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García-Carpintero Blas E, Gómez Moreno C, Tovar Reinoso A, Álvarez Gómez E, Ruiz Lopez M, Vélez Vélez E. "Elderly care through new eyes: Insights from Spain's future nurses" A phenomenological study. Geriatr Nurs 2024; 59:401-410. [PMID: 39128145 DOI: 10.1016/j.gerinurse.2024.07.031] [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: 03/21/2024] [Revised: 07/05/2024] [Accepted: 07/30/2024] [Indexed: 08/13/2024]
Abstract
This study explores nursing students' perceptions of institutionalized elderly care, aiming to identify attitudes and biases that influence their academic and professional development in gerontological nursing. Conducted with 128 students across two campuses, this qualitative study utilized 15 focus groups for data collection. Five primary themes emerged through thematic and inductive analysis: Institutionalized Living, Stereotypes, Improvement Proposals, Exemplary Practices and Positive Observations and Educational Strategies and Person-centered Care Integration. Findings underscore the multifaceted nature of elderly long-term care settings, highlighting the prevalence of loneliness. Despite institutionalization's intent to mitigate loneliness, results suggest its effectiveness is variable, with a deficiency in social interaction opportunities. This underscores the imperative for comprehensive socialization programs. Additionally, integrating students into professional teams has been shown to foster positive interpersonal relationships significantly. Recommendations for enhancing care quality include personalizing living spaces, strengthening bonds between staff and residents, and enriching the nursing curriculum with advanced professional training.
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Affiliation(s)
| | - Cristina Gómez Moreno
- Fundación Jiménez Díaz School of Nursing- Health Research Institute-Fundación Jiménez Díaz University Hospital - UAM Avda, de los Reyes Católicos, Madrid, Spain.
| | | | - Estela Álvarez Gómez
- Fundación Jiménez Díaz School of Nursing- Health Research Institute-Fundación Jiménez Díaz University Hospital - UAM Avda, de los Reyes Católicos, Madrid, Spain
| | | | - Esperanza Vélez Vélez
- Fundación Jiménez Díaz School of Nursing- Health Research Institute-Fundación Jiménez Díaz University Hospital - UAM Avda, de los Reyes Católicos, Madrid, Spain.
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Bahadir-Yilmaz E. Nursing and midwifery students' perceptions of the elderly in nursing homes: a metaphor analysis. Psychogeriatrics 2024; 24:959-967. [PMID: 38877689 DOI: 10.1111/psyg.13154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Accepted: 06/04/2024] [Indexed: 06/16/2024]
Abstract
BACKGROUND Nursing and midwifery students' perceptions and attitudes toward older adults affect their behaviours, career choices and/or the quality of care provided to older adults after graduation. This study aimed to evaluate the perceptions of second year nursing and midwifery students toward elderly people staying in nursing homes through metaphor analysis. METHODS This qualitative study has used the phenomenological approach. The sample of the study consisted of 128 nursing and midwifery students by purposive sampling method. Students were prompted to complete a sentence to express their perceptions about the elderly living in nursing homes: 'The elderly in the nursing home is similar to … because …' Participants were required to fill in their responses in two stages, providing metaphors in the first blank and reasons for their metaphors in the second blank. RESULTS The results indicated that five main themes and 12 sub-themes were obtained from student metaphors: (i) needing help in meeting their needs (need for care and need for love); (ii) the emotional burden of a life away from loved ones (loneliness, abandonment, and helplessness); (iii) exhaustion at the end of the road (end, loss, and unproductive); (iv) holding on to life again (friendship and beginning); and (v) post-traumatic growth (strong and experienced). CONCLUSION Students should question how to create opportunities and increase interaction for the elderly in the age of changing and developing technology before graduation and should be trained as professional individuals who are willing for this purpose.
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Affiliation(s)
- Emel Bahadir-Yilmaz
- Faculty of Health Sciences, Department of Psychiatric Nursing, Giresun University, Giresun, Turkey
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Khin Moe Myint, DeMaranville J, Wongpakaran T, Peisah C, Arunrasameesopa S, Wongpakaran N. Meditation Moderates the Relationship between Insecure Attachment and Loneliness: A Study of Long-Term Care Residents in Thailand. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:622. [PMID: 38674268 PMCID: PMC11051991 DOI: 10.3390/medicina60040622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 04/07/2024] [Accepted: 04/09/2024] [Indexed: 04/28/2024]
Abstract
Background and Objectives: Loneliness is prevalent among residents of long-term care settings, posing significant challenges to their mental wellbeing. Insecure attachment has been identified as a contributing factor to loneliness in this population. Previous research has suggested that meditation may have beneficial effects on mental health outcomes. This study aimed to examine the relationship between meditation, insecure attachment, and loneliness among residents of long-term care facilities in Thailand. Specifically, the study sought to investigate the moderating effect of meditation on the association between insecure attachment (both avoidance and anxiety) and loneliness. Materials and Methods: A cross-sectional study was conducted involving 236 residents living in long-term care homes in Thailand. Participants completed self-report measures including the 18-item Revised Experience of Close Relationship questionnaire (to assess attachment anxiety and avoidance), the Inner Strength-Based Inventory (to measure meditation practice), and the 6-item Revised Version of the University of California Los Angeles Loneliness Scale. Moderation analyses were performed to explore the role of meditation in the relationship between insecure attachment and loneliness. Results: The mean age of participants was 73.52 years, with females accounting for 57.6% of the sample. Among the participants, 58.4% reported engaging in meditation, with practice frequency ranging from often to daily. The mean meditation score was 2.92 out of 5, indicating regular but not daily practice. Meditation was found to moderate the relationship between insecure attachment (both avoidance and anxiety) and loneliness. Specifically, the moderation effect between attachment anxiety and loneliness was significant (B = 0.44, SE = 0.21, 95% CI [0.30, 0.86]), as was the interaction effect between attachment anxiety and loneliness (B = -0.34, SE = 0.17, 95% CI [-0.67, -0.02]). Conclusions: The findings suggest that the impact of meditation practice on loneliness is influenced by an individual's attachment dimension. Meditation demonstrates a moderating effect on attachment avoidance, anxiety, and loneliness, with variations observed in the direction of these effects. The clinical implications of these findings and recommendations for further research are discussed.
