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Adaptation of the Australian National University Alzheimer's Disease Risk Index-Short Form (ANU-ADRI-SF) into Turkish 将澳大利亚国立大学阿尔茨海默病风险指数简表（ANU-ADRI-SF）改编成土耳其语。
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-03-21 DOI: 10.1111/opn.12608
Serap Bayram PhD, Özlem Altınbaş Akkaş PhD

Background

The ‘Australian National University Alzheimer's Disease Risk Index’ (ANU-ADRI) assesses the risk of developing Alzheimer's disease (AD) and is a potential tool for its prevention.

Objectives

The aim of this study is to adapt the ANU-ADRI-SF (the short version of ANU-ADRI) into the Turkish language and Turkish cultural context.

Methods

The study was methodological and involved the translation and intercultural adaptation of the ANU-ADRI-SF into the Turkish language. The study included 384 community-based participants from a province in the Western Black Sea Region of Türkiye. Data was collected via an online form prepared using Google Forms.

Results

The index was translated from its original language, English, into Turkish and then retranslated to English by bilingual translators. It was then reviewed and evaluated for possible issues related to translation and degrees of equivalence. When TR-ANU-ADRI-SF levels were compared according to sex, the mean risk scores were found to be 11.25 ± 7.02 for males and 11.69 ± 7.99 for females. After cross-cultural adaptation, the TR-ANU-ADRI-SF was conceptually intelligible to Turkish adults.

Conclusions

The TR-ANU-ADRI-SF is a valid and reliable AD risk assessment tool.

Implications for practice

Given the increase in AD and its impact on people's health, there is a great need for strategies to be implemented by health professionals to improve the lifestyle of the adult population. For use in conjunction with these strategies, a localised AD risk assessment tool that can be applied by clinicians or by individual patients has been adapted and introduced to the Turkish literature.

背景：澳大利亚国立大学阿尔茨海默病风险指数"（ANU-ADRI）可评估罹患阿尔茨海默病（AD）的风险，是一种潜在的预防工具：本研究的目的是将 ANU-ADRI-SF（ANU-ADRI 的简写本）改编为土耳其语并融入土耳其文化背景：本研究采用方法论，包括将 ANU-ADRI-SF 翻译成土耳其语并进行跨文化改编。研究对象包括来自土耳其西部黑海地区某省的 384 名社区参与者。数据通过使用谷歌表格编制的在线表格收集：该指数由双语翻译人员从原文英语翻译成土耳其语，然后再重新翻译成英语。然后对其进行了审查和评估，以找出可能存在的与翻译和等效程度有关的问题。根据性别对 TR-ANU-ADRI-SF 水平进行比较后发现，男性的平均风险分数为 11.25 ± 7.02，女性为 11.69 ± 7.99。经过跨文化调整后，土耳其成年人可以理解 TR-ANU-ADRI-SF 的概念：结论：TR-ANU-ADRI-SF 是一种有效、可靠的注意力缺失症风险评估工具：实践启示：鉴于注意力缺失症的增加及其对人们健康的影响，医疗专业人员亟需实施一些策略来改善成年人的生活方式。为了与这些策略结合使用，我们改编了一种本地化的注意力缺失症风险评估工具，供临床医生或患者个人使用，并将其引入土耳其文献中。
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引用次数: 0
Anchoring our science with keywords 用关键字为我们的科学定锚。
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-03-07 DOI: 10.1111/opn.12607
Sarah H. Kagan PhD, RN

Keywords. Not a topic that excites many readers, I imagine. But I would like to convince you that keywords are critical to advancing science and are thus quite exciting. Think of the roles that keywords play in science. Keywords place a research report in the context of a larger body of literature. Keywords tie one research report to others addressing the same and closely related topics. Evidence syntheses are built on a foundation of keywords. Every search begins with a carefully delimited set of keywords, some of which are subject headings and others are keywords determined by the investigators. In publishing, both authors and reviewers each declare keywords. Authors list them for themselves as scholars and for their manuscript. Reviewers select them to define their expertise. Editors go on to match reviewers to manuscripts and authors to journals. In short, both science and scientific literature are anchored by keywords. Great and thanks for that overview, you think. So, what more is there to say? Quite a lot, actually.

Concerningly, keywords are commonly ineffectively or inappropriately used within gerontological nursing and beyond. Keywords appear prosaic and familiar to most of us. How hard can it be, we think to ourselves, to list a few words like ‘older people’ or ‘gerontological nursing’ when submitting our manuscripts or completing our peer reviewer accounts and then tick that task off as complete. That approach typically results in imprecise and incomplete lists of keywords, often overlooking connections to subject headings. Confusion about keywords and subject headings lies at the core of where our use of keywords commonly goes wrong.

Keywords on a manuscript may include subject headings from one or more taxonomies. But not all keywords are subject headings. Some topics may be too novel or culturally specific to have amassed sufficient science and gained recognition in one or more taxonomies. Keywords, subject headings and their use are hardly a common lecture topic made clear through robust discussion. Importantly, the correct term is ‘keywords’ and not ‘key words’. Know that, if this surprises you, you are not alone. Few of us are explicitly taught about keywords in a manner that makes using them effectively easy.

