"I'll fill in the gaps": perspectives of HHAs on promoting aging in place for older adults with low incomes.

IF 1.2 Q4 HEALTH POLICY & SERVICES
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-04-01 Epub Date: 2023-12-20 DOI:10.1080/01621424.2023.2296061
Graciela Bolanos, Claudia Hentschel, Momana Jahan, Sonia Gupta, Mona Akhiary, Tiffany Wisdom-Goulbourne, David Reyes-Farias, Barbara Resnick, Rebecca T Brown
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引用次数: 0

Abstract

Older adults with low incomes experience disproportionate rates of cognitive and functional impairment and an elevated risk of nursing home admission. Home health aides (HHAs) may have insight into how to optimize aging in place for this population, yet little is known about HHAs' perspectives on this topic. We conducted 6 focus groups with 21 English-speaking and 10 Spanish-speaking HHAs in Pennsylvania and New Jersey. Transcripts were analyzed using qualitative thematic analysis, and three themes emerged. First, HHAs described the uniqueness of their role within multidisciplinary care teams. Second, HHAs shared concrete interventions they employ to help their clients improve their function at home. Third, HHAs discussed barriers they face when helping clients age in place. Our findings suggest that HHAs have important insights into improving aging in place for older adults with low incomes and that their perspectives should be incorporated into care planning and intervention delivery.

"我来填补空白":居家养老护理员对促进低收入老年人居家养老的看法。
低收入老年人的认知障碍和功能障碍比例过高,入住养老院的风险也较高。家庭保健助理(HHAs)可能对如何优化这一人群的居家养老有独到见解,但人们对家庭保健助理在这一问题上的观点却知之甚少。我们在宾夕法尼亚州和新泽西州与 21 位讲英语和 10 位讲西班牙语的家庭保健助理进行了 6 次焦点小组讨论。我们采用定性主题分析法对讨论记录进行了分析,得出了三个主题。首先,护理人员描述了他们在多学科护理团队中的独特角色。其次,家政服务人员分享了他们为帮助客户改善居家功能而采取的具体干预措施。第三,居家养老护理员讨论了他们在帮助客户居家养老时面临的障碍。我们的研究结果表明,居家养老护理员在改善低收入老年人居家养老方面具有重要的见解,他们的观点应被纳入护理规划和干预措施中。
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来源期刊
HOME HEALTH CARE SERVICES QUARTERLY
HOME HEALTH CARE SERVICES QUARTERLY HEALTH POLICY & SERVICES-
CiteScore
2.40
自引率
0.00%
发文量
18
期刊介绍: Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.
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