The uniqueness of elderly care: Registered nurses' experience as preceptors during clinical practice in nursing homes and home-based care

2014 ◽  
Vol 34 (4) ◽  
pp. 569-573 ◽  
Author(s):  
Elisabeth Carlson ◽  
Mariette Bengtsson
Author(s):  
Jianping Lu ◽  
Tingting He ◽  
Guiwu Wei ◽  
Jiang Wu ◽  
Cun Wei

The aging trend of China’s population is increasing, and the pension problem is becoming increasingly prominent. The pension mode provided by the government alone can no longer meet the social demand, and the government’s purchase of home-based care services from social organizations has become a new trend. In order to improve the efficiency and quality of pension services, a reasonable performance evaluation model needs to be established. Performance evaluations of home-based elderly-care services purchased by the government are problematic as a result of multiple-attribute group decision-making (MAGDM), as the problems are not single-attribute or single-expert issues. The extended TODIM not only integrates the advantages of cumulative prospect theory (CPT) into a consideration of the psychological factors of DMs, but also retains the superiority of the classical TODIM in relative dominance. The Pythagorean 2-tuple linguistic sets (P2TLSs) could easily depict qualitative assessment information related to the government’s purchase of home-based care services. Thus, in this paper, we extend the TODIM method based on the cumulative prospect theory (CPT) to the Pythagorean 2-tuple linguistic sets (P2TLSs) and propose a Pythagorean 2-tuple linguistic CPT-TODIM (P2TL-CPT-TODIM) method for MAGDM. The P2TL-CPT-TODIM method was proven superior to the classical one through a case study that included a performance evaluation of a home-based elderly-care service purchased by the government. Meanwhile, a comparison with the P2TL-CPT-TODIM method was performed to demonstrate the stability and effectiveness of the designed method.


BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Aud Moe ◽  
Ingela Enmarker

Abstract Background Scientific knowledge and theory constitute part of the nurse’s competence and evidence-based nursing practice. To obtain and maintain these skills, nurses require access to research utilization. The aim of the present study was therefore to describe and compare nurses in nursing homes and home-based nursing care and their use of research knowledge in their practice in elderly care in Norwegian rural districts. Methods The Research Utilization Questionnaire (RUQ) was employed in cross-sectional quantitative design. One hundred nurses were recruited from ten rural municipalities that participated in the study. Inclusion criteria for participating were registered nurses and employees working in the municipal elderly care service for 6 months or more. Results Most participants were younger than 55 years old, worked in permanent jobs, and were educated more than 5 years ago. The result showed that nurses in nursing homes were significantly more positive compared to nurses in home-based nursing care when analyzing all three domains in the RUQ together, as well as for attitudes towards research when testing each domain separated. Overall, each item in the domains revealed opinions that were more positive for nurses in nursing homes. The regression analysis showed that attitudes towards research, as well as availability and support of research utilization predicted the use of research in daily practice. Conclusions Positive attitudes, availability, and support for research utilization can contribute to greater use of research in nursing practice and improve the quality of service. Younger nurses’ knowledge about using research should be shared with senior colleagues, who possess much experience in practice. In collaboration, they can develop evidence-based practice by the implementation of research seen in the context of nurses’ experiences, user involvement, and person-centred practice. The i-PARIHS (Promoting Action on Research Implementation in Health Services) framework can be a useful tool in this implementation process.


2021 ◽  
Vol 10 (1) ◽  
pp. 41
Author(s):  
Yi-Luo Wang ◽  
Ying Duan ◽  
Ying Zhang

With the increase of the aging of the population in china, the demand of the elderly continues to increase, which has brought great challenges to the elderly care service industry. As a new type of elderly care service, home-based care services directly affect the quality of the elderly’s health and daily life in their later years. Therefore, improving the product and quality of elderly care services has become the goal and purpose of the development of home-based care service for aged. This article uses Cite Space software to perform visual analysis of keyword clustering on existing literature, and concludes that scholars focus on the integration of medical care, social elderly care service system, service quality, and influencing factors, but the impact of service quality models and indicator systems is low. Then through the integration and induction of scholars’ research progress on home care services, existing problems in service quality, and service quality evaluation index systems, in order to continue to innovate on the basis of existing knowledge, improve the service quality index system, and focus on combing process indicators with outcome indicators effectively, thereby improving the quality of community home care services.


2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Hendrik J. Loubser ◽  
Judith C. Bruce ◽  
Daleen Casteleijn

Background: In the specialised nursing fields of gerontology, oncology, rehabilitation and home-based care where people live with permanent or temporary disabilities, nurses are unable to perform routine and empirical scoring of their patients’ abilities to live independently, because of the lack of valid nursing measures indicating patients’ frailty or vulnerability. These independent living abilities are also referred to as the instrumental activities of daily living (IADLs).Objectives: To provide nurses with a nursing scale, named the GAMMA, which enables nurses to routinely observe, score and record their patients’ IADLs and to test its nursing utility.Method: A study with two sequential phases was done. Firstly, descriptive data were collected from key informants, namely a registered social worker and two registered nurses, skilled in caring for disabled persons living in long-term care facilities. The data were analysed using inductive content analysis techniques in order to design and construct the GAMMA nursing scale. In the second study, the utility of the GAMMA was studied by training and testing the application of the GAMMA within a group of registered nurses (n = 5) working in three retirement villages. After four months, focus group interviews were conducted with the registered nurses in order to explore the GAMMA’s nursing utility. Descriptive data were analysed using deductive content analysis techniques.Results: The outcome of the study provided good results. High levels of agreement between participants confirm the GAMMA’s acceptance, usefulness and confidence as a nursing scale to empirically establish the transition of nursing care between independent living and assisted living.Conclusion: The GAMMA has the characteristics which allow it to be used routinely as a nursing scale in gerontology, oncology, rehabilitation and home-based care nursing processes.


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