Working with Older People最新文献

{"title":"The benefits of independent older people’s representation and why its development should be supported","authors":"S. Milsom","doi":"10.1108/wwop-09-2022-0038","DOIUrl":"https://doi.org/10.1108/wwop-09-2022-0038","url":null,"abstract":"\u0000Purpose\u0000The purpose of this papers is to set out the advantages to local communities of independent representation of older people by older people through active and vibrant older people’s forums and groups and the rationale for Councils in Wales to support their revitalisation and development.\u0000\u0000\u0000Design/methodology/approach\u0000This paper describes how semi-structured action research and follow-up discussion and analysis over a two-year period was undertaken by older people with representatives of Older Peoples Forums and groups to identify a strategy to restart and revitalise independent forums post pandemic to represent the voice of older people to government at all levels.\u0000\u0000\u0000Findings\u0000Facilitation of the independent and self-determined voice of older people through genuine co-production with Forums can help Councils meet statutory duties and ensure their policies and services for older people are developed and informed from the direct experience of those receiving them. This will also help address the impacts of an ageing population and meet the national aim to create age-friendly communities across Wales.\u0000\u0000\u0000Social implications\u0000This research provides a basis for Councils to work with Independent Older Peoples Forums and groups to restart and regenerate the forums and promote the self-determined voice of older people to government at all levels.\u0000\u0000\u0000Originality/value\u0000In an ageing society older people should be empowered and enabled to make their own decisions. The principle of self-determination by older people for older people directly and through co-productive engagement with them by local authorities has meaning and purpose that should be promoted and implemented. If age-friendly communities are to be developed across Wales, then collaboration on this basis is required including through independent 50+ forums in localities.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45524978","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":"Resilience in later life: the impact of social exclusion on access to networks of support","authors":"Kirsty Bagnall, Sophie Yarker","doi":"10.1108/wwop-09-2022-0037","DOIUrl":"https://doi.org/10.1108/wwop-09-2022-0037","url":null,"abstract":"\u0000Purpose\u0000The aim of this paper is to respond to a gap in the literature around resilience in later life for older people from minority groups of identity or experience. Specifically, it argues that we need to pay greater attention to how access to different types of social capital may leave some older people more or less able to cope with adverse events and how experiences of social exclusion can limit access to important networks of support during times of crisis.\u0000\u0000\u0000Design/methodology/approach\u0000This paper draws on research conducted to inform the resilience strategy of Greater Manchester in 2019, and specifically looked at how this strategy could better address the needs of the regions’ diverse ageing population. It used a qualitative design including focus groups with older women of Punjabi heritage living in Greater Manchester, interviews with staff from a community and voluntary organisation working with these women, and interviews with staff at an organisation supporting refugees and asylum seekers in Greater Manchester who specifically worked with older adults.\u0000\u0000\u0000Findings\u0000The research found that belonging to a minority group and experiences of social exclusion gave participants in this study both resources and vulnerabilities when it came to dealing with external shocks in later life. Whilst participants in this study had access to strong networks of bonding capital based on shared identity and experience, social exclusion often meant they faced barriers to accessing network of support outside of these communities.\u0000\u0000\u0000Research limitations/implications\u0000Findings from this study have implications for both future research and policy. In the case of the latter there are implications for those working in resilience planning in terms of how to address the needs of diverse older populations. For researchers, this paper has implications for how we understand the impacts on inequality in later life particularly in the context of the COVID-19 pandemic.\u0000\u0000\u0000Originality/value\u0000The originality of this paper lies in its consideration of the impact of inequalities and social exclusion on the resilience of older people in times of crisis. It included older people from minority groups of identity and experience addressing an important gap in the literature.