scholarly journals Interdisciplinary communication and collaboration as key to improved nutritional care of malnourished older adults across health‐care settings – A qualitative study

2020 ◽  
Vol 23 (5) ◽  
pp. 1096-1107
Author(s):  
Marije H. Verwijs ◽  
Saskia Puijk‐Hekman ◽  
Ellen Heijden ◽  
Emmelyne Vasse ◽  
Lisette C. P. G. M. Groot ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Qualitative Study ◽  
Interdisciplinary Communication ◽  
Nutritional Care ◽  
Health Care Settings

Experiences of Battered Women in Health Care Settings: A Qualitative Study

1997 ◽  
Vol 24 (3) ◽  
pp. 1-2 ◽  
Author(s):  
Barbara Gerbert ◽  
Kathleen Johnston ◽  
Nona Caspers ◽  
Thomas Bleecker ◽  
Austen Woods ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Battered Women ◽  
Health Care Settings

scholarly journals Nutritional Care for older adults in Primary Health Care, from the perspective of health professionals

2020 ◽  
Vol 23 (6) ◽  
Author(s):  
Carolina Lou de Melo ◽  
Maria Angélica Tavares de Medeiros
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Healthy Aging ◽  
Structured Interview ◽  
Cross Sectional ◽  
Nutritional Care ◽  
Primary Health ◽  
Theoretical Saturation

Abstract Objective: to characterize and analyze Nutritional Care (NC) for older adults in Primary Health Care (PHC), identifying how food and nutrition actions (F&N) were performed and the conceptions that guided them. Methods: a cross-sectional, quantitative and qualitative study was performed in PHC in Santos, São Paulo, Brazil, in two phases: i) a census study was carried out of health units, N=28 (100%), with managers who answered a structured interview to assess NC; followed by descriptive analysis. ii) a deeper investigation of this diagnosis was performed, using semi-structured interviews with key informants (interviewees) of care for older adults; being a nutritionist was not a criteria, as there were only three such professionals throughout the entire PHC, and one of the health regions studied was not served by a nutrition professional. The concept of theoretical saturation was used for the sampling plan; content analysis was carried out and the inferences were supported by references of integrality and aging. Results: NC for older adults was highlighted by individual care, predominant in all the services studied (28) (100%); nutritionists participated in this activity in just nine units (32.1%). Theoretical saturation was achieved with nine interviews. According to the discourse analysis, F&N actions were generic, focused on the treatment of diseases, influenced by negative aspects attributed to aging, there was no planning based on the needs of the territory, and health professionals identified themselves as information transmitters, leaving the responsibility of acting on such information to the older adults themselves. Conclusion: F&N actions were guided by the biomedical paradigm, fragmented, restricted to disease management, imputing the responsibility for health to the individual themselves. Thus, NC distanced itself from the promotion of healthy aging, weakening its strategic role in the quest for integrated care.

Improved nutritional care of malnourished older adults: A matter of interdisciplinary communication and collaboration

2020 ◽  
Vol 40 ◽  
pp. 591-592
Author(s):  
M.H. Verwijs ◽  
S. Puijk - Hekman ◽  
E. van der Heijden ◽  
E. Vasse ◽  
L.C. de Groot ◽  
...  
Keyword(s):  
Older Adults ◽  
Interdisciplinary Communication ◽  
Nutritional Care

scholarly journals Improving Care for Elders Who Prefer Informal Spaces to Age-Separated Institutions and Health Care Settings

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Stacy Torres ◽  
Xuemei Cao
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Public Transportation ◽  
Urban Areas ◽  
Health Care Services ◽  
Well Being ◽  
Care Providers ◽  
Third Places ◽  
Health Care Settings

