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Capturing Potential Interventions for the Empowerment of Older People and Informal Caregivers in Transitional Care Decision‐Making: A Qualitative Study Using Focus Groups
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-10-25 , DOI: 10.1111/jan.16510 Lotan Kraun, Kristel De Vliegher, Elise Keldermans, Moriah E Ellen, Theo van Achterberg
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-10-25 , DOI: 10.1111/jan.16510 Lotan Kraun, Kristel De Vliegher, Elise Keldermans, Moriah E Ellen, Theo van Achterberg
AimTo capture older people's, informal caregivers' and health professionals' ideas on potential interventions for empowering older people and informal caregivers in transitional care decision‐making.DesignA descriptive qualitative design was adopted.MethodsThe study was conducted between February and May 2022 in the region of Flanders, Belgium, as part of the TRANS‐SENIOR consortium's collaborative research. Data were collected using focus groups, including older people, informal caregivers and healthcare professionals involved in any physical relocation of the older person across home, hospital or nursing home settings. Thematic data analysis was performed based on Braun and Clarke's six‐step method.ResultsA total of 40 people participated in the focus groups. Four main themes were identified, which describe ideas on how to empower older people and informal caregivers in transitional care: Providing clear and timely information, preparing people for what is to come, person‐centredness and providing professional and peer support for informal caregivers.ConclusionsHealthcare (professionals) should facilitate older people's and informal caregivers' empowerment in transitional care decision‐making by setting them at the core and inception of the decision‐making process. While informal caregivers support their loved ones in decision‐making processes, they should also be supported and monitored for burdensome issues.Implications to Patient CareMulticomponent, well‐planned and personalised interventions are needed to empower older people and informal caregivers in transitional care decision‐making. The ideas raised by all stakeholders who participated in this study can inform these interventions.Reporting MethodAdhered to consolidated criteria for reporting qualitative research checklist.Patient or Public ContributionOrganisations advocating for the interests of older people and informal caregivers played a pivotal role in shaping the TRANS SENIOR project. Furthermore, the study benefitted from the collaborative input of AGE Platform Europe, which amplified the voices and representation of older people during the project design phase.
中文翻译:
在过渡期护理决策中捕捉赋予老年人和非正式护理人员权力的潜在干预措施:一项使用焦点小组的定性研究
目的收集老年人、非正式护理人员和卫生专业人员关于潜在干预措施的想法,以增强老年人和非正式护理人员在过渡期护理决策中的权力。设计采用描述性定性设计。方法该研究于 2022 年 2 月至 5 月在比利时佛兰德斯地区进行,作为 TRANS-SENIOR 联盟合作研究的一部分。数据是通过焦点小组收集的,包括老年人、非正式护理人员和参与老年人在家中、医院或疗养院环境中进行任何物理搬迁的医疗保健专业人员。主题数据分析基于 Braun 和 Clarke 的六步法进行。结果共有 40 人参加了焦点小组。确定了四个主要主题,描述了如何在过渡性护理中赋予老年人和非正式护理人员权力的想法:提供清晰及时的信息,让人们为即将发生的事情做好准备,以人为本以及为非正式护理人员提供专业和同伴支持。结论医疗保健(专业人员)应通过将老年人和非正式护理人员置于决策过程的核心和起点,促进老年人和非正式护理人员在过渡期护理决策中的赋权。虽然非正式护理人员在决策过程中支持他们的亲人,但他们也应该得到支持和监督,以解决繁重的问题。对患者护理的影响需要多组分、精心规划和个性化的干预措施,以增强老年人和非正式护理人员在过渡期护理决策中的权力。参与本研究的所有利益相关者提出的想法可以为这些干预措施提供信息。报告方法 遵守报告定性研究清单的综合标准。患者或公众捐款倡导老年人和非正式护理人员利益的组织在塑造 TRANS SENIOR 项目方面发挥了关键作用。此外,该研究还得益于 AGE Platform Europe 的协作投入,该平台在项目设计阶段放大了老年人的声音和代表性。
更新日期:2024-10-25
中文翻译:
在过渡期护理决策中捕捉赋予老年人和非正式护理人员权力的潜在干预措施:一项使用焦点小组的定性研究
目的收集老年人、非正式护理人员和卫生专业人员关于潜在干预措施的想法,以增强老年人和非正式护理人员在过渡期护理决策中的权力。设计采用描述性定性设计。方法该研究于 2022 年 2 月至 5 月在比利时佛兰德斯地区进行,作为 TRANS-SENIOR 联盟合作研究的一部分。数据是通过焦点小组收集的,包括老年人、非正式护理人员和参与老年人在家中、医院或疗养院环境中进行任何物理搬迁的医疗保健专业人员。主题数据分析基于 Braun 和 Clarke 的六步法进行。结果共有 40 人参加了焦点小组。确定了四个主要主题,描述了如何在过渡性护理中赋予老年人和非正式护理人员权力的想法:提供清晰及时的信息,让人们为即将发生的事情做好准备,以人为本以及为非正式护理人员提供专业和同伴支持。结论医疗保健(专业人员)应通过将老年人和非正式护理人员置于决策过程的核心和起点,促进老年人和非正式护理人员在过渡期护理决策中的赋权。虽然非正式护理人员在决策过程中支持他们的亲人,但他们也应该得到支持和监督,以解决繁重的问题。对患者护理的影响需要多组分、精心规划和个性化的干预措施,以增强老年人和非正式护理人员在过渡期护理决策中的权力。参与本研究的所有利益相关者提出的想法可以为这些干预措施提供信息。报告方法 遵守报告定性研究清单的综合标准。患者或公众捐款倡导老年人和非正式护理人员利益的组织在塑造 TRANS SENIOR 项目方面发挥了关键作用。此外,该研究还得益于 AGE Platform Europe 的协作投入,该平台在项目设计阶段放大了老年人的声音和代表性。