以数字化为主导的创新型高龄成人医疗保健中的福祉与尊严

IF 2.6 3区 医学 Q1 NURSING Nursing Philosophy Pub Date : 2024-04-17 DOI:10.1111/nup.12479
Moonika Raja, Lisbeth Uhrenfeldt
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引用次数: 0

摘要

尊严是老年人护理的核心价值,必须得到保护和尊重。随着人口结构的变化导致人口老龄化,卫生部门越来越多地投资于数字化。然而,使用陌生的数字技术可能具有挑战性,从而影响老年人的尊严和福祉。创新设计"(INNOVATEDIGNITY)项目旨在研究新的、有尊严的与老年人接触的方式,以促进护理服务的数字化发展。作为 INNOVATEDIGNITY 项目的一部分,本定性研究旨在通过开展三项研究(范围综述、实证研究和政策分析),探索以数字化为主导的创新型医疗保健如何影响老年人的福祉和尊严。通过对这三份文件的分析,我们发现了与研究问题相关的意义,并揭示了四大主题:新技术在促进老年人福祉方面的优势、数字化世界的迷惑导致的尊严断裂、老年人因担心以人为本的护理方式被技术取代而影响尊严,以及在数字化主导的医疗保健中维护老年人的尊严。医疗保健领域的数字化为老年人提供了新的护理机会,从而影响了老年人的福祉,但在使用陌生的数字创新技术时,维护老年人的尊严是一项挑战。老年人需要了解在其护理中使用技术的信息,并支持他们发展必要的数字技能,以更好地适应数字化主导的医疗保健。在医疗保健环境中以有尊严的方式实施新技术时,个人的情况、条件和需求仍应是核心。
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Well‐being and dignity in innovative digitally‐led healthcare for aged adults
Dignity is a central value in care for aged adults, and it must be protected and respected. With demographic changes leading to an aging population, health ministries are increasingly investing in digitalization. However, using unfamiliar digital technology can be challenging and thus impact aged adults' dignity and well‐being. The INNOVATEDIGNITY project aims to research new, dignified ways of engaging with aged adults to shape digital developments in care delivery. This qualitative study aimed to explore how innovative digitally‐led healthcare have influenced aged adults' well‐being and dignity through three studies conducted as part of the INNOVATEDIGNITY project: a scoping review, an empirical study and a policy analysis. The three documents were analysed to uncover meanings relevant to the research problem revealing four main themes: the advantages of new technologies in facilitating aged adults' well‐being, the rupture of dignity due to bewilderment in the digital world, aged adults' dignity is affected by their worries about human face of care being replaced by technology and preserving aged adults' dignity in digitally‐led healthcare. Digitalization in healthcare impacts aged adults' well‐being as providing new opportunities for care, but preserving aged adults' dignity when working with unfamiliar digital innovations is challenging. Aged adults need to be informed about the use of technology in their care and supported to develop the necessary digital skills to better adapt to digitally‐led healthcare. The circumstances, conditions and needs of individuals should remain central when implementing new technologies in healthcare settings in a dignified way.
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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
期刊最新文献
Building a Pluriverse of Nursologies: A paradigm for decolonial theory and knowledge development in nursing. Occupational Health Nursing models and theories: A critical analysis in the scope of the unitary-transformative perspective. Opening of the annual special collection: 26th International Nursing Philosophy Conference proceedings in association with IPONS: Re-imagining a nursing ecosystem in an uncertain world. A philosophical exploration of rural health and nursing based on an undergraduate United States-Australian collaboration through the lens of 'positionality'. Reframing covenant for nursing: From individual commitments to covenant with society.
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