Bringing the 4Ms Home: Elevating the Role of Nonmedical Home Care in Age-Friendly Health Systems.

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-12-18 DOI:10.3928/00989134-20251203-01
David Chandler, Christina Chartrand, Teresa Harbour, Khai Nguyen
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引用次数: 0

Abstract

Purpose: Private duty nurses and professional caregivers providing nonmedical home care play an important role in supporting older adults, yet they are often underrecognized in Age-Friendly Health System strategies. As the age-friendly care movement grows, there is an opportunity to better integrate these professionals as partners in supporting safe transitions, reducing hospitalizations, and delivering person-centered care aligned with the 4Ms Framework.

Method: Data were drawn from structured assessments completed in 2024 and client/family narratives collected with informed consent. All analyses were descriptive; data were aggregated and de-identified in compliance with HIPAA.

Results: Older adults receiving nonmedical home care demonstrated improvements in management of chronic medical conditions, daily activities, mobility, nutrition, and participation in meaningful routines.

Conclusion: Nonmedical home care extends the 4Ms Framework into the home, enhancing independence and safety. Although findings are preliminary, they suggest consistent in-home support may reduce risks for decline and better align care with what matters most to older adults.

把4个女士带回家:提升非医疗家庭护理在老年人友好型卫生系统中的作用。
目的:提供非医疗家庭护理的私人值班护士和专业护理人员在支持老年人方面发挥着重要作用,但他们在老年人友好型卫生系统战略中往往未得到充分认识。随着老年人友好型护理运动的发展,有机会更好地将这些专业人员作为合作伙伴,支持安全过渡,减少住院治疗,并提供符合4m框架的以人为本的护理。方法:数据来自于2024年完成的结构化评估,并在知情同意的情况下收集客户/家属的叙述。所有的分析都是描述性的;根据HIPAA对数据进行汇总和去识别。结果:接受非医疗家庭护理的老年人在慢性疾病、日常活动、流动性、营养和参与有意义的日常活动方面表现出改善。结论:非医疗家庭护理将4m框架延伸到家庭,增强了家庭的独立性和安全性。虽然研究结果是初步的,但他们表明,持续的家庭支持可能会降低衰退的风险,并更好地将护理与老年人最重要的事情结合起来。
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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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