FEATURES OF THE FORMATION OF CARE FOR THE OLDERLY IN NON-STATE RESIDENTIAL HOMES

2021 ◽  
pp. 870-878
Author(s):  
К. А. Галкин
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Rural Areas ◽  
Large City ◽  
The Elderly ◽  
Structured Interviews ◽  
Personalized Care ◽  
Care For The Elderly ◽  
Informal Rules ◽  
Care For Older People

В статье рассматриваются особенности заботы и ухода за пожилыми людьми в двух кейсах, которые представляют собой частные дома-интернаты для людей старше 60 лет. В частности, рассматривается создание заботы в условиях альтернативных возможностей, организация альтернативной заботы о пожилых людях в таких учреждениях и особенности формирования подобной заботы. В исследовании рассмотрены вопросы о соотношении формальных (институциональных) норм заботы о пожилых людях и неформальных правил, которые создаются сотрудниками частных домов-интернатов для пожилых людей, имеющих ограниченную профессионализацию в сфере работы с людьми старше 60 лет. Роль неформальных правил в рамках создания заботы о пожилых людях важна с точки зрения расширения агентности пожилых людей и их инклюзии в социум. В исследовании проанализировано сочетание особенностей формальных и неформальных правил по осуществлению заботы. На примере двух кейсов, полуструктурированных интервью с сотрудниками и администрацией, волонтёрами частных домовинтернатов ( n =30) автор показывает, что забота, которая формируется в частных домах-интернатах для пожилых людей, может достаточно сильно отличаться в зависимости от расположения учреждения, особенностей сотрудников и их профессионализации. Для более глобального пространства крупного города регионального значения забота о пожилых людях оказывается чётко регламентированной различными нормами и стандартами. Особенности заботы частного дома-интерната в сельской местности заключаются в персонифицированной заботе и создании больших возможностей для активности пожилых людей. The article discusses the features of care and care for the older in two cases, which are private nursing homes for people over sixty years of age. In particular, is the creation of concern in terms of great opportunities, the organization of alternative care for older people in such institutions and how such concerns. The study examines the relationship between formal (institutional) norms of social care for the older and informal rules that are created by employees of private nursing homes for the older who have limited professionalization in the field of work with people over sixty years of age. The role of informal rules in creating care for older people is important in terms of including the agency of older people and their inclusion in society. The study analyzes the combination of features of formal and informal rules for the implementation of care. Using the example of two cases, semi-structured interviews with employees and administration, volunteers of private nursing homes ( n =30), the author shows that the care that is formed in private nursing homes for the older can differ quite significantly depending on the location of the institution, the characteristics of employees and their professionalization For a more global space of a large city of regional significance care for the elderly is clearly regulated by various norms and standards. Features of care of a private nursing homes in rural areas consist in personalized care and creating greater opportunities for the activities of older people.

scholarly journals ATTITUDE YOUTH AND ADULTHOOD YAKUTIA IN OLD AGE AND A WILLINGNESS TO CARE FOR ELDERLY

2020 ◽  
Vol 11 (5) ◽  
pp. 9-13
Author(s):  
V.N. Egorova ◽  
◽  
U.A. Azarova ◽  
Keyword(s):  
Young People ◽  
Nursing Homes ◽  
Old Age ◽  
Rural Areas ◽  
The Elderly ◽  
Survey Method ◽  
Old People ◽  
Elderly Parents ◽  
The North ◽  
Care For The Elderly

