Working with Older People最新文献

{"title":"Unmet health-care needs among Jordanian Roma with chronic diseases","authors":"Yasmeen Abu Sumaqa, Manar Abu-Abbas, Omar Khraisat, Ahmad Rayan, Mohammad Othman Abudari","doi":"10.1108/wwop-02-2024-0007","DOIUrl":"https://doi.org/10.1108/wwop-02-2024-0007","url":null,"abstract":"Purpose\u0000This study aims to identify the reasons for unmet health-care needs and related barriers among the Roma population with chronic diseases in Jordan.\u0000\u0000Design/methodology/approach\u0000A descriptive survey with a cross-sectional design was conducted, involving a sample of 347 Jordanian Roma participants. Data collection was performed using a structured questionnaire based on the Canadian Community Health Survey.\u0000\u0000Findings\u0000The analysis revealed that within the three categories of reasons for unmet health-care needs (accessibility, availability and acceptability), “Transportation issues” under the accessibility category constitute the most reported reasons: (mean = 90.4%, SD = 22.6%), followed by “Cost” (mean = 89.0%, SD = 26.2%) and “Care not available in the area” (mean = 85.8%, SD = 23.6%). Predictors of unmet health-care needs were being married, having health insurance and self-perception of mental health (OR = 0.215, p = 0.044), (OR = 0.391, p = 0.008) and (OR = 0.302, p = 0.002) respectively.\u0000\u0000Originality/value\u0000Unmet health-care needs are highly prevalent among Jordanian Roma, rendering them a vulnerable group susceptible to other diseases. To address this pressing issue, concerted and comprehensive efforts should be made to improve the utilization and accessibility of health-care services within this community. Furthermore, efforts should be made to elevate their social standing and status. facilitate their integration into the broader community.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":"11 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of psychological well-being, quality of life and distress tolerance in caregivers of geriatric population: an Indian exploratory study","authors":"Abhinaya Sridhar, Harsha Kuriakose","doi":"10.1108/wwop-03-2024-0015","DOIUrl":"https://doi.org/10.1108/wwop-03-2024-0015","url":null,"abstract":"\u0000Purpose\u0000This study aims to gain an understanding of how caring for an ageing population affects caregivers’ psychological well-being, quality of life and ability to tolerate distress. This study provides valuable insights into the challenges faced by family caregivers and underscores the critical need for comprehensive support systems.\u0000\u0000\u0000Design/methodology/approach\u0000A correlational method and cross-sectional research design was used for the study. For this, a sample of 200 caregivers in the age range of 25–60 years who were taking care of the geriatric population above the age of 70 years for a minimum of one year were chosen. Four questionnaires − Burden Scale for Family Caregivers, Psychological Well-Being Scale, World Health Organization’s Quality of Life Scale-BRIEF version and Distress Tolerance Scale were chosen. Correlation and multivariate regression were calculated using statistical package for social sciences (SPSS) 21 and Jamovi 3.4.1.\u0000\u0000\u0000Findings\u0000This study found that there is a negative correlation of caregiver burden with psychological well-being, quality of life and distress tolerance. The sub-domains of self-acceptance, psychological health and tolerance levels were most impacted for the caregivers. Through multivariate regression, it was found that the caregiver burden significantly predicted psychological well-being and quality of life.\u0000\u0000\u0000Research limitations/implications\u0000This study focuses on the English-speaking caregivers which may overlook the diverse linguistic and cultural variations within the broader caregiver community in India and the data collection exclusively targeted family caregivers providing support to geriatric population without chronic illnesses. This restriction could potentially limit the generalizability of the findings to the broader caregiving context.\u0000\u0000\u0000Practical implications\u0000The implications of this research are that for caregivers, this study underscores the importance of tailored support programmes that address the negative impact of caregiver burden on psychological well-being and quality of life. Health-care professionals can use the findings to incorporate mental health assessments and interventions within caregiving contexts, recognizing the interconnected nature of these variables. Policymakers can use the findings to inform policies related to caregiver support and health-care resource allocation.\u0000\u0000\u0000Originality/value\u0000In India, the social norm is that children are expected to take care of their parents when they become old. Taking care of elderly parents can be challenging, even emotionally. As a result, this study will focus on how caregivers’ psychological well-being, quality of life and ability to tolerate distress are affected. Consequently, promoting the creation of community support groups and workplace mental health programmes which could give caregivers a forum to voice their concerns.