scholarly journals Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study

2021 ◽  
Vol 18 (12) ◽  
pp. 6361
Author(s):  
Soheila Shamsikhani ◽  
Fazlollah Ahmadi ◽  
Anoshirvan Kazemnejad ◽  
Mojtaba Vaismoradi
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Older People ◽  
Family Support ◽  
Qualitative Content Analysis ◽  
Family Members ◽  
World Population ◽  
Older Parents ◽  
Technological Support ◽  
Age Related

The world population is rapidly aging. In older people, age-related biological decline in most body systems causes functional decline, an increase in dependence, and an increased need for support, especially by their family members. The aim of this study was to explore the main aspects of family support for older parents in home care. This qualitative study was conducted using a deductive qualitative content analysis approach. Participants were 21 older parents living in their own homes, as well as four family members of some participants. Data were collected using semi-structured interviews and then were analyzed using the primary matrix developed based on the existing literature. The main aspects of family support for older parents were grouped into five predetermined categories and one new category: “instrumental support”, “financial support”, “psycho-emotional support”, “healthcare-related support”, “informational-technological support”, and “social preference support “. Family support for older people in home care is a multi-dimensional phenomenon. Family members can identify the needs of their older parents and provide them with appropriate support in collaboration with healthcare professionals to enhance their quality of life, autonomy, and satisfaction with life.

Older Parents’ and Middle-Aged Children’s Communication as Predictors of Children’s Successful Aging

2018 ◽  
Vol 38 (3) ◽  
pp. 305-328 ◽  
Author(s):  
Quinten S. Bernhold
Keyword(s):  
Path Analysis ◽  
Successful Aging ◽  
Aging Process ◽  
Family Members ◽  
Middle Aged ◽  
Older Parents ◽  
Subjective Perceptions ◽  
Age Related ◽  
Language And Communication

The communicative ecology model of successful aging (CEMSA) examines how people’s language and communication surrounding the aging process (e.g., making age-related excuses) predicts successful aging. Using the CEMSA, this study examined how middle-aged U.S. American children’s and their parents’ age-related communication predicts children’s subjective perceptions of their own successful aging, via children’s aging efficacy. Three communication profiles emerged for children and their parents, namely engaged, bantering, and disengaged agers. Path analysis revealed that parents’ age-related communication predicted children’s successful aging, via children’s aging efficacy. Relative to children with disengaged parents, children with bantering parents were more likely to be efficacious with respect to their aging, which in turn positively predicted successful aging. The language and communication people observe from older family members may be consequential in shaping their aging trajectories for the better or worse.

“Family Support Would Have Been Like Amazing”

2016 ◽  
Vol 25 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Stuart Roe
Keyword(s):  
Qualitative Study ◽  
Family Support ◽  
Peer Support ◽  
Coming Out ◽  
Family Members ◽  
Lgbtq Youth ◽  
Phenomenological Inquiry ◽  
Inquiry Approach ◽  
And Bisexual

This qualitative study examines gay and bisexual adolescent experiences with parental and family support using a phenomenological inquiry approach. Four themes related to peer support emerged from the data including (1) coming out was necessary; (2) initial reactions of parents are most often not positive; (3) lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth view religion as a barrier to support from parents; and (4) LGBTQ youth want explicit support from parents and family members. Implications for counselors working with parents, families, and individuals are discussed.

scholarly journals Factors affecting primary care practitioners’ alcohol-related discussions with older adults: Qualitative study

2021 ◽  
pp. BJGP.2020.1118
Author(s):  
Bethany Kate Bareham ◽  
Jemma Stewart ◽  
Eileen Kaner ◽  
Barbara Hanratty
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Older People ◽  
Focus Groups ◽  
Old Age ◽  
Later Life ◽  
Long Term Conditions ◽  
Age Related ◽  
Comparison Results ◽  
Primary Care Practitioners

