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Working with Older People
Journal Prestige (SJR): 0.162
Number of Followers: 40  
 
Hybrid Journal Hybrid journal   * Containing 2 Open Access Open Access article(s) in this issue *
ISSN (Print) 1366-3666 - ISSN (Online) 2042-8790
Published by Emerald Homepage  [362 journals]
  • The older adult: physical activity considerations and learning to age in
           place

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      Authors: Ryan M. Carrick, Danielle Wadsworth
      Abstract: The purpose of this study is to investigate the transfer of learning among older adults and the importance of physical activity (PA) related to aging in place. A mixed-methods approach examined 10 older adults aged 65–88, who were receiving occupational therapy and contemplating aging in place. Semistructured interviews determined participants' perceptions of aging in place and PA. Accelerometers assessed levels of PA over 14 days. Interviews revealed that most participants were aware of the importance of PA but did not specify PA as being a primary contributor to continued independence with aging. Accelerometer data revealed that, on average, 96.7% of the day is spent in sedentary behavior. Health-care professionals may ask the question, “What will my patient do with the information he or she has learned'” This study was useful to increase understanding of older adults’ learning, lifestyles and effects on aging independently. As older adults have true expectations of requirements for successful aging in place, realistic levels of PA and transfer of learning could improve the intended outcome of aging independently. PA is often an overlooked factor for occupational engagement and aging in place and is novel to investigate in combination with interviews.
      Citation: Working with Older People
      PubDate: 2023-10-03
      DOI: 10.1108/WWOP-08-2023-0034
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Behavioural determinants of health-care utilisation among elderly
           population: a cross-sectional analysis from Punjab

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      Authors: Pooja Kansra, Amiya Abdul Khadar
      Abstract: Population ageing is a demographic transition and burdens every country’s health sector. A lack of social security combined with low government health-sector spending has made health-care utilisation difficult among elderly in many developing countries like India. This makes population ageing a global phenomenon for policymakers, researchers and stakeholders to discuss and debate in 21st century. The purpose of this paper is to examine the behavioural determinants of health-care utilisation among elderly population in Punjab. This study examines health-care utilisation among the elderly population in Punjab. A structured questionnaire was used to collect the data in the state of Punjab, with a multi-stage stratified random sample of 385 respondents. Logit regression was used to analyse the association between several behavioural factors like age, gender, place of residence, source of livelihood, education and frequency of visits with health-care utilisation among elderly aged 60 and above. This study revealed that gender, age, place of residence, source of livelihood, education and frequency of visits were significant determinants of health-care utilisation among elderly population. This study directs the need to improve health-care utilisation in a country, reducing inequalities that exist among the elderly population with respect to socio-economic and demographic differences.
      Citation: Working with Older People
      PubDate: 2023-10-02
      DOI: 10.1108/WWOP-05-2023-0018
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • An evaluation of behaviour monitoring charts for behaviours that challenge
           in an older adult inpatients dementia service

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      Authors: Nicole King, Ian Asquith
      Abstract: This study aims to evaluate the quality of information recorded in Behaviour Monitoring Charts (BMC) for Behaviours that Challenge (BtC) in dementia in an older adult inpatient dementia service in the North of England (Aim I) and to understand staff perceptions and experiences of completing BMC for BtC in dementia (Aim II). Descriptive statistics and graphs were used to analyse and interpret quantitative data gathered from BMC (Aim I) and Likert-scale survey responses (Aim II). Thematic analysis (Braun and Clarke, 2006) was used to analyse and interpret qualitative data collected from responses to open-ended survey questions and, separately, focus group discussions (Aim II). Analysis of the BMCs revealed that some of the data recorded relating to antecedents, behaviours and consequences lacked richness and used vague language (i.e. gave reassurance), which limited its clinical utility. Overall, participants and respondents found BMC to be problematic. For them, completing BMCs were not viewed as worthwhile, the processes that followed their completion were unclear, and they left staff feeling disempowered in the systemic hierarchy of an inpatient setting. Functional analysis of BMC helps identify and inform appropriately tailored interventions for BtC in dementia. Understanding how BMCs are used and how staff perceive BMC provides a unique opportunity to improve them. Improving BMC will support better functional analysis of BtC, thus allowing for more tailored interventions to meet the needs of people with dementia.
      Citation: Working with Older People
      PubDate: 2023-10-02
      DOI: 10.1108/WWOP-06-2023-0023
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Growing old in the digital era: a qualitative study of internet use and
           outcomes among urban Indian older adults

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      Authors: Nidhi Bansal, Heena Choudhary
      Abstract: This study acknowledges the existing digital divide in India, particularly for marginalised populations, and highlights the need for exceptional attention to address their unique needs, challenges and demands. Although previous research and policies have primarily focused on physical access and internet skills, this study shifts the focus to the outcomes of internet use. By understanding how older adults in marginalised communities incorporate the internet into their daily routines, this study aims to contribute to the development of an operational framework that charts the disadvantages of the digital divide. The study draws from Helsper’s (2015) internet outcomes framework to identify the outcomes that older adults can derive from being online. By using a qualitative approach, the study seeks to understand how educational and economic backgrounds influence internet usage among older adults and how this can promote advantageous internet use. The findings indicate that highly educated individuals are more likely to experience positive outcomes across various societal domains than their less educated counterparts. However, it was observed that the highly educated participants also try to limit the impact of internet use on their personal lives by intentionally disconnecting from the internet whenever possible. By offering programmes and interventions to encourage internet use and improve digital skills, as well as by enhancing digital accessibility and incentive systems, the government should go forward with its plan to close the outcomes gap in internet use among older adults. For policymakers, it turns the spotlight on creating an environment conducive to the digital inclusion of older adults, consistent with sociocultural structures. This study contributes to understanding the nuanced dynamics of internet use among older adults, shedding light on the role of educational background and sociocultural factors in shaping internet outcomes. It highlights the need to consider qualitative approaches in digital inequality research to capture the complexities underlying the digital divide.
      Citation: Working with Older People
      PubDate: 2023-10-02
      DOI: 10.1108/WWOP-08-2023-0032
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Methodologies assessing digital technologies to assist “ageing in
           place”: a scoping review

