1
|
Wells Y, Haines S, Hampton I. A Most Significant Change evaluation of a new co-designed tool to measure holistic well-being in consumers of community aged care services. Australas J Ageing 2024. [PMID: 38881514 DOI: 10.1111/ajag.13350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 03/27/2024] [Accepted: 05/23/2024] [Indexed: 06/18/2024]
Abstract
OBJECTIVES To evaluate a Wellbeing Check-in tool and process for use with BlueCare's home care package (HCP) clients by care and well-being practitioners. The tool had been co-designed with HCP clients and trialled with 15 clients. METHODS The Most Significant Change (MSC) methodology was used to gather stories from five practitioners, five HCP staff and seven clients. A workshop with senior staff was held to determine themes and whether the tool met its aims. RESULTS Out of 22 MSC stories, 18 were judged in scope by workshop participants. Eight themes were then identified. Four themes reflected the content of the narratives (i.e. what was discussed): Isolation and connection; Grief; Faith/explicit spirituality; and Client preference. The other four themes reflected the process (i.e. what the discussions meant to participants): Being there/Meaningful conversations; Impact on significant others; New insight; and Purpose of the check-in. These eight themes largely reflected the aims of the Wellbeing Check-in tool in terms of providing a means to optimise connectedness, well-being and spiritual care in accordance with the client's needs, goals and preferences. Unanticipated findings included its benefits for family members and uncertainty about the aim or value of the tool, which highlighted the need for BlueCare to be clear about the purpose of the tool in promoting it to clients and their informal carers. CONCLUSIONS The Wellbeing Check-in tool was found to be fit for purpose. A tool used flexibly to prompt discussion about well-being can be helpful to clients and pastoral care staff.
Collapse
Affiliation(s)
- Yvonne Wells
- Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria, Australia
| | - Simon Haines
- Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria, Australia
| | - Ilsa Hampton
- Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria, Australia
- Optometry Victoria South Australia, Carlton, Victoria, Australia
| |
Collapse
|
2
|
Sadeghian E, Jadidi A, Khodaveisi M, Fallahi Khoshknab M. Designing a Spiritual Health Model for the Muslim Elderly Living in Nursing Homes. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02058-9. [PMID: 38767737 DOI: 10.1007/s10943-024-02058-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/05/2024] [Indexed: 05/22/2024]
Abstract
The spiritual health of elderly residents in nursing homes is an essential aspect of their overall health that has been overlooked. There are no specific practical models available in this area. Therefore, the present study aimed to design a model to promote the spiritual health of Muslim elderly residents in nursing homes. This qualitative study is part of a larger study conducted in Iran in 2021 to design a model for the spiritual health of elderly residents in nursing homes in Islamic countries. The first part of the study was conducted using a qualitative method and a grounded theory approach. In the second part, using the findings of the qualitative stage and the theoretical production approach of Walker and Avant (2011), which includes three stages of determining central concepts, reviewing texts, and organizing concepts and statements within a relevant whole, a model for the spiritual health of elderly residents in nursing homes was designed. The resulting model includes assumptions, concepts, objectives, and operational strategies. Some crucial strategies of this model include improving social and organizational infrastructure, spiritual needs assessment, improving the structure and facilities of nursing homes, providing spiritual support, empowering nurses, likewise caregivers, and monitoring and evaluating corrective spiritual care. This model can provide a framework for enhancing the spiritual health of elderly Muslim residents in nursing homes by emphasizing improving the social structure and elderly care centers, assessing spiritual needs, providing spiritual support, and evaluating implemented measures.
Collapse
Affiliation(s)
- Efat Sadeghian
- Nursing Department, School of Nursing and Midwifery, Chronic Diesease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ali Jadidi
- School of Nursing, Arak University of Medical Sciences, Arak, Iran.