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":"13 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jordanian nurses’ competencies in providing community care during disaster: a cross-sectional survey","authors":"Yasmeen Abu Sumaqa, Sajeda Alhamory, Manar Abu-Abbas, Ahmad Rayan, Mutaz Foad Alradaydeh, N. Alrida, O. Z. Al-Rajabi, Mohammad Y. Alzaatreh, A. Khalifeh, Saleh Al Omar, Manal Mohamed Abd EINaeem","doi":"10.1108/wwop-02-2024-0008","DOIUrl":"https://doi.org/10.1108/wwop-02-2024-0008","url":null,"abstract":"Purpose\u0000The purpose of this paper is to assess the perceived level of Jordanian nurses’ competencies in offering care to the community during a disaster.\u0000\u0000Design/methodology/approach\u0000A correlational descriptive design was used to assess nurses’ competencies in offering care for the community during a disaster.\u0000\u0000Findings\u0000A total of 370 nurses (55 % males) aged 25−55 agreed to participate. The mean score of competencies of nurses who offer care to the community during the disaster was 2.11 (SD = 0.59) points. The results of correlation coefficient tests revealed a significant positive correlation between stated competencies level and nurses’ sex, receiving disaster education and training with rpb (371) = 0.13, p < 0.01; rpb (598) = 0.15, p = 0.004; rpb (598) = 0.21, p < 0.001, respectively. Furthermore, the “care of communities” subscale had a weak positive correlation with the.\u0000\u0000Originality/value\u0000Nurses play a critical role in disaster response. However, there was a gap in nurses’ competencies for disaster, which shows there is a crucial need to include disaster management courses in the nursing curriculum and update disaster management courses in hospitals based on nurses’ needs to improve their competencies during disasters.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":"3 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141356311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A psychometric study of validation and cross-cultural adaptation of the Holden Communication Scale for elderly with dementia in care homes","authors":"A. Alkhawaldeh, Asem Abdalrahim, Mohammad Y N Saleh, Ahmad Ayed, Anas Ababneh, Mohammad Rababa, Alaa Dalky, Rasmieh M. Al-amer, Sami Al-Rawashdeh, Omar Al Omari, M. Albashtawy, I. Oweidat, Haitham Khatatbeh, Zaid Albashtawy","doi":"10.1108/wwop-12-2023-0057","DOIUrl":"https://doi.org/10.1108/wwop-12-2023-0057","url":null,"abstract":"Purpose\u0000This paper aims to validate and adapt the Arabic version of Holden Communication Scale (HCS) for assessing communication skills among old people with dementia in care home.\u0000\u0000Design/methodology/approach\u0000A study involving 210 elderly residents from Jordanian care homes was conducted, where they completed the Arabic version of the HCS. Internal consistency and factor analysis techniques were precisely used to assess the scale's reliability. Additionally, cognitive function evaluation used the Arabic iteration of the Saint Louis University Mental Status (SLUMS) questionnaire, while communication skills were comprehensively appraised using the HCS.\u0000\u0000Findings\u0000The Arabic HCS has strong content validity, with a one-component structure accounting for 60% of the variation and a three-factor structure accounting for 77.2% of the variance. The original three-subgroup structure of the scale was recreated, and internal consistency varied from 0.85 to 0.87, indicating good reliability.\u0000\u0000Originality/value\u0000This study aimed to assess the reliability and validity of the Arabic version of the HCS among old people with dementia residing in care homes. The authors conducted examination of its psychometric properties within this unique population.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":"12 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141265368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between intrinsic capacity and weak muscle strength in naval medical center older adults","authors":"María J Rojas-Puell, Danna Salazar-Gastelú, F. Runzer-Colmenares, J. Parodi","doi":"10.1108/wwop-02-2024-0009","DOIUrl":"https://doi.org/10.1108/wwop-02-2024-0009","url":null,"abstract":"Purpose\u0000The purpose of this study was to determine the association between intrinsic capacity (IC) and dynapenia in older adults in outpatient clinics at the Naval Medical Center.\u0000\u0000Design/methodology/approach\u0000The study design was observational, analytical and retrospective. The study from which the collected data came was an observational analytical cohort, whose main objective was to describe the factors associated with frailty in older adults. The population comes from the Peruvian Naval Medical Center. This was a retrospective, observational, analytical study of the factors associated with frailty in older adults from the Naval Medical Center of Peru.