Kayla Atchison, Ann M Toohey, Zahinoor Ismail, Zahra Goodarzi
{"title":"了解长期护理居民焦虑管理的障碍和促进因素。","authors":"Kayla Atchison, Ann M Toohey, Zahinoor Ismail, Zahra Goodarzi","doi":"10.1017/S0714980823000417","DOIUrl":null,"url":null,"abstract":"<p><p>Older adults, 65 years of age and older, living in long-term care (LTC) commonly experience anxiety. This study aimed to understand care providers' perspectives on the barriers to and facilitators of managing anxiety in residents of LTC. Ten semi-structured interviews with care providers in LTC were completed. Framework analysis methods were used to code, thematically analyze, designate codes as barriers or facilitators, and map the codes to the Theoretical Domains Framework. Themes were categorized as acting at the resident, provider, or system level, and were labelled as either barriers to or facilitators of anxiety care. Key barriers to anxiety care at each level were resident cognitive impairment or co-morbidities; lack of staff education, staff treatment uptake and implementation; as well as the care delivery environment and access to resources. There is a need to prioritize measurement-based care for anxiety, have increased access to non-pharmacological treatments, and have a care delivery environment that supports anxiety management to improve the care for anxiety that is delivered to residents.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Understanding the Barriers to and Facilitators of Anxiety Management in Residents of Long-Term Care.\",\"authors\":\"Kayla Atchison, Ann M Toohey, Zahinoor Ismail, Zahra Goodarzi\",\"doi\":\"10.1017/S0714980823000417\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Older adults, 65 years of age and older, living in long-term care (LTC) commonly experience anxiety. This study aimed to understand care providers' perspectives on the barriers to and facilitators of managing anxiety in residents of LTC. Ten semi-structured interviews with care providers in LTC were completed. Framework analysis methods were used to code, thematically analyze, designate codes as barriers or facilitators, and map the codes to the Theoretical Domains Framework. Themes were categorized as acting at the resident, provider, or system level, and were labelled as either barriers to or facilitators of anxiety care. Key barriers to anxiety care at each level were resident cognitive impairment or co-morbidities; lack of staff education, staff treatment uptake and implementation; as well as the care delivery environment and access to resources. There is a need to prioritize measurement-based care for anxiety, have increased access to non-pharmacological treatments, and have a care delivery environment that supports anxiety management to improve the care for anxiety that is delivered to residents.</p>\",\"PeriodicalId\":47613,\"journal\":{\"name\":\"Canadian Journal on Aging-Revue Canadienne Du Vieillissement\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian Journal on Aging-Revue Canadienne Du Vieillissement\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/S0714980823000417\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/9/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S0714980823000417","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/4 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"GERONTOLOGY","Score":null,"Total":0}
Understanding the Barriers to and Facilitators of Anxiety Management in Residents of Long-Term Care.
Older adults, 65 years of age and older, living in long-term care (LTC) commonly experience anxiety. This study aimed to understand care providers' perspectives on the barriers to and facilitators of managing anxiety in residents of LTC. Ten semi-structured interviews with care providers in LTC were completed. Framework analysis methods were used to code, thematically analyze, designate codes as barriers or facilitators, and map the codes to the Theoretical Domains Framework. Themes were categorized as acting at the resident, provider, or system level, and were labelled as either barriers to or facilitators of anxiety care. Key barriers to anxiety care at each level were resident cognitive impairment or co-morbidities; lack of staff education, staff treatment uptake and implementation; as well as the care delivery environment and access to resources. There is a need to prioritize measurement-based care for anxiety, have increased access to non-pharmacological treatments, and have a care delivery environment that supports anxiety management to improve the care for anxiety that is delivered to residents.
期刊介绍:
The Canadian Journal on Aging/La Revue canadienne du vieillissement (CJA/RCV) promotes excellence in research and disseminates the latest work of researchers in the social sciences, humanities, health and biological sciences who study the older population of Canada and other countries; informs policy debates relevant to aging through the publication of the highest quality research; seeks to improve the quality of life for Canada"s older population and for older populations in other parts of the world through the publication of research that focuses on the broad range of relevant issues from income security to family relationships to service delivery and best practices.