breathing Protocol for Improving Health Outcomes in Patients With Chronic Obstructive Pulmonary Disease","authors":"Houqiang Huang, Jun Da, Roger Watson, Mark Hayter, Min Huang","doi":"10.1111/opn.12627","DOIUrl":"10.1111/opn.12627","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To develop and validate an evidence-based home pursed lip breathing (PLB) intervention protocol for improving related health outcomes (e.g., dyspnea and exercise capability) in patients with chronic obstructive pulmonary disease (COPD) and to present a detailed intervention development process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This home PLB intervention protocol employed phase one of the Medical Research Council (MRC) Framework for Developing and Evaluating Complex Interventions to guide the development process of the PLB intervention. We searched for research evidence on 5 July 2023 from several databases, including PubMed, Embase (via Ovid), Cochrane Library, Google Scholar and China Biology Medicine Disk (CBM). Using the content validity index, a panel of experts assessed the appropriateness of the PLB protocol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We developed the preliminary home PLB intervention protocol on the basis of several underlying rationales, which encompass the extension of expiration time, enhancement of respiratory muscle strength, augmentation of tidal volume and integration of the most reliable research evidence obtained from four systematic reviews, five RCTs, five clinical trials, and 10 recommendations. We structured the PLB intervention with a designated time ratio of inspiration to expiration, set at 1:2. Additionally, this study recommends that the training parameters of the PLB intervention were as follows: three sessions per day, each lasting for 10 min, over 8 weeks. Individualised PLB training intensity adjusted the inhalation component according to each participant's tolerance level while emphasising the exhalation phase to ensure the complete expulsion of air from the lungs. The home PLB intervention protocol established strong content validity through consensus, which was reached among all panel experts. The item-level and scale-level content validity indices (CVIs) reached a maximum score of 1.0, indicating a high level of agreement and credibility in the protocol's content as evaluated by the expert panel.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>An optimal evidence-based home PLB protocol has been adapted and developed to manage health-related outcomes of patients with COPD. The protocol is transparent and fully supported by relevant mechanisms, concrete evidence, recommendations and experts' consensus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>In this study, we consulted patients with COPD about the ‘Prepared Conditions Before PLB P","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The How and Why of Peer Review 同行评审的方式和原因

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing

Pub Date : 2024-06-24 DOI: 10.1111/opn.12625

Sarah H. Kagan

Raise your hand if you've ever ignored, deleted or lost track of an invitation from an editor to review a manuscript. Peer review is both a process and a role that doesn't always work well for anyone involved. Editors hunt endlessly for scholars to invite to do peer review. Authors hope for thoughtful and understanding peer reviewers whenever they upload a manuscript for consideration by a journal. Peer reviewers? Well, they are often long-serving and somewhat beleaguered by invitations as word of their service spreads across journals. But those who could serve as reviewers often seem to be in hiding, perplexing editors and indirectly frustrating authors.

Despite complex logistics, peer review is a favourite topic of mine. In critical ways, the quality of our science—any science—rests on high-quality peer review. Peer reviewers deserve far more recognition than they receive. The Associate Editors here at the International Journal of Older People Nursing (IJOPN) and I enjoy honouring our most outstanding peer reviewers with our annual awards. There, peer reviewers rank right alongside authors and editorial board members, enjoying our accolades. Our annual editorial announcing those awards is truly a special one to celebrate each year. Watch for the editorial about our 2023 awards later this year!

Peer reviewers are different from authors, editorial board members and editors in one important way. Peer reviewers are the only group who are anonymous. They remain anonymous until we single them out for recognition and, even then, what they reviewed is known only to them and to us as editors. Although some journals do now include the names of reviewers who wish to be known when publishing the manuscript they have reviewed. Their role in disseminating high-quality science must remain invisible to both authors and readers in a journal like this one that employs double-blind review. So called double- and single-blind—or anonymised—reviews offer distinct advantages over open peer reviews. Both reviewer and author are not known to each other in the doubly anonymised version and the reviewer is not known to the author, though the author is typically known to the reviewer, in the single version. Anonymising the review process helps limit implicit bias, supporting better inclusion in publishing and providing editors, who cannot be blinded, with valuable insights and critical evaluation of any manuscript they deem ready for peer review.

Beyond our editorials announcing our annual awards, peer review has been my focus in several other editorials. I've written about the relationship of peer reviewers to authors and editors (Kagan 2019), giving credit for peer review (Kagan 2022), and offered specific tips to reviewers as well as authors (Kagan 2024a, 2024b). In all these editorials, I aim to improve the peer review process here at IJOPN by strengthening peer reviewers' sk