Keywords are terms that describe topics represented by the content and methods used in a research project and its dissemination. They can also be applied to other types of manuscripts like commentaries and editorials. Keywords are not key or essential words used in a manuscript nor are they words simply associated with a given journal. Consequently, manuscripts submitted to this journal should not simply be identified with keywords like ‘older people’ or ‘older people nursing’ without directly studying either or both of those topics. Importantly, keywords are not structured by an organisation with formal authority to make keywords official. Rather, keywords emerge organically as authors publish

相反，选择关键词是投稿期刊的首要条件之一，但大多数期刊却很少考虑这个问题。国际老年人护理学杂志》稿件的常用关键词是 "老年人"、"老年护理"、"老年人护理"、"长期护理 "和 "护理之家"。这些术语非常符合本期刊的范围。不过，这些术语很少能体现所附稿件的具体主题。相反，这些术语只能捕捉稿件所在的一般领域，仅此而已。因此，如果没有其他更具体的关键词，这些通用关键词就无法实现加入关键词的初衷。考虑一篇假设的稿件，该稿件报告了一项基础理论研究，内容是家庭照顾者如何体验与他们所照顾的老年人之间的互惠关系。选择关键词 "老年人"、"老年护理 "或 "老年人护理 "以及可能的 "家庭 "在技术上是正确的。这项研究是关于老年人的，属于老年护理学的范畴。幸运的是，老年护理（在 CINAHL 中不是老年护理）和家庭都是 CINAHL 的主题词。不幸的是，选择这些与主题关联松散而与方法完全无关的关键词会使其效果相对较差。例如，它没有使用护理人员和基础理论这两个 CINAHL 主题词。它还忽略了关键词 "互惠 "或更大的 CINAHL 主题标题，后者涵盖了人际关系中的互惠。如果本稿件的关键词列表中没有准确、具体地表达研究重点的主题词和关键词，就会出现问题。因此，处理此稿件的编辑要想轻松找到潜在审稿人的可能性很低。当稿件所附的唯一关键词是最宽泛的关键词时，搜索潜在同行审稿人的效果总是很差。编辑在数据库中搜索到的结果太多，大部分都与研究报告的实际主题不符。有时，编辑别无选择，只能邀请同行评审，因为他们的专业知识可能符合稿件的主题和方法。不出所料，这种 "暗箱操作 "的方法很少能快速或良好地发挥作用。如今，稿件在招募同行评审人方面的延误已司空见惯。作为一名编辑，我经常在想，精确选择关键词能在多大程度上减少这些延误。与投稿的作者一样，审稿人也会被提示选择自己的关键词。与作者一样，审稿人如果只列出几个宽泛的关键词，而不添加其他精确描述其专业领域的关键词，就会面临两难境地。他们会收到大量的审稿邀请，但却可能很少看到符合其专长和感兴趣的审稿邀请。如今，我们大多数人都被电子邮件信息淹没。每周都有几封邮件可能是我们认识的期刊发出的邀请，也有很多是我们不认识的期刊发出的邀请。尽管有专业服务的理想，但我们中的许多人可能连看都不看就直接忽略或删除这些邀请。选择具体的关键词并不能解决不请自来、不受欢迎的审稿邀请问题。这种邀请只是当今科学出版业的一部分。回到我们假设的稿件，报告了家庭照顾者照顾老年人时的互惠基础理论......如果编辑成功找到了合格的同行评审员，而稿件最终在没有修改那些根本不准确的关键词的情况下发表了，那么就会出现更多问题。事实上，不准确和不精确的关键词对科学进步的核心挑战始于研究报告发表之后。用关键词确定的研究报告只能粗略地反映所研究的主题、应用的理论和使用的方法，在全球科学文献中漂泊不定。如果没有当代关键词和当前主题标题提供的强大联系，其他学者在搜索研究报告时就很难找到它们。更少的学者可能会引用标识模糊的研究报告，因为他们的搜索可能无法检索到这些报告。更关键的是，在为证据综合项目生成的搜索字符串中，关键词特征不明确的研究报告可能会被遗漏。
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引用次数: 0
How is family health related to health-related quality of life among middle-aged and older adults in rural China? A cross-sectional study 家庭健康与中国农村中老年人的健康相关生活质量有何关系？一项横断面研究。
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-02-20 DOI: 10.1111/opn.12605
Jiangyun Chen PhD, Yibo Wu PhD, Lehuan Li, Feiying He PhD, Biqing Zou, Yishan Zhuang, Yusupujiang Tuersun, Jiao Yang, Fangjing Wu, Yifan Kan, Ke Lyu, Yefeng Lu MD, Wai-Kit Ming PhD, Xinying Sun PhD, Dong Wang PhD

Background

Health-related quality of life (HRQOL) is unequal between countries and regions, and the emphasis on HRQOL of populations of low-income countries and regions is unprecedented.