Abstract Background and Objectives Despite advantages of urban areas (such as walkability, public transportation, nearby shopping, and health care services), challenges remain for elders aging in place to access care. The changing demographics of older adults, with higher rates of divorce, singlehood, and childlessness, often living alone and far from family, necessitate new strategies to support health and well-being. Research Design and Methods Drawing on 5 years of ethnographic fieldwork and 25 interviews with elders in New York City, this study presents empirical insights into older adults’ use of “third places” close to home, in conjunction with more formal settings. Results This article identifies external and internalized ageism and complicated age-based identity as important reasons why older adults preferred “third places” to age-separated spaces such as senior centers and formal settings such as health care settings. We find that neighborhood “third places” offer important physical venues for older adults to process negative or hurried interactions in other formal and age-separated places. Discussion and Implications This article makes policy suggestions for increasing access and usage of essential services, including developing attractive and appealing intergenerational spaces in which older community members can obtain services and dispatching caseworkers to public spaces where elders congregate. Furthermore, this article recommends improving exchanges between health care providers and older adults so that they feel recognized, respected, and cared for, which can improve health care outcomes.

scholarly journals Older Adults’ Spiritual Needs in Health Care Settings

2011 ◽  
Vol 34 (2) ◽  
pp. 131-155 ◽  
Author(s):  
David R. Hodge ◽  
Violet E. Horvath ◽  
Heather Larkin ◽  
Angela L. Curl
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Professional Staff ◽  
Joint Commission ◽  
Assessment Process ◽  
Spiritual Needs ◽  
Relationship With God ◽  
Health Care Settings ◽  
Spiritual Assessment ◽  
Staff Interactions

Recognizing that spiritual needs often emerge in health care settings, the Joint Commission requires spiritual assessments in numerous organizations frequented by older adults. Given that many gerontological practitioners have received little training in identifying spiritual needs, a qualitative meta-synthesis ( N = 9 studies) was conducted to identify and describe older adults’ perceptions of their spiritual needs in health care settings. Five interrelated categories emerged: (a) spiritual practices; (b) relationship with God; (c) hope, meaning, and purpose; (d) interpersonal connection; and (e) professional staff interactions. The implications of the findings are discussed as they inform the spiritual assessment process.

Perceived Barriers to Health Care Access Among Rural Older Adults: A Qualitative Study

2005 ◽  
Vol 21 (3) ◽  
pp. 206-213 ◽  
Author(s):  
R. Turner Goins ◽  
Kimberly A. Williams ◽  
Mary W. Carter ◽  
S. Melinda Spencer ◽  
Tatiana Solovieva
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Qualitative Study ◽  
Health Care Access ◽  
Perceived Barriers ◽  
Barriers To Health Care ◽  
Care Access ◽  
Barriers To Health ◽  
Rural Older Adults

scholarly journals NURSES’ OPINIONS AND BELIEFS ABOUT MALNUTRITION IN OLDER ADULTS: A CROSS-SECTIONAL STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S491-S492
Author(s):  
Debbie Ten Cate ◽  
Roelof Ettema ◽  
Marieke J Schuurmans ◽  
Lisette Schoonhoven
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nutritional Care ◽  
Health Care Settings ◽  
Care Recipients ◽  
Nursing Activity ◽  
Nurse Students ◽  
Insight Into

Abstract Malnutrition in older adults is a frequent and major problem. Despite the fact that nurses have an essential role in nutritional care, they fail to ensure appropriate delivery in preventing and treating malnutrition. For improvement, it is necessary to understand the perspective of nurses about malnutrition. The aim of this study was to gain insight into nurses’ opinions and beliefs about malnutrition in older adults. A cross-sectional study was conducted where nurses working in different health care settings were asked to fill in a survey with twelve questions regarding different aspects of malnutrition. Nurses (n = 557) frequently observe malnutrition in older care recipients, and they consider this as a serious health problem. They believe that prevention and treatment of malnutrition is important and they see screening of malnutrition as a relevant nursing activity. They also consider nutritional care as multidisciplinary. Nurses state their need for education to give adequate nutritional care. Nurses’ opinions and beliefs about malnutrition in older adults is positive, which enhances nurses’ behavior to give sufficient nutritional care to older adults. To gain more benefit in improving nursing activities within nutritional care for older adults, more education is needed targeting nurse professionals and nurse students.

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