Background: Risk of harm from drinking is heightened in later life, due to age-related sensitivities to alcohol. Primary care services have a key role in supporting older people to make healthier decisions about alcohol. Aim: To examine primary care practitioners’ perceptions of factors that promote and challenge their work to support older people in alcohol risk-reduction. Design and Setting: Qualitative study consisting of semi-structured interviews and focus groups with primary care practitioners in Northern England. Method: Thirty-five practitioners (general practitioners, practice/district nurses, pharmacists, dentists, social care practitioners, domiciliary carers) participated in eight interviews and five focus groups. Data were analysed thematically, applying principles of constant comparison. Results: Practitioners highlighted particular sensitivities amongst older people to discussing alcohol, and reservations about older people’s resistance to making changes in old age; given drinking practices could be established, and promote socialisation and emotional wellbeing in later life. Age-related health issues increased older people’s contact with practitioners; but management of older people’s long-term conditions was prioritised over discussion of alcohol. Dedicated time to address alcohol in routine consultations with older people, and training in alcohol intervention facilitated practitioners; particularly pharmacists and practice nurses. Conclusion: There are clear opportunities to support older people in primary care to make healthier decisions about alcohol. Dedicated time to address alcohol, training in identification of alcohol-related risks, particularly those associated with old age; and tailored interventions for older people, feasible to implement in practice settings, would support primary care practitioners to address older people’s alcohol use.

scholarly journals A Qualitative Study on How Social Workers From Regional and Metropolitan Queensland, Australia Perceive the Impact of the National Prioritisation System on Hospital Discharge Planning: A Study Protocol

2020 ◽  
Vol 19 ◽  
pp. 160940692097354
Author(s):  
Bernadette Dimla ◽  
Denise Wood ◽  
Lynne Parkinson
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Older People ◽  
Social Workers ◽  
Study Protocol ◽  
Best Practice ◽  
Discharge Planning ◽  
Home Care Services ◽  
Dissemination Strategy ◽  
The Impact

In 2012, the Australian Commonwealth Government introduced a series of reforms for the aged care sector including the implementation of the National Prioritisation System for a flexible, accessible and demand-driven approach to home care services for older people. Nevertheless, an increasing number of older people continue to wait for months to be assigned home care packages on the national prioritisation queue, a component of the National Prioritisation System. There is limited evidence on the impact of the national prioritisation queue on discharge planning practices of social workers in supporting older people returning home from hospital admission. The aim of the research described in this paper is to explore the perceptions of social workers from rural and urban health services areas on how the introduction of the national prioritisation queue has influenced discharge planning of older people who are still waiting assignment of home care packages. This study protocol establishes the need for this qualitative study and provides an overview of the theoretical framework underpinning the research; discusses and describes the methods for sampling/recruitment and data collection, the approach to be utilised for qualitative analysis and the planned dissemination strategy. Understanding how social workers respond to the perceived challenges to discharge planning posed by the national prioritisation queue and the implications arising from the research have the potential to inform the development of best practice approaches and further enhance social work response to identified issues.

scholarly journals Discussing age-related functional decline in family medicine: a qualitative study that explores both patient and physician perceptions

2019 ◽  
Vol 49 (2) ◽  
pp. 292-299
Author(s):  
Ophélie Viret ◽  
Joëlle Schwarz ◽  
Nicolas Senn ◽  
Yolanda Mueller
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Functional Limitations ◽  
Functional Decline ◽  
Management Tool ◽  
Geriatric Syndrome ◽  
Geriatric Syndromes ◽  
Age Related ◽  
Normal Ageing ◽  
Primary Care Practices

Abstract Background evaluating a patient’s functional status and screening for geriatric syndromes by general practitioners (GPs) are increasingly encouraged. This study aimed to explore how older people and GPs define and perceive autonomy and functional decline, patients’ propensity to discuss age-related issues and integration of such topics into routine medical consultations. Methods this qualitative study was conducted in Western Switzerland with older people followed in primary care practices and who participated in a trial assessing the effectiveness of a screening and management tool for geriatric syndromes to prevent functional decline. We interviewed 15 participants (patients ≥75 years old) and five GPs about their screening experience. We used semi-structured grids for data collection and an inductive thematic approach for data analysis. Results participants gave several definitions of autonomy, directly depending on their health status and functional limitations. Implementing various coping strategies, participants also expressed contrasted feelings related to functional decline such as fear, inability to accept and resilience. Functional decline was often perceived as normal ageing; participants were therefore not prompt at discussing age-related issues with their GP. However, screening was perceived positively by both participants and GPs, making addressing sensitive issues and detecting new problems possible. Conclusions a geriatric syndrome-screening intervention was well accepted by both patients and physicians. This type of initiative may be an opportunity to address various age-related issues and to inform patients of existing solutions.

scholarly journals The perceptions of nurses, patients and family members regarding nurses' empathetic behaviours towards patients suffering from cancer: a descriptive qualitative study

