Professional development preferences and needs of healthcare providers working with older adults on exercise and nutrition: results of key informant interviews.

Christine M Mills, Lora Giangregario, Laura Middleton, Andrew D Robertson, Heather H Keller
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Abstract

Most older adults want to age in place, and evidence-based health behaviours that support aging in place include healthy diets and physical activity. Healthcare professionals need training in the science and practice of nutrition and physical activity to support their older adult clients to age in place. In this study we investigated knowledge gaps among healthcare professionals and the organizations that employ them regarding exercise and nutrition for older adults. We also aimed to identify their perceptions of effective and ineffective continuing education approaches, how they choose continuing education opportunities, and what formats they prefer when engaging in continuing education. Using key informant interviews and an interpretive description approach, we identified four themes: "Being pragmatic about professional development", "Matching format to need", "Negotiating the tension between the convenience of online and the effectiveness of in-person learning", and "Focusing on practice is critical". Participants also identified current gaps in professional development offerings and desires for additional continuing education opportunities on certain topics, such as nutrition and aging, and dealing with multimorbidity. Participants indicated that continuing education offerings should reflect common health conditions that providers encounter in practice and that there should be a balance between online and in-person offerings. Participants also indicated that continuing education should focus on changing or improving practice, to assist healthcare providers in supporting older adults aging in place in their communities.

老年人在运动和营养方面的专业发展偏好和医疗保健提供者的需求:关键信息访谈的结果。
大多数老年人都希望安度晚年,支持安度晚年的循证健康行为包括健康饮食和体育活动。医疗保健专业人员需要在营养和身体活动的科学和实践方面进行培训,以支持他们的老年成年客户适当地老化。在这项研究中,我们调查了医疗保健专业人员和雇用他们的组织在老年人运动和营养方面的知识差距。我们还旨在确定他们对有效和无效的继续教育方法的看法,他们如何选择继续教育机会,以及他们在从事继续教育时更喜欢什么样的形式。通过对关键信息提供者的访谈和解释性描述方法,我们确定了四个主题:“对专业发展持务实态度”,“与需要匹配的格式”,“在在线学习的便利性和面对面学习的有效性之间进行协商”,以及“注重实践是至关重要的”。与会者还确定了目前在专业发展产品方面的差距,以及对某些主题的额外继续教育机会的渴望,例如营养和老龄化,以及处理多重疾病。与会者表示,继续教育课程应反映提供者在实践中遇到的常见健康状况,并应在在线课程和面对面课程之间取得平衡。与会者还表示,继续教育应侧重于改变或改进做法,以协助保健提供者在其社区内支持老年人老龄化。
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