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      Authors: Francesca Horne, Diane Bailey, Maggie Kenney
      Abstract: Despite continuing workforce challenges over the last decade, the social care system is considered a key enabler in keeping older people out of hospital. In response to the workforce challenges, White Paper was released, which acknowledged the opportunities afforded by digital technology to assist older people ageing at home, often supported by informal caregivers. Given the policy emphasis on digital-enabled care, the most appropriate methods for evaluating its impact on social care outcomes have yet to be determined. The purpose this study was to review the current literature using a systematic approach to understand the methodological limitations to inform more robust evaluations in their use in future research. This scoping review used a systematic approach adopting the framework of Arksey and O’Malley to examine studies examining the adoption of digital technologies to assist in older people’s ability to age in place. The 21 relevant studies identified on digital technology to assist ageing-in-place are evolving. To date, it has focused on the efficacy and usability of the digital technologies themselves rather than investigating the impact of such technologies on re/enablement outcomes for older people. To rebalance this emphasis, there needs to be more research investigating the factors that enhance useability of digital technologies by older people and exploiting narrative data gained from qualitative research as they can provide valuable insights. To the best of the authors’ knowledge, this is the first scoping review to consider qualitative methodological approaches for exploring ageing in place.
      Citation: Working with Older People
      PubDate: 2023-09-29
      DOI: 10.1108/WWOP-11-2022-0057
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Nursing students’ experiences of learning practical gerontological
           nursing skills through online media during COVID-19 pandemic: a
           qualitative study

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      Authors: Jaturada Jariyarattanakul Niemtest, Watchara Tabootwong, Pornchai Jullamate
      Abstract: This study aims to explain the experiences of nursing students while they practiced gerontological nursing through online media during the COVID-19 pandemic. Purposive sampling was used to select 20 third-year nursing students. Semi-structured face-to-face interviews were conducted with participants. The collected data were analyzed using the thematic analysis method to identify recurring themes and patterns. Four themes emerged from the interviews, including improved practical skills, the impact of online learning, receiving support from close individuals and the need for support. Participants provided specific examples of how they improved their skills through online learning and described the importance of receiving support from those close to them during this challenging time. Online media is essential for teaching nursing students during the COVID-19 pandemic. This is the main reason for teaching nursing students during times of restricted access to clinical settings. This research provides insights into the challenges and benefits associated with using digital platforms to teach gerontological practice for nursing students.
      Citation: Working with Older People
      PubDate: 2023-09-27
      DOI: 10.1108/WWOP-06-2023-0024
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Benefits and challenges of living in extra care housing: perspectives of
           people living with dementia

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      Authors: Teresa Atkinson, Rebecca Oatley
      Abstract: The purpose of this paper is to present the views of people living with dementia in extra care housing (ECH). This is a model of housing with care and support aiming to support older people, including those with dementia, to live independently. Previous research identifies benefits but is predominantly derived from third-party accounts, with the voices of those living with dementia in ECH significantly absent. This study adopted a qualitative approach conducting 100 interviews across 8 ECH schemes in England. Over half of the interviews were conducted with people living with dementia and their families with the remainder involving staff and commissioners. Findings suggest there are a range of benefits including owning your own home, having a safe, age friendly location with flexible support, social interaction and continuing to live as a couple. Challenges included availability of staff, flexible resourcing, loneliness and the advancing symptoms of dementia. Despite efforts to create an inclusive, diverse sample, the participants were all White British. Participants involved were identified by gatekeepers, which may present some bias in the selection. Whilst ECH offers benefits to people living with dementia, addressing the challenges is essential for effective dementia care. Improving staff training, promoting person-centred care and fostering an inclusive community are critical for enhancing residents’ well-being and quality of life. This paper explored the lived experiences of residents and family members, providing new insight into the advantages and disadvantages of ECH for people living with dementia.
      Citation: Working with Older People
      PubDate: 2023-09-27
      DOI: 10.1108/WWOP-09-2023-0035
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Lived experiences constraints of family caregivers in caring for older
           adults with chronic diseases during the Covid-19 pandemic: a qualitative
           study of Indonesian perspectives

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      Authors: Bahtiar Bahtiar, Ida Ayu Kade Sri Widiastuti, Dwi Nopriyanto, Nurlaila Fitriani, Khumaidi Khumaidi, Arief Andriyanto, Iskandar Muda
      Abstract: The purpose of this study is to explore the lived experiences of the constraints of older adult family caregivers with chronic diseases in caring for and accessing health services during the COVID-19 pandemic. This study used the descriptive phenomenology qualitative method. The sampling method was purposive sampling involving 16 older adult family caregivers. The results of this study showed three themes such as difficulties in health services in hospitals during the COVID-19 pandemic (complaints of services provided by doctors, older adult treatment control problems and difficulty getting to hospital health facilities); difficulties accompanying taking older adult medicine (older adult non-compliance response to taking medication and older adult medicine assistance); and psychosocial complaints caring for and accompanying the older adult (negative emotions for the older adult, difficulty interacting with the older adult and the economic burden of caring for the older adult). Barriers to family caregivers in caring for older adults with chronic diseases can help health-care service providers understand and support families caring for and assisting older adults, which may contribute to the quality of life and care for both family caregivers and older adults. This study showed that Indonesian family caregivers faced difficulties caring for and living with older adults with chronic diseases during the pandemic. Family caregivers’ experiences are essential when developing an intervention to support and manage health care for older adults with chronic illnesses.
      Citation: Working with Older People
      PubDate: 2023-08-22
      DOI: 10.1108/WWOP-09-2022-0044
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Perceptions on quality of life among older adults with hypertension in
           Thailand: a qualitative study