| | - Masoud Khodaveisi
- Nursing Department, School of Nursing and Midwifery, Chronic Diesease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
- Department of Community Health Nursing, School of Nursing and Midwifery, Chronic Disease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | | |
Collapse
|
3
|
Ilmi AA, McKenna L, Murphy M, Kadar KS. Spiritual care for older people living in the community: A scoping review. Contemp Nurse 2024; 60:67-81. [PMID: 38335305 DOI: 10.1080/10376178.2024.2310260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 01/21/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND The population of older people should be supported to enjoy optimal quality of life. Health professionals should consider a range of interventions that support the older population to maintain their quality of life. One such interventional approach involves spiritual care. OBJECTIVE To explore what is known about spiritual care approaches for older people living in the community. METHODS Scoping review informed by Joanna Briggs Institute guidelines. Eight electronic databases were searched: CINAHL, Ageline, PubMed, ProQuest Nursing & Allied Health, PsycINFO, Scopus, Garuda, and Neliti. The review included quantitative and qualitative primary peer-reviewed research studies focusing on spiritual care interventions for older people living in the community published between 2011 and 2021 in English or Bahasa Indonesia. The search was uploaded into an electronic citation manager and imported into Covidence for screening. RESULTS A total of 29 studies were included in the review. While the studies were conducted in five continents, most were reported from the Asian continent. Five key issues based on the outcome of interventions were found namely psychological, physical, spiritual, multidisciplinary approach, and social connection. CONCLUSION This scoping review identifies spiritual interventions conducted across many countries have been implemented for older people living in the community. Although there are review limitations and further research is needed, these spiritual interventions, both faith-based and non-faith-based, are identified as useful to support the well-being of older people.
Collapse
Affiliation(s)
- Ani Auli Ilmi
- School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
- Nursing Department, Faculty of Medicine and Health Sciences, UIN Alauddin Makassar, Sulawesi Selatan, 92113, Indonesia
| | - Lisa McKenna
- School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
| | - Maria Murphy
- School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
| | - Kusrini S Kadar
- Faculty of Nursing, Universitas Hasanuddin, Makassar 90245, Indonesia
- BSN Program, College of Pharmacy and Health Sciences, Ajman University, P.O. Box: 346, Ajman, United Arab Emirates
| |
Collapse
|
4
|
Cheng L, Chen H, Lin L, Li H, Zhang F. Spiritual needs of older adults with cancer: A modified concept analysis. Asia Pac J Oncol Nurs 2023; 10:100288. [PMID: 38023729 PMCID: PMC10661515 DOI: 10.1016/j.apjon.2023.100288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 08/01/2023] [Indexed: 12/01/2023] Open
Abstract
Objective To clarify the concept of spiritual needs and explain its meaning to older adults with cancer. Methods Electronic databases (Web of Science, PubMed, EBSCOASU, CNKI, Wanfang, and VIP) were systematically searched and analyzed using "spiritual needs" as keywords. Rodgers' evolutionary method guided the concept analysis to identify attributes, antecedents, and consequences. Two rounds of Delphi expert consultations ensured accuracy, reliability, and feasibility for implementation. Results Spiritual needs express an individual's expectations of comfort and inner peace that satisfy his or her perception of the meaning and purpose of life, the ability to love and be loved, feelings of peace and gratitude, and a sense of belonging and hope. Spiritual needs have four dimensions: personal, communal, environmental, and transcendence or supreme. The attributes of spiritual needs include meaning and purpose of life, love and being loved, peace and gratitude, belonging, and hope. The antecedents include spiritual recognition and events that trigger spiritual needs and spiritual need thresholds. The outcomes of addressing and meeting the spiritual needs of older adults with cancer include promoting their spiritual health and enhancing their quality of life. After two rounds of Delphi experts' consultation, the expert authority coefficients (Cr) were 0.83 and 0.88, respectively. Experts agreed on the concept of spiritual needs. Conclusions Exploring antecedents of spiritual needs in older adults with cancer clarifies obstacles to spiritual practice, offering intervention strategies for spiritual care and well-being. Meeting their spiritual needs enhances spiritual health and quality of life, essential in humanistic nursing care.
