scholarly journals Care for frail older adults in the community: an integrative review

2020 ◽  
Vol 23 (6) ◽  
Author(s):  
Gislaine Alves de Souza ◽  
Karla Cristina Giacomin ◽  
Josélia Oliveira Araújo Firmo
Keyword(s):  
Older Adults ◽  
Interpersonal Relationships ◽  
Web Of Science ◽  
Care Delivery ◽  
Scientific Evidence ◽  
Integrative Review ◽  
Care Providers ◽  
Inclusion Criteria ◽  
Frail Older Adults ◽  
Review Study

Abstract Objective: to identify scientific evidence regarding the care of frail older adults in the community, from the perspective of the older adults themselves. Method: a descriptive, integrative review study was performed. The search for articles was carried out in the Medline, Lilacs, Web of Science, Scopus and SciELO databases. The inclusion criteria were complete available articles; published between 2014 and 2019; written in Portuguese, English, Spanish or French; which had older adults as participants. Results: four categories of analysis emerged from the results: frailty from the perspective of frail older adults; priorities from the perspective of the older adults; the older adults’ perspectives on care by services; and interpersonal relationships in the care of frail older adults. The perception of the older adults has specific characteristics, has maintaining their independence as a focus of care, signals the need to maintain interpersonal relationships, improve communication, and for actions of health education and people-centered services. Conclusion: these points demand the attention of care providers and policy services to improve care delivery and provide actions that are welcomed by this public.

scholarly journals Integrative Review of Emotional Care Following Perinatal Loss

2020 ◽  
pp. 019394592095444
Author(s):  
Sara Furtado-Eraso ◽  
Paula Escalada-Hernández ◽  
Blanca Marín-Fernández
Keyword(s):  
Cultural Values ◽  
Web Of Science ◽  
Scientific Evidence ◽  
Complicated Grief ◽  
Perinatal Loss ◽  
Well Being ◽  
Integrative Review ◽  
Multiple Pregnancies ◽  
Information Contact ◽  
Inclusion Criteria

Emotional care is an important part of the holistic labor and should be considered when providing care to people affected by perinatal losses. To synthesize the findings from recently published scientific evidence on the emotional care needed following perinatal loss, a search in PubMed, CINAHL, SCOPUS, and Web of Science was carried out in January 2020 yielding 22 studies which met the inclusion criteria and were analyzed following Whittemore and Knafl’s (2005) methodology. One category on “offering emotional care” was identified: “Aspects influencing the psychosocial well-being of women after perinatal loss,” comprising eight themes: risk of complicated grief, cultural values, perinatal losses in multiple pregnancies, experience of subsequent pregnancies, need of information, contact with the deceased baby, impact on relatives, and strategies for emotional care. In conclusion, the evidence highlights the need of specific emotional grief care.

scholarly journals Circulating adipokines in non-obese PCOS patients: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Kainan Lin ◽  
Xiaoting Sun ◽  
Xiao Wang ◽  
Hanchu Wang ◽  
Xia Chen
Keyword(s):  
Systematic Review ◽  
Polycystic Ovary Syndrome ◽  
Web Of Science ◽  
Polycystic Ovary ◽  
Meta Analysis ◽  
Scientific Evidence ◽  
Inclusion Criteria ◽  
Ovary Syndrome ◽  
Literature Research ◽  
Circulating Levels

AbstractConcentrations of circulating adipokines in non-obese polycystic ovary syndrome (PCOS) patients had been reported in many researches, however, these results were conflicting. The aim of this meta-analysis was to assess whether the levels of circulating adipokines were changed in non-obese PCOS. To identify eligible studies, literature research was performed in the database of PubMed, Embase, Web of Science without the restriction of region, publication or language. Of the total studies found, only 81 met the inclusion criteria. The meta-analysis showed that circulating levels of adiponectin [-0.95 (95% CI, −1.36 to −0.53)] decreased statistically in non-obese PCOS women. On the contrary, circulating levels of chemerin [1.13 (95% CI, 0.08 to 2.18)], leptin [0.47 (95% CI, 0.13 to 0.81)], resistin [0.45 (95% CI, 0.03 to 0.88)] and visfatin [1.38 (95% CI, 0.68 to 2.09)] increased significantly in non-obese PCOS females. Besides, there was no statistically significant change in the circulating levels of apelin [0.32 (95% CI, −1.34 to 1.99), irisin [1.01(95% CI, −0.68 to 2.70), omentin [-0.37(95% CI, −1.05 to 0.31)] and vaspin [0.09(95% CI, −0.14 to 0.32)] in non-obese PCOS patients. Scientific evidence suggested that the levels of circulating adipokines altered in non-obese PCOS patients compared with controls. Independent of the degree of obesity, the abnormal change of circulating adipokines levels might play an important role in the occurrence and development of PCOS.