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      Authors: Chonticha Chantakeeree, Marjorita Sormunen, Pornchai Jullamate, Hannele Turunen
      Abstract: This study aims to explore the perceptions of quality of life among older Thai adults with hypertension. A descriptive qualitative design was used. Semistructured interviews were conducted with 40 older adults. Thematic analysis was used to analyze the data. The analyses were divided into six major themes: happiness in life; health and functionality; activity in social relationships; religion anchor; autonomy to manage their own life; and security in finances and environment. The findings can guide health care professionals and policymakers when planning and implementing interventions and policies for improving the quality of life of older adults, particularly that of rural older adults with low incomes. The findings showed minor differences between urban and rural older adults in financial security, where the rural participants expressed greater financial insecurity than the urban counterparts. However, no other major differences emerged.
      Citation: Working with Older People
      PubDate: 2023-08-21
      DOI: 10.1108/WWOP-07-2023-0030
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Employment among older men and women in Vietnam: How their health played a
           role'

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      Authors: Long Thanh Giang, Aiko Kikkawa, Donghyun Park, Tue Dang Nguyen
      Abstract: This study aims to explore the situations and socio-economic and health-related factors associated with employment of older men and women in Vietnam. This study used the nationally representative data in 2019 with a sample size of 3,049 older persons (those aged 60 and over). This study applied logistic regression analyses. This study found that there were significant differences in employment rates between various groups of older men and women in terms of age group, residential place, marital status and educational level. Controlling for age, education, marital status, place of residence and (in) sufficient income for daily living, the results from logistic models indicated that health issues were strongly associated with lower probability to be employed for both genders. In all tests and regression models, that age and health condition were consistently related with lower employment probability of older persons implied an important consideration in raising normal retirement ages for both men and women. Due to limitation of the cross-sectional data, this research could not explore how health influences older people’s employment overtime. Findings of this research provide important and adaptive policy insights for Vietnam to take advantage of older workers for economic growth under an aging population. To the best of the authors’ knowledge, this has been among the first studies exploring the role of health, which was presented by different indicators, determining employment of older men and women in Vietnam.
      Citation: Working with Older People
      PubDate: 2023-08-18
      DOI: 10.1108/WWOP-06-2023-0025
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • The influence of socioeconomic indicators on a senior’s self-esteem

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      Authors: Naqeeb Hussain Shah, Samiullah Paracha, Mohammed Shafiq, Faisal Mehmood
      Abstract: Aging is a complex and multifactorial process. This study aims to is focus on mattering in older people. Mattering is the feeling of being important to others in ways that give individuals the sense that they are valued and other people care about them. However, for many, aging brings about the loss of self-esteem, and they feel useless, deprived and unwanted. The authors have adopted the partial least square structural equation modeling technique and Self-Esteem Scale of Rosenberg for evaluating the level of self-esteem in senior citizens of Pakistan. The results reveal a strong association between the predictor and the criterion variables, supporting the view that the communal integration construct is the strongest determinant in old age. Based on the results, the authors can argue that socioeconomic status, social relationships and daily activities and have a direct association with the elderly people’s self-esteem. The Self-Esteem Questionnaire by Rosenberg (Rosenberg, 1965) and the Quality of Life Questionnaire by Bowling (Bowling, Banister, Sutton Evans and Windsor (2002) are two tested tools that were used to collect the sample data from various neighborhoods of Peshawar. The sample consisted of respondents who were 60 years of age or older. The current study only included men who were 60 years of age or older because men make up a higher number of retirees in the district (84%) than do women. A total of 312 male volunteers, representing a various cadre of job, were recruited at random. The research population’s data were gathered through convenience sampling. Only volunteers who appeared to be healthy in both body and mind were chosen as participants. When older people were unable to complete questionnaires, researchers helped them read the questions and then helped them write down their answers. Out of the 500 survey forms that were sent, 312 were properly completed and used for the analysis. The results of this study suggest that the happiness and well-being of retired seniors are not only influenced by their general activities, health and socioeconomic status but also more strongly by their psycho-social integration, such as their close and intimate relationships with friends, family and relatives. The findings, therefore, urge the incorporation of social integration aspects in mental health treatment programs and public health policies to support the psycho-social well-being of the elderly. Social relationship variables might become a common aspect of practice through medical, psychiatric and psychological screening and examination. Due to the fact that research participants were selected from just one city – Peshawar – the results cannot be generalized. As a result, findings are less likely to apply to older persons who reside in other provinces due to sample selection. Future research will be conducted all around the nation, though, and it could produce more precise and broadly applicable findings. Only male respondents applied to the second limitation. Only male participants were sought due to socioeconomic differences, social and cultural obstacles and the small number of female retirees. Therefore, it limits the spectrum of the study. An individual’s self-esteem is made up of intrapersonal and interpersonal elements. Regarding policy intervention, the present effort will be a crucial step in helping the elderly understand the value of maintaining social networks and will encourage them to maintain close relationships with family and friends to safeguard their well-being in later life. On the other side, this research will help academics, politicians and thinkers better comprehend aging, perspectives of conduct and psychological and emotional viewpoints. One of the most important aspects of life that affects how old people feel about themselves is the support from social networks. Therefore, through raising awareness and fostering a favorable environment for the welfare and self-worth of senior individuals, politicians and society are expected to care for enriching the lives of the elderly. By highlighting the importance of communal support from a multidimensional aspect of a person, this study offers a wider perspective on self-esteem. With this in mind, the authors advise academics to adopt a fresh perspective on interpersonal mechanisms that ultimately aim to improve self-esteem and social support. Social support is a key factor in fostering or inhibiting self-esteem in the elderly and is a strong predictor of mental health. A society must take action to boost older people’s communal integration to improve their quality of life. This study makes the case for a broader perspective on self-respect or esteem by suggesting that self-esteem may be seen in a broader context rather than in terms of limited characteristics. The authors offer an integrated model of self-esteem that conceptualizes it as an interpersonal phenomenon influenced by multiple vital aspects using various metrics of old age. Self-esteem was envisioned as the result of a number of factors, including social position, activities and interpersonal interaction “relationships with relatives, family, and friends.” The authors’ conceptual framework’s goal is to comprehend the different ways that senior citizens’ lives affect their sense of self-worth.
      Citation: Working with Older People
      PubDate: 2023-08-18
      DOI: 10.1108/WWOP-02-2023-0005
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Implementing physical activity in nursing homes: a qualitative exploration
           of Turkish health care staff’ experiences