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Affiliation(s)
- Khin Moe Myint
- Master of Science Program (Mental Health), Multidisciplinary Interdisciplinary School, Chiang Mai University, Chiang Mai 50200, Thailand; (K.M.M.); (J.D.); (T.W.); (C.P.)
| | - Justin DeMaranville
- Master of Science Program (Mental Health), Multidisciplinary Interdisciplinary School, Chiang Mai University, Chiang Mai 50200, Thailand; (K.M.M.); (J.D.); (T.W.); (C.P.)
| | - Tinakon Wongpakaran
- Master of Science Program (Mental Health), Multidisciplinary Interdisciplinary School, Chiang Mai University, Chiang Mai 50200, Thailand; (K.M.M.); (J.D.); (T.W.); (C.P.)
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Carmelle Peisah
- Master of Science Program (Mental Health), Multidisciplinary Interdisciplinary School, Chiang Mai University, Chiang Mai 50200, Thailand; (K.M.M.); (J.D.); (T.W.); (C.P.)
- Discipline of Psychiatry and Mental, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia
- Specialty of Psychiatry, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia
| | - Suthikarn Arunrasameesopa
- Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi 11120, Thailand;
| | - Nahathai Wongpakaran
- Master of Science Program (Mental Health), Multidisciplinary Interdisciplinary School, Chiang Mai University, Chiang Mai 50200, Thailand; (K.M.M.); (J.D.); (T.W.); (C.P.)
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
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Zhang D, Lu Q, Li L, Wang X, Yan H, Sun Z. Loneliness in nursing homes: A qualitative meta-synthesis of older people's experiences. J Clin Nurs 2023; 32:7062-7075. [PMID: 37605069 DOI: 10.1111/jocn.16842] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 07/09/2023] [Accepted: 07/20/2023] [Indexed: 08/23/2023]
Abstract
BACKGROUND Older people in the nursing home environment are much less mobile and capable of taking care of themselves as they age, and most of them face the plight of loneliness, which seriously affects the quality of life of older people in their later years. AIMS A systematic review and synthesis of older people's experiences of loneliness in nursing homes. DESIGN Following ENTREQ, do a systematic evaluation and synthesis of qualitative investigations. METHODS A search of PubMed, Cochrane Library, Web of Science, Embase, the Chinese biomedical literature service system, the China National Knowledge Infrastructure, the Wanfang Database and the Wipu Database for qualitative studies of older people's experiences of loneliness in nursing homes was conducted with a search time frame of March 2023. Evaluation of the quality of the literature using the Joanna Briggs Institute's Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research, And the data were synthesised using Thomas and Harden's method of thematic and content analysis. RESULTS A total of 13 papers were included, and 36 research findings were distilled and integrated into three themes: causes of loneliness; feelings of loneliness; coping with loneliness; and seven sub-themes: aging and loss; environmental transformation; loneliness is a pain; loneliness is a choice; participation; strengthening social ties; and diverting attention. CONCLUSIONS Older people in nursing homes face varying degrees of loneliness, which is a subjective feeling influenced by the interplay between personal awareness and the external environment, so future care interventions should be developed in a comprehensive manner, taking into account the characteristics of the older people themselves and their external environment. NO PATIENT OR PUBLIC CONTRIBUTION This study is a meta-synthesis and does not require relevant contributions from patients or the public.