Objectives

To examine the association between family health and HRQOL among middle-aged and older adults in rural China, and determine whether this association differs by age, gender and chronic disease subgroup.

Methods

Cross-sectional survey carried out from July to September 2021. The participants were 1059 people aged 46 and over living in rural China. We used the European Quality of Life Five Dimension Five Level (EQ-5D-5L) and Family Health Scale-Short Form (FHS-SF) to assess health-related quality of life (HRQOL) and family health, respectively.

Results

The mean EQ-VAS was 75.66, the mean EQ index score was 0.92, and the mean FHS was 37.90 in rural middle-aged and older adults. After Bonferroni correction, generalised linear regression models showed that FHS was significantly associated with the EQ-VAS (β = 0.829; 95% confidence interval [CI]: 0.660 to 0.997; p < .001) and the EQ index score (β = 0.003; 95%CI: 0.001 to 0.004; p < .001). Binary logistic regression models showed that FHS was associated with three dimensions of HRQOL (mobility, self-care and usual activities) (p < .01). Based on subgroup analyses, the effect of FHS on EQ-VAS and the EQ index score was significant in three subgroups after Bonferroni correction (p < .01), but the association between FHS and the dimensions of HRQOL differed by age, gender and chronic disease group (p > .01).

Conclusions

This study is the first to explore that family health and its dimensions are significant positive predictors of HRQOL among middle-aged and older adults in rural China. Family-based measures may have more potential and value because better family health significantly improves HRQOL.

Implications for practice

In the health strategy, the government and primary health care workers should include family health as an indicator and assess it before and after the implementation of the strategy.

背景：与健康相关的生活质量（HRQOL）在不同国家和地区之间是不平等的，对低收入国家和地区人口的HRQOL的重视程度也是前所未有的：研究中国农村中老年人家庭健康与 HRQOL 之间的关系，并确定这种关系是否因年龄、性别和慢性病亚群而有所不同：方法：2021 年 7 月至 9 月进行的横断面调查。调查对象为 1059 名 46 岁及以上的中国农村居民。我们采用欧洲生活质量五维五级（EQ-5D-5L）和家庭健康量表-简表（FHS-SF）分别评估健康相关生活质量（HRQOL）和家庭健康状况：农村中老年人的 EQ-VAS 平均值为 75.66，EQ 指数平均值为 0.92，FHS 平均值为 37.90。经 Bonferroni 校正后，广义线性回归模型显示，FHS 与 EQ-VAS 显著相关（β = 0.829；95% 置信区间 [CI]：0.660 至 0.997；P .01）：本研究首次发现家庭健康及其维度对中国农村中老年人的 HRQOL 有显著的正向预测作用。基于家庭的措施可能更有潜力和价值，因为更好的家庭健康能显著改善 HRQOL：在健康战略中，政府和基层医疗工作者应将家庭健康作为一项指标，并在战略实施前后对其进行评估。
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引用次数: 0
Correction to Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from ‘online’ supportive conversations and reflection sessions 更正为 "促进护理之家工作人员在临终关怀方面基于实践的学习的实用性"：从 "在线 "支持性对话和反思会议中汲取的经验教训
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-02-11 DOI: 10.1111/opn.12606

By Hockley, J., Watson, J., Johnston, L., & Shenkin, S. D. (2024). Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from “online” supportive conversations and reflection sessions. International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598

The authors of this article, first published on [7 January 2024] in Wiley Online Library (wileyonlinelibrary.com), have informed the editors of the below errors that they wish to correct.

In the summary box, the heading:

‘What are the implications for this knew knowledge for nursing care with older people?’ was incorrect.

This should have read:

‘What are the implications of this new knowledge for nursing care with older people?’

In the third bullet point:

‘Specialist palliative care facilitators and care home practicer educators are well placed to facilitate OSCaRS but delivery and sustainability is challenging’ was incorrect.

This should have read:

‘Specialist palliative care facilitators and care home practice educators are well placed to facilitate OSCaRS, but delivery and sustainability is challenging’.

In Box 2a, the heading ‘Record of OSCaRS teaching points at one sessions [CH2]’ was incorrect.

This should have read ‘Record of OSCaRS teaching points at one session [CH2]’.

We apologize for these errors.

