scholarly journals Changing Society Perceptions of Health Needs for Non-Metropolitan Seniors and Baby Boomers in Retirement

2004 ◽  
Vol 2 (3) ◽  
pp. 67-81
Author(s):  
Sandra Nagel Beebe

The purpose of this study was to assess perceptions of seniors of their current health needs and to compare them with baby boomers’ perceptions future health needs as they begin entering the senior age bracket in 2011. The focus groups were comprised of male and female seniors or baby boomer participants. The focus group sessions were conducted to collect data concerning perceptions of seniors and baby boomers preference for nomenclature and senior health care needs in retirement. The sessions were transcribed by the court reporters, the moderator, and the non-verbal information recorded by trained observers. The ten, approximately 60-minute sessions were audiotape recorded. The transcriptions were analyzed using content analysis. Key findings from the study identified the terms of choice for individuals 65 and over were “seniors/senior citizens” with “mature” and “elderly” also commonly suggested. Similar findings evolved from the seniors and baby boomers regarding their perceptions for health needs in retirement. Eight themes evolved with numerous sub-categories. The themes included: 1) prescription drug plans, 2) insurance issues, 3) government programs, 4) transportation issues, 5) accessibility of services or doctors, 6) retirement planning, 7) attitudes, and 8) rating one’s health. During the focus group sessions, these themes consistently overlapped concern for health needs in retirement. The most important aspect from all session was the theme: attitude. Having a positive attitude about one’s health is what will contribute to staying healthy. Participants recommended eating healthy, exercising, abstaining from smoking, and reducing stress were important considerations for preparing and living a healthy retirement.

Author(s):  
Mirinae Kim ◽  
Minju Kim

We qualitatively investigated end-of-life care needs. Data were collected via focus-group interviews with three groups: young adults, middle-aged adults, and older adults. The key question was, “What kind of care would you like to receive at the end of life?” Interview data were transcribed and analyzed using content analysis. End-of-life care needs were classified into six categories: life-sustaining treatment needs, physical care needs, emotional care needs, environmental needs, needs for respect, and needs for preparation for death. Because the Korean culture is family-oriented and talking about death is taboo, Korean patients at the end of their life do not make decisions about life-sustaining treatment or actively prepare for death. Therefore, to provide proper end-of-life care, conversations and shared decision-making among patients and their families are crucial. Further, we must respect patients’ dignity and help them achieve a good death by understanding patients’ basic care preferences. Future research should continue examining end-of-life care needs that reflect the social and cultural context of Korea to inform instrument development.


2017 ◽  
Vol 206 (9) ◽  
pp. 378-379 ◽  
Author(s):  
Judith N Hudson ◽  
Kathryn M Weston ◽  
Elizabeth A Farmer

Animals ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 3228
Author(s):  
Tamzin Furtado ◽  
Liane Preshaw ◽  
Jo Hockenhull ◽  
Jennifer Wathan ◽  
Janet Douglas ◽  
...  

The international governing body for equestrian sports, the Fédération Equestre Internationale (FEI), states that the welfare of the horse must be paramount and never subordinated to competitive or commercial influences. However, there is growing unease about welfare issues from both within and outside the sport. The aim of this study was to understand stakeholder perceptions of current welfare issues within equestrian sport, determine whether there is scope for change, and explore attitudes towards welfare assessment. Participants (n = 48) from equestrian sport (n = 38) and animal welfare research (n = 10) attended a workshop that included welfare-related presentations and focus group sessions. The focus group sessions were recorded, anonymised and analysed using thematic analysis. Conflict between the demands of competition and the needs of the horse was identified as a key welfare challenge. Although the physical health of equine athletes is closely monitored, horses’ psychological needs are sometimes overlooked. Participants recognised that improving competition practices may not be as impactful as improving the general management and training of horses. The term “quality of life” was considered preferable to “welfare”, which had negative connotations. Participants appreciated the idea of incorporating formal welfare assessments into their training and competition plans but stated that existing tools are rarely used and are not deemed feasible for real-life conditions.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sanjana Mondal ◽  
Kaushik Samaddar

Purpose In quest of exploring the issues, challenges and opportunities prevailing in the tea tourism industry, this study aims to present a comprehensive morphological analysis (MA). More specifically, it identifies critical dimensions that bear significance for the sustainable growth of tea tourism. Design/methodology/approach The present study adopted a triangulation method of research involving an ethnographic study (ES) followed by a series of focus group sessions carried out from the prominent tea-producing districts in India. This study accords equal importance to both the demand and supply perspectives of tea tourism and its stakeholders. Findings Critical dimensions such as improper planning and marketing efforts, limited collaboration among stakeholders, the involvement of local people, socio-economic inequality and consumer’s attitude towards tea tourism were identified as major issues and challenges. Research limitations/implications The present research limits its scope to the geographical boundary within India keeping cross-boundary research for future study. This study will aid future researchers and scholars in expanding the domain of tea tourism. Practical implications The present study bears significance to the policymakers, governing bodies, marketers, tour operators in embracing a socio-economic perspective while undertaking a suitable strategy towards marketing of tea tourism and ensuring its sustainable development. Originality/value This study makes a novel attempt in blending the ES, focus group sessions and MA, together in a single research initiative, making it a single point reference in tea tourism literature.


