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Older People Nursing (older + people_nursing)
Selected AbstractsPersonal and social determinants of health services utilization by Mexican older peopleINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 3 2010Maria Isabel Peñarrieta De Córdova PhD de córdova m.i.p., mier n., curi e.j.m., gómez t.g., quirarte n.h.g. & barrios f.f. (2009) Personal and social determinants of health services utilization by Mexican older people. International Journal of Older People Nursing 5, 193,201 doi: 10.1111/j.1748-3743.2009.00193.x Background., Increased healthcare needs among older individuals around the world demands a better understanding of factors influencing healthcare service utilization patterns. Objective., To examine personal and social correlates to health services utilization among Mexican older persons. Design and methods., This was a cross-sectional study conducted between 2004 and 2006 with 2030 Mexican adults 60 years and older and based on a health services utilization framework. A two-stage cluster sampling with probability proportionate to size was used. Participants were randomly selected and recruited in four metropolitan areas in Northeastern Mexico. Chi-square and Pearson's chi-squared tests and logistic regression were used for data analyses. Results., Significantly more women than men had lost a spouse and were illiterate. Also, females reported significantly poorer health, higher nutritional risk and lower ability to perform activities of daily and instrumental living than males. Predictors of healthcare utilization were: Having a caregiver during an illness; perceiving to have a health problem; being able to afford food, and having children. Conclusions., Predisposing, enabling and need factors are strong predictors of health services utilization among Mexican older persons. In addition, gender differences exist among this population in relation to health status, but not to health services demands. [source] The care of older people with dementia in acute hospitalsINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 2 2010BA(Hons), DProf, Fiona Cowdell RN cowdell f. (2010) The care of older people with dementia in acute hospitals. International Journal of Older People Nursing 5, 83,92. Aim., To explore the experiences of patients and nursing staff of the care received by older people with dementia in acute hospitals. Background., The prevalence of dementia is steadily increasing as is the number of people with the condition requiring acute hospital care. Significant concerns about the quality of this care have been raised. There is a paucity of knowledge about the views of such care from the perspectives of people with dementia and nurses. Method., An ethnographic approach was used and data were collected thorough observation and interviews in one acute hospital in the United Kingdom. Findings., Findings suggest that care for older people with dementia in acute hospitals is not always optimum although there are clear exceptions. Generally, people with dementia found the delivery of care and the experience of being in hospital distressing as they did not know what was happening and they were often ignored. Nurses strive to give good care but do not always achieve this. Conclusion., Bourdieu's Model of Practice assists in explaining why care is as it is. There is a clear need to improve current practice. Relevance to clinical practice., It is imperative that innovative methods of developing practice are implemented and evaluated. Education alone will not lead to sustained changes in practice. Further research into this subject needs to be undertaken. [source] Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older peopleINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 2 2010BSc (Hons) Nursing, Brendan McCormack D.Phil (Oxon), PGCEA mccormack b., dewing j., breslin l., coyne-nevin a., kennedy k., manning m., peelo-kilroe l., tobin c. & slater p. (2010) Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people. International Journal of Older People Nursing 5, 93,107 Aim., To present the nursing outcomes from the evaluation of developments in the care environment in residential settings for older people. Design., The evaluation data reported here is derived from a larger national programme of work that focused on the development of person-centred practice in residential services for older people using an emancipatory practice development framework. A multi-method evaluation framework was utilised. Outcome data were collected at three time points between December 2007 and September 2009. The data reported here were collected using an instrument called the ,Person-Centred Nursing Index'. Findings., Heavy workload was the main cause of stress among nurses. Personal and professional satisfaction with the job was scored highest by the total sample of nurses. Nineteen factors were examined using the Person-Centred Nursing Index. Statistically significant changes were observed in 12 of these. In addition, there were statistically significant changes in nurses' perceptions of caring, indicating a shift from a dominant focus on ,technical' aspects of care, to one where ,intimate' aspects of care were more highly valued. Relevance to clinical practice., The findings highlight the importance of the development of effective teamwork, workload management, time management and staff relationships in order to create a culture where there is a more democratic and inclusive approach to practice and space for the formation of person-centred relationships. [source] Addressing the imbalance: empowering older people in disaster response and preparednessINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 1 2010BSc(Hons), Nursing Adv Dip Ed., Pat Deeny RN Deeny P., Vitale C.T., Spelman R. & Duggan S. (2010) Addressing the imbalance: empowering older people in disaster response and preparedness. International Journal of Older People Nursing 5, 77,80 doi: 10.1111/j.1748-3743.2009.00204.x This paper explores the role of the nurse in empowering older people at all stages in the disaster cycle. Evidence points to the need to increase the level of consultation and inclusivity of older people on this topic. Caution is called for in relation to classifying older people as a vulnerable group in disasters without first recognising that older people are probably the richest resource within any culture when it comes to emergency planning and\or coping with disasters. Practical advice on how nurses can best assist older people is presented. [source] Calling for an international dialogue on quality of life in care homesINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 4 2008CertEd(FE), Julienne Meyer BSc meyer j. & owen t. (2008) International Journal of Older People Nursing 3, 291,294 Calling for an international dialogue on quality of life in care homes [source] ,The geriatric hospital felt like a backwater': aspects of older people's nursing in Britain, 1955,1980JOURNAL OF CLINICAL NURSING, Issue 19 2009Jane Brooks Aims and objectives., The aim of this article is to examine the experiences of ward-level nurses who cared for older people in general hospitals between 1955,1980. Background., There is very little published on the history of older adult nursing and no recent material from the United Kingdom. There are, however, the works of Cecily Hunter in Australia and Erica Roberts in Canada. It is the intention of this study to contribute to this important area of research. Design., This is an oral history project in which 20 nurses who had worked on older adults ward between 1955,1980 were interviewed. Methods., All the interviews were taped, transcribed and data-themed. Ethical clearance for the project was obtained from the University Ethics Committee and all participants were anonymised. Results., Many of the nurses found the experience very difficult, though there were exceptions. Several participants had worked on older adults ward during their training and then had never wanted to return. Most described a paucity of resources and longevity of staff on the wards. Conclusions., Using the sociological theory of Erving Goffman, this article introduces a novel method of understanding nursing history, although his ideas have been used in medical history. The value of his theories for this study is in the identification of nurses as being part of the same system as the patients themselves. Implications for contemporary policy, research and/or practice., For nurses to care effectively for their patients, nurses themselves must be valued. Subordination and regimentation tend to dehumanise the carers which, in turn, dehumanises the cared for. [source] | ||||||||||