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Martínez-Angulo P, Muñoz-Mora M, Rich-Ruiz M, Ventura-Puertos PE, Cantón-Habas V, López-Quero S. "With your age, what do you expect?": Ageism and healthcare of older adults in Spain. Geriatr Nurs 2023; 51:84-94. [PMID: 36921397 DOI: 10.1016/j.gerinurse.2023.02.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 02/25/2023] [Accepted: 02/28/2023] [Indexed: 03/17/2023]
Abstract
INTRODUCTION Ageism could influence the relationship between older patients' meeting needs and healthcare professionals' answers. AIMS To highlight the experience of older adults with healthcare systems, how they perceive ageism from their healthcare providers, and to explore the relationship between perceived ageism and self-perception of aging (SPA). METHODS We conducted an exploratory qualitative study. The participants were 14 women over 65 who lived alone in their homes. RESULTS Professional responses ignored the expression of preferences of the older patients and excluded them from decision-making processes. These answers influenced older patients' use of health services. Moreover, the negative aspects predominated in a SPA influenced by the internalization of stereotypes and a relationship weighed down by ageist behaviors on the part of health professionals. CONCLUSION Explicit situations of ageism influence an imbalance in power relations between older patients and healthcare professionals, a misuse of health services, and a negative SPA.
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Affiliation(s)
- Pablo Martínez-Angulo
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba 14004, Spain; Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), Córdoba 14071, Spain
| | - Margarita Muñoz-Mora
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba 14004, Spain; Hospital Universitario Reina Sofía (HURS), Córdoba 14004, Spain
| | - Manuel Rich-Ruiz
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba 14004, Spain; Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba 14004, Spain; Ciber Fragility and Healthy Aging (CIBERFES), Madrid 28029, Spain; Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, Madrid 28029, Spain.
| | - Pedro E Ventura-Puertos
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba 14004, Spain; Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), Córdoba 14071, Spain
| | - Vanesa Cantón-Habas
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba 14004, Spain; Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba 14004, Spain
| | - Salvador López-Quero
- Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), Córdoba 14071, Spain; Department of Language Sciences, Faculty of Philosophy and Letters, University of Córdoba (UCO), Córdoba, Andalucía 14003, Spain
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Dortmans A, Thölking TW, van Wijngaarden EJ. Turning grey is not a black-and-white experience: A phenomenological study on the lived experience of old age among Dutch Franciscan friars. J Aging Stud 2022; 61:101004. [DOI: 10.1016/j.jaging.2022.101004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 01/18/2022] [Accepted: 01/19/2022] [Indexed: 11/24/2022]
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Russo MT. Ricoeur's hermeneutic arc and the "narrative turn" in the ethics of care. MEDICINE, HEALTH CARE, AND PHILOSOPHY 2021; 24:443-452. [PMID: 33914221 PMCID: PMC8349331 DOI: 10.1007/s11019-021-10020-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/22/2021] [Indexed: 06/12/2023]
Abstract
"Patient-centred care" is the recent response to the malaise produced in the field of health care from the point of view both of a technical mentality and the paternalistic model. The interest in the story-telling approach shown by both the humanities and the social sciences has favoured a "narrative turn" in medicine too, where the new ethics of therapeutic relationship consider the hermeneutic method a means by which to integrate evidence and subjectivity, scientific data and patient experience. The aim of this paper is to show how Ricoeur's theory of "threefold mimesis" makes a conceptual contribution to the use of narrative interviews in nursing and also be successfully transferred into and applied in the field of healthcare in general. First, the paper examines how this narrative approach might open up new possibilities for the acquisition of in-depth knowledge of patients' life experiences, a condition indispensable for the improvement of the quality of care. Secondly, it highlights how this Ricoeurian method seems capable of provide an opportunity for healthcare professionals to review their own understanding of the caregiver-patient therapeutic relationship, beginning with their confrontation with the patient's world as revealed by the narrative they provide.
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Affiliation(s)
- Maria Teresa Russo
- Chair of Bioethics and Moral Philosophy, Faculty of Education, Roma Tre University, Rome, Italy.
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Seah B, Espnes GA, Ang ENK, Lim JY, Kowitlawakul Y, Wang W. Achieving healthy ageing through the perspective of sense of coherence among senior-only households: a qualitative study. Aging Ment Health 2021; 25:936-945. [PMID: 32067465 DOI: 10.1080/13607863.2020.1725805] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Objectives: Explore perceptions towards healthy ageing through the perspective of sense of coherence among older adults residing in senior-only households.Methods: A qualitative study using focus group interviews was conducted and appreciative inquiry was adopted as a strengths-based interviewing approach. 27 older adults who either live alone or with their spouses only were involved in six focus group discussions at a community centre in Singapore. Data saturation was achieved and thematic analysis was performed to analyse the data.Results: The four emerging themes were (1) contending evolving vulnerabilities, (2) intrinsic value of health, (3) taking care of oneself is a personal responsibility, and (4) taking one day at a time: outlook towards later part of life. Older adults' underlying pathogenic orientation towards health contributed to their perceived unpredictable confrontations with vicissitudes including illness and death. This played a part to their short outlook towards old age. Consequently, this could limit their will and abilities to seek meaningful pursuits or valued aspirations and movement towards the salutogenic health pole.Conclusion: By reframing the definition of health to pursuing and fulfilling valued accomplishments, optimal health can be achieved regardless of physical health state. This study suggested that sense of coherence towards the pursuit of healthy ageing can be addressed by reducing the unpredictability of ageing-related processes and vulnerabilities (comprehensibility), supporting active adoption of actions which promotes physical, mental and social health (manageability) and individual reflection in making sense of old age to seek motivation in living each day purposefully (meaningfulness).