2020 ◽  
Vol 35 (2) ◽  
pp. 93-106
Author(s):  
O'neal Malcolm ◽  
Anna Nelson ◽  
Naomi N. Modeste ◽  
Paul Gavaza

OBJECTIVE: To identify key beliefs that influence behavior, regarding Medicare's Annual Wellness Visit (AWV) and older patients' willingness to implement personalized prevention plans.<br/> DESIGN: Cross-sectional. In-depth semi-structured focus group sessions with Medicare patients in July 2018.<br/> SETTING: Two primary care physician-based practices.<br/> INTERVENTION: A trained moderator facilitated two focus group sessions, and used open-ended questions based on the theory of planned behavior to elicit behavioral, normative, and control beliefs associated with implementing personalized prevention plans.<br/> MAIN OUTCOME MEASURE: Content analysis of the focus groups' transcribed data was used to identify modal salient beliefs. Transcribed focus group sessions were analyzed utilizing grounded-theory methods for emergent themes.<br/> RESULTS: A total of 13 older patients participated in the focus group sessions. Prevalent behavioral beliefs among participants influenced by patient-centered care outcomes included improvement in physical activity, adopting a healthy balanced diet, and weight loss.<br/> Interpersonal and environmental disparities influenced commonly reported control factors such as lack of support at home and affordable fitness facilities. Macro-level influences such as physicians and social marketing by insurance providers, and health partners and spousal support were identified as important normative factors.<br/> CONCLUSION: Identified salient beliefs were congruent to social determinants of health in Medicare patients. Results of the study demonstrate perceived enablers and barriers of elderly patients regarding implementing health-promoting advice. AWV pharmacists should address perceived barriers to improve attitudes and self-efficacy; and incorporate enabling beliefs into adherence strategies to improve adoption of health recommendations.


Curationis ◽  
1993 ◽  
Vol 16 (4) ◽  
Author(s):  
R. A. E. Thompson

At the present time the majority of nurse education programmes are firmly tied to the perspectives of curative medicine within hospitals - they are disease and hospital oriented. This model, which indicates a 'sickness’ concept of nursing is entirely inappropriate if contemporary and future health care needs are to be met. The shift in education should be towards a health, family and whole person centered approach. The family is the most fundamental and dynamic unit in society with a profound influence upon its members. Besides performing a variety of other functions, the family has a central role in promoting and maintaining the health of its members. Because the family unit is the microcosm of society and accurately reflects the needs of society at large it is appropriate that this should be a key area of experience. Family attachments during training provide opportunities for close and committed contact with people in their everyday world and for learning what is really important to them.


Work ◽  
2020 ◽  
Vol 66 (4) ◽  
pp. 755-766
Author(s):  
Basem Gohar ◽  
Michel Larivière ◽  
Nancy Lightfoot ◽  
Elizabeth Wenghofer ◽  
Céline Larivière ◽  
...  

BACKGROUND: Nurses and personal support workers (PSWs) have high sickness absence rates in Canada. Whilst the evidence-based literature helped to identify the variables related to sickness absenteeism, understanding “why” remains unknown. This information could benefit the healthcare sector in northeastern Ontario and in locations where healthcare is one of the largest employment sectors and where nursing staff have high absence and turnover rates. OBJECTIVE: To identify and understand the factors associated with sickness absence among nurses and PSWs through several experiences while investigating if there are northern-related reasons to explain the high rates of sickness absence. METHODS: In this descriptive qualitative study, focus group sessions took place with registered nurses (n = 6), registered practical nurses (n = 4), PSWs (n = 8), and key informants who specialize in occupational health and nursing unions (n = 5). Focus group sessions were transcribed verbatim followed by inductive thematic analysis. RESULTS: Four main themes emerged, which were occupational/organizational challenges, physical health, emotional toll on mental well-being, and northern-related challenges. Descriptions of why such factors lead to sickness absence were addressed with staff shortage serving as an underlying factor. CONCLUSION: Despite the complexity of the manifestations of sickness absence, work support and timely debriefing could reduce sickness absence and by extension, staff shortage.


2018 ◽  
Vol 2 (S1) ◽  
pp. 66-67
Author(s):  
Karen D. Calhoun ◽  
Kent Key ◽  
E. Yvonne Lewis ◽  
Jennifer Carerra ◽  
Joseph Hamm ◽  
...  