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      Authors: Ayşe Arıkan Dönmez, Funda Aslan
      Abstract: Implementing physical activity in nursing homes (NHs) can improve functional capacity, quality of life and well-being and even control symptoms associated with chronic diseases in elderly people. Taking into consideration the increasing in number of NHs in Türkiye, it is obvious that this matter should be handled. The purpose of this study is to explore health-care staff’s perspectives on implementing physical activity in NHs. A generic, qualitative study using face-to-face semi-structured interviews was conducted among 25 health-care staff. A theoretical sampling strategy was used to inform data collection. Data were analyzed using a thematic analysis method. Three main themes and seven sub-themes were generated from health-care staff’s narratives of implementing physical activity. Main themes were the lack of knowledge about physical activity, negative mindset and organizational requirements. Implementing physical activity in NHs contributes to a better quality of life for the residents and the protection and improvement of their health. However, a lack of knowledge, negative perceptions of both health-care staff and administrators about physical activity and the organizational requirement were recognized. Findings from this study will enable administrators to recognize the potential challenges and make informed decisions to implement physical activity programs for NH residents from health-care staff’s perspectives who are working with elderly people.
      Citation: Working with Older People
      PubDate: 2023-08-15
      DOI: 10.1108/WWOP-05-2023-0017
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Long-term home care communication with older people in Taiwan: strategies
           and rationales

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      Authors: Chin-Hui Chen
      Abstract: The demand for long-term home care services has been increasing in Taiwan due to the significant growth of the older population. In order to understand the crucial roles that language and communication play in providing better long-term home care services in Taiwan, this study aims to adopt a gerontological sociolinguistic perspective to investigate how professional care workers communicate with older people in this context. Interviews were conducted with 58 long-term home care workers to identify their communication accommodation strategies for older people, considering their health conditions (dementia), personalities (grumpiness), living status (loneliness) and general principles of long-term home care communication. The study's findings provide practical insights for long-term home care workers to enhance their communication skills while interacting with older people. The results could contribute to improving the quality of care services provided to older people and address their specific communication needs. To the best of the author’s knowledge, this paper is the first attempt to identify contextually specific communication accommodations to older people in existing literature of gerontological sociolinguistics that addresses language, communication and older age. The salience of the findings in this study can be further enhanced if they were applied in the development of training programs for future Taiwanese long-term home care workers.
      Citation: Working with Older People
      PubDate: 2023-07-31
      DOI: 10.1108/WWOP-03-2023-0009
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Regular practice of Kung Fu and Taekwondo improve Chilean adults’ health
           and quality of life during the COVID-19

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      Authors: Chuan Chih Hsu, Chia Shih Su, Chia Li Su
      Abstract: This study aims to investigate the impact of regular Kung Fu and Taekwondo practice on the health and quality of life among elderly individuals in the Maule region, Chile. The authors designed a 12-week Kung Fu and Taekwondo workshop with activities suitable for their age. Through semistructured interviews (at the beginning and the end of the workshop), along with periodic monitoring of vital signs and cardiovascular components, the authors observed an improvement in participants’ physical (strength, speed of reaction and flexibility) and psychological conditions (self-esteem and resilience), quality of life (relationships with family and friends and ability to deal with stressful events in working life) and health (waist circumference, percentage of oxygen saturation in blood, blood pressure, among other values). From these results, the authors affirm that this workshop improves health and physical condition and helps the participants develop the coping capacity to deal with stressful situations and complicated interpersonal relationships. In this sense, the authors conclude that Kung Fu and Taekwondo as regular sports activities can benefit senior citizens’ aging process. This research is based on an original study project.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-02-2023-0002
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Building an initial understanding of UK Recovery College dementia courses:
           a national survey of Recovery College and memory services staff

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      Authors: Emma Wolverson, Leanne Hague, Juniper West, Bonnie Teague, Christopher Fox, Linda Birt, Ruth Mills, Tom Rhodes, Kathryn Sams, Esme Moniz-Cook
      Abstract: Recovery Colleges were developed to support the recovery of people with mental health difficulties through courses co-produced by professionals and people with lived experience. This study aims to examine the use of Recovery Colleges to support people with dementia. A survey was circulated to UK Recovery College and memory service staff, exploring provision, delivery and attendance of dementia courses. Open responses provided insight into participant views about recovery in post-diagnostic support and the practicalities of running dementia courses. A total of 51 Recovery College staff and 210 memory service staff completed the survey. Twelve Recovery College dementia courses were identified across the UK. Three categories emerged from the qualitative data: post-diagnostic support, recovery in the context of dementia, challenges and areas of innovation. This study highlights the benefits and practicalities of running Recovery College courses with people with dementia. Peer-to-peer learning was seen as valuable in post-diagnostic support but opinions were divided about the term recovery in dementia.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-02-2023-0003
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Perspectives of registered nurses towards communication with family
           members of hospitalized older people with a tracheostomy: a qualitative
           study

