Health & Social Care in the Community最新文献

{"title":"“It Is about How Kind They Are”: The Significance of Professionals’ Attitudes towards Caregivers in the Dutch Care System","authors":"Yvette Wittenberg,&nbsp;Rick Kwekkeboom,&nbsp;Arnoud P. Verhoeff","doi":"10.1155/2024/4023865","DOIUrl":"https://doi.org/10.1155/2024/4023865","url":null,"abstract":"<div>\u0000 <p>In recent years, Dutch authorities have attempted to shift from formal to informal care responsibilities to meet an increasing demand for care. There is a growing expectation that social and healthcare professionals will actively involve, support, and collaborate with partners, family members, and others who provide informal care. However, the practical implementation of such collaborations is not yet evident. In this qualitative study, 37 individual interviews and eight focus groups were conducted to explore the preferences of informal caregivers in the Netherlands regarding their collaboration with social and healthcare professionals. In recognition of the growing consensus that professionals should tailor their approach to caregivers’ individual circumstances, we adopted an intersectional approach to examine the relationship between caregivers’ social positions and preferences as well as the impact of systemic and power dynamics on these collaborations. The findings indicate that most of caregivers’ worries concerning collaborations are rooted in the organisational context of their interactions with professionals rather than the interactions themselves. Caregivers’ social positions do not necessarily lead to varying opinions regarding collaboration with professionals; however, caregivers do expect professionals to be aware of their social positions, as these positions shape the context within which informal care is provided and determine how easily caregivers can integrate care responsibilities into their lives. To enhance collaboration between caregivers and professionals in the short term, care organisations and social and healthcare educational programmes should encourage a professional mindset that recognises caregivers as equal partners in care. It is essential for professionals to acknowledge the caregiver’s role and devise strategies for arranging care together that build on the existing relationship between the caregiver and care recipient.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/4023865","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142041546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients’ Care Transition in Cardiac Rehabilitation: A Scoping Review on Facilitators and Challenges Related to Referral and Enrolment","authors":"Maiken Bay Ravn,&nbsp;Claus Theilgaard Sevel,&nbsp;Charlotte Handberg,&nbsp;Charlotte Gjørup Pedersen,&nbsp;Thomas Maribo,&nbsp;Claus Vinther Nielsen","doi":"10.1155/2024/8836759","DOIUrl":"https://doi.org/10.1155/2024/8836759","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Despite existing evidence on the efficacy of cardiac rehabilitation (CR), programs are underutilized. Factors affecting referral and enrolment in hospital-based CR were identified; however, research into factors affecting referral and enrolment in community-based CR is lacking. <i>Aim</i>. The purpose of this scoping review is to identify and synthesize facilitators and challenges in the transition of patient care from hospital to community healthcare services and how they influence CR referral and enrolment. <i>Method</i>. PubMed, Embase, CINAHL, Scopus, ProQuest, and Web of Science databases were searched for relevant publications. The data were analysed using thematic analysis by Braun and Clarke. The study followed the PRISMA extension for scoping reviews and the Joanna Briggs Institute’s model. <i>Result</i>. In total, 36 studies were included in this analysis. The results show that facilitators and challenges for referral and enrolment in CR form a complex interaction. Factors influencing referral and enrolment may be setting-dependent or -independent. However, each setting may influence the entire transition. <i>Conclusion</i>. The patient decision-making process regarding CR may begin in the hospital, indicating that this period is the right time to encourage CR enrolment. To support patient transition, healthcare professionals at hospitals require knowledge of CR and the ability to prioritize patient support. Offering an initial meeting at a local site may decrease patient prejudice and facilitate enrolment.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8836759","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142021783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contraception Crisis in Somalia: Unveiling the Shocking Reality of a Nation Left Behind","authors":"Ibrahim Yasin Khalif,&nbsp;Md Badsha Alam,&nbsp;Md Mostaured Ali Khan,&nbsp;Shimlin Jahan Khanam,&nbsp;Md Nuruzzaman Khan","doi":"10.1155/2024/5981247","DOIUrl":"https://doi.org/10.1155/2024/5981247","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Despite global efforts to promote contraceptive use and ensure reproductive health, Somalia continues to face significant challenges in this regard. This study aims to explore the prevalence of contraceptive use in Somalia and identify the determinants influencing its use. <i>Methods</i>. A total of 8,162 reproductive-aged women’s data were analyzed extracted from 2020 Somali Health and Demographic Survey. The outcome