Currently, the questions of how older people fit into the context of modern reality, to what extent their inherent life ideas are consistent with existing social norms are becoming relevant. The history of the development of attitudes towards the elderly, the position of old people is constantly changing. It is known that the life of old people largely depends on their social status in society. The article presents the results of studying the attitude of young people and people of mature age in Yakutia to old age and readiness to care for the elderly. The study involved representatives of young and mature age in the amount of 222, including 109 men, 113 women. 142 (64%) respondents live in cities, 80 (36%) - in rural areas. 68 (31%) of the respondents have higher education, the rest - secondary, 85.3% of the respondents are of mature age and 14.7% of young people live with their parents. The analysis of ethnographic works, folklore materials was used as research methods; survey method. The reliability of the difference in indicators was checked using the angular Fisher transformation. Analysis of the research results allows us to note that respondents treat elderly people with patience and care, however, young people tend to be indifferent to aging parents. The attitude towards the placement of parents in nursing homes is also noticeably different: young people are ready to place their parents in nursing homes if the circumstances are difficult. Comparison was also made of the opinions of representatives of different nationalities about their attitude to old age, and their willingness to care for elderly parents, it found that they also differ. Comparison of the research indicators showed that there is a high connection with the family among representatives of the small peoples of the north, they are also more re- sponsible for their parents, although in other nations, the readiness to care for the elderly is high among the Yakuts (p <0.05). In the future, the study of attitudes towards old age will be relevant, since the aging of the population is observed throughout the world.

scholarly journals Loneliness Among the Elderly in Rural Contexts: A Mixed-Method Study Protocol

2021 ◽  
Vol 20 ◽  
pp. 160940692199686
Author(s):  
Borja Rivero Jiménez ◽  
David Conde-Caballero ◽  
Lorenzo Mariano Juárez
Keyword(s):  
Data Collection ◽  
Mixed Method ◽  
Rural Areas ◽  
Population Group ◽  
The Elderly ◽  
Interaction Patterns ◽  
Structured Interviews ◽  
Strict Adherence ◽  
Data Collection And Analysis ◽  
Technological Tools

Loneliness among the elderly has become a pressing issue in Western societies. In the Spanish context, the problem of the so-called “empty” Spain disproportionately affects this population group—elderly individuals living in rural areas with low population density, and therefore at higher risk of social exclusion and isolation. We introduce here a mixed-method, quantitative-qualitative research protocol, triangulated with technological tools, designed to improve both data acquisition and subsequent data analysis and interpretation. This study will take place in a rural locality in the Extremadura region (Spain), chosen according to a particular socio-demographic profile. The De Jong Gierveld Loneliness Scale will be used on a cohort of 80 people over 65 years old. Within this cohort, a smaller sample of 20–30 individuals will be selected for semi-structured interviews about their beliefs and experiences of loneliness. Finally, data gathered from technological tools (smartbands, Bluetooth sensors) will allow us to monitor social interactions and to map daily loneliness/interaction patterns. Data will be triangulated by analyzing and comparing the empirical material gathered through these different methods and tools. Strict adherence to ethical standards for data protection and handling will be essential through data collection and analysis. As well as providing insights into the phenomenon of loneliness in old age, the use of different methods and tools for data collection will provide the basis for an epistemological reflection on the scope and limits of each one of these methods.

scholarly journals Registered nurses’ role experiences of caring for older stroke patients: a qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei Cheng ◽  
Jiong Tu ◽  
Xiaoyan Shen
Keyword(s):  
Nursing Education ◽  
Older People ◽  
Registered Nurses ◽  
Elderly Care ◽  
The Elderly ◽  
Working Environment ◽  
Structured Interviews ◽  
Stroke Patients ◽  
Care Needs ◽  
Nursing Clinical Practice

Abstract Background With China’s population ageing rapidly, stroke is becoming one of the major public health problems. Nurses are indispensable for caring for older patients with acute and convalescent stroke, and their working experiences are directly linked to the quality of care provided. The study aims to investigate registered nurses’ experiences of caring for older stroke patients. Methods A qualitative descriptive design was adopted. Data were collected via semi-structured interviews with 26 registered nurses about their lived experiences of caring for older stroke patients. Thematic analysis was used to analyze the data. Results Two main themes were identified. First, the nurses identified an obvious gap between their ideal role in elderly care and their actual practice. The unsatisfactory reality was linked to the practical difficulties they encountered in their working environment. Second, the nurses expressed conflicting feelings about caring for older stroke patients, displaying a sense of accomplishment, indifference, annoyance, and sympathy. Caring for older stroke patients also affects nurses psychologically and physically. The nurses were clear about their own roles and tried their best to meet the elderly people’s needs, yet they lack time and knowledge about caring for older stroke patients. The factors influencing their working experiences extend beyond the personal domain and are linked to the wider working environment. Conclusions Sustaining the nursing workforce and improving their working experiences are essential to meet the care needs of older people. Understanding nurses’ lived working experiences is the first step. At the individual level, nurse mangers should promote empathy, relieve anxiety about aging, and improve the job satisfaction and morale of nurses. At the institutional level, policymakers should make efforts to improve the nursing clinical practice environment, increase the geriatric nursing education and training, achieve a proper skill mix of the health workforce, and overall attract, prepare and sustain nurses regarding caring for older people in a rapidly aging society.