Collapse
Affiliation(s)
- Linan Cheng
- School of Nursing, Soochow University, Suzhou, China
| | - Hongxiu Chen
- West China Hospital/West China School of Nursing, Sichuan University, Chengdu, China
| | - Lu Lin
- School of Nursing, Soochow University, Suzhou, China
| | - Huiling Li
- School of Nursing, Soochow University, Suzhou, China
| | - Fengying Zhang
- West China Hospital/West China School of Nursing, Sichuan University, Chengdu, China
| |
Collapse
|
5
|
Wijesiri HSMSK, Wasalathanthri S, De Silva Weliange S, Wijeyaratne CN. Quality of life and its associated factors among home-dwelling older people residing in the District of Colombo, Sri Lanka: a community-based cross-sectional study. BMJ Open 2023; 13:e068773. [PMID: 37045566 PMCID: PMC10106068 DOI: 10.1136/bmjopen-2022-068773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/14/2023] Open
Abstract
INTRODUCTION This community-based cross-sectional study explored the factors affecting overall and domain-specific (physical health, psychological health, social relationships and environmental) quality of life (QOL) of home-dwelling older residents of the District of Colombo, Sri Lanka. METHODS A representative sample (n=723) of older adults aged >65 years was obtained by the multistage cluster sampling technique. QOL was assessed using the validated Sinhala version of WHOQOL BREF Questionnaire. Data analysis was done using SPSS V.20. RESULTS The mean±SD age was 72.23±6.3 years with the overall QOL score being (mean±SD) 56.73±12.57/100. The mean±SD QOL score of physical health, psychological health, social relationships and environmental domains were 55.81±15.80, 59.25±14.68, 46.36±20.08 and 64.61±11.96, respectively. The overall QOL in the adjusted model showed a significant positive association with the educational status, living conditions (with spouse, with spouse and children), participation in religious activities, being visited by friends or relatives and financial independence. The overall QOL was negatively associated with limitations in activities of daily living and instrumental activities of daily living, chronic arthritis and heart disease in the adjusted model. Living with the spouse was positively associated with the psychological domain of QOL. Osteoporosis and chronic arthritis affected the physical health domain, while cancer and disabling stroke affected the psychological domain of QOL negatively. All statistical significances were considered at p<0.05. CONCLUSION The overall QOL of home-dwelling elders of the Colombo District is moderate, with the lowest score being in social relationships and the highest in the environmental domain. Educational status, engaging in religious activities and financial independence are key factors associated with a better QOL. Limitations in physical activity and chronic diseases are associated with a reduced QOL. Living with the spouse is a key factor associated with the psychological health domain.
Collapse
|
6
|
Chagas C, Martins LB, Machado FR, Zangari W, Galduróz JCF. Religious and secular spirituality: Methodological implications of definitions for health research. Explore (NY) 2023; 19:6-13. [PMID: 35469748 DOI: 10.1016/j.explore.2022.04.004] [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: 01/05/2022] [Revised: 03/21/2022] [Accepted: 04/10/2022] [Indexed: 01/25/2023]
Abstract
The importance of spirituality as a research topic has been increasingly recognized, which has led to several studies on the topic. Areas including psychology, medicine, and nursing have produced studies on spirituality under a plurality of definitions and methods, which reveals the complexity of the theme. However, this has resulted in a range of potential problems, including: (1) the use of overlapping and contradictory terms between studies, or even within the same study, (2) research methodologies that do not fit the definitions (sometimes unreflectively) assumed by the authors, (3) difficulties, or even the impossibility, of comparing the results of studies, (4) controversies in respect of the inclusion/exclusion of secular groups in research on spirituality, and (5) ambiguous measurements, often being exclusively dependent on each participant's individual interpretation of what spirituality means. This article discusses these problems, recommends theoretical and methodological alternatives and presents taxonomy of definitions of spirituality.
Collapse
Affiliation(s)
- Camila Chagas
- Universidade Federal de São Paulo-UNIFESP, Department of Psychobiology, São Paulo, Brazil.