REFERENCE

Hockley, J., Watson, J., Johnston, L., & Shenkin, D. S. (2024). Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from “online” supportive conversations and reflection sessions. International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598

作者：Hockley, J., Watson, J., Johnston, L., & Shenkin, S. D. (2024).促进护理院员工生命末期护理实践学习的实用性：从 "在线 "支持性对话和反思会议中汲取的经验。International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598本文作者于[2024 年 1 月 7 日]首次发表于 Wiley Online Library (wileyonlinelibrary.com)，现告知编辑以下错误，希望予以更正。在摘要框中，标题 "这些新知识对老年人护理工作有何意义？第三点中的 "姑息关怀专家促进者和居家护理实践教育者完全有能力促进 OSCaRS，但实施和可持续性具有挑战性 "有误，应为 "姑息关怀专家促进者和居家护理实践教育者完全有能力促进 OSCaRS，但实施和可持续性具有挑战性"。在方框 2a 中，"在一次会议[CH2]上的 OSCaRS 教学点记录 "标题不正确，应为 "在一次会议[CH2]上的 OSCaRS 教学点记录"、Watson, J., Johnston, L., & Shenkin, D. S. (2024).促进护理院员工生命末期护理实践学习的实用性：从 "在线 "支持性对话和反思会议中汲取的经验。International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598
{"title":"Correction to Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from ‘online’ supportive conversations and reflection sessions","authors":"","doi":"10.1111/opn.12606","DOIUrl":"https://doi.org/10.1111/opn.12606","url":null,"abstract":"<p>By Hockley, J., Watson, J., Johnston, L., &amp; Shenkin, S. D. (2024). Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from “online” supportive conversations and reflection sessions. International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598</p><p>The authors of this article, first published on [7 January 2024] in Wiley Online Library (wileyonlinelibrary.com), have informed the editors of the below errors that they wish to correct.</p><p>In the summary box, the heading:</p><p>‘What are the implications for this knew knowledge for nursing care with older people?’ was incorrect.</p><p>This should have read:</p><p>‘What are the implications of this new knowledge for nursing care with older people?’</p><p>In the third bullet point:</p><p>‘Specialist palliative care facilitators and care home practicer educators are well placed to facilitate OSCaRS but delivery and sustainability is challenging’ was incorrect.</p><p>This should have read:</p><p>‘Specialist palliative care facilitators and care home practice educators are well placed to facilitate OSCaRS, but delivery and sustainability is challenging’.</p><p>In Box 2a, the heading ‘Record of OSCaRS teaching points at one sessions [CH2]’ was incorrect.</p><p>This should have read ‘Record of OSCaRS teaching points at one session [CH2]’.</p><p>We apologize for these errors.</p><p>REFERENCE</p><p>Hockley, J., Watson, J., Johnston, L., &amp; Shenkin, D. S. (2024). Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from “online” supportive conversations and reflection sessions. International Journal of Older People Nursing, 19, e12598. https://doi.org/10.1111/opn.12598</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12606","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139719858","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
Older individuals' perspectives on the prerequisites for living at home: A mixed-methods systematic review 老年人对居家生活先决条件的看法：混合方法系统回顾
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-02-06 DOI: 10.1111/opn.12603
Minna Ylönen PhD, RN, Minna Stolt PhD, Dominika Kohanová PhD, RN, Riitta Suhonen PhD, RN, FEANS, MAE

Introduction

Living at home for as long as possible is a central ageing policy goal. Older individuals usually expect to stay at home, if possible, and their goals regarding living at home generally include holistic wellness, prevention and treatment of ageing effects and the retention of satisfaction. Previous research on older individuals living at home has mostly focused on their physical performance, usually evaluated by healthcare professionals. However, there is limited research on older individuals' identification of the prerequisites for living at home.

Methods

The aim was to identify older individuals' views on the prerequisites for living at home. We conducted a mixed-methods systematic review with a data-based convergent design. We carried out a computerized search in MEDLINE (1966 to the end of August 2021) and CINAHL (1982 to the end of August 2021). All types of study designs were included. We evaluated the methodological quality of the included articles.

Results

Of the 1052 articles identified, 28 were eligible. The prerequisites for older individuals to be able to live at home include lifestyle and self-care capability and physical, psychosocial, environmental and socio-economic components.

Conclusion

The review provided knowledge that can be used to inform measures for supporting independent at-home living. Older individuals' perspectives on prerequisites for at-home living are unique and individually specific. A checklist can be developed to detect individuals' singularity and the strengths and limitations impacting independent living. Therefore, assessments of each older individual's own perspective are needed to better identify the prerequisites for at-home living.

导言：尽可能长时间地居家养老是老龄政策的核心目标。老年人通常希望在可能的情况下留在家中，他们在家中生活的目标通常包括整体健康、预防和治疗老化效应以及保持满意度。以往关于居家养老的研究大多集中在老年人的身体状况上，通常由医疗保健专业人员进行评估。然而，关于老年人对居家生活先决条件的识别的研究却很有限。 方法 我们的目的是了解老年人对居家生活先决条件的看法。我们采用基于数据的聚合设计，以混合方法进行了系统综述。我们在 MEDLINE（1966 年至 2021 年 8 月底）和 CINAHL（1982 年至 2021 年 8 月底）中进行了计算机检索。所有类型的研究设计均包括在内。我们对收录文章的方法学质量进行了评估。 结果 在确定的 1052 篇文章中，有 28 篇符合条件。老年人能够在家生活的先决条件包括生活方式和自我护理能力，以及身体、社会心理、环境和社会经济方面的因素。 结论 该综述提供的知识可用来指导支持独立居家生活的措施。老年人对居家生活先决条件的看法是独特的，也是因人而异的。可以制定一份清单来检测个人的独特性以及影响独立生活的优势和局限性。因此，需要对每个老年人自己的观点进行评估，以更好地确定居家生活的先决条件。
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引用次数: 0
Staff-based measurement instruments of person-centredness in settings of care for older people: A systematic review 以工作人员为基础的老年人护理机构 "以人为本 "测量工具：系统回顾
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-01-31 DOI: 10.1111/opn.12601
Tinna Elfstrand Corlin PhD, Ali Kazemi PhD