scholarly journals Safer Prescribing and Care for the Elderly (SPACE): feasibility of audit and feedback plus practice mail-out to patients with high-risk prescribing

2017 ◽  
Vol 9 (2) ◽  
pp. 145 ◽  
Author(s):  
Katharine Wallis ◽  
Rebecca Tuckey
Keyword(s):  
General Practice ◽  
High Risk ◽  
The Elderly ◽  
Audit And Feedback ◽  
Structured Interviews ◽  
Medicines Information ◽  
Care For The Elderly ◽  
Increased Risk ◽  
Information Brochure ◽  
Practice Methods

ABSTRACT INTRODUCTION High-risk prescribing in general practice is common and places patients at increased risk of adverse events. AIM The Safer Prescribing and Care for the Elderly (SPACE) intervention, comprising audit and feedback plus practice mail-out to patients with high-risk prescribing, was designed to promote medicines review and support safer prescribing. This study aims to test the SPACE intervention feasibility in general practice. METHODS This feasibility study involved an Auckland Primary Health Organisation (PHO), a clinical advisory pharmacist, two purposively sampled urban general practices, and seven GPs. The acceptability and utility of the SPACE intervention were assessed by semi- structured interviews involving study participants, including 11 patients with high-risk prescribing. Interviews were audio-recorded, transcribed verbatim and analysed using a general inductive approach to identify emergent themes. RESULTS The pharmacist said the SPACE intervention facilitated communication with GPs, and provided a platform for their clinical advisory role at no extra cost to the PHO. GPs said the feedback session with the pharmacist was educational but added to time pressures. GPs selected 29 patients for the mail-out. Some GPs were concerned the mail-out might upset patients, but patients said they felt cared for. Some patients intended to take the letter to their next appointment and discuss their medicines with their GP; others said there were already many things to discuss and not enough time. Some patients were confused by the medicines information brochure. DISCUSSION The SPACE intervention is feasible in general practice. The medicines information brochure needs simplification. Further research is needed to test the effect of SPACE on high-risk prescribing.

The Role of Nursing Homes Architectural Design in Mitigating the Risk of COVID-19 Pandemics: The Case of Slovenia

2022 ◽  
Vol 8 (1) ◽  
pp. 51-66
Author(s):  
Vesna Žegarac Leskovar ◽  
Vanja Skalicky Klemenčič
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Older People ◽  
Architectural Design ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Evaluation Tool ◽  
Negative Effect ◽  
Disproportionate Number ◽  
Role Of Nursing

Currently, many older people live in institutions for various social and health reasons. In Slovenia, this proportion is almost 5% of the population aged 65 and over. In the COVID-19 pandemic, the elderly proved to be the most vulnerable social group, as they are exposed to a number of comorbidities that increase the risk of mortality. At that time, nursing homes represented one of the most critical types of housing, as seen from a disproportionate number of infections and deaths among nursing home residents worldwide, including Slovenia. During the emergency, a number of safety protocols had to be followed to prevent the spread of infection. Unfortunately, it turned out that while the safety measures protected the nursing home residents, they also had a negative effect on their mental health, mainly due to isolation and social distancing. It follows that especially in times of epidemics of infectious respiratory diseases, the quality of life in nursing homes requires special attention. In this context, it is also necessary to consider whether and how an appropriate architectural design can help mitigating the spread of infections, while at the same time enable older people to live in dignity and with a minimum of social exclusion. To this end, the present study examined 97 nursing homes in Slovenia, analysing the number of infections in nursing homes and their correlation with the degree of infection in the corresponding region in Slovenia. Additionally, 2 nursing homes were studied in more detail with the use of newly developed “Safe and Connected” evaluation tool, analysing the architectural features of each building. The advantages identified so far include living in smaller units, single rooms with balconies, the possibility of using green open spaces and the use of an adequate ventilation. Conclusions of this study are useful for further consideration of design of new nursing homes and the refurbishment of existing ones.