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46712490","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":"Understandings of mild cognitive impairment (MCI): a survey study of public and professional perspectives","authors":"H. Yemm, E. Peel, D. Brooker","doi":"10.1108/wwop-08-2022-0035","DOIUrl":"https://doi.org/10.1108/wwop-08-2022-0035","url":null,"abstract":"\u0000Purpose\u0000This paper aims to report the findings of a survey study exploring perceptions about cognitive impairment. These findings are relevant to public health campaigns and education programmes.\u0000\u0000\u0000Design/methodology/approach\u0000A survey exploring respondents’ views and knowledge about mild cognitive impairment (MCI) was circulated via UK networks. A total of 417 respondents completed the survey, including people living with cognitive impairment (n = 10), care partners (n = 23), older adults (n = 83), younger adults (n = 83), general health-care professionals (n = 96), dementia specialist health-care professionals (n = 48) and dementia specialists (n = 40).\u0000\u0000\u0000Findings\u0000Respondents were more confident in their knowledge about dementia than cognitive impairment but wanted more information about both conditions. Younger adults were uncertain about many aspects of MCI, and were the most likely to view MCI as a normal part of ageing. Diet (45.1%, n = 188) and personal behaviour (63.8%, n = 266) were the least endorsed possible causes of MCI, suggesting a lack of awareness of lifestyle choices as risk factors for MCI.\u0000\u0000\u0000Originality/value\u0000The results highlight the need to provide education and awareness raising about MCI to enable people to seek help in a timely manner and be able to make informed lifestyle choices that may reduce their risk of MCI and dementia. Implementing education about MCI and dementia in schools is a key target, as younger people were the most uncertain or misinformed about these topics. It is clear that further public health initiatives around MCI are both warranted and welcomed by the general public.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44149287","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":"Exploring the triggers of psychological distress among Jordanian patients with heart failure: a phenomenological study","authors":"Yasmeen Abu Sumaqa, Ferial A Hayajneh, M. Alnaeem, Sajeda Alhamory, Ibrahim R. Ayasreh, Manar Abu-abbas","doi":"10.1108/wwop-09-2022-0042","DOIUrl":"https://doi.org/10.1108/wwop-09-2022-0042","url":null,"abstract":"\u0000Purpose\u0000This study aims to gain a deeper understanding of triggers of psychological distress among Jordanian patients with heart failure (HF).\u0000\u0000\u0000Design/methodology/approach\u0000A phenomenological study was adopted. In-depth, semi-structured, audio-taped interviews were conducted for 25 patients with HF. The analysis was done using interpretative phenomenological analysis.\u0000\u0000\u0000Findings\u0000The main theme of the findings can be expressed as “faced with stressors that are unable to cope with”, which encompasses circumstances and contexts associated with the psychological distress they faced. The following four sub-themes emerged from the data: being endorsed in significant life changes, feeling guilty about being a burden, financial burden aggravating stress and feeling overwhelmed by the fear of death.\u0000\u0000\u0000Originality/value\u0000The findings revealed that psychological distress is affected directly by many triggers. The findings indicate the need for informing health-care providers to support these patients and address the challenges and develop clinical guidelines to assess psychological distress among these patients.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46007449","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":"Need-driven dementia compromised behavior theory and health belief model: a theory critique","authors":"Mohammad J Rababa","doi":"10.1108/wwop-09-2022-0040","DOIUrl":"https://doi.org/10.1108/wwop-09-2022-0040","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to critique and evaluate need-driven dementia compromised behavior theory and the health behavioral model using Meleis’ (2010) criteria of theory evaluation.\u0000\u0000\u0000Design/methodology/approach\u0000Theory critique using Meleis’ (2010) criteria of theory evaluation.\u0000\u0000\u0000Findings\u0000This paper provides a conclusion about each theory in terms of agitation in the elderly. Meleis’s (2010) criteria will be used for both theories to evaluate different components such as the relationship between structure and function, diagram of the theory, circle of the contagiousness, usefulness and external components.\u0000\u0000\u0000Originality/value\u0000The critique of the two theories broadened the nurses’ understanding of the connection between the NDB model and the behavior symptoms, including agitation and its related issues. Further studies need to be conducted to shed light on the other aspects of the behavioral symptoms in elderly with dementia that supports the results of this study, like its specific causes, trigger factors and other intervention strategies. Nurses should be able not only to understand the patient’s behavior symptoms but also to decode them into communication signals to meet their needs in a more effective way.