Upfront of a JBI review: scoping more effectively with complex topics. Exemplar: nursing practice in long-term care, theory, practice, and policy

Family caregivers are the mainstay of long-term care, as they enable chronically ill elders and children to remain at home. The majority of family caregivers are women and historically their caregiving role has been viewed as an extension of their roles as wife and mother. Although numerous studies report the stresses associated with family caregiving and are predictors of burden, less attention has been given to interventions for family caregivers. The objective of this review is to examine reports of interventions to reduce family caregiver burden, to consider their implications for nursing practice, and to identify directions for future nursing research.

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Keperawatan Pasien Berpenyakit Kronis

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v1i2.75 ◽

2014 ◽

Vol 1 (2) ◽

pp. 45-50

Author(s):

Elly Nurachmah

Keyword(s):

Chronic Illness ◽

Health Care Providers ◽

Nursing Practice ◽

Long Term Care ◽

Care Providers ◽

Term Care ◽

Caring Behavior ◽

Pathological Alteration ◽

Factors Influencing

Keperawatan merupakan falsafah mendasar praktik keperawatan. Dikembangkan oleh Watson (1985), keperawatan terdiri atas 10 faktor karatif yang menganjurkan perawat memberikan asuhan keperawatan paripurna kepada para pasien sehubung dengan kondisi penyakit mereka, termasuk pasien berpenyakit kronis. Penyakit kronis ialah penyakit yang karena cirri-cirinya membutuhkan perawatan jangka panjang. Biasanya disebabkan oleh perubhan patologi yang “irreversible” dimana mengarahkan kemampuan seseorang karena kegagalan fungsi tubuh. Penyakit kronis menciptakan banyak masalah tidak hanya pada individu dan keluarga tetapi juga pada pemberi pelayanan kesehatan termasuk perawat. Mereka harus “hidup” dengan pasien dari hari ke hari dan mengatasinya. Mereka berada pada status kematian yang datangnya tidak dapat diperkirakan dengan tepat. Perawat merasa putus asa terhadap prognosa penyakit menyebabkan mereka sulit merawat pasien berpenyakit kronis. Hal ini juga merupakan salah satu alasan mengapa perawat tidak mampu memperlihatkan perilaku merawat seperti yang dikatakan Watson. Artikel ini mencoba menguraikan teori merawat berdasarkan kasih sayang, factor yang mempengaruhi perawat dalam merawat, dan alasan pemberian perawatan pada pasien berpenyakit kronis dengan menggunakan sikap merawat yang tepat. Caring is a fundamental philosophy of nursing practice. It was developed by Watson (1985). It consist of ten carrative factors that allow nurses to provide a comprehensive nursing care to patients regardless of their condition of illness including patients with chronic illness. Chronic illness is a variety of illness that because of its characteristic needs long term care. It is usually caused by non-reversible pathological alteration that lead to incapacity of a person due to impairment of body function. Chronic illness has created many problems not only for individuals and families but also for health care providers including nurses. They have to “live” with the patient day to day and cope with it. Following the chronicity of disease, death will come unpredictably. Nurses feel a sense of hopelessness with regard to the prognosis that make them difficult to care for individuals with chronic illness. This is also one of the reasons why nurses are unable to demonstrate caring behavior as stated by Watson. This article attempts to describe about theory of caring, factors influencing nurses caring behavior, and reasons to provide care to patients with chronic illness using appropriate caring behavior.

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Everyday Excellence: A Framework for Professional Nursing Practice in Long-Term Care

Research in Gerontological Nursing ◽

10.3928/19404921-20080701-08 ◽

2008 ◽

Vol 1 (3) ◽

pp. 217-228

Author(s):

Stacie Salsbury Lyons ◽

Janet P. Specht ◽

Susan E. Karlman ◽

Meridean L. Maas

Keyword(s):

Nursing Practice ◽

Long Term Care ◽

Term Care ◽

Professional Nursing ◽

Professional Nursing Practice

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Quality Improvement in Community-Based, Long-Term Care: Theory and Reality

American Journal of Law & Medicine ◽

10.1017/s0098858800006432 ◽

1994 ◽

Vol 20 (1-2) ◽

pp. 59-77

Author(s):

Eleanor D. Kinney ◽

Jay A. Freedman ◽

Cynthia A. Loveland Cook

Keyword(s):

Daily Living ◽

Long Term Care ◽

Care Service ◽

The Elderly ◽

Community Based ◽

Term Care ◽

Care Theory ◽

Care Services ◽

Community Based Services

Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.

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