| | | | | | - Welligton Zangari
- Universidade de São Paulo-USP, Department of Social Psychology, São Paulo, Brazil
| | | |
Collapse
|
7
|
Macedo T, Sousa L, Ribeiro O. Aged 70 and still a child: complexities, strains and gains of older children caring for their (near) centenarian mothers. Age Ageing 2022; 51:6406693. [PMID: 34673935 DOI: 10.1093/ageing/afab204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 08/09/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Longer lives increase the possibility of caring duties, which means that older adults looking after their ageing parents-as well as their own partners-is becoming an increasingly common scenario in developed countries. OBJECTIVE To explore the caregiving demands of very old caregiving dyads and the experience of maintaining the identity of a child at such an advanced age. DESIGN Qualitative study. SUBJECTS 15 participants (four males), all aged 70 or over and caring for their mothers, aged between 95 and 105 years old. METHODS Semi-structured interviews analysed thematically. RESULTS Caregivers are willing to care for their mothers 'until death tears them apart', despite the double strains they face, that is more self-limitations and added care receiver need. On a positive side, they feel 'happy, thankful and proud' for still having their mothers alive. They also describe that maintaining the identity of a child at such an advanced age was somewhat unthought of and unexpected but an important source of pride. CONCLUSIONS These findings suggest that these oldest-old caregiving dyads are characterised by a relationship shaped by strong feelings of extended filial love, constituting a family feature that needs further understanding. Findings also underscore the challenges these carers face in dealing with several agents (secondary caregivers) and entities in the care provision.
Collapse
Affiliation(s)
- Typhanie Macedo
- Department of Education and Psychology, Campus Universitário de Santiago, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Liliana Sousa
- Center for Health Technology and Services Research (CINTESIS), Department of Education and Psychology, Campus Universitário de Santiago, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Oscar Ribeiro
- Center for Health Technology and Services Research (CINTESIS), Department of Education and Psychology, Campus Universitário de Santiago, University of Aveiro, 3810-193 Aveiro, Portugal
| |
Collapse
|
8
|
Hale D, Marshall K. Spiritual Care of the Older Adult. Home Healthc Now 2021; 39:286. [PMID: 34473117 DOI: 10.1097/nhh.0000000000001007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
|
9
|
Sahni PS, Singh K, Sharma N, Garg R. Yoga an effective strategy for self-management of stress-related problems and wellbeing during COVID19 lockdown: A cross-sectional study. PLoS One 2021; 16:e0245214. [PMID: 33566848 PMCID: PMC7875402 DOI: 10.1371/journal.pone.0245214] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Accepted: 12/23/2020] [Indexed: 12/27/2022] Open
Abstract
This cross-sectional research aims to study the effect of yoga practice on the illness perception, and wellbeing of healthy adults during 4-10 weeks of lockdown due to COVID19 outbreak. A total of 668 adults (64.7% males, M = 28.12 years, SD = 9.09 years) participated in the online survey. The participants were grouped as; yoga practitioners, other spiritual practitioners, and non-practitioners based on their responses to daily practices that they follow. Yoga practitioners were further examined based on the duration of practice as; long-term, mid-term and beginners. Multivariate analysis indicates that yoga practitioners had significantly lower depression, anxiety, & stress (DASS), and higher general wellbeing (SWGB) as well as higher peace of mind (POMS) than the other two groups. The results further revealed that the yoga practitioners significantly differed in the perception of personal control, illness concern and emotional impact of COVID19. However, there was no significant difference found for the measure of resilience (BRS) in this study. Yoga practitioners also significantly differed in the cognitive reappraisal strategy for regulating their emotions than the other two groups. Interestingly, it was found that beginners -those who had started practicing yoga only during the lockdown period reported no significant difference for general wellbeing and peace of mind when compared to the mid- term practitioner. Evidence supports that yoga was found as an effective self- management strategy to cope with stress, anxiety and depression, and maintain wellbeing during COVID19 lockdown.
Collapse
Affiliation(s)
- Pooja Swami Sahni
- National Resource Centre for Value Education in Engineering, Indian Institute of Technology Delhi, Noida, India
| | - Kamlesh Singh
- National Resource Centre for Value Education in Engineering, Indian Institute of Technology Delhi, Noida, India
- Department of Humanities and Social Sciences, Indian Institute of Technology Delhi, New Delhi, India
| | - Nitesh Sharma
- National Resource Centre for Value Education in Engineering, Indian Institute of Technology Delhi, Noida, India
| | - Rahul Garg
- National Resource Centre for Value Education in Engineering, Indian Institute of Technology Delhi, Noida, India
- Department of Computer Science and Engineering, Indian Institute of Technology Delhi, New Delhi, India
- Amar Nath and Shahsi Khosla School of Information Technology, Indian Institute of Technology Delhi, New Delhi, India
| |
Collapse
|