variable was contraception use, classified as any contraception use (yes vs. no), any modern contraception use (yes vs. no), and any traditional contraception use (yes vs. no). The explanatory variables were factors at the individual, household, and community level. The multivariate binary logistic regression model was used to explore associations of outcome variables with explanatory variables. <i>Results</i>. The findings revealed low prevalence of contraceptive use among Somalia women, with only 7% reporting its use. Among them, less than 1% utilized modern contraceptive methods. Several determinants of contraception use were identified, including younger age, higher educational attainment (primary and secondary education), higher parity, exposure to family planning messages through mass media, urban place of residence, and residing in the northwest and northeast regions of Somalia. <i>Conclusion</i>. The results underscore the urgent need for substantial efforts to improve contraceptive use in Somalia. Strengthening healthcare facilities to provide comprehensive sexual and reproductive health services, with a particular focus on promoting contraception uptake, is crucial. Public awareness campaigns and educational programs should also be prioritized to enhance knowledge and understanding of contraception among Somali women.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5981247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142013505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting Black African Students to Engage More in Physical Activity: A Qualitative Study of Lived Experiences in the Midlands, UK","authors":"Samuel Baffour Kyei,&nbsp;Frances Howie","doi":"10.1155/2024/2551260","DOIUrl":"https://doi.org/10.1155/2024/2551260","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. To explore how Black African international students adjust to their new university environment and gain insight into how they feel supported to engage in physical activity (PA). <i>Background</i>. People from ethnic minority backgrounds have poor physical activity levels compared with white populations in the UK. The Black population is known to have the lowest PA levels among the ethnic minority groups in the UK. This trend is suggested to be the case among university students, but no research has examined this. Ethnic minority students, including international students, encounter adaptation difficulties such as cultural barriers and social isolation which affect their university experiences and health behaviours such as physical activity. <i>Methodology</i>. This was a qualitative method, with in-depth semistructured interviews conducted with five African students (two males and three females) aged between 21 and 40 years from a university in the West Midlands. The transcribed interviews were analysed using Braun and Clarke’s thematic analysis. <i>Results/Findings</i>. Culture and lifestyle of physical activity; knowledge, experience, and self-motivation; the effect of various social groups, activities, and services at the university; and weather variations and physical settings were the identified themes. The key finding of the study is that respondents engaged in PA to a greater extent at the British university than they did in their home countries. This was due to a combination of factors, including low-cost gym memberships and events and a general lack of racial or gender-based discrimination. <i>Conclusions/Recommendations</i>. Participants expressed satisfaction with the cultural and social support systems at their university, such as sports clubs and societies, and mental health support services that encouraged them to learn about and engage more in physical activity. Although some barriers, such as weather variations, were mentioned, various indoor options coupled with cheaper gymnasiums motivated students to remain or become active. Understanding the experiences of minority student groups in physical activity could help in reviewing current provisions and extending them to a wider population.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/2551260","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141994121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drone-Assisted Long-Distance Delivery of Medical Supplies with Recharging Stations in Rural Communities","authors":"Jiyang Liu,&nbsp;Yu Ding,&nbsp;Rui Qiu,&nbsp;Zhiyi Meng,&nbsp;Deguo Sun,&nbsp;Xinying Peng","doi":"10.1155/2024/9143099","DOIUrl":"https://doi.org/10.1155/2024/9143099","url":null,"abstract":"<div>\u0000 <p>In the past few years, drones have been adopted as a novel delivery tool towards medical supplies, improving delivery service efficiency due to fast speed and neglection of geographical limitations. However, the flight endurance of a battery-operated drone is limited for long-distance medical supplies delivery operations. Recharging stations, as a kind of drone facility, allow multiple stops for drones to supplement the power to overcome the flight-range limitations. This paper studies drone-assisted long-distance medical supplies delivery with recharging stations in rural communities by a mixed integer linear programming model. To illustrate the applicability of this model and explore the key factors influencing delivery efficiency of medical supplies, a case study from China is conducted. The results indicate that enhancements on the speed of a truck or a drone can yield considerable delivery cost reduction. In addition, drone-recharging technology advances can improve delivery efficiency of medical supplies in rural communities.