Understanding the Needs and Wishes of Older Adults in Interprofessional Treatment for Malnutrition and Sarcopenia: A Grounded Theory Study.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Multidisciplinary Healthcare Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S507567
Sandra D Boxum, Sabien H Van Exter, Jan-Jaap Reinders, Hans Drenth, Manon G A Van den Berg, Michael Tieland, Anjo Geluk-Bleumink, Sophie L W Spoorenberg, Evelyn Finnema, Philip J Van der Wees, Niek Koenders, Harriët Jager-Wittenaar
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引用次数: 0

Abstract

Background: Malnutrition and sarcopenia impact the physical health and quality of life of community-dwelling older adults. Managing these conditions requires integrating nutritional and exercise interventions delivered by professionals from diverse backgrounds. Interprofessional collaboration holds promise for providing integrated, person-centered care to older adults. However, to tailor such care, it is essential to understand the needs and wishes of older adults, which remain underexplored. This study aimed to understand the needs and wishes of community-dwelling older adults regarding interprofessional treatment for (risk of) malnutrition and sarcopenia.

Methods: We conducted a grounded theory study. Data collection involved semi-structured interviews and focus groups with community-dwelling older adults who are undergoing treatment or have been treated for (risk of) malnutrition and/or sarcopenia. We systematically analyzed the data using open, axial, and selective coding and developed a conceptual model.

Results: Interviews and focus groups were conducted with 18 older adults. Three selective codes were identified: 1) older adults need to be involved in their interprofessional treatment, 2) older adults need healthcare professionals to be well-informed about their interprofessional treatment, and 3) older adults need collaboration amongst involved healthcare professionals in interprofessional treatment. Our conceptual model addresses the needs and wishes of older adults in relation to interprofessional collaboration. Older adults' needs highlight what is missing, while their wishes offer ways to fulfill these needs.

Conclusion: Older adults' need for involvement in interprofessional treatment can be met by engaging them actively in healthcare decisions and as partners to healthcare professionals. The need for well-informed healthcare professionals can be fulfilled by ensuring accessible healthcare information, the prevention of conflicting advice, and the prevention of repeating medical history. Finally, the need for collaboration among healthcare professionals can be fulfilled by healthcare professionals communicating openly and directly and working closely together.

了解老年人在营养不良和肌肉减少症的跨专业治疗中的需求和愿望:一项有根据的理论研究。
背景:营养不良和肌肉减少症影响社区居住老年人的身体健康和生活质量。管理这些疾病需要来自不同背景的专业人员提供综合营养和运动干预。跨专业合作有望为老年人提供综合的、以人为本的护理。然而,为了量身定制这种护理,了解老年人的需求和愿望是至关重要的,这一点仍未得到充分探讨。本研究旨在了解社区居住的老年人对营养不良和肌肉减少症(风险)的跨专业治疗的需求和愿望。方法:我们进行了扎实的理论研究。数据收集包括半结构化访谈和焦点小组,对象是正在接受治疗或因营养不良和/或肌肉减少症(风险)接受治疗的社区老年人。我们系统地分析了使用开放,轴向和选择性编码的数据,并开发了一个概念模型。结果:对18名老年人进行了访谈和焦点小组。确定了三个选择代码:1)老年人需要参与他们的跨专业治疗,2)老年人需要医疗保健专业人员充分了解他们的跨专业治疗,3)老年人需要参与跨专业治疗的医疗保健专业人员之间的合作。我们的概念模型解决了老年人在跨专业合作方面的需求和愿望。老年人的需求突出了他们所缺少的东西,而他们的愿望提供了满足这些需求的方法。结论:老年人参与跨专业治疗的需要可以通过积极参与医疗保健决策和作为医疗保健专业人员的合作伙伴来满足。通过确保可访问的医疗保健信息、防止相互矛盾的建议和防止重复病史,可以满足对消息灵通的医疗保健专业人员的需求。最后,医疗保健专业人员之间的协作需求可以通过公开和直接的沟通以及密切合作来满足。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Multidisciplinary Healthcare
Journal of Multidisciplinary Healthcare Nursing-General Nursing
CiteScore
4.60
自引率
3.00%
发文量
287
审稿时长
16 weeks
期刊介绍: The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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