Working with Older People最新文献

{"title":"Promoting the person-centred aspects of dignity and well-being: learning from older persons’ experiences of living in residential care facilities","authors":"Charlotte Roos, Anna Swall, Lena Marmstål Hammar, A. Boström, B. Skytt","doi":"10.1108/wwop-08-2022-0034","DOIUrl":"https://doi.org/10.1108/wwop-08-2022-0034","url":null,"abstract":"\u0000Purpose\u0000Dignity and well-being are key aspects of the legislation and policies that regulate care of older persons worldwide. In addition, care of older persons should be person-centred. Dignity and well-being are described as results of person-centred care (PCC). The purpose of this study was to gain an understanding of important aspects for older persons to experience dignity and well-being in residential care facilities (RCFs).\u0000\u0000\u0000Design/methodology/approach\u0000This study had a qualitative approach, and individual semi-structured interviews were conducted with 20 older persons living in RCFs. Data were analysed using inductive content analysis.\u0000\u0000\u0000Findings\u0000To experience dignity and well-being older persons emphasized the importance of preserving their identity. To do this, it was important to be able to manage daily life, to gain support and influence and to belong to a social context. However, the findings indicate a need for improvements.\u0000\u0000\u0000Practical implications\u0000Insights into older persons’ experiences of important aspects for experiencing dignity and well-being in RCFs can be used by first-line managers and registered nurses when designing improvement strategies to promote PCC.\u0000\u0000\u0000Originality/value\u0000Dignity and well-being are described as results of PCC. The findings provide an understanding of what older persons perceive as important for experiencing dignity and well-being in RCFs. The findings are useful when designing improvement strategies to promote PCC.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43600666","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":"Social capital and health outcomes among older adults in India: a multilevel analysis","authors":"J. Jyoti, S.P. Singh, M. Malik","doi":"10.1108/wwop-05-2022-0019","DOIUrl":"https://doi.org/10.1108/wwop-05-2022-0019","url":null,"abstract":"\u0000Purpose\u0000The social capital theory is increasingly being looked at as a valuable paradigm to understand if community socioeconomic factors influence health behaviours and outcomes. This requires an understanding of the forms in which social capital manifests and the levels at which it operates.\u0000\u0000\u0000Design/methodology/approach\u0000Thus, the purpose of this paper is to study if social capital is associated with health outcomes among older adults in India and providing an estimate of the extent to which the neighbourhood differences in health outcomes among the older adults can be attributed to social capital.\u0000\u0000\u0000Findings\u0000The authors find several forms of social capital to be associated with health outcomes among older adults. The results show that community-level social capital variables collectively explain 12.81% unexplained neighbourhood variation in self-rated health, 2.5% variation in psychological well-being and 11.32% variation in the ability to perform activities of daily living, respectively.\u0000\u0000\u0000Originality/value\u0000The findings highlight the role social capital plays in serving as a coping mechanism for older adults to survive deteriorating health and social exclusion and call for conscious investment in building social capital.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42583778","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":"Health-care system in Jordan: challenges and solutions","authors":"Mohammad J Rababa","doi":"10.1108/wwop-07-2022-0028","DOIUrl":"https://doi.org/10.1108/wwop-07-2022-0028","url":null,"abstract":"\u0000Purpose\u0000This study aims to explore the challenges in the Jordanian health-care system and the potential solutions for these challenges.\u0000\u0000\u0000Design/methodology/approach\u0000A narrative literature review was conducted.\u0000\u0000\u0000Findings\u0000The challenges of the health-care system in Jordan related to geriatric care are the new emergence of nursing homes; the limited health-care services and supplies; the growing aging population; the dramatic change in the family structure. There are many credible approaches used to solve those challenges, including social networking, advocacy, education and research, lobbying and financial support.\u0000\u0000\u0000Originality/value\u0000There is a lack of research studies examining the perceived barriers and facilitators of geriatric care in Jordan from the perspectives of health-care professionals, health-care managers and older adults themselves. Future intervention studies are recommended to target the challenges in the Jordanian health-care system concerning geriatric care.