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44702265","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":"Dysphagia in nursing home residents: a cross-sectional study","authors":"Isabel de Jesus Oliveira, Flávio Filipe Sousa Ferreira, Licínia Fernandes","doi":"10.1108/wwop-06-2022-0024","DOIUrl":"https://doi.org/10.1108/wwop-06-2022-0024","url":null,"abstract":"\u0000Purpose\u0000This paper aims to disseminate the results of research aiming to identify the prevalence of dysphagia and related clinical factors in nursing home residents.\u0000\u0000\u0000Design/methodology/approach\u0000A cross-sectional descriptive study was developed, including 99 residents in five nursing homes. A sociodemographic questionnaire and the Gugging Swallowing Screen for dysphagia screening were used for data collection.\u0000\u0000\u0000Findings\u0000The prevalence of dysphagia was 59.59%. A significant correlation was found between dysphagia and worse scores for fall risk, pressure ulcer, level of independence for activities of daily living and cognitive functioning.\u0000\u0000\u0000Research limitations/implications\u0000Results should be interpreted carefully due to sample size and specific country context. A larger sample must be achieved in further research.\u0000\u0000\u0000Practical implications\u0000Nurses must receive proper training to perform systematic dysphagia screening, and it should be considered, given the high prevalence, the inclusion of professionals specially trained for rehabilitating dysphagic residents in nursing home teams.\u0000\u0000\u0000Social implications\u0000The social and economic burden of dysphagia, in addition to all the implications on the person’s quality of life, requires a differentiated focus on this issue by nursing home managers.\u0000\u0000\u0000Originality/value\u0000Nursing homes have nurses providing health care; however, trained professionals for dysphagia treatment commonly are not. These results highlight the importance of systematic screening for dysphagia in all residents, thus promoting timely intervention to prevent respiratory and nutritional complications.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45827901","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":"Exploring dialogic analysis and thematic analysis of place conversations with older adults","authors":"J. Weil","doi":"10.1108/wwop-07-2022-0026","DOIUrl":"https://doi.org/10.1108/wwop-07-2022-0026","url":null,"abstract":"\u0000Purpose\u0000Although thematic analysis is a commonly used technique, this paper aims to explore the potential advantages (and drawbacks) of both thematic analysis and a dialogic approach to qualitative data analysis.\u0000\u0000\u0000Design/methodology/approach\u0000Initially, the epistemology and application of each design, thematic analysis and dialogic analysis are compared. Then, examples of coding segments of narrative data from 85 open-ended interviews with older adults exploring the meaning of place and place-attachment are presented through both thematic and dialogic analyses.\u0000\u0000\u0000Findings\u0000The conclusion offers suggestions about how dialogic analysis can add additional context and more participant inclusion and agency to thematic analysis.\u0000\u0000\u0000Originality/value\u0000The blending of these two qualitative analysis approaches offers better emphasis on fully presenting older individuals’ narratives.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44651430","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":"Factors predicting burden among male caregivers of older adults with stroke","authors":"Sirinthip Nimitphuwadon, Pornchai Jullamate, Naiyana Piphatvanitcha, Sivasankari Nadarajan, Watchara Tabootwong","doi":"10.1108/wwop-08-2022-0032","DOIUrl":"https://doi.org/10.1108/wwop-08-2022-0032","url":null,"abstract":"\u0000Purpose\u0000This study aims to examine the factors predicting burden among the male caregivers of older adults with stroke.\u0000\u0000\u0000Design/methodology/approach\u0000This was a descriptive cross-sectional study. A simple random sampling technique was used to recruit 98 male caregivers in the outpatient department’s neurological clinic, at Banphaeo General Hospital. Data was collected using six questionnaires: the demographic questionnaire, the center for epidemiologic studies depression scale, the perceived health status interview form, the caregiver and patient relationship interview form, the Barthel ADL index and the Zarit burden interview. Descriptive statistics and stepwise multiple regression analysis were used for data analysis.\u0000\u0000\u0000Findings\u0000The male caregivers of older adults with stroke had a mild to moderate level of burden. Factors such as depression of caregivers and activities of daily living of older adults predicted the burden among male caregivers, explaining 53.6% of the variance. The findings imply that nurses can plan new approaches and interventions to alleviate the burden of male caregivers by reducing their depression levels and encouraging activities of daily living in the older adults. In addition, effective programs can be developed to provide informational support to caregivers for reducing their burden level.