scholarly journals Nursing Scientific Production on Teenage Pregnancy: An Integrative Review

Aquichan ◽  
2020 ◽  
Vol 20 (2) ◽  
pp. 1-14
Author(s):  
Daiana Evangelista Rodrigues Fernandes ◽  
Marcelo Medeiros ◽  
Walterlania Silva Santos ◽  
Mayara Guimarães dos Santos
Keyword(s):  
Sex Education ◽  
Teenage Pregnancy ◽  
Web Of Science ◽  
Scientific Literature ◽  
Great Element ◽  
Inclusion Criteria ◽  
Cultural Aspects ◽  
Communication About Sex ◽  
The Family ◽  
Review Study

Objective: To identify, in the national and international scientific literature, the evidence produced by Nursing that provides subsidies to prevent teenage pregnancy. Material and method: An integrative literature review study, based on papers available in the PubMed, BVS, Scopus and Web of Science metabases, and in the Lilacs and BDEnf databases, in Portuguese, English and Spanish languages, published from January 2013 to March 2020. Results: According to the inclusion criteria, 13 articles were selected. The findings are presented in the categories “lower socio-economic conditions”, “knowledge, attitudes and cultural aspects” and “sexual education and specialized services”. Conclusions: Teenage pregnancy is strongly associated with poverty and other socio-economic issues. Gender relations, communication about sex education in the family and other cultural aspects were found in the discussions, which indicates their impact on this phenomenon. Interventions involving sex education are shown as an alternative to cope. The presence of the nurse at the places that assist or concentrate adolescents can be a great element to reduce pregnancy rates in this phase.

scholarly journals Emociones en Educación Física. Una revisión bibliográfica (2015-2017) (Emotions in Physical Education. A bibliographic review (2015-2017))

Retos ◽  
2019 ◽  
pp. 597-603
Author(s):  
Carlos Bermudez Torres ◽  
Pedro Saenz-López
Keyword(s):  
Physical Education ◽  
Web Of Science ◽  
Scientific Evidence ◽  
Future Research ◽  
Educational Context ◽  
Inclusion Criteria ◽  
Practical Applications ◽  
Current State ◽  
Revisión Sistemática ◽  
Emotional Education

Las evidencias científicas de la importancia de las emociones en el ámbito educativo son cada vez mayores y más concluyentes. Así, se ha realizado una investigación teniendo como principal objetivo conocer el estado de la educación emocional en el área de la Educación Física. Para ello, a través de una revisión sistemática, se ha buscado en la base de datos Web Of Science, donde se han seleccionado 21 artículos, comprendidos entre 2015-2017 a través de criterios de inclusión acorde a los objetivos planteados. Estos artículos seleccionados se han analizado para su posterior categorización y obtención de los resultados. Estos últimos indican que se han realizado más investigaciones dedicadas a los alumnos que a los docentes, además se ha tratado en mayor medida la educación emocional como un fin que como un medio o en relación con otras variables. Finalmente, se propone futuras líneas de investigación y aplicaciones prácticas para los docentes.Abstract. Scientific evidence on the importance of emotions in the educational context is growing and becoming more conclusive. These investigation has been carried out with the main objective of knowing the current state of Emotional Education in the area of Physical Education. A total of 21 articles published between 2015 and 2017 were selected according to the inclusion criteria of our objectives, after a systematic review of works in the Web of Science database. These articles were analysed and successively categorized to extrapolate results. These indicate that research in the field has focused more on students than on teachers; additionally, emotional education has been treated as a target rather than as a mean, or rather than studying its relation with other variables. Finally, future research lines and practical applications for teachers are suggested.

scholarly journals Interprofessional collaboration and barriers among health and social workers caring for older adults: a Philippine case study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
TJ Robinson T. Moncatar ◽  
Keiko Nakamura ◽  
Kathryn Lizbeth L. Siongco ◽  
Kaoruko Seino ◽  
Rebecca Carlson ◽  
...  
Keyword(s):  
Older Adults ◽  
Service Delivery ◽  
Social Workers ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
The Philippines ◽  
Geriatric Care ◽  
Care Providers ◽  
Care Workers