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42538964","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 case study of implementing interprofessional education in care home settings","authors":"M. Stephens, Lydia Hubbard, Siobhán Kelly, Andrew Clark, Lorna Chesterton","doi":"10.1108/wwop-04-2022-0018","DOIUrl":"https://doi.org/10.1108/wwop-04-2022-0018","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to report on an interprofessional (IPE) student training scheme recently conducted in three care homes across the Northwest of England. The intervention was designed as a feasibility study to explore the impacts such schemes have on residents, students and care home staff. Additional lessons emerged that contribute to the design and direction of future IPE initiatives in other care homes and care settings.\u0000\u0000\u0000Design/methodology/approach\u0000This case study outlines how the intervention was designed and implemented and the findings from its evaluation. This paper uses Biggs’ (1993) presage–process–product framework to evaluate the process of setting up care homes as a site of collaborative learning.\u0000\u0000\u0000Findings\u0000Collaborative working between stakeholders is necessary for the successful implementation of IPE in care home settings. The process is complex and requires communication and commitment across all levels of engagement. For this model to grow and have a beneficial impact on older people’s lives, there are layered factors to consider, such as the socio-political context, the characteristics of the individuals who participate and diverse approaches to learning.\u0000\u0000\u0000Research limitations/implications\u0000This case study reports the subjective views of the research collaborators. While this raises the potential for bias, it presents an “insider” perspective of the research process and offers learning that might be beneficial in efforts to run future IPE training schemes.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, no other research studies or published interventions have been identified that explicitly address the experiences of implementing an IPE training scheme in UK care home settings. This paper will therefore be useful to academic researchers, individuals managing student placements and to health and social care staff who wish to learn about of the value of IPE learning schemes.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42671649","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":"Older people’s perceptions and self-reported usage of the mobile app, “Hear Me Now”: a feasibility study","authors":"G. Cook, Annette Hand, Jill Wales, A. Kirton","doi":"10.1108/wwop-03-2022-0010","DOIUrl":"https://doi.org/10.1108/wwop-03-2022-0010","url":null,"abstract":"\u0000Purpose\u0000Mobile technology and applications offer a new approach to personalised care for older people. Hear Me Now (HMN), developed by Maldaba Ltd, is an application for smartphones and tablets. Although originally conceived and co-produced by individuals with learning disabilities and their supporters, anecdotal evidence from specialist practitioners indicated that older people with chronic health conditions and frailty might also benefit from use of the HMN app. This feasibility study sought to explore whether older people could use the HMN app and examine their usage. The aim of this feasibility study was to explore whether older people could use HMN and to examine their usage of this application.\u0000\u0000\u0000Design/methodology/approach\u0000A purposive sample of six individuals (M = 4; F = 2) aged between 65 and 90 years was recruited for the study. Following training, the participants used HMN at home for different purposes over three months. Concurrently, the participants took part in an online interview every three weeks (N = 5 interviews). They also completed the Task Load Index (NASA-TLX) questionnaire during Weeks 1 and 12 and the system usability scale during Week 12 to assess usability of HMN.\u0000\u0000\u0000Findings\u0000The participants used the HMN app for a range of purposes and indicated that their confidence and skills increased when using HMN. Though the participants reported diverse experiences of using HMN for different purposes, it was clear the majority considered this app helpful in managing daily life and their health conditions; however, they also experienced barriers in its use such as dexterity and visual problems.\u0000\u0000\u0000Research limitations/implications\u0000This is a small feasibility study that was restricted to older people using the HMN app. Though valuable insights were obtained from the participants, the evidence that older people could use HMN to support their personal activities and to self-manage health conditions remains anecdotal. Further research is therefore warranted following adaptation of HMN for use by older people.\u0000\u0000\u0000Originality/value\u0000This study indicates that patient self-management apps such as HMN have the potential to enable older adults with long-term health conditions to play an active role in managing their condition.