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9143099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141980212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“They Like to Try and Boss Them around a Little”: Reablement Service Staff’s Views and Experiences of Adult Children’s Efforts to Assert Control","authors":"Chunhua Chen,&nbsp;Bryony Beresford","doi":"10.1155/2024/5572669","DOIUrl":"https://doi.org/10.1155/2024/5572669","url":null,"abstract":"<div>\u0000 <p>Increasing frailty or a medical crisis threatens older people’s autonomy. Further threats may arise from adult children if such changes or events are perceived as permitting or signalling a need to assume greater control over their parent’s life. In the context of reablement—a time-limited intervention seeking to help older people regain their confidence and ability to live as independently as possible—this is observed in cases where adult children resist, or seek to sabotage, reablement. This runs counter to the notion of family being a valuable resource and partner to reablement services in achieving the desired outcomes. Notions of autonomy and legitimate authority, which often co-occur in care relationships, provide a useful lens to understand this phenomenon. The aims of this study were to explore reablement staff’s accounts of the ways adult children seek to assume control over their parents’ reablement, and how they manage such situations. We undertook a secondary analysis of a qualitative dataset comprising transcripts of 11 focus groups with staff (<i>n</i> = 78) in five reablement services in England and Wales conducted for the purposes of a study investigating the factors affecting older people’s engagement with reablement. Staff’s accounts included descriptions of the different ways adult children can seek to exert control over the reablement process. Staff believed that, when aware this was happening, older people ceded control to their child(ren) because preserving the relationship with their child(ren) was a greater priority than maximising their independence. Staff’s descriptions of the different strategies they used to protect family relationships whilst supporting the older person’s autonomy shed light on the skills reablement staff require. Findings support person-centred approaches to reablement which understand and respond to the wider family context. They also point to possible limitations or gaps in workforce training and supervision.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5572669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supports Provided to People with Intellectual Disability and Dysphagia to Assist with Participation in Eating and Drinking: A Scoping Review","authors":"Gillian Cox,&nbsp;Karen Wylie,&nbsp;Suze Leitão,&nbsp;Naomi Cocks","doi":"10.1155/2024/9948361","DOIUrl":"https://doi.org/10.1155/2024/9948361","url":null,"abstract":"<div>\u0000 <p>Many people with intellectual disability live with swallowing, eating, and drinking difficulties (dysphagia). People living with both intellectual disability and dysphagia may require a range of supports in order to have the opportunity to participate in different eating and drinking environments of their choice. Understanding the nature of those supports is important to ensure that people with intellectual disability living with dysphagia can continue to create a good life for themselves at home and in their community. This study aimed to identify the nature of supports provided to people with intellectual disability and dysphagia when eating and drinking in different environments, as described in the published literature. A scoping review, underpinned by an a priori protocol, was conducted by a team of four reviewers. Four databases were searched. Sixteen papers were included for full-text review. The review identified that studies most frequently reported support in the form of safety strategies to prevent the ill-health consequences of dysphagia and training carers in those safety strategies by speech-language pathologists. To a much lesser extent, studies identified the psychosocial needs of people with intellectual disability and dysphagia and how these were being considered in the design of training support. Overall, this review identified a significant need for future research into supports for eating outside the home and collaboration with people with intellectual disability and dysphagia about dysphagia training content which reflects the experience of living with dysphagia in social community environments.