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      Authors: Watchara Tabootwong, Chonticha Chantakeeree, Boonyapa Pokasem, Kanchana Piboon, Jaturada Jariyarattanakul Niemtest, Sasithorn Karuna
      Abstract: This paper aims to explore the perspectives of registered nurses towards communication with family members of older people with a tracheostomy. A qualitative design was used. Ten participants were recruited through purposive sampling. Face-to-face, semi-structured interviews were used in collecting data. Data were analysed by thematic analysis. The four themes identified were as follows: communication by considering time difference; considering factors related to effective communication, either family member–related factors or registered nurse–related factors; strategies of communicating to support family members, such as giving an opportunity to ask for accurate information, communicating to build self-confidence and communicating through cases; and using the art of communication by speaking slowly and clearly, using colloquialisms, being steady and calm, as well as using positive language. Having strategies and using the art of communication are important to help family members in obtaining accurate information and in building self-confidence in the care of older people. The paper indicates that registered nurses consider factors related to communication, and they gave more information to family members using effective strategies and the art of communication. Therefore, effective communication training to nursing teams should be performed to promote adherence to treatment and family members’ satisfaction.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-03-2023-0008
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Elderly functionality and its associated factors in a rural context of
           Colombia: a structural equations model

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      Authors: Eunice Yarce-Pinzón, Yenny Vicky Paredes-Arturo, Andrea Florez-Madroñero, Daniel Camilo Aguirre-Acevedo, Diego Mauricio Diaz-Velásquez
      Abstract: The purpose of this study was to determine the factors associated with functionality, a clinical criterion that could predict frailty in the elderly people in a rural context. This project is a cross-sectional descriptive analysis of 342 adults of age>60 years who are residents of Putumayo province in Colombia. Information regarding demographic characteristics, medical history, health perception and current illness was collected. The Mini-Mental State Examination (MMSE) protocol was used to perform cognitive evaluation; the Yesavage Geriatric Depression Scale was used to establish depressive symptoms; and the Hamilton Rating Scale was used to assess anxiety level. Questionnaire was used to evaluate performance on instrumental activities of daily living that lead to functional independence [daily life questionnaire (DLQ)]. The medical outcomes study scale was used to assess social parameters. A moderate and negative correlation was found between the DLQ score and age (r = −0.49; 95% CI: −0.57 to −0.47), whereas a positive correlation was found with education (r = 0.17; 95% CI: 0.07–0.27). Older adults with economic independence achieved a higher score in functional performance than those with economic dependence (standardized mean difference = 0.55; 95% CI: 0.33–0.77). This study observed a moderate correlation a moderate correlation between the MMSE cognitive performance (r = 0.56; 95% CI: 0.48−0.63) and the depressive symptomatology of Yesavage Scale (r = −0.36, 95% CI: −0.44 to −0.26). Finally, the structural model determined that age (r = −0.37), economic dependence (r = −0.383) and cognitive state (r = 0.309) determine the functional component. This study provides empirical support about older adults living in rural contexts, around the functionality variable from a multidimensional approach, highlighting the sociodemographic and cognitive variables. Consequently, the policy of social support in older adults must be oriented toward the development of a range of divergent intervention strategies. The study deals with the assessment of functionality in the elderly people from an interdisciplinary approach in the rural setting which presents a greater risk of physical and socioeconomic vulnerability. Therefore, the community, the health professionals and the government entities should help implement active aging programs for this population.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-03-2023-0010
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Nurses’ competencies in providing care to COVID-19 patient: survey
           of Jordanian nurses

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      Authors: Sajeda Alhamory, Inaam Khalaf, Jafar Alasad Alshraideh, Suhair Al-Ghabeesh, Yasmeen Abu Sumaqa, Salam Bani Hani, Iyad Salameh, Hasan Abu Alruz
      Abstract: The purpose of this paper is to assess the level of nurses’ competencies while providing care to COVID-19 patients. A descriptive, correlational design was used to collect data from nurses who were providing care to COVID-19 patients at four public hospitals. A total of 377 nurses (64.5% females) aged 23–50 consented to participate and completed the survey. The mean score of nurses’ competencies in providing care to COVID-19 patients was 2.5 (SD = 0.81). The results of correlation coefficient tests disclosed a significant positive correlation between reported competence level and sex rpb (377) = 0.18, p < 0.01; working area rpb (377) = 0.2, p < 0.01; disaster experience rpb (377) = 0.16, p < 0.01; disaster education rpb (377) = 0.25, p < 0.01; and disaster training rpb (377) = 0.31, p < 0.01. The COVID-19 pandemic response heavily relied on nurses. However, they had a gap in clinical competencies that indicates an urgent need to incorporate disaster management courses in basic nursing education and to update training in hospitals based on nurses’ needs to improve their capabilities in dealing with COVID-19 pandemic. To the best of the authors’ knowledge, this is the first study that investigated the perceived level of Jordanian nurses’ competencies in providing care to COVID-19.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-04-2023-0012
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • A phenomenological study of the lived experiences of elderly individuals
           with chronic wounds

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      Authors: Asem Abdalrahim, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Khitam Mohammad, Rasmieh Al-Amer, Omar Al Omari, Ahmad Ayed, Tariq Al-Dwaikat, Islam Oweidat, Haitham Khatatbeh, Mahmoud Alsaraireh, Sa'ad ALbashtawy, Khloud Al Dameery
      Abstract: This paper aims to explore the lived experience of people with a chronic non-healing wound and to explore what it means to live with a chronic wound. A descriptive phenomenological study design was adopted to explore the living experience of person with chronic wound. A sample of 15 individuals of both genders was selected using a purposive sampling technique. To collect data, in-depth interviews were conducted, and all the interviews were audio-taped and transcribed verbatim. Data were analysed using the seven-step process described by Colaizzi (1978). The findings were organized into 6 themes clusters and 12 themes. The six themes clusters were limiting mobility; receiving care; explaining causes of wounds; contending with chronic illnesses; adapting and mal-adapting; and economic burden of the wound. Chronic wound had a profound impact on participants’ lives by affecting their activities of daily living, their mobility, their income and their personal relationships. Understanding the lived experiences of people with chronic wounds is crucial for health-care providers, including nurses. Investigating the chronic wound experience has become even more pressing given the projected increase in the number of elderly individuals and those with chronic illnesses such as diabetes mellitus. In Jordan, for example, the prevalence of diabetes mellitus is 17.1%, and it is projected to increase by 2050.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-04-2023-0013
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Expectations and challenges of institutionalized and noninstitutionalized
           elderly in Pakistan: a phenomenological study