Abstract Background There is limited information on how the barriers to interprofessional collaboration (IPC) across various professionals, organizations, and care facilities influence the health and welfare of older adults. This study aimed to describe the status of IPC practices among health and social workers providing care for older adults in the Philippines; investigate the perceived barriers to its implementation and perceived effects on geriatric care; and identify possible solutions to address the barriers limiting collaborative practice. Methods A case study approach was utilized employing 12 semi-structured in-depth interviews and 29 focus group discussions with care workers from selected primary health care units, public and private hospitals, and nursing homes that are directly involved in geriatric care delivery in two cities in the Philippines. Overall, 174 health and social workers consented to participate in this study. All interviews were audio-recorded and transcribed verbatim. An inductive thematic analysis using NVivo 12® was used to identify and categorize relevant thematic codes. Results Interprofessional geriatric care provided by health and social workers was observed to be currently limited to ad hoc communications typically addressing only administrative concerns. This limitation is imposed by a confluence of barriers such as personal values and beliefs, organizational resource constraints, and a silo system care culture which practitioners say negatively influences care delivery. This in turn results in inability of care providers to access adequate care information, as well as delays and renders inaccessible available care provided to vulnerable older adults. Uncoordinated care of older adults also led to reported inefficient duplication and overlap of interventions. Conclusion Geriatric care workers fear such barriers may aggravate the increasing unmet needs of older adults. In order to address these potential negative outcomes, establishing a clear and committed system of governance that includes IPC is perceived as necessary to install a cohesive service delivery mechanism and provide holistic care for older adults. Future studies are needed to measure the effects of identified barriers on the potential of IPC to facilitate an integrated health and social service delivery system for the improvement of quality of life of older adults in the Philippines.

scholarly journals ‘The Open Typology’: Towards Socially Sustainable Architectural and Care Types

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Davide Landi
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Open System ◽  
Care Delivery ◽  
Well Being ◽  
Care Providers ◽  
Contemporary Culture ◽  
Term Care ◽  
High Dependency

One aspect that characterises the twenty-first century is its accomplishments such as better health-care systems, improved economies, a reduction in infant mortality and a growing number of adults living longer. However, these accomplishments can have a downside. For example, people are living longer while at the same time dementia rates are increasing significantly. With the increase in demand for high-dependency-related services, while at the same time costs are spiralling possibly out of control of societal budgets, there is a need for a shift in the care model. Additionally, difficulties in defining a clear dividing line between normal ageing and pathological ageing have led to a stigmatisation of older adults as a social and economic burden. This type of segregation and stigmatisation must be addressed to ensure future care delivery is inclusive. The positive benefits of an inclusive care system are both social and economic, and at an individual level it can positively impact upon an older adult’s mental and physical well-being. Taking this into consideration, the aim of this paper is to describe and empirically explore Humanitas© in Deventer, the Netherlands, a nursing home with a population of 50 older adults with dementia, 80 people with severe physical suffering, 20 people with social difficulties, 10 people in short stay for recovery and 6 university students. This analysis will be adopted as a ‘tool’ for the definition of a new way of conceiving architectural types in contemporary culture, based on the concept of an ‘open system’ described by Richard Sennett. In this study, an open system is able to promote a new paradigm of care built upon inclusive collaboration and teamwork between different categories of health-care providers, volunteers, residents and their families. This will allow an alternative paradigm of older adults’ long-term care and its architectural correlate to ‘normalise’ ageing and its related mental and physical impairments, rather than to ‘medicalise’ and stigmatise.

scholarly journals Influence of Sexuality on the Health of the Elderly in Process of Dementia: Integrative Review

Aquichan ◽  
2020 ◽  
Vol 20 (1) ◽  
pp. 1-13
Author(s):  
Edison Vitório de Souza Júnior ◽  
Cristiane dos Santos Silva ◽  
Poliana Souza Lapa ◽  
Laís Emily Souza Trindade ◽  
Benedito Fernandes da Silva Filho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Web Of Science ◽  
The Elderly ◽  
Health Science ◽  
Integrative Review ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
Beneficial Effects ◽  
Perception Of Quality

Objective: this work sought to inquire on the influence of sexuality on the health of the elderly during dementia. Materials and Methods: this was an integrative review. A careful search was conducted in nine databases; however, only five databases provided articles fulfilling the scope of the study: Medline, Lilacs, BDENF, Scopus, and Web of Science (WoS). The health science descriptors (DeCS) were adopted: “sexualidad”, “demencia” and “anciano”, and the descriptors cataloged in the Medical Subject Headings (MeSH): “sexuality”, “dementia” and “aged”. After applying the inclusion criteria, eight articles were selected to comprise the study sample. Results: the practice of sexuality influences upon the health of the elderly with dementia with some beneficial effects, given that it provides, especially, better perception of quality of life and wellbeing. Nevertheless, it cannot be generalized due to methodological insufficiency evidenced in the studies found to construct this review. Conclusions: due to the limitation of studies addressing the theme and the methodological insufficiency of those included in this review, it is necessary to conduct research that shows in depth the influence of sexuality on this population, given that it can be constituted as another approach for the promotion and protection of health in the elderly with dementia.