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Affiliation(s)
- Deping Zhang
- Day Surgery Room, The First Hospital of China Medical University, Shenyang, China
| | - Qizhen Lu
- Operating room, The First Hospital of China Medical University, Shenyang, China
| | - Li Li
- Central sterile Supply department, The First Hospital of China Medical University, Shenyang, China
| | - Xiaofeng Wang
- Mammography, Liaoning Cancer Hospital, Shenyang, China
| | - Hongqi Yan
- Otolaryngology-Head and Neck Surgery, General Hospital of Northern Theatre command, Shenyang, China
| | - Zijian Sun
- Haemodialysis Unit, The First Hospital of China Medical University, Shenyang, China
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Yuan L, Yibo W, Yuqian D, Haiye R, Jiaxin L, Liping Z. The relationship between fall and loneliness among older people in China: the mediating role of personality trait. Front Psychiatry 2023; 14:1204544. [PMID: 37614652 PMCID: PMC10442840 DOI: 10.3389/fpsyt.2023.1204544] [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] [Received: 04/12/2023] [Accepted: 07/25/2023] [Indexed: 08/25/2023] Open
Abstract
Aims We aimed to explore the role of personality traits between fall and loneliness. Methods A questionnaire survey was used to investigate falls, the big five personality traits, and loneliness among older people (≥ 60 years old) in China mainland. Results A total of 4,289 older people participated in the survey. There are significant differences in age, marital status, education level, residence, solitariness, and fall in relation to loneliness among older people. Falls, especially when they occurred one time increase the loneliness of older people. Agreeableness, conscientiousness, and neuroticism were significant mediating effects between falls and loneliness. Conclusion This study implied that agreeableness, conscientiousness, and neuroticism were meditating factors between falls and loneliness. In the future, we should consider the big five personality traits more to understand loneliness and offer older people interventions for reducing their loneliness. The study design was cross-sectional, so the temporal precedence of mediators and causality could not be tested. Because the data were collected retrospectively, current loneliness is likely to have confounding effects on retrospective recall.
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Affiliation(s)
- Luo Yuan
- School of Nursing, Capital Medical University, Beijing, China
| | - Wu Yibo
- School of Public Health, Peking University, Beijing, China
| | - Deng Yuqian
- Xiang Ya Nursing School, Central South University, Changsha, Hunan Province, China
| | - Ran Haiye
- Xiang Ya Nursing School, Central South University, Changsha, Hunan Province, China
| | - Liu Jiaxin
- Xiang Ya Nursing School, Central South University, Changsha, Hunan Province, China
| | - Zhao Liping
- Xiang Ya Second Hospital of Central South University, Changsha, Hunan Province, China
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Smith CB, Wong KLY, To‐Miles F, Dunn S, Gregorio M, Wong L, Tam S, Huynh P, Hung L. Exploring experiences of loneliness among Canadian long-term care residents during the COVID-19 pandemic: A qualitative study. Int J Older People Nurs 2023; 18:e12509. [PMID: 36347829 PMCID: PMC9878008 DOI: 10.1111/opn.12509] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 08/28/2022] [Accepted: 09/23/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND The COVID-19 pandemic has significant impact on long-term care (LTC) residents' health and well-being. OBJECTIVES This study investigated resident experiences of loneliness during the COVID-19 pandemic in Canadian LTC homes to offer lessons learned and implications. METHODS 15 residents and 16 staff members were recruited from two large urban Canadian LTC homes with large outbreaks and fatalities. We used a telepresence robot to conduct one-on-one semi-structured interviews with participants remotely. We applied the Collaborative Action Research (CAR) methodology and report the early phase of CAR focused on collecting data and reporting findings to inform actions for change. Thematic analysis was performed to identify themes. RESULTS Four themes were identified. The first two themes characterise what commonly generated feelings of loneliness amongst residents, including (1) social isolation and missing their family and friends and (2) feeling hopeless and grieving for lives lost. The second two themes describe what helped residents alleviate loneliness, including (3) social support and (4) creating opportunities for recreation and promoting positivity. CONCLUSIONS Residents living in LTC experienced significant social isolation and grief during the pandemic that resulted in loneliness and other negative health consequences. IMPLICATIONS FOR PRACTICE Promoting meaningful connection, safe recreational activities and a positive atmosphere in LTC homes during the pandemic may help mitigate residents' experiences of loneliness due to social isolation and/or grief and enhance their quality of life.
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Affiliation(s)
- Chelsea B. Smith
- IDEA LabUniversity of British ColumbiaVancouverBritish ColumbiaCanada
| | - Karen Lok Yi Wong
- IDEA LabUniversity of British ColumbiaVancouverBritish ColumbiaCanada
| | - Flora To‐Miles
- IDEA LabUniversity of British ColumbiaVancouverBritish ColumbiaCanada
| | - Sheila Dunn
- Community Engagement Advisory NetworkVancouverBritish ColumbiaCanada
| | - Mario Gregorio
- Community Engagement Advisory NetworkVancouverBritish ColumbiaCanada
| | - Lily Wong
- Community Engagement Advisory NetworkVancouverBritish ColumbiaCanada
| | - Samantha Tam
- Community Engagement Advisory NetworkVancouverBritish ColumbiaCanada
| | - Polly Huynh
- Richmond Home and CommunityVancouver Coastal HealthVancouverBritish ColumbiaCanada
| | - Lillian Hung
- IDEA LabUniversity of British ColumbiaVancouverBritish ColumbiaCanada
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