OBJECTIVES/SPECIFIC AIMS: Explore perceptions of Flint stakeholders on the water crisis regarding trust and the capacity of faith and community-based organizations providing public health services to address community needs. Analyze the community’s voice shared at (1) 17 key community communications (community/congressional meetings and events), and (2) during 9 focus group sessions, in which residents, faith-based leadership and other stakeholders discuss issues and concerns on the Flint Water Crisis, and recommend ways to address them. Develop a framework that defines core theories, concepts and strategies recommended by the community to help rebuild trust and the quality of life in Flint, Michigan, and support other communities experiencing environmental stress. METHODS/STUDY POPULATION: Study population: faith-based leaders, seniors, youth, Hispanic/Latino and African American stakeholders, and others experiencing inequities in the city of Flint. Convene 9 focus group sessions (recorded and transcribed) to learn community perceptions on trust and ways to address it. Validate accuracy of the transcriptions with community consultants to reconcile any inaccurate information. Through a community engaged research (CEnR) process, review and analyze qualitative data from the 9 focus group sessions, and quantitative data from 2 surveys documenting (1) demographic backgrounds of focus group participants, and (2) their perceptions on trust and mistrust. Prepare a codebook to qualitatively analyze the focus group data summarizing community input on trust, mistrust, changes in service delivery among community and faith-based organizations, and ways to re-build trust in the city of Flint. Transcribe the community’s voice shared during 17 key events, identified by a team of community-academic stakeholders (i.e., UM Flint water course, congressional and community events, etc.), in which residents and other stakeholders discuss issues and concerns on the Flint Water Crisis, and recommend ways to address it. Qualitatively analyze the transcriptions, using a CEnR process to prepare a codebook on key themes from the community’s voice shared at these events, and recommendations on ways to address it. Compare and contrast findings between the two codebooks developed from (1) the focus group data and (2) qualitative analysis of community voice during public meetings and events. Synthesize this information into a framework of core theories, concepts and rebuilding strategies for Flint, Michigan. RESULTS/ANTICIPATED RESULTS: It is important to note many undocumented immigrant populations in Flint fear deportation and other consequences, hampering their ability to obtain service and provide community voice. Through our purposive sampling approach, we will hear from community voices not often included in narratives (i.e., seniors, youth, Hispanic/Latino residents). The presentation will present findings documenting levels of trust and mistrust in the city of Flint; and a framework of recommendations, core theories and concepts on ways to reduce, rebuild and eliminate stress that will be helpful to other communities experiencing distress. DISCUSSION/SIGNIFICANCE OF IMPACT: To our knowledge, levels of trust and mistrust in Flint have not been documented thus far. We will compare and contrast common themes presented by the community at public meetings and events with themes presented in our focus group effort on trust. Faith and community-based providers were among the first responders to the Flint Water Crisis. The effort will also share perceptions on changes in public health service delivery, and observations on preparedness for these roles that occurred among community and faith-based providers. Finally, the effort will (1) support the design of a research agenda, (2) define a framework of core theories, concepts and recommendations developed by the community to help rebuild trust in Flint, Michigan; and (3) support other communities addressing environmental distress.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S456-S456
Author(s):  
Julie A Gorenko ◽  
Calandra Speirs ◽  
Candace Konnert ◽  
Claire McGuinness ◽  
Camille Mori

Abstract Despite the demonstrated need to plan for future care needs, many individuals fail to engage in planning, often with negative consequences for their future health and well-being (Lee, Mason, & Cotlear, 2010). Theoretically, the propensity to utilize planning resources may be related to the perceived need for care in the future, a demonstrated predictor of the utilization of health and mental health services (Andersen, 1995; Karlin, Duffy, & Greaves, 2008). The purpose of this study was to examine perceptions of need for future care in combination with predisposing (age, financial security, attitudes towards planning) and enabling (anticipated support, satisfaction with family discussions about future care needs) variables in predicting planning behavior. The sample was comprised of 385 adults, aged 50 years and older (M=66.5, SD=9.3, range=50-92). Hierarchical regression analyses entered two well-established predictors, age and financial security in step 1, and attitudes towards planning, anticipated support, satisfaction with family discussions, and perception of need in step 2. Age and financial security explained 17% of the variance in planning; the addition of step 2 variables explained 33% of the variance and R-squared was significant (p&lt;.001). All predictors were significant at p&lt;.001, with the exception of anticipatory support (p&lt;.05). These results support both the individual (i.e. positive attitudes, perceived need) and contextual nature of planning, in particular the belief that support will be available when you need it and the benefits of family discussions in facilitating planning. Recommendations for enhancing successful planning among individuals and their families will be presented.


Author(s):  
Janice L. Thompson ◽  
Joy Merrell ◽  
Barry Bogin ◽  
Hannah Jennings ◽  
Michael Heinrich ◽  
...  

This chapter describes Project MINA, an intergenerational and transnational project using a mixed-methods approach to investigate migration, nutrition, and ageing in two generations of Bangladeshi women living in the UK or Sylhet, Bangladesh. Results indicate that varied migration histories and changing family structures play an important role in influencing nutritional status, perceived and actual health status, and future health and social care needs of ageing Bangladeshis in the UK. Future research should focus on developing culturally and linguistically tailored research tools to assess dietary intake and eating behaviours within this population, and examine the complex interplay between family dynamics, cultural norms and social influences that impact the ability of older Bangladeshi adults to eat more healthfully and engage in physical and social activities that promote healthy ageing.


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