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9948361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141966804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internet Use, Intergenerational Ambivalence, and Subjective Well-Being among Chinese Urban Aging Adults: Do Living Arrangements Matter?","authors":"Yinkai Zhang,&nbsp;Yu Guo,&nbsp;Xue Bai","doi":"10.1155/2024/1812659","DOIUrl":"https://doi.org/10.1155/2024/1812659","url":null,"abstract":"<div>\u0000 <p>Rapid advancements in Internet technology have significantly narrowed the digital divide between generations, transforming the ways in which aging adults establish social networks. Concurrently, rural-to-urban migrations have led to a decrease in the coresidence of aging adults in China. Aging adults living with and without children may differ in their level of reliance on Internet communication, potentially influenced by the geographic distance between generations. This study examined the mediating effects of intergenerational ambivalence on the association between Internet use and subjective well-being among Chinese urban aging adults, particularly considering their living arrangements. Representative survey data were collected from 1,339 participants aged ≥50 years (512 participants lived with their children, and 827 did not) in urban China. Internet use was positively associated with subjective well-being, both directly and indirectly, through intergenerational ambivalence among the entire sample and those not living with their children. Policy interventions should be developed to reduce the digital divide, address intergenerational ambivalence by fostering intergenerational solidarity and affectual closeness as well as mitigating intergenerational conflicts, and improve access to the Internet, particularly for those not living with their children.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/1812659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engaging People with Dementia in Community Art Activities: The Perspective of Art Collaborators","authors":"Azam Bazooband,&nbsp;Helen Courtney-Pratt,&nbsp;Kathleen Doherty,&nbsp;Laura Tierney","doi":"10.1155/2024/9921792","DOIUrl":"https://doi.org/10.1155/2024/9921792","url":null,"abstract":"<div>\u0000 <p>Community-based arts have the potential to offer multiple benefits to people living with dementia; however, the level of uptake of these activities is unclear. This study sought to examine the perspectives of key stakeholders: the presenting artists and those who are responsible for planning art activities within the context of community to examine opportunities for and barriers to participation of people living with dementia in community-based art activities. Inductive thematic analysis approach of Braun and Clarke (2006) was applied to identify, analyse, and report themes from the semistructured interviews with artists and art planners. Important factors to be taken into account when delivering community-based art activities inclusive of people living with dementia arose under three major themes: perceptions and knowledge of dementia, the inherently inclusive qualities of arts, and practical approaches to delivery of the activity. Both artists and art planners felt that understanding motivations and expectations, effective communication, access, and support for both themselves and people with dementia were crucial factors to create and deliver dementia inclusive arts in the context of community. Both artists and art planners believed that community-based art activities can be inclusive of people living with dementia. Changes in design, delivery mode, communication, and access to the activities might empower this group of people to take part in such activities in the community.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9921792","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141966748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling Social Belonging: Exploring the Narratives of Immigrant Muslim Older Women","authors":"Alesia Au,&nbsp;Carla Hilario,&nbsp;Salima Meherali,&nbsp;Jordana Salma","doi":"10.1155/2024/5598247","DOIUrl":"https://doi.org/10.1155/2024/5598247","url":null,"abstract":"<div>\u0000 <p><i>Background and Objectives</i>. Older adults who lack a secure sense of social belonging may report loneliness, isolation, and ostracization in their communities. Little attention has been paid to the perceptions of social belonging among immigrant Muslim older (IMO) women. This study aimed to address this gap by exploring IMO women’s experiences of social belonging. <i>Research Design and Methods</i>. This qualitative descriptive study used photo elicitation and narrative interviewing to draw on the experiences of 14 IMO women living in Edmonton, Canada. An integrative framework of social belonging was used to guide theoretical conceptualizations of what comprises belonging, and a thematic analysis approach was used to highlight factors and influences that shape how participants have constructed their experiences of belonging. <i>Results</i>. The findings suggest that a sense of belonging is influenced by feelings of loneliness and loss, opportunities for community engagement, and social competencies related to maintaining family relationships. Additionally, the findings indicate the importance of IMO women’s perceptions and reflections on aging as these shape their sense of belonging. These findings not only provide insight into the intricate and shifting nature of belonging but also emphasize the need for structural support to benefit both IMO women and the communities they reside in. <i>Discussion and Implications</i>. Cultivating belonging is a collective responsibility involving older women, their social networks, and society at large, including government and public services. A sense of belonging is crucial to counter ageism and promote positive self-perceptions of aging, particularly within ethnocultural communities.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5598247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141968384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}