\u0000\u0000Findings\u0000Data from 1667 participants was analyzed, 682 of them were female (40.9%) and 985 were male (50.1%); regarding age, most participants had 71–80 years (n = 761, 45.6%). Prevalence of the dynapenia was 34.5% (n = 576), and 80.08% (n = 1335) had an altered IC. In an adjusted model using Poisson regression, a prevalence ratio of 2.76 (95%, CI 2.06–3.70) was found. In conclusion, there is an association between IC and dynapenia in older adults.\u0000\u0000Originality/value\u0000In Latin America and Peru, there is limited information regarding this topic and tools for the evaluation of IC.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stress and work engagement among nurses in intensive care units: Palestinian perspective","authors":"Mohammad Faisal Alali","doi":"10.1108/wwop-03-2024-0013","DOIUrl":"https://doi.org/10.1108/wwop-03-2024-0013","url":null,"abstract":"Purpose\u0000Work engagement denotes to a state of positive and affective motivation of elevated power joined with high educational levels and a great concentration on occupation and it is negatively affected by psychological problems. This study aims to assess the stress and work engagement among Palestinian nurses working in intensive care units.\u0000\u0000Design/methodology/approach\u0000A cross-sectional design was adopted. A convenience sample consisting of 225 intensive care nurses from governmental hospitals was recruited to participate. Data collection used the Nursing Stress Scale and Utrecht Work Engagement Scale-9, and demographic data were used to gather data throughout the period from February 10 to March 30, 2023.\u0000\u0000Findings\u0000Findings demonstrated that nurses’ stress levels were high (M = 105.9 ± standard deviation [SD] = 11.91). Concerning work engagement, the nurses endorsed moderate work engagement levels with a mean of 3.7 (SD = 0.4). Regarding work engagement subscales, the mean of vigor was 3.7 (0.6), dedication with a mean of 3.7 (0.6) and absorption with a mean of 3.7 (0.6). Also, the findings showed that stress, gender and monthly income were predictors of work engagement (p < 0.05).\u0000\u0000Research limitations/implications\u0000Despite the significant results, this study had the following limitations: the design was cross-sectional, which limits the ability to explore the cause and effect of the study variables, thus longitudinal studies are recommended. In addition, the study adopted a self-reported questionnaire based on participants’ understanding, culture and work context which could influence their responses.\u0000\u0000Originality/value\u0000The intensive care nurses had high stress levels and moderate work engagement. Stress, gender and monthly income were predictors of the work engagement. Thus, interventions should be encouraged to minimize stress, which has a significant influence on work engagement.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":"35 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141113713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A descriptive phenomenological study of critically ill elderly patients’ experiences of treatment using high-flow nasal cannula after extubation","authors":"Watchara Tabootwong, Yoongtong Nathmontri, Chonticha Chantakeeree","doi":"10.1108/wwop-12-2023-0054","DOIUrl":"https://doi.org/10.1108/wwop-12-2023-0054","url":null,"abstract":"\u0000Purpose\u0000This study aims to describe the experiences of critically ill elderly patients (CIEPs) who were treated using the high-flow nasal cannula (HFNC) after extubation.\u0000\u0000\u0000Design/methodology/approach\u0000A descriptive phenomenological approach was conducted to interview eleven CIEPs using face-to-face semi-unstructured interviews. Participants were selected through purposive sampling. Data were analyzed using Giorgi’s method.\u0000\u0000\u0000Findings\u0000Experiences of CIEPs included their fears of failure, getting comfortable and uncomfortable, as well as asking for assistance. Fears of failure were described as involving worsening symptoms related to their diseases and failure of HFNC leading to the need for reintubation. While receiving HFNC, their breathing was comfortable, and they were free from intubation. However, they were uncomfortable because of the sensation of burning in the nasal passages. Additionally, they asked for assistance from nurses in managing their symptoms, and the alarms of HFNC oxygen therapy devices resulted in fears of HFNC failure.\u0000\u0000\u0000Originality/value\u0000The paper indicates that CIEPs experienced physical and psychological impacts from HFNC oxygen therapy (e.g. burning sensation in the nose and fear of failure). Although they had comfortable breathing, being uncomfortable also occurred. Therefore, health-care professionals should support what CIEPs need and develop a program or guidelines for managing the complications of HFNC – neither burning noses nor psychological issues enhance the comfort of CIEPs – by considering age-related changes.