如果你曾经忽视、删除或忘记编辑的审稿邀请，请举手示意。同行评审既是一个过程，也是一个角色，并不总能让参与其中的每个人都满意。编辑无休止地寻找学者，邀请他们进行同行评审。每当作者上传稿件供期刊审阅时，他们都希望能得到深思熟虑、善解人意的同行评审。同行评审员？嗯，他们往往长期服务于期刊，当他们的服务在期刊上广为流传时，他们就会受到邀请，有些窘迫。但是，那些可以担任审稿人的人却似乎经常躲藏起来，这让编辑们感到困惑，也间接地让作者感到沮丧。我们的科学--任何科学--的质量在很大程度上取决于高质量的同行评审。同行评审员应该得到更多的认可。我和《国际老年人护理杂志》（IJOPN）的副主编们喜欢通过年度奖项来表彰最杰出的同行评审员。在这里，同行评审员与作者和编委会成员并肩享受我们的荣誉。我们宣布这些奖项的年度社论确实是每年值得庆祝的特别事件。请关注今年晚些时候有关 2023 年奖项的社论！同行评审员与作者、编委和编辑有一个重要的不同之处。同行评审员是唯一匿名的群体。在我们将他们挑出来表彰之前，他们一直是匿名的，即便如此，他们审阅的内容也只有他们自己和作为编辑的我们知道。尽管现在有些期刊在发表审稿人审阅过的稿件时，会注明他们的姓名。在像本刊这样采用双盲审稿的期刊上，作者和读者都不可能看到他们在传播高质量科学方面所起的作用。与公开的同行评审相比，所谓的双盲和单盲或匿名评审具有明显的优势。在双盲匿名审稿中，审稿人和作者互不相识；在单盲匿名审稿中，虽然审稿人通常知道作者，但审稿人不知道作者。匿名评审过程有助于限制隐性偏见，支持出版业更好地包容同行，并为编辑提供宝贵的见解，对他们认为可以进行同行评审的任何稿件进行批判性评估。我写过同行评审员与作者和编辑的关系（Kagan 2019），给予同行评审的荣誉（Kagan 2022），并为评审员和作者提供了具体的建议（Kagan 2024a，2024b）。在所有这些社论中，我的目标都是通过加强同行评审员的技能和更广泛地向读者宣传同行评审知识来改进《国际期刊与网络》的同行评审流程。我的努力结果喜忧参半。我们的同行评审小组增加了新成员，我认为这部分归功于这些社论以及我们发表的高质量稿件所产生的吸引力。欢迎新的审稿人，感谢所有审稿人的不懈努力，这些都是我们鼓掌的理由。尽管增加了新的审稿人，尽管我们对固定的审稿人群体充满感激，但我们的同行评审过程仍然面临着巨大的挑战。这些挑战中最主要的是难以招募到合格的同行评审员，尤其是对于我们收到的最新颖的稿件。这些挑战导致了向作者返还审稿的延迟。在招聘同行审稿人的过程中，我和副主编经常相互支持，甚至相互安慰。当我思考这个问题时，我意识到同事们越来越有可能因为想象中审稿的工作量而放弃审稿。他们认为做好同行评审工作需要付出努力，这种想法是对的。俗话说，凡事都要付出代价。但是有一些方法可以让同行评审变得更加高效和有效。虽然没有确切的方法能让同行评审做得更好、更快，但我有一些技巧可以分享，同事们告诉我这些技巧对他们很有帮助。这就是我的快速同行评审指南。这就是我的同行评审快速指南。这就是我的同行评议快速指南，希望它能帮助你在进行下一次同行评议时更自信、更有条理。我希望它能让您接受更多来自本刊和其他刊物的审稿邀请。这些审稿是您对科学最宝贵的贡献之一。

{"title":"The How and Why of Peer Review","authors":"Sarah H. Kagan","doi":"10.1111/opn.12625","DOIUrl":"10.1111/opn.12625","url":null,"abstract":"<p>Raise your hand if you've ever ignored, deleted or lost track of an invitation from an editor to review a manuscript. Peer review is both a process and a role that doesn't always work well for anyone involved. Editors hunt endlessly for scholars to invite to do peer review. Authors hope for thoughtful and understanding peer reviewers whenever they upload a manuscript for consideration by a journal. Peer reviewers? Well, they are often long-serving and somewhat beleaguered by invitations as word of their service spreads across journals. But those who could serve as reviewers often seem to be in hiding, perplexing editors and indirectly frustrating authors.</p><p>Despite complex logistics, peer review is a favourite topic of mine. In critical ways, the quality of our science—any science—rests on high-quality peer review. Peer reviewers deserve far more recognition than they receive. The Associate Editors here at the <i>International Journal of Older People Nursing</i> (<i>IJOPN</i>) and I enjoy honouring our most outstanding peer reviewers with our annual awards. There, peer reviewers rank right alongside authors and editorial board members, enjoying our accolades. Our annual editorial announcing those awards is truly a special one to celebrate each year. Watch for the editorial about our 2023 awards later this year!</p><p>Peer reviewers are different from authors, editorial board members and editors in one important way. Peer reviewers are the only group who are anonymous. They remain anonymous until we single them out for recognition and, even then, what they reviewed is known only to them and to us as editors. Although some journals do now include the names of reviewers who wish to be known when publishing the manuscript they have reviewed. Their role in disseminating high-quality science must remain invisible to both authors and readers in a journal like this one that employs double-blind review. So called double- and single-blind—or anonymised—reviews offer distinct advantages over open peer reviews. Both reviewer and author are not known to each other in the doubly anonymised version and the reviewer is not known to the author, though the author is typically known to the reviewer, in the single version. Anonymising the review process helps limit implicit bias, supporting better inclusion in publishing and providing editors, who cannot be blinded, with valuable insights and critical evaluation of any manuscript they deem ready for peer review.</p><p>Beyond our editorials announcing our annual awards, peer review has been my focus in several other editorials. I've written about the relationship of peer reviewers to authors and editors (Kagan <span>2019</span>), giving credit for peer review (Kagan <span>2022</span>), and offered specific tips to reviewers as well as authors (Kagan <span>2024a</span>, <span>2024b</span>). In all these editorials, I aim to improve the peer review process here at <i>IJOPN</i> by strengthening peer reviewers' sk","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12625","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页

1
2
3
4
5
6
7
...
10

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

International Journal of Older People Nursing

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀

0

微信

客服QQ

扫码关注我们

反馈

Book学术文献互助群
群号：481959085

文献互助智能选刊最新文献互助须知联系我们：info@booksci.cn

Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。

京公网安备 11010802042870号京ICP备2023020795号-1