Perception of Utility and Efficacy of Implementation of TEC-MED Model of Care for Frail Older People and Their Caregivers: A Qualitative Study

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-10-14 DOI:10.1111/opn.12658

Marzia Lommi, Fabio D'Agostino, Giuseppe Esposito, Romina Belsito, Fausto Ciccacci, Maria Concetta Pellicciari, Ana Maria Porcel-Gálvez, Marta Lima-Serrano, Noemi Giannetta, Dhurata Ivziku

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引用次数: 0

Abstract

Introduction

The global population is ageing, and healthcare systems continue to adopt outdated social models of ageing that do not respond to older people's needs. The aim of this study was to explore the experiences of participants in the implementation of the Transcultural social-ethical-care (TEC-MED) model for integrated community care.

Methods

A qualitative descriptive research study was conducted. Qualitative data were collected through individual interviews and focus groups with purposive sampling.

Results

We gathered experiences from five older people, five informal caregivers, two training agents (nurses), six healthcare professionals and eight stakeholders (senior management of businesses, public administrators, researchers and educators). Four themes were extracted: TEC-MED as a new model of home care, TEC-MED model outcome, key role of training agent and platform and resources. Overall, all the participants were satisfied with the model and various positive outcomes were found. The TEC-MED model of care was inclusive and personalised and bridged the communication and integration gaps between different services for the care of dependent older people and their caregivers in the community. Recommendations were made for improvements to the model.

Conclusion

New models of care that are inclusive, personalised and integrated are necessary to respond to the multiple needs of the older people. A model that integrates the multiple skills of healthcare professionals is an optimum solution in the care of the older people and their caregivers in Mediterranean countries. Similar research is imperative for other healthcare systems to help them prepare adequately to respond effectively to the needs of present and new generations of older people.

Implications for Practice

The TEC-MED model presents a promising approach to addressing the complex care needs of older people and their caregivers by fostering inclusivity, personalisation and integration across services. For nursing practice, this model emphasizes the importance of multidisciplinary collaboration and the role of nurses in facilitating the adoption of new care strategies. Implementing such models in everyday practice could improve the quality of care provided to older adults, enhancing communication between healthcare providers and ensuring that care is more aligned with the individual needs of patients. Furthermore, integrating digital platforms and targeted resources, as highlighted in the TEC-MED model, can aid in overcoming existing barriers in healthcare systems, improving the coordination of care at the community level.

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对体弱老年人及其护理人员实施 TEC-MED 护理模式的实用性和有效性的看法：定性研究

导言：全球人口正在老龄化，而医疗保健系统继续采用过时的老龄化社会模式，无法满足老年人的需求。本研究旨在探讨跨文化社会伦理护理（TEC-MED）综合社区护理模式实施过程中参与者的经验。研究方法采用描述性定性研究方法。通过个人访谈和焦点小组以及有目的的抽样收集定性数据。结果我们收集了五位老年人、五位非正式护理人员、两位培训人员（护士）、六位医疗保健专业人员和八位利益相关者（企业高级管理层、公共管理者、研究人员和教育工作者）的经验。从中提炼出四个主题：TEC-MED 作为一种新的家庭护理模式、TEC-MED 模式的成果、培训机构的关键作用以及平台和资源。总体而言，所有参与者都对该模式表示满意，并发现了各种积极成果。TEC-MED 护理模式具有包容性和个性化，弥合了不同服务之间的沟通和整合差距，为社区中需要照顾的老年人及其照顾者提供了护理服务。对该模式提出了改进建议。结论要满足老年人的多种需求，就必须采用包容性、个性化和一体化的新护理模式。在地中海国家，整合医疗保健专业人员多种技能的模式是护理老年人及其护理人员的最佳解决方案。其他医疗保健系统也必须开展类似的研究，帮助他们做好充分准备，有效应对当代和新一代老年人的需求。对实践的启示 TEC-MED 模式通过促进包容性、个性化和跨服务整合，为满足老年人及其护理人员复杂的护理需求提供了一种可行的方法。对于护理实践而言，该模式强调了多学科合作的重要性以及护士在促进采用新护理策略方面的作用。在日常实践中实施这种模式可以提高为老年人提供的护理质量，加强医疗服务提供者之间的沟通，确保护理更加符合患者的个人需求。此外，正如 TEC-MED 模式所强调的那样，整合数字平台和有针对性的资源有助于克服医疗保健系统中的现有障碍，改善社区一级的护理协调。

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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.