Background

Person-centred care is widely endorsed as a promising approach for delivering high-quality care to older people. However, the multitude of existing definitions and measurement tools, coupled with the continuous emergence of new tools, can create confusion and hinder precision in assessing this concept. This review was undertaken with a recognition of the crucial role that assessment quality plays in evaluations and improvements, particularly within the context of person-centred care for older people.

Objectives

This study aimed to systematically review staff-based measures of person-centredness in settings of care for older people. More specifically, the objectives were to provide description, methodological evaluation and synthesis of diverse conceptual understandings of person-centredness encapsulated in these measurement tools.

Methods

We systematically searched the Cinahl, PsycInfo, PubMed, Scopus and Web of Science databases for English peer-reviewed journal articles between 2000 and 2021. These articles discussed the creation of staff-based questionnaires designed to assess the extent of person-centred care. We excluded questionnaires meant for clients, patients or families, as well as non-questionnaire scales. The measures were described, and their interpretations of person-centred care were synthesised through a critical interpretive synthesis method. We evaluated methodological quality using a condensed COSMIN risk of bias checklist and adhered to PRISMA guidelines.

Results

The review identified a total of 14 staff-based measures. These measures exhibited varying levels of comprehensiveness, encompassing anywhere between 2 and 17 components. Furthermore, the number of items within the measures ranged from 11 to 62, and the sample sizes exhibited significant diversity, spanning from 58 to 1428. In terms of the components scrutinised by the scales regarding person-centred care, our synthesis revealed the emergence of four distinct conceptual categories: care process, supportive care environment, relations and communication, and knowledge and attitudes. As for the methodological quality of the scales, it exhibited a notable degree of variation (i.e. from inadequate to very good).

Conclusions

Diverse measures of person-centredness vary in terms of compreh

背景 以人为本的护理被广泛认为是为老年人提供高质量护理的一种可行方法。然而，现有的定义和测量工具繁多，再加上新工具的不断涌现，可能会造成混淆，妨碍对这一概念进行精确评估。本研究的目的是认识到评估质量在评估和改进中的关键作用，尤其是在以人为本的老年人护理中。 研究目的 本研究旨在系统性地审查以员工为基础的、针对老年人护理环境中 "以人为本 "的测量方法。更具体地说，目的是对这些测量工具中包含的以人为本的不同概念理解进行描述、方法评估和综合。 方法 我们在 Cinahl、PsycInfo、PubMed、Scopus 和 Web of Science 数据库中系统地检索了 2000 年至 2021 年间的英文同行评审期刊文章。这些文章讨论了如何设计基于员工的问卷，以评估以人为本的护理程度。我们排除了针对客户、患者或家属的问卷以及非问卷量表。我们对这些测量方法进行了描述，并通过批判性解释综合法对它们对 "以人为本的护理 "的解释进行了综合。我们使用精简的 COSMIN 偏倚风险检查表对方法学质量进行了评估，并遵守了 PRISMA 指南。 结果 本次审查共确定了 14 项基于员工的措施。这些方法的全面性各不相同，包括 2 到 17 个组成部分。此外，测量项目的数量从 11 个到 62 个不等，样本量也呈现出显著的多样性，从 58 个到 1428 个不等。就有关以人为本的护理的量表所审查的组成部分而言，我们的综合结果显示出现了四个不同的概念类别：护理过程、支持性护理环境、关系与沟通以及知识与态度。至于量表的方法质量，则表现出明显的差异（即从不足到非常好）。 结论 对 "以人为本 "的各种衡量标准在全面性、涵盖面和方法质量方面各不相同。通过以员工为基础的测量方法来综合这一概念，为研究人员和从业人员提供了一种新的方法，揭示了以人为本护理中的细微差别。 对实践的启示 本综述通过对各个组成部分的剖析，丰富了学术讨论和实际应用，最终加强了护理质量的评估和改进。此外，这篇综述对于在老年人护理环境中工作的单位管理人员和质量协调员来说也是一个宝贵的资源，使他们能够从现有的各种以人为本的护理措施中根据自己的具体需求做出明智的决定。
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引用次数: 0
Experiences of interventions to reduce hospital stay for older adults following elective treatment: Qualitative evidence-synthesis 减少老年人选择性治疗后住院时间的干预经验：定性证据综述
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-01-30 DOI: 10.1111/opn.12602
Debbie Kinsey PhD, Daniele Carrieri PhD, Simon Briscoe PhD, Sam Febrey BSc, Dylan Kneale PhD, Chris Lovegrove MClinRes, BSc, Michael Nunns PhD, Jo Thompson Coon PhD, John McGrath BM, BS, FRCS, MD, Anthony Hemsley BMedSci, MD, FRCP, Liz Shaw DClinPsy

Background and Objectives

Hospitals streamline treatment pathways to reduce the length of time older adults admitted for planned procedures spend in hospital. However patient perspectives have been poorly evaluated. This systematic review aimed to understand the experiences of older patients, carers, families and staff of multi-component interventions intended to improve recovery following elective treatment.