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Affiliation(s)
- Betsy Seah
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Geir Arild Espnes
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Emily Neo Kim Ang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Jian Yang Lim
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Yanika Kowitlawakul
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Fotokian Z, Pourhabib A, Navabi N, Ghaffari F. Designing a structural equation model of marital satisfaction based on aging perception and demographic and clinical variables in Iranian elderly patients with coronary artery disease. ARYA ATHEROSCLEROSIS 2021; 16:161-169. [PMID: 33598036 PMCID: PMC7867309 DOI: 10.22122/arya.v16i4.2087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
BACKGROUND Marital satisfaction is an important variable in maintaining or promoting elderly health. Therefore, identifying the effective factors can increase life expectancy and quality of life. This study aimed to determine the relationship between aging perception and demographic and clinical characteristics with marital satisfaction in the elderly patients with coronary artery disease (CAD). METHODS This was a descriptive-correlational study. The sample size was 480 elderly patients with CAD who were referred to the heart clinics of hospitals in the west of Mazandaran Province, Iran, who were recruited by convenience sampling. Data were collected by a demographic checklist, ENRICH Marital Satisfaction Inventory, and Aging Perceptions Questionnaire (APQ). The data were analyzed by structural equation model (SEM) using Goodness of Fit Index (GFI and chi-square test. P-value less than 0.050 was considered as significant level. RESULTS The mean and standard deviation (SD) of marital satisfaction was 145.16 ± 12.12, and the mean and SD of aging perception was 113.39 ± 12.74. The results of the Pearson's correlation coefficient indicated that the highest correlation was between aging perception and marital satisfaction (r = 0.68, P < 0.001). The model fit indices of the hypothesized model met the criteria, with the GFI = 0.91, Comparative Fit Index (CFI) = 0.93, Normed Fit Index (NFI) = 0.94, and non-Normed Fit Index (NNFI) = 0.91. CONCLUSION Considering the psychological risk factors affecting marital satisfaction such as aging perception and suitable measurement can lead to marital health and improve treatment outcomes by increasing elderly motivation in self-care. Therefore, the elderly patients with CAD need more serious and long-term educational, counseling, and supportive interventions.
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Affiliation(s)
- Zahra Fotokian
- Assistant Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Ali Pourhabib
- PhD Candidate, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
| | - Nasrin Navabi
- Lecturer, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Fatemeh Ghaffari
- Associate Professor, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
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Chen MC, Lin HR. The lived experiences of elderly dementia patients in Taiwan. Int J Ment Health Nurs 2019; 28:784-792. [PMID: 30779290 DOI: 10.1111/inm.12583] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/28/2019] [Indexed: 11/29/2022]
Abstract
The lived experiences of elderly dementia patients are affected by their cultural beliefs. This study aims to explore the lived experiences of elderly dementia patients in Taiwan in order to understand how they view their lives given the cognitive impairments that they suffer from. A descriptive phenomenological approach was undertaken in 12 elderly dementia patients who were selected using purposive sampling. Data were analysed using Colaizzi's analysis method. Five main themes emerged from the narratives: (i) distress caused by inability to remember; (ii) counteracting memory loss; (iii) worry about being a burden to family; (iv) cherishing the current situation and gaining respect; and (v) adopting a dispassionate view about life and death. The traditions of filial piety in Chinese culture were reflected in the experiences of these elderly dementia patients. Elderly dementia patients experienced inconveniences in their daily lives due to marked impairments in memory functions, and they even doubted their own independent capabilities. To counteract their disease, many elderly dementia patients developed self-contained approaches to handle their loss of memories. While they were worried about being a burden to their families, they also valued their current situation. They were comforted by being taken care of by their children, and they adopted a dispassionate view about life and death issues. For the care of elderly dementia patients, besides reducing the inconveniences brought about by cognitive impairments, there is also a need to pay attention to the deterioration of their physical bodily functions in order to intervene in their lives holistically.
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Affiliation(s)
- Miao-Chuan Chen
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.,School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Hung-Ru Lin
- School of Nursing & Dean of Academic Affairs, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
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Baumann SL. Lost in Translation: The Promise and Problems of the Globalization of Research. Nurs Sci Q 2019; 32:68-72. [PMID: 30798758 DOI: 10.1177/0894318418807927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of this article is to consider the promise and problems of the globalization of research for nurses and other healthcare professionals. Over the past decade, there has been an impressive increase in research activity in many regions of the world, such as in several of the Asian countries. This increasing capacity to conduct research and create innovations has great promise for shared health, prosperity, and well-being, but it also has some significant problems and limitations that are often not reported. One area of research that has drawn considerable international research attention is aging and longevity. In the United States, there is much to learn from the work of international colleagues in terms of clinical application; it is unclear how generalizable the findings are or, in other words, what may be lost in translation.
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Affiliation(s)
- Steven L Baumann
- 1 Professor, Hunter College of the City University of New York, Williston Park, NY, USA
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Tanaka K. Strengths promoting the recovery process in older adults with depression. J Clin Nurs 2018; 27:3032-3043. [DOI: 10.1111/jocn.14359] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Koji Tanaka
- Department of Nursing; School of Nursing; Kanazawa Medical University; Kahoku-gun Japan
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