\u0000\u0000\u0000Originality/value\u0000Male caregivers with depressive symptoms had an increased caregiving burden. Therefore, health-care professionals should support and formulate guidelines to reduce the burden of caregiving among the male caregivers by considering predictive factors.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43376749","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 essential features of meeting centres: development of the UK criteria for community support for people affected by dementia","authors":"S. Evans, Jennifer Bray, D. Brooker, Nat J. Stephens","doi":"10.1108/wwop-03-2022-0009","DOIUrl":"https://doi.org/10.1108/wwop-03-2022-0009","url":null,"abstract":"\u0000Purpose\u0000Meeting centres (MCs) are a complex community-based psychosocial intervention to support people affected by dementia. The purpose of this paper is to describe the process of identifying the essential features of MCs from a UK perspective.\u0000\u0000\u0000Design/methodology/approach\u0000The essential features were examined within a concept analysis framework, which combines both static and evolutionary methods, enabling multiple stakeholder groups to be included in the process in an iterative manner.\u0000\u0000\u0000Findings\u0000Eleven essential features were developed, providing a conceptual model of the UK MCs. The underpinning rationale is sufficiently flexible to enable community-based development, while at the same time providing a robust platform upon which to build the evidence base.\u0000\u0000\u0000Originality/Value\u0000While some features may be common to other types of community-based support, the combination of characteristics and the underpinning ethos differentiates MCs and enables each one to meet the needs of its own community.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48112410","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":"Retirement experience, retirement satisfaction and life satisfaction of baby boomers","authors":"Amberyce Ang, Cynthia Chen, Kalyani Mehta","doi":"10.1108/wwop-03-2022-0014","DOIUrl":"https://doi.org/10.1108/wwop-03-2022-0014","url":null,"abstract":"\u0000Purpose\u0000The practice of mandatory retirement age implies that some retirees may be forced to retire or are compelled to continue working. Retirement would then be determined by age and not by their personal choices. Against this backdrop, this study aims to understand the associations retirement transition types (voluntary or involuntary retirement) with retirement satisfaction and life satisfaction.\u0000\u0000\u0000Design/methodology/approach\u0000This mixed research study seeks to understand how the retirement transition type in the form of voluntary or involuntary retirement is associated with retirement satisfaction and life satisfaction. In this study, 103 Singapore baby boomer retirees were interviewed and a questionnaire was administered.\u0000\u0000\u0000Findings\u0000Results showed that voluntary retirement and high social–emotional resources had significant positive associations with retirement satisfaction, and that financial resources and retirement satisfaction had significant associations with life satisfaction.\u0000\u0000\u0000Research limitations/implications\u0000Based on this study’s findings, a synthesized conceptual model was designed to illustrate the different roles and associations of resources with retirement satisfaction and life satisfaction. A retirement trajectory model was also created to cater for policy design at various stages of the retirement experience.\u0000\u0000\u0000Practical implications\u0000The retirement experience is multi-dimensional. It is highly relevant to almost every older adult. The relevance of this topic also meant that the findings in this study carry a potentially higher impact. Using the life span and multi-level perspectives to examine retirement, the findings in this study invite several timely human resources (HR) and national policy reviews. This paper proposed HR policy practices at three main points – late-career, retirement and bridge employment.\u0000\u0000\u0000Originality/value\u0000A unique feature of this study was to differentiate and compare “retirement satisfaction” with “life satisfaction”, and the differentiation of “retirement transition”, “retirement adjustment” and the “retirement trajectory”. The differentiation of these concepts can better shape policies targeted at different phases of the retirement experience. In addition, the resource-based dynamic perspective was used to identify and understand the types of resources that have significant associations with retirement and life satisfaction. For example, social–emotional resources were found to be significantly associated with retirement satisfaction, and financial resources were found to be significantly associated with life satisfaction.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46605485","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}