Research Design and Methods

Bibliographic databases searched in June 2021 included MEDLINE ALL, HMIC, CENTRAL, CINAHL, AMED and ProQuest Dissertations and Theses. We conducted citation searching and examined reference lists of reviews. Two reviewers independently undertook screening and data extraction, resolving disagreements through discussion. We used an adapted Wallace checklist for quality appraisal and meta-ethnography to synthesise data. Clinician, carer and patient views were incorporated throughout the review.

Results

Thirty-five papers were included in the synthesis. Thirteen studies were conducted in the UK, with patient views the most frequently represented. We identified six overarching constructs: ‘Home as preferred environment for recovery’, ‘Feeling safe’, ‘Individualisation of structured programme’, ‘Taking responsibility’, ‘Essential care at home’ and ‘Outcomes’.

Discussion and Implications

Findings explore the support patients, families and carers need throughout hospital admission, and may inform commissioning of services to ensure patients and carers receive appropriate follow-up support after hospital discharge. The findings may help hospital and community-based health and social care staff provide person-centred care based upon assessments of emotional and physical wellbeing of patients and family/carers. Research is needed to establish a core-set of patient-reported outcome measures which capture aspects of recovery which are meaningful to patients.

背景和目的 医院简化治疗路径，以缩短老年人因计划程序而入院的住院时间。然而，对患者观点的评估却很少。本系统性综述旨在了解老年患者、照护者、家属和工作人员对旨在改善择期治疗后康复的多成分干预措施的体验。 研究设计与方法 2021 年 6 月检索的文献数据库包括 MEDLINE ALL、HMIC、CENTRAL、CINAHL、AMED 和 ProQuest Dissertations and Theses。我们对综述进行了引文检索并检查了参考文献目录。两名审稿人独立进行筛选和数据提取，并通过讨论解决分歧。我们使用经过改编的华莱士质量评估核对表和元人种学方法来综合数据。临床医生、护理人员和患者的意见被纳入整个综述。 结果 35 篇论文被纳入综述。其中 13 项研究在英国进行，患者的观点最常被引用。我们确定了六个总体构架：家庭作为康复的首选环境"、"安全感"、"结构化方案的个性化"、"承担责任"、"家庭基本护理 "和 "结果"。 讨论和启示 研究结果探讨了患者、家属和照护者在整个入院过程中所需的支持，可为服务委托提供参考，以确保患者和照护者在出院后获得适当的后续支持。研究结果可帮助医院和社区的医疗及社会护理人员在评估病人及其家人/照护者的情绪和身体健康的基础上，提供以人为本的护理服务。需要开展研究来建立一套患者报告的核心结果测量方法，这些测量方法可以捕捉到对患者有意义的康复方面。
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引用次数: 0
Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care and factors associated with it 芬兰远程家庭护理工作者对将远程家庭护理纳入老年人家庭护理的满意度及相关因素
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-01-30 DOI: 10.1111/opn.12604
Merja Hoffrén-Mikkola PhD, Sini Eloranta PhD, Sari Teeri PhD, Tuula Mikkola PhD, Marjatta Komulainen MSc

Background

Telehomecare in older adults' home care in Finland is mainly video-mediated check-up and reminder calls with home care clients. Home care workers have reported mixed attitudes and feelings towards utilisation of technologies and remote services in their work.

Objectives

The aim of this cross-sectional study was to investigate Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care. Another aim was to examine what factors are associated with this satisfaction.

Methods

The data were collected with an electronic quantitative email survey. Five Finnish older adults' home care organisations participated as the target organisations of the study. Two of the organisations were located in large cities, one in a medium-sized provincial centre and two in rural municipalities. Three organisations provided telehomecare services with centralised service models and two with decentralised service models. In total, the organisations had 103 telehomecare workers to whom the survey was directed.

Results

The telehomecare workers were mostly satisfied with (55.8%) or felt neutral about (20.9%) the inclusion of telehomecare in older adults' home care. Satisfaction was strongly related to the workers' experience of telehomecare making their work easier, improving interaction and enhancing relationships of trust with clients as well as decreasing workload. Application of telehomecare to overcome the workers' physical restrictions, and also their perceptions of being able to influence whether to start working in telehomecare, were strongly related to their satisfaction with the inclusion of telehomecare in home care.

Conclusions

The results confirm that telehomecare job positions function well as relocated job positions in home care when workers have musculoskeletal problems or injuries. However, it is important that workers' willingness to work in telehomecare is also respected. From the telehomecare workers' perspective, good interaction and trustful relationships with clients are important factors that produce good care and increase satisfaction with telehomecare.