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      Authors: Fizzah Ghafoor, Mahwesh Arooj Naz
      Abstract: This study aimed to explore the expectations and challenges of institutionalized and noninstitutionalized elderly persons. A purposive sampling technique was used to recruit the participants. The sample of the study consisted of eight (N = 8) elderly persons. Four were institutionalized, and four were noninstitutionalized. The age range of the participants was between 60 and 80 years. A semi-structured interview guide was prepared to explore expectations and challenges of institutionalized and noninstitutionalized elderly persons. The interviews were audio-recorded and later on transcribed verbatim for a detailed in-depth analysis. The interviews were analyzed by using an interpretative phenomenological analysis. Emergent and subordinate themes were emerged. Superordinate themes emerged after analysis were expectations from self, expectations from immediate family, expectations for betterment in life, expectations from society, challenges related to physical self, psychological challenges, difficulties due to immediate family, problems at a societal level, satisfactory behavior of children, supportive family, satisfaction from society, positive values in old age, striving for betterment in life and health-promoting behaviors. These themes were interpreted in the context of given subordinate themes and verbatim of the participants. This study will help implement proper strategies for the betterment of institutionalized and noninstitutionalized persons. The study results can also aid in a better understanding of the challenges faced by the elderly population and also provide them with better facilities to fulfill their expectations. Recognizing the unique and individualized expectations and challenges of the elderly persons can help in providing them person centered care. Better strategies can be introduced to increase their interactions, for better housing facility, health care, food facilities and transportation. Old age is a challenging phase for individuals if they face difficulties and challenges. This stage is currently unaddressed by society. So, there is a strong need to bring them to the surface so that we can provide them with opportunities to achieve well-being. It can help in better understanding of challenges faced by the elderly population as well as expectations of the elderly population. This better understanding can give the idea about the different ways that elderly persons use to overcome and face these challenges in their life. A comparative study of expectations and challenges among institutionalized and noninstitutionalized elderly populations will give information about the differences among them, helping to understand them better The topic of expectations and challenges faced by institutionalized and noninstitutionalized elderly in Pakistan holds significant originality value. Although discussions on aging and elderly care are not uncommon, exploring the specific context of Pakistan adds a unique perspective to the subject. By delving into the cultural context, policy implications and comparative analysis, researchers can contribute to the existing knowledge and pave the way for targeted interventions that enhance the well-being of the elderly population.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-05-2023-0019
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Exploiting fear and vulnerabilities of senior citizens: are regulatory
           changes required to prevent digital frauds'

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      Authors: Nilaya Murthy, Santosh Gopalkrishnan
      Abstract: This paper aims to understand the emotional patterns of senior citizens when they digitally transact online and how the personality trait of neuroticism can be a vital part of being susceptible to fraud. The authors identify with the cognitive aspect of fear as a vista of neuroscience and behavioural finance in digital banking in today’s banking 5.0 where consumer centricity stands as one of the pillars of the Digital Payment Index of RBI. This study is empirical and investigative in nature. Primary data has been collected through online questionnaires (via Google Forms) and the interview method to understand the phenomenology of fear and incidents related to becoming victims of fraud and its propensity. The results exhibit that fear and emotional patterns do affect vulnerability and have a long-lasting psychological impact and susceptivity towards digital frauds. Fear as an emotion is used to understand the emotional expressive patterns of senior citizens as consumers of digital banking. The OCEAN model is one of the widely used personality models at the global level. This research study helps in highlighting the nuances linked to the behavioural and cognitive part of fear in digital crime. This research will be beneficial to reduce the susceptibility towards fraud from a behavioural perspective in the usage of digital banking and evaluate solutions for senior citizens to mitigate and cope up with the pressures and perils associated with digital frauds.
      Citation: Working with Older People
      PubDate: 2023-07-24
      DOI: 10.1108/WWOP-06-2023-0021
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Emergency preparedness for older adults via culture

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      Authors: Kyoo-Man Ha
      Abstract: The reality of emergency preparedness for older adults has not been quite satisfactory in many regions. This paper aimed to study how to improve emergency preparedness for older adults in the viewpoint of emergency culture. A systematic literature review was used to contrast internationally voiced emergency preparedness (i.e. the principles of emergency preparedness) with culturally adapted emergency preparedness (e.g. values, games, arts, outdoor activities, etc.) via international organizations in both developing and developed countries. For data flow, the preferred reporting items for systematic reviews and meta-analyses was also used in a supplementary way. An encompassing tenet states that all stakeholders need to divert the internationally voiced emergency preparedness into culturally adapted emergency preparedness while addressing the effects of culture, self-preparedness, integration, diversity, tailored intervention, etc. This paper has probed into the frame of emergency preparedness for older adults more comprehensively than the previous literature. In doing so, the aspect of emergency culture has been much supported.
      Citation: Working with Older People
      PubDate: 2023-04-11
      DOI: 10.1108/WWOP-01-2023-0001
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • The legacy of COVID-19 in dementia community support: ongoing impacts on
           the running of meeting centres

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      Authors: Thomas Morton, Shirley Evans, Ruby Swift, Jennifer Bray, Faith Frost
      Abstract: The COVID-19 pandemic caused major disruption in community support for vulnerable older people and is thought to have exacerbated existing issues within UK adult social care. This study aims to examine the legacy of that disruption on how meeting centres for people affected by dementia have been impacted in continually evolving circumstances. Semi-structured interviews and focus group discussions were conducted at three meeting centre case study sites. Ninety-eight participants, including people living with dementia, family carers, staff, volunteers, trustees and external partners, were asked about the impact and legacy of the pandemic upon meeting centres. A thematic analysis was carried out on the data. Ten themes were identified: ability to re-open venues; increased health decline and loss of members due to isolation; closure or halting of linking services and dementia community support; disruption to diagnosis and referrals; increase in outreach, building communities and overall reach; digital access and use of technology (boom and decline); changes to carer involvement and engagement; continued uncertainty and changes to funding, resources and governance; staff and volunteer recruitment issues; and relief at/wish for return to pre-pandemic norms. This paper offers new insight into a still-developing situation, namely, the legacy effects of the pandemic upon third-sector community support for people affected by dementia and the health and social care services that support it. The reduction in maintenance of pandemic-era technological innovations is a key finding.
      Citation: Working with Older People
      PubDate: 2023-04-11
      DOI: 10.1108/WWOP-03-2023-0006
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • The effect of household poverty on the economic activity of the elderly in
           Indonesia