scholarly journals Ensino da segurança do paciente na enfermagem: revisão integrativa

2021 ◽  
Vol 20 (4) ◽  
pp. 700-743
Author(s):  
Ruth Cardoso Rocha Ruth ◽  
Maria Augusta Rocha Bezerra ◽  
Brenda de Meneses Barbosa Martins ◽  
Benevina Maria Vilar Teixeira Nunes
Keyword(s):  
United States ◽  
Patient Safety ◽  
Teaching Methods ◽  
Web Of Science ◽  
Scientific Evidence ◽  
Problem Based Learning ◽  
The United States ◽  
Integrative Review ◽  
Review Of The Literature

seguridad del paciente en la Enfermería.Metodología: Revisión integrativa de la literatura, realizada en las bases de datos: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science y SCOPUS.Resultados: Se seleccionaron 11 artículos publicados a partir de 2007, predominantemente en los Estados Unidos, descriptivos y de intervención, cuya estrategia para enseñanza de seguridad del paciente en la enfermería más utilizada fue la simulación y, en una investigación, el método del aprendizaje basado en el problema.Conclusión: La enseñanza sobre seguridad del paciente en la enfermería ha sido realizada en la mayoría de las veces por medio de simulación, pero es poco difundido en Brasil. Por lo tanto, es fundamental la inclusión de esta temática en las matrices curriculares de Enfermería desde el inicio del curso y el uso de métodos y estrategias robustos de enseñanza. Objective: To identify scientific evidence in the literature on how the teaching of patient safety takes place in Nursing.Methodology: It was an integrative review of the literature conducted in the following databases: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science, and Scopus.Results: 11 articles published from 2007 were selected, predominantly in the United States, descriptive and of intervention type, in which the most papers used strategy for teaching patient safety in Nursing was simulation and in research, the problem-based learning method.Conclusion: Teaching patient safety in Nursing has been carried out most of the time through simulation, but it remains little-known in Brazil. Therefore, it is essential to include this topic in Nursing curricular programs from the beginning of the course and the use of strong teaching methods and strategies. Objetivo: Identificar na literatura evidências científicas sobre como é realizado o ensino de segurança do paciente na Enfermagem. Metodologia: Revisão integrativa da literatura realizada nas bases de dados: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science e SCOPUS. Resultados: Foram selecionados 11 artigos publicados a partir de 2007, predominantemente nos Estados Unidos, descritivos e de intervenção, cuja estratégia para o ensino de segurança do paciente na Enfermagem mais utilizada foi a simulação e em uma pesquisa o método da aprendizagem baseada em problema. Conclusão: O ensino sobre segurança do paciente na Enfermagem tem sido realizado na maioria das vezes por meio de simulação, mas é pouco difundido no Brasil. Portanto, é fundamental a inclusão desta temática nas matrizes curriculares de Enfermagem desde o início do curso e uso de métodos e estratégias robustos de ensino.

scholarly journals Loneliness in senescence and its relationship with depressive symptoms: an integrative review

2019 ◽  
Vol 22 (6) ◽  
Author(s):  
Letícia Menezes de Oliveira ◽  
Gesualdo Gonçalves de Abrantes ◽  
Gérson da Silva Ribeiro ◽  
Nilza Maria Cunha ◽  
Maria de Lourdes de Farias Pontes ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Life ◽  
Scientific Evidence ◽  
Integrative Review ◽  
Percentage Increase ◽  
Mesh Terms ◽  
Methodological Guidelines ◽  
The Relationship

Abstract The increase in life expectancy and the percentage increase in the older population are related to the reduction in quality of life and social life due to the biopsychosocial changes inherent to the aging process. The present study aimed to verify scientific evidence on the relationship between loneliness and depressive symptoms among older adults. An integrative review was carried out using the following databases: SCOPUS, PubMed, Medline, Web of Science, CINAHL and PyscINFO, applying the descriptors indexed in the Mesh Terms and DeCS “aged”, “loneliness”, “depression”. The PICOS strategy was used to prepare the title and guiding question and the PRISMA methodological guidelines were used to write the report of this review. A total of 827 articles were identified, of which 23 were selected, 16 from the database and seven through a reverse search. Loneliness and depression have some characteristics in common, so that when one of these conditions develops in older adults, another is stimulated. Thus, loneliness is a major risk factor for the development of depression, just as depression is an aggravating factor for loneliness in older adults.

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