Implications for practice

Telehomecare may have a positive impact on the home care workers’ job satisfaction. The homecare workers need training in the use of

背景 芬兰老年人家庭护理中的远程家庭护理主要是以视频为媒介与家庭护理客户进行检查和提醒通话。据报道，居家护理人员对在工作中使用技术和远程服务的态度和感受不一。 这项横断面研究旨在调查芬兰远程家庭护理工作者对将远程家庭护理纳入老年人家庭护理的满意度。另一个目的是研究与这种满意度相关的因素。 方法 通过电子定量电子邮件调查收集数据。五家芬兰老年人家庭护理机构作为研究目标机构参与了调查。其中两家位于大城市，一家位于中型省会城市，两家位于乡村城市。三家机构以集中服务模式提供远程居家护理服务，两家机构以分散服务模式提供远程居家护理服务。这些机构共有 103 名远程居家护理人员接受调查。 结果 远程居家护理工作者对将远程居家护理纳入老年人居家护理大多表示满意（55.8%）或不满意（20.9%）。满意度与工作人员的体验密切相关，即远程居家护理使他们的工作更轻松，改善了与客户的互动，增强了与客户的信任关系，并减少了工作量。应用远程居家护理克服工作人员的身体限制，以及他们认为自己能够影响是否开始远程居家护理工作，与他们对将远程居家护理纳入家庭护理的满意度密切相关。 结论 研究结果证实，当工人有肌肉骨骼问题或受伤时，远程居家护理工作岗位作为居家护理中的异地工作岗位能够很好地发挥作用。然而，尊重工人在远程居家护理中工作的意愿也很重要。从远程居家护理工作者的角度来看，与客户的良好互动和信任关系是提供良好护理和提高远程居家护理满意度的重要因素。 对实践的启示 远程居家护理可能会对居家护理人员的工作满意度产生积极影响。居家护理工作者需要接受使用新技术方面的培训。此外，他们需要能够自行决定是否开始从事远程居家护理工作。
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引用次数: 0
Exploring the multidimensionality of home-based dementia caregiving and related challenges based on digital journaling and interviews 基于数字日志和访谈，探索痴呆症家庭护理的多维性及相关挑战
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-01-29 DOI: 10.1111/opn.12600
Rebecca Davidsson MSW, MS, David Baker MS, Sameeksha Chintakrindi, Jung-Ah Lee PhD, RN, FGSA, FAAN, Patricia Kinser PhD, WHNP-BC, RN, FAAN, Mustafa Ozkaynak PhD, Jane Chung PhD, RN

Background

Home-based dementia caregiving is often complicated and may be fragmented due to differences in caregiver roles, needs, preferences and caregiving circumstances. The complex structure of informal caregiving and inadequate support result in negative health outcomes among informal caregivers. Prior methodologies appear to lack a systematic capture of the critical features and intricate structures of home-based dementia caregiving.

Objectives

To characterize dimensions and delivery frequencies of dementia caregiving tasks provided by family members and explore how caregivers framed their everyday challenges related to providing dementia care and support at home. We evaluated the value of digital journaling (caregiver journaling with a messenger app) as a novel data collection technique to better characterize informal dementia caregiving in the home setting.

Methods

We incorporated multiple data sources from family caregivers, including qualitative interviews, digital journals over four weeks and self-report caregiver and care recipient characteristics to characterize dimensions, types and frequencies of home-based dementia care tasks and explore caregivers’ challenges and coping to adapt to the changing caregiving situations. Ten family caregivers completed qualitative interviews and digital journaling.

Results

A content analysis of 124 journal entries and a thematic analysis of 20 qualitative interviews show that caregivers offered assistance that extended far beyond activities of daily living (ADL) and instrumental ADL. The key themes identified centred around how caregivers shape caregiving tasks, their personas and caregiving strategies while performing multiple roles, as well as the emotional toll of being a caregiver in the face of maintaining coping and resilience.

Conclusions

The study suggests the use of novel methodology to characterize home-based dementia caregiving and to identify day-to-day care delivery challenges to increase our understanding of how to better support family caregivers.

Implications for Practice

Nursing interventions aimed at improving informal caregivers’ well-being need to focus on understandi

