Exploring the Importance and Performance Priorities of Older Adults With a User-Centred Approach to Create a Fall-Free Bathroom

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-06-19 DOI:10.1111/opn.12623

Yasemin Afacan, Billur Barshan

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Abstract

Background

Fall hazards in bathroom spaces constitute one of the most critical issues in the daily lives of older adults. Bathroom falls are somewhat different and constrained in nature than those in other parts of a home environment.

Objectives

This study aimed to adopt a user-centred approach to explore older adults' general bathroom needs, with a specific focus on showers and bathtubs as the designated activity area.

Methods

The authors employed an extended importance–performance analysis (IPA) with a mixed-method research design. Three hundred and eleven older adults participated in a face-to-face IPA questionnaire for the quantitative phase of the study. The authors gathered the qualitative data through open-ended questions from 59 older adults.

Results

The authors found positive correlation between older adults' attitudes towards an older-friendly bathroom and the potential for their bathrooms to be fall-free. The IPA calculations identify three key items with higher ratings in both importance and performance: The presence of appropriate artificial lighting, efficient mechanical ventilation and an accessible inside towel rail. Thematic analysis yields four themes: comfort, ease of access, error-proof design and emergency management.

Conclusions

The IPA calculations and thematic analysis confirm that older adults' rankings of importance and performance and their corresponding priority levels within the overarching themes indicate the need for these aspects to perform well and justify ongoing investments. The study concludes that addressing fall prevention requires not only designing specific solutions but also utilising appropriate technology in bathing and toileting activities.

Implications for Practice

Practitioners in geriatric and gerontological nursing, design, architecture and health care can use the importance and performance priority levels of older adults to guide the development and implementation of fall-free bathroom design. Policymakers can leverage the insights from this research to inform guidelines and regulations related to building codes, accessibility standards and healthcare policies.

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采用以用户为中心的方法，探索老年人对创建无摔倒浴室的重视程度和性能优先级。

背景：浴室空间的跌倒危险是老年人日常生活中最关键的问题之一。浴室内的跌倒与家居环境中其他地方的跌倒在性质上有些不同和限制：本研究旨在采用以用户为中心的方法来探讨老年人对浴室的一般需求，并特别关注作为指定活动区域的淋浴间和浴缸：作者采用了扩展重要性表现分析法（IPA）和混合方法研究设计。在研究的定量阶段，有 311 名老年人参加了面对面的 IPA 问卷调查。作者通过 59 位老年人的开放式问题收集了定性数据：作者发现，老年人对老年友好型浴室的态度与他们的浴室不会摔倒的可能性之间存在正相关。通过 IPA 计算发现，有三个关键项目在重要性和性能方面的评分都较高：它们是：适当的人工照明、高效的机械通风和无障碍的内毛巾杆。专题分析得出了四个主题：舒适、方便使用、防错设计和应急管理：IPA 计算和专题分析证实，老年人对重要性和性能的排序及其在总体专题中相应的优先级别表明，这些方面需要有良好的性能，并证明持续投资是合理的。研究得出结论，解决预防跌倒问题不仅需要设计具体的解决方案，还需要在洗澡和如厕活动中利用适当的技术：实践启示：老年病学和老年护理、设计、建筑和医疗保健领域的从业人员可以利用老年人的重要性和表现优先级别来指导防跌倒浴室设计的开发和实施。政策制定者可以利用这项研究的洞察力，为与建筑规范、无障碍标准和医疗保健政策相关的指导方针和法规提供信息。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.