scholarly journals Training of nursing students in integrated care for the elderly

2018 ◽  
Vol 21 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Wanderson Carneiro Moreira ◽  
Ana Raquel Batista de Carvalho ◽  
Eliana Campêlo Lago ◽  
Fernanda Cláudia Miranda Amorim ◽  
Delmo de Carvalho Alencar ◽  
...  
Keyword(s):  
Nursing Students ◽  
Integrated Care ◽  
Exploratory Study ◽  
Holistic Approach ◽  
The Elderly ◽  
Qualitative Approach ◽  
Training Process ◽  
Structured Interviews ◽  
University Center ◽  
Care For The Elderly

Abstract Objective: To analyze training in integrated health care for the elderly from the perspective of nursing students. Method: A descriptive and exploratory study with a qualitative approach was carried out using the action research method with the participation of 24 nursing students from a university center in Piauí, Brazil. Data were obtained through semi-structured interviews and submitted to content analysis. Results: Two thematic categories emerged: Perspectives on aging, violence and sexuality and A holistic approach to the elderly: integrating training and care. Conclusion: The perspective of the students on integrated care for the elderly is fragmented, stemming from the limitations of the training process for such care.

scholarly journals Public, private or hybrid? Providing care services under austerity: the case of Italy

2020 ◽  
Vol 40 (11/12) ◽  
pp. 1279-1300
Author(s):  
Lisa Dorigatti ◽  
Anna Mori ◽  
Stefano Neri
Keyword(s):  
Trade Unions ◽  
Local Governments ◽  
Industrial Relations ◽  
The Elderly ◽  
Educational Services ◽  
Structured Interviews ◽  
Term Care ◽  
Content Type ◽  
Care For The Elderly ◽  
Market Factors

PurposeThe paper examines the different trajectories of externalisation and the development of different kinds of welfare mix in three different sub-sectors of socio-educational services: long-term care for the elderly, early childhood services and kindergartens. By integrating the industrial relations and comparative public administration literatures, it analyses the different rationales underpinning contracting-out decisions of Italian local governments.Design/methodology/approachThe paper adopts a multi-method, multi-level approach: quantitative data on the provision of socio-educational services and the nature of the providers are combined with the analysis of 12 case studies of municipalities through 80 semi-structured interviews and documentary analysis.FindingsThe paper argues that differentials in labour regulation across the public/private divide and the consequent possibility to access labour markets characterised by cheaper labour and higher organisational flexibility are a key explanation in local governments' decisions to outsource. Despite labour market factors playing a prominent role, their relevance is significantly tempered by political and social factors and particularly by the strong opposition of citizens, personnel and trade unions to pure market solutions in the provision of such services. However, the centrality of these factors depends on the nature of the services: political sensibility against privatisation proved to be stronger in kindergartens, while services for the elderly were more frequently and less contentiously privatised.Originality/valueThe main contribution is the integration of the two research traditions to analyse patterns of outsourcing in the socio-educational services in Italy, showing that neither of them is able, alone, to explain the different private/public mix characterising different social and educational services.

PACE – Comparing the effectiveness of palliative care for older people in care and nursing homes in Europe

Impact ◽  
2017 ◽  
Vol 2017 (4) ◽  
pp. 34-36
Author(s):  
Lieve Van den Block ◽  
Bregje Onwuteaka-Philipsen ◽  
Anne-Sophie Parent
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Older People ◽  
Care For Older People
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