背景 由于照顾者的角色、需求、偏好和照顾环境各不相同，以家庭为基础的痴呆症照顾工作往往很复杂，而且可能很分散。非正式照护的复杂结构和支持不足导致了非正式照护者的不良健康后果。之前的研究方法似乎没有系统地捕捉到家庭痴呆症照护的关键特征和复杂结构。 目标 描述家庭成员提供的痴呆症照护任务的维度和交付频率，并探索照护者如何应对与在家提供痴呆症照护和支持相关的日常挑战。我们评估了数字日志（护理人员使用信使应用程序撰写日志）作为一种新型数据收集技术的价值，以更好地描述家庭环境中非正式痴呆症护理工作的特点。 方法 我们整合了来自家庭照护者的多种数据来源，包括定性访谈、为期四周的数字日志以及照护者和受照护者的自我报告特征，以描述基于家庭的痴呆症照护任务的维度、类型和频率，并探索照护者为适应不断变化的照护情况所面临的挑战和应对方法。十位家庭照护者完成了定性访谈和数字日记。 结果 对 124 篇日志条目进行的内容分析和对 20 个定性访谈进行的主题分析表明，照顾者提供的帮助远远超出了日常生活活动 (ADL) 和工具性 ADL 的范围。确定的关键主题集中在照顾者如何塑造照顾任务、他们的角色、在扮演多重角色时的照顾策略，以及作为照顾者在保持应对能力和复原力时所付出的情感代价。 结论 该研究建议使用新颖的方法来描述以家庭为基础的痴呆症护理工作的特点，并确定日常护理工作所面临的挑战，从而加深我们对如何更好地支持家庭护理者的理解。 对实践的启示 旨在改善非正规护理人员福祉的护理干预措施需要重点了解护理角色和责任的动态性质，以及护理人员和护理对象不断变化的需求。
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引用次数: 0
Transitional care for older adults with chronic illness: A qualitative inquiry 为患有慢性病的老年人提供过渡性护理：定性调查
IF 2.2 4区 医学 Q2 Nursing
International Journal of Older People Nursing
Pub Date : 2024-01-19 DOI: 10.1111/opn.12599
Chandrani Isac Master of Science in Nursing, Premila Lee Dr

Background

Improved public health strategies and medical advancements have expanded older adults' survival after acute insults from chronic diseases. The resultant increase in disability and care requirements among older adults is significant. However, transitional care interventions to support the efficient transition from acute care settings to home are primitive in developing countries like India.

Objective

This qualitative survey aimed to estimate the transitional care requirements of older adults with chronic illness discharged from acute care facilities.

Methods

Descriptive phenomenological approach was utilised for this qualitative study. The older adult-family caregiver dyads fulfilling the inclusion criteria were interviewed until the achievement of information saturation. The transcribed narratives between the researcher, older adults and their caregivers were thematically analysed. Consolidated Criteria for Reporting Qualitative Research (COREQ) served as the framework for reporting this research.

Results

Thirteen older adult-caregiver dyads participated in the semi-structured interview, which yielded six themes. Older adults have a hidden self with characteristics ranging between a continuum of ‘insistence’ to ‘giving up’. Caregiver attributes identified from this inquiry were exhaustion, engagement and empowerment. The remaining four themes which constitute the framework for the ‘transitional care progression’ model include ‘complications are mature when identified among older adults’, ‘medication knowledge is proportionate with its compliance’, ‘ignorance of supportive care increases caregiver burden’ and ‘deficient follow-up practices compromise health’.

Conclusions

Transitional care for older adults with chronic illness is premature in developing countries. However, the needs of older adults with chronic disease and their caregivers evolved from the present study align with global perspectives. Themes generated from the current qualitative interview, blended with evidence-based interventions, yielded the transitional care progression model, which serves as the only available framework for implementing transitional care in the region.

Implications for Practice

Future research to establish the feasibility and validity of the ‘transitional care

背景 公共卫生策略的改进和医疗技术的进步提高了老年人在慢性病急性发作后的存活率。因此，老年人的残疾和护理需求显著增加。然而，在印度等发展中国家，支持从急症护理环境有效过渡到家庭护理的过渡性护理干预措施还很原始。 目标 本定性调查旨在估算从急症护理机构出院的患有慢性病的老年人对过渡性护理的需求。 方法 采用描述性现象学方法进行定性研究。研究人员对符合纳入标准的老年人-家庭照顾者二人组进行了访谈，直至达到信息饱和。对研究人员、老年人及其护理人员之间的叙述记录进行了主题分析。定性研究综合报告标准》（COREQ）作为本研究的报告框架。 结果 13 个老年人-护理者二人组参加了半结构式访谈，并得出了六个主题。老年人有一个隐藏的自我，其特点介于 "坚持 "和 "放弃 "之间。此次调查确定的照顾者特质包括疲惫、参与和赋权。其余四个主题构成了 "过渡性护理进展 "模式的框架，包括 "并发症在老年人中被发现时已经成熟"、"药物知识与依从性成正比"、"对支持性护理的无知增加了护理者的负担 "和 "不完善的后续实践损害了健康"。 结论 在发展中国家，为患有慢性病的老年人提供过渡性护理的时机尚不成熟。然而，从本研究中得出的患有慢性病的老年人及其护理人员的需求与全球的观点是一致的。本次定性访谈中产生的主题与循证干预措施相结合，形成了过渡性护理进展模式，这是在该地区实施过渡性护理的唯一可用框架。 对实践的启示 预计未来将开展研究，以确定 "过渡性护理进展模式 "的可行性和有效性。该模式需要纳入医疗保健课程。建议专业护士做好实施协调过渡性护理路径的准备。
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