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43868449","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":"Dispersed communities in age-friendly work: an intersectional approach to place-based working","authors":"Sarah Wilkinson, Luciana Lang, Sophie Yarker","doi":"10.1108/wwop-07-2022-0025","DOIUrl":"https://doi.org/10.1108/wwop-07-2022-0025","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to present alternative ways of addressing inequality in age-friendly work by drawing attention to the limitations of place-based approaches in meeting the needs of dispersed communities.\u0000\u0000\u0000Design/methodology/approach\u0000A case study of the age-friendly programme Ambition for Ageing (AfA) is used to explore three examples of working with minority communities.\u0000\u0000\u0000Findings\u0000Place-based age-friendly development risks further marginalising older people belonging to dispersed communities of identity or experience; therefore, we need to adopt adopt an intersectional approach to inequality in later life.\u0000\u0000\u0000Practical implications\u0000Three ways that age-friendly programmes may become more inclusive of minority groups who are geographically dispersed are identified: bringing community members together; co-production; and supporting visibility in mainstream settings.\u0000\u0000\u0000Originality/value\u0000This paper brings together insights from the AfA programme, critically assessing place-based approaches in relation to working with dispersed communities of identity. It offers some ways to mitigate limitations through adopting tailored equality approaches.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42061585","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":"Quality of life among post-stroke Jordanian survivors: a prospective study","authors":"M. N. Alhalabi, Salam H. Bani Hani","doi":"10.1108/wwop-08-2022-0033","DOIUrl":"https://doi.org/10.1108/wwop-08-2022-0033","url":null,"abstract":"\u0000Purpose\u0000This study aims to assess the quality of life (QOL) and the related factors in patients post-stroke in Jordan.\u0000\u0000\u0000Design/methodology/approach\u0000Prospective, the cross-sectional study recruited 100 participants with stroke from three public hospitals from December 1, 2021 to February 1, 2022. Patients with stroke were interviewed to fill the stroke-specific quality of life questionnaire.\u0000\u0000\u0000Findings\u0000Forty-five per cent of the participants were male. More than half of the participants (53%) were married, and the average age of the participants was 63.6 (SD =3.8). Most of the participants had an ischemic stroke (86%) with an affected left side (65%). The overall QOL of the participants was leveling at (M = 123.5, SD = 45.2), which is a moderate level. It was found statistical significance differences among participants according to gender, type of stroke, affected side and presence of comorbidities (Table 1).\u0000\u0000\u0000Research limitations/implications\u0000There were some limitations in this study. First, this study was based on mild to moderate Jordanian stroke survivors and did not include critically ill stroke survivors; the QOL critically ill stroke survivors may differ, which could affect the generalizability of data among all stroke survivors. Second, this study is prospective, and this type of study is prone to bias that could influence the reliability of the results. It is recommended to conduct a mixed-method study to reveal an in-depth understanding of the associated factors with QOL, to ensure reliability and to reflect a better view of the Jordanian population.\u0000\u0000\u0000Practical implications\u0000To sum up, there is a reduction in the level of QOL among stroke survivors; hence, it is crucial to focus on detecting factors contributing to reducing the QOL and taking individual differences between sexes, type and location of the stroke, and comorbidities into consideration to develop a treatment plan that enhances the QOL and well-being for survivors of stroke.\u0000\u0000\u0000Social implications\u0000Taking individual differences between sexes, type and location of the stroke and comorbidities into consideration to develop a treatment plan that enhances the QOL and well-being of survivors of stroke.\u0000\u0000\u0000Originality/value\u0000The findings of this study bring a strong insight toward assessing the main factors indicating a decrease QOL among stroke survivors.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48566434","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":"Verbal elder abuse in India: a descriptive phenomenological study","authors":"A. B. Patel","doi":"10.1108/wwop-03-2022-0011","DOIUrl":"https://doi.org/10.1108/wwop-03-2022-0011","url":null,"abstract":"\u0000Purpose\u0000Verbal abuse of the aged people in later life is a matter of grave concern in contemporary times. Aged people are abused by family members, relatives and neighbors in the form of yelling, taunting, swearing and threats, among other things. These abusive behaviors have the greatest influence on their social standing and well-being, and they cause society and families to dismantle their social networks as a result. This study aims to understand the nature of verbal elder abuse as a social phenomenon under the theoretical framework of sociocultural paradigm and examines the causes.