2018 ◽  
Vol 23 (5) ◽  
pp. 428-443 ◽  
Author(s):  
Elaheh Ashouri ◽  
Fariba Taleghani ◽  
Mehrdad Memarzadeh ◽  
Morteza Saburi ◽  
Fatemeh Babashahi
Keyword(s):  
Content Analysis ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Cancer Patients ◽  
Nursing Care ◽  
Qualitative Content Analysis ◽  
Family Members ◽  
Oncology Nurses ◽  
Inductive Approach ◽  
Depth Interviews

Background Although evidence suggests that empathic behaviour is an essential component in nursing care that affects the psychological distress experienced by cancer patients, it remains a neglected issue in nursing in Iran. Methods: This study was conducted on 33 participants selected through purposive sampling. Data were collected using in-depth interviews and were then analysed using qualitative content analysis with an inductive approach. Findings: Three categories of data thus emerged, comprising: (a) empathetic attention; (b) empathetic presence; and (c) the facilitators of empathetic behaviour. Conclusions: The findings can help oncology nurses provide more empathetic care to patients and their family members.

scholarly journals Participation in Care Encounters in Heart Failure Home-Care

2017 ◽  
Vol 26 (6) ◽  
pp. 713-730 ◽  
Author(s):  
Lena Näsström ◽  
Jan Mårtensson ◽  
Ewa Idvall ◽  
Anna Strömberg
Keyword(s):  
Heart Failure ◽  
Content Analysis ◽  
Qualitative Study ◽  
Home Care ◽  
Qualitative Content Analysis ◽  
Home Visits ◽  
Positive Effects ◽  
Related Information ◽  
Active Interest ◽  
Good Potential

The purpose of this qualitative study was to observe care encounters during home visits in Heart failure (HF) home-care to identify and describe participation in care. Seventeen patients diagnosed with HF, and 10 registered nurses participated. Data from 19 video-recorded home visits were analyzed using qualitative content analysis. Two themes were identified: (a) Participation in the care encounter is made possible by interaction, including exchanging care-related information, care-related reasoning, collaboration; and (b) participation in the care encounter is made possible by an enabling approach, including the patients expressing their own wishes, showing an active interest, while the nurse is committed and invites to having a dialogue. The HF home-care context showed good potential for patient participation. Room for discussions and collaboration facilitated for the patients to be active partners in their care, which in turn may have positive effects on outcomes.

scholarly journals District nurses’ experiences of preventive home visits to 75-year-olds in Stockholm: a qualitative study

2015 ◽  
Vol 17 (05) ◽  
pp. 464-478 ◽  
Author(s):  
Annica Lagerin ◽  
Lena Törnkvist ◽  
Ingrid Hylander
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Qualitative Content Analysis ◽  
Home Visits ◽  
Good Health ◽  
Structured Interview ◽  
Barriers And Facilitators ◽  
Older Person ◽  
Preventive Home Visits ◽  
District Nurses

AimsThis study had two aims: to describe the dialogue between district nurses (DNs) and older people in preventive home visits (PHVs) from the perspective of the DNs, and to identify barriers to and facilitators of this dialogue as perceived by the DNs.BackgroundThe number of older people is rapidly increasing in all western countries, and as people’s age increases, the probability that they will have multiple diseases also increases. Planned actions are therefore needed to promote health and prevent diseases among older people so they can remain in good health and live in their homes for as long as possible. In Sweden, PHVs to 75-year-olds by DNs are one such action.MethodsThis qualitative study included five group interviews with 20 DNs. Data were analysed with qualitative content analysis.FindingsDNs’ experiences of barriers to and facilitators of a successful health dialogue were sorted into five domains. Together, these domains provided a systematic description of the interaction between the DN and the older person in the PHV. The domains included: establishing trustful contact, conducting a structured interview, making an overall assessment, proposing health-promoting activities and offering follow-up. The barriers and facilitators could be related to the older person, the DN or the home environment. The latent content of the interviews was evident in three themes that were related to the DNs’ experiences of barriers and facilitators. These themes illustrated professional dilemmas that the DNs had to resolve to achieve the purpose of the PHV. The study demonstrates that the interaction between a DN and an older person in a PHV can be described as a complex social process in which the DN balances a personal and professional approach, combines a person-oriented and a task-oriented approach and employs both a salutogenic and pathogenic perspective.

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