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      Authors: Sukamdi , Titik Munawaroh, Fauziah Lestari, Dewi Fatimah Anwar
      Abstract: This study aims to analyse the condition of the elderly in poor households which includes two things. The first is the characteristics of the elderly in poor households and the effect of poverty on the economic activities of the elderly. This research uses secondary data from the 2020 National Social Economic Survey. Poverty status of households is proven to have an effect on the participation of the workforce and the work participation of the elderly. The poor elderly tend to have a greater chance of participation in economic activities than the non-poor elderly. The absence of pension and old age insurance also causes the elderly to continue working until old age. Working is one of the survival mechanisms for the elderly. This research has analysed the two population problems, which are the aging population and poverty.
      Citation: Working with Older People
      PubDate: 2023-03-14
      DOI: 10.1108/WWOP-10-2022-0046
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Multi-level Meals on Wheels insights: a qualitative study

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      Authors: Christine FitzGerald
      Abstract: Meals on Wheels (MOW) support older people to live in their own homes and communities. The purpose of this paper is to explore MOW experiences from a multi-stakeholder level to inform and better equip this valuable service. A qualitative approach was undertaken utilising semi-structured interviews and focus groups with current, former and potential MOW service users and MOW stakeholders. Qualitative analysis explored MOW perspectives and experiences, highlighting a lack of MOW information and awareness, the importance of a client-centred approach the multiple roles of MOW and service transition. This research explores MOW from the perspective of different groups directly involved in this community service, offering unique multi-stakeholder insights to understand and guide the future of this service.
      Citation: Working with Older People
      PubDate: 2023-03-14
      DOI: 10.1108/WWOP-12-2022-0063
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Psychosocial support for indigenous informal caregivers in Colombia

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      Authors: Yenny Vicky Paredes-Arturo, Andrea Florez-Madroñero, Daniel Camilo Aguirre-Acevedo
      Abstract: This paper aims to analyze how psychosocial support influences caring activities toward indigenous older adults. A descriptive study with the participation of 229 informal indigenous caregivers. The study considered both sociodemographic and medical variables. It used the mini-mental test to determine the cognitive level in the elderly. It applied the Yesavage and Zarit scales to establish depressive symptomatology and caregiver burden. Finally, the study used the MOS psychosocial support and Apgar screening questionnaires to assess the psychosocial dimension and the patient’s family functional state, respectively. The study observed a low caregiver burden effect using the MOS questionnaire. This may be explained due to variability in the Zarit Scale Score product of other variables like years of care (−0.17 and −0.28), depressive symptoms (0.16 and 0.18), cognitive level (mini-mental) (−0.13 and −0.14) and comorbidity (0.26 and −0.27). The study obtained an incidence between (−0.02 and −0.12) when including all assessed dimensions into the model. The instrumental dimension in the social support questionnaire obtained the highest score. Protective factors prevail in the group of indigenous caregivers allowing this activity to not trigger overload. Yet, variables such as the female gender, some comorbidities and the presence of depressive symptoms could be potential variables for dysfunction in this occupational role.
      Citation: Working with Older People
      PubDate: 2023-03-07
      DOI: 10.1108/WWOP-10-2022-0051
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • The development and psychometric evaluation of nurses’ knowledge,
           attitude and practice regarding elder abuse

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      Authors: Zohreh Bakrani, Fatemeh Estebsari, Meimanat Hosseini, Maliheh Nasiri, Marzieh Latifi
      Abstract: The purpose of this study was to develop and psychometrically evaluate a tool to measure nurses’ knowledge of, attitude toward and practice regarding the elder abuse phenomenon. This study is methodological research that was conducted in two stages. In the first stage, the available tools related to knowledge, attitude and practice regarding elder abuse were identified through an extensive review of theoretical principles, previous research and related articles. The initial items were extracted and categorized. In the second stage, the psychometric properties of the tool were examined by assessing face validity, content validity, construct validity, internal consistency and stability. Four hundred nurses working in the hospitals of Shahid Beheshti University of Medical Sciences were selected to determine the validity of the structure. The initial tool consisted of 114 items extracted, 34 of which were removed according to the experts’ opinions. The face validity of the 80-item questionnaire was then examined. The number of the items was reduced to 74 after measuring the face validity. After the qualitative measurement of the content validity, three items were eliminated. After measuring the content validity using a quantitative approach, 8 other items were removed and 63 items remained. According to the content validity index, 1 more item was removed, reducing the number to 62. The construct validity approved three dimensions of knowledge, attitude and practice. Cronbach's alpha coefficient was calculated to be 0.84. The stability was also confirmed through test–retest with a value of 0.85 for the whole scale. The tool developed for assessing nurses’ knowledge, attitude and practice regarding elder abuse has acceptable dependability and credibility. Given the advantages of this tool, including the simplicity and fluency of sentences, and the comprehensive evaluation of nurses’ knowledge, attitude and practice regarding elder abuse, it is recommended to use this tool in relevant future studies.
      Citation: Working with Older People
      PubDate: 2023-03-01
      DOI: 10.1108/WWOP-05-2022-0021
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Supporting social connection for people living with dementia: lessons from
           the findings of the TRIO study
         This is an Open Access Article Open Access Article