\u0000\u0000\u0000Design/methodology/approach\u0000The descriptive phenomenology method has been applied in this study. The study has been conducted on a sample of 60 elderly living in Kanpur district of Uttar Pradesh. The concern of using descriptive phenomenology in the present study is to understand the nature of verbal abuse against the elderly systematically by exploring cultural, situational and social aspects of verbal abuse in Indian society. This method analyzes the reality behind the verbal elder abuse as a social phenomenon and relationship between elderly and their abusers.\u0000\u0000\u0000Findings\u0000The study finds an increase in verbal elder abuse in Indian families, which can range from psychological torture to physical torture, and includes insults, humiliation and neglecting the needs of the elderly for food, clothing, shelter and medical attention. The study also points out that reduction in attachment is as a responsible factor for verbal abuse with the elderly in modern times.\u0000\u0000\u0000Originality/value\u0000This is an original paper. This paper talks about the most concerning issue of verbal abuse which is faced by aged people in their family and society. Basically, this paper has applied the descriptive phenomenological method for the analysis of verbal elder abuse as a social phenomenon in the sociocultural context of Indian society.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49323258","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":"Sport for confidence: a collaborative programme of physical activity, sport and exercise for people with Young Onset Dementia","authors":"M. Tilki, C. Curran, Liz Burton, Lyndsey Barrett","doi":"10.1108/wwop-07-2022-0029","DOIUrl":"https://doi.org/10.1108/wwop-07-2022-0029","url":null,"abstract":"\u0000Purpose\u0000This paper aims to showcase an innovative programme of physical activity and sport to enhance the health and well-being of people with Young Onset Dementia (YOD). It is hoped that this will inspire similar collaborations between day and activity centres and exercise/sports facilities.\u0000\u0000\u0000Design/methodology/approach\u0000A case study of a collaborative programme between Peaceful Place, a day service for people with YOD and Sport for Confidence in Essex. It draws upon the observations and reflective accounts of those implementing the programme.\u0000\u0000\u0000Findings\u0000People with YOD chose and engaged in a range of physical activities and sports, resulting in increased fitness, flexibility and mobility. There were improvements in memory, cognition for some and reductions in anxiety and depression for most. The main benefits were fun, enjoyment, confidence, a sense of achievement, self-esteem, improved social interaction and wider relationships. Participants were also motivated to take more exercise, get outdoors and try new challenges and experiences.\u0000\u0000\u0000Practical implications\u0000Given the predicted rise in people with YOD, this paper offers insight into ways of supporting them to be active physically and socially, thus, improving health, well-being and quality of life.\u0000\u0000\u0000Originality/value\u0000This paper is the account of professionals deeply involved in all stages of negotiating, consulting, developing, overcoming challenges and implementing the programme.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41848279","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":"Impact of social isolation due to COVID-19 on vulnerable geriatric population: a study of physical and psychological wellbeing","authors":"P. Pujari, Anuj Kumar, Pranjali Pujari","doi":"10.1108/wwop-06-2022-0023","DOIUrl":"https://doi.org/10.1108/wwop-06-2022-0023","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to gain a deeper understanding of the impact of social isolation due to COVID-19 on the vulnerable geriatric population.\u0000\u0000\u0000Design/methodology/approach\u0000Ten individual interviews of people above 70 years of age were conducted in 2021. The data was collected through interviews and observation. The authors observed the people from the age.\u0000\u0000\u0000Findings\u0000The geriatric population faced physical challenges like poor sleep and digestive health along with neglect of their persisting ailments, which needed attention. Mental issues were also very serious, such as fear of death, anxiety, stress and depression. This paper urges the policymakers to focus on coming up with support systems for the geriatric population and finding long-term solutions to mitigate the repercussions faced by them.\u0000\u0000\u0000Originality/value\u0000This paper attempts to underline the mostly unnoticed physical and psychological issues troubling usually neglected strata of the population as they do not make a part of an income-earning segment.\u0000","PeriodicalId":53659,"journal":{"name":"Working with Older People","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44104328","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}