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140973862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New horizons in gerotranscendence interventions. Targeting nursing home staff members and other caregivers: a scoping review","authors":"Taiane Abreu, Lia Araújo, L. Teixeira, Oscar Ribeiro","doi":"10.1108/wwop-10-2023-0046","DOIUrl":"https://doi.org/10.1108/wwop-10-2023-0046","url":null,"abstract":"Purpose\u0000The aim of this scoping review is to describe the published gerotranscendence interventions targeting older adults’ caregivers and their outcomes.\u0000\u0000Design/methodology/approach\u0000Six databases were searched, and three studies were selected for analysis: one short-term quasi-experimental study and two observational studies.\u0000\u0000Findings\u0000The interventions consisted in an instructional moment about the gerotranscendence theory and a moment for sharing personal perceptions.\u0000\u0000Originality/value\u0000Gerotranscendence interventions can be essential for the caregivers to have a better relationship with the older adults, as they could improve their perception on their needs. Even though the interventions presented promising results benefiting caregivers and older adults, none of the studies confirmed that these changes persisted in the long term and additional studies are needed to robustly investigate this subject.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140993552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequalities in the pandemic and post pandemic times of older people. Case of Russia","authors":"Konstantin A. Galkin, Irina Grigorieva","doi":"10.1108/wwop-01-2024-0005","DOIUrl":"https://doi.org/10.1108/wwop-01-2024-0005","url":null,"abstract":"Purpose\u0000This paper aims to study the inequalities faced by older people through the analysis of semistructured interviews with older residents of Saint Petersburg and the villages in the Republic of Karelia in Russia.\u0000\u0000Design/methodology/approach\u0000The authors begin the research by studying the nature of the perception of inequalities in older people’s lives, as well as examining the concept of inequality in the context of modern reality affected by the pandemic and postpandemic repercussions. Furthermore, the authors analyze empirical cases and, using thematic analysis, examine the specifics and the nature of the emerging inequalities, as well as the ways in which older people overcome them. In the modern world, individual rather than class competition is increasingly manifested, which stipulates the specific character of research associated with the necessity to study personal competition and interactions in the context of everyday life. The empirical basis of the study was 30 semistructured interviews conducted in 2022 in St. Petersburg and rural areas of the Republic of Karelia. The study of the everyday features of the manifestation of inequalities and ageism was carried out using modern sociological approaches.\u0000\u0000Findings\u0000It is concluded that older people find ways to adapt to social changes in pandemic and postpandemic times through strategies such as emotional reflection on the past, hobbies, reviewing old resources and searching for new ones, changing ways of communication and solving problems. The desire to take care of one’s own well-being is becoming an important focus of attention for the older in their daily routine.\u0000\u0000Originality/value\u0000These strategies create positive opportunities for adaptation and contribute to reducing the fears and anxiety of the elderly regarding the possible return to similar situations like the COVID-19 pandemic and related inequalities.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140996795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The changing health-care system in Ghana: forms of care within residential aged care facilities in urban Accra","authors":"J. A. Nyarko, Joana Kwabena-Adade, Andrews Kwabena-Adade","doi":"10.1108/wwop-01-2024-0006","DOIUrl":"https://doi.org/10.1108/wwop-01-2024-0006","url":null,"abstract":"\u0000Purpose\u0000The emergence of residential aged care facilities (RACFs) within the Ghanaian health-care system has raised eyebrows because, hitherto, the concept of nursing homes had largely been perceived as an anomaly. The purpose of this study is to understand this emerging phenomenon and the activities of care provided within two facilities in the nation’s capital, Accra.\u0000\u0000\u0000Design/methodology/approach\u0000The study draws on participant observations and in-depth interviews with purposively sampled 15 residents in the two facilities and eight caregivers. The data were analysed using thematic approach.\u0000\u0000\u0000Findings\u0000The study found that the daily forms of care mostly performed for the elderly were intimate and non-intimate physical, medical, emotional and spiritual and end-of-life care. The bulk of activities of care were performed in the morning.\u0000\u0000\u0000Originality/value\u0000The study reveals that the changing landscape of health-care facilities in Ghana to include RACFs indicates RACFs have come to stay to provide different forms of care to older persons who otherwise were cared for by the family.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141000165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}