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      Authors: Louise Margaret Prendergast, Gill Toms, Diane Seddon, Carys Jones, Bethany Fern Anthony, Rhiannon Tudor Edwards
      Abstract: The purpose of this paper is to share the learning concerning how services and the paid carers working in them can support people living with dementia (PLWD) and their unpaid carers to overcome social isolation. This learning comes from the key findings from a Social Return on Investment (SROI) evaluation of a Shared Lives (SL) Day support service, known as TRIO. SROI is a form of cost-benefit analysis that captures and monetises stakeholder outcomes. The SROI evaluation included a rapid evidence review, an interview study and a questionnaire study. The learning shared is drawn from the interview and questionnaire data that explored the reported outcomes relating to social connection, which included data related to participating in meaningful activities, confidence and independence. PLWD who accessed the SL Day support service experienced better social connection, a sense of control over their activities (including their social activities) and community presence. A key foundation of these outcomes was the meaningful relationship that developed between the PLWD, their unpaid carer and the paid carer. This evaluation was a pilot study with a small, albeit representative sample size. The learning suggests feasible and effective ways for paid carers to support the social connection of PLWD and their unpaid carers with their wider community. There has been little exploration of how community-based short breaks (like SL Day support) can enhance social connection. The authors drew on a social relational model lens to illustrate how this service type had supported successful outcomes of community and social inclusion for PLWD.
      Citation: Working with Older People
      PubDate: 2023-02-28
      DOI: 10.1108/WWOP-10-2022-0050
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Dementia’s preventative futures: researcher perspectives on
           prospective developments in the UK

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      Authors: Miriam Fahey, Anthea Tinker, James Rupert Fletcher
      Abstract: In lieu of a cure, the idea that dementia might be preventable through risk-factor moderation has latterly gained popularity. Prevention research is an evolving field that will likely undergo significant shifts in the near future. This paper aims to engage with that future as it is imagined in the present. This study explores the futures envisaged by dementia prevention researchers in the UK, based on interviews with six practitioners at the forefront of the field. Participants foresaw a pivot away from “dementia prevention” toward “brain health”, and advocated for blended policy, community and lifestyle interventions. They were excited by the prospects for a lifecourse dementia hypothesis to inform new interventions but uncomfortable with the ethics of early intervention. These findings complicate simplistic depictions of prevention researchers as pursuing responsibilised lifestyle approaches.
      Citation: Working with Older People
      PubDate: 2023-02-24
      DOI: 10.1108/WWOP-10-2022-0049
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Positive ageing in institutional homes: towards a de-stigmatization
           process

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      Authors: Satish Kr Gupta, Anirban Mukherjee
      Abstract: This qualitative research examines the varied reasons for relocation to old age homes (OAHs) in contemporary India. The purpose of this study investigates the acceptance of institutional living in Lucknow (a Tier II city of India) and whether migration to OAHs is a voluntary decision. This study also examines the lifeworld of the older adult in these OAHs in an attempt to find out whether OAHs are conducive to positive ageing. Derivatively, the authors study their engagement/time use pattern and social networking patterns in the OAHs. Finally, the research seeks to learn whether OAHs are slowly substituting older adult care given within the family by offering the best of the facilities and services. This qualitative research was conducted in two private OAHs in Lucknow, India. The findings of the study are based on 28 qualitative interviews conducted with the inmates, administrative staff and caretakers. The interviews were unstructured and open-ended and were supported by observations. The observation was not only made of the social setting but also the reaction of the participants. The idea was to develop an emic view of the subject by exploring valid narratives. Pseudonyms were used to report the finding so as to maintain the confidentiality of the research subjects. This research moves beyond the traditional wisdom that people move to OAH because of the push factors within the family. OAHs in India have evolved over the years and high-end OAHs are equipped with modern amenities to cater to the upper class in their twilight years. Residents were found to lead active lives in OAHs and their common habitus and bonding capital helped them to face the vagaries of old age more confidently. Their active life and membership in various civic organizations challenge the contention of the role theory that the aged are more prone to lose rather than gain roles. The originality of the research lies in the fact that the authors are extending the arguments made by the role theory of social ageing. The theory proposes that aged people are more likely to lose out roles rather than gain new ones. This study finds that the elderly tend to live a very active life in OAHs and engaged various civic organizations. Although they may lose/voluntarily give up the roles like the head of the household, spouse, etc., they acquire new roles in the context of OAHs.
      Citation: Working with Older People
      PubDate: 2023-01-31
      DOI: 10.1108/WWOP-04-2022-0015
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
  • Outreaching to find and engage older people “no-one knows”: a
           necessary element of work to address social isolation and loneliness
         This is an Open Access Article Open Access Article

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      Authors: Helen MacIntyre, Annabel Collins, Jo Stapleton
      Abstract: The purpose of this paper is to share a model of skilled outreach working to find and engage the hidden group of socially isolated and lonely older people who are reluctant or unable to access community activities, formal services or support. The model can inform the practice of community development, housing or other workers concerned with initiating behaviour change among older people to increase their social connectedness. This practice-focused paper presents a description of key elements of the Ageing Better in Camden (ABC) outreach approach along with a snapshot of operational data and examples from interviews/case studies to indicate impact of the work. ABC’s Outreach Team engaged with individuals facing significant barriers to social connection including physical and mental health problems, living alone, bereavement and caring responsibilities. A high proportion of Team engagements were with men (41%) who are typically hard to engage. In total, 23% of people who the Team met took some “Action” towards social connection. Qualitative examples indicated that encounters with the Team could be uplifting and act as a “nudge” towards “Action”. This paper discusses the need to strengthen evidence of the impact of the approach and challenges of doing so. There are few descriptions in practice or research literature of outreach work with older people and the elements which make it effective. This paper addresses this gap.
      Citation: Working with Older People
      PubDate: 2023-01-26
      DOI: 10.1108/WWOP-07-2022-0031
      Issue No: Vol. ahead-of-print, No. ahead-of-print (2023)
       
 
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