AimTo understand the experience and care needs of older people living with vision impairment in the acute hospital setting.DesignA qualitative study using co‐productive user‐based design.MethodsSeven older people living with vision impairment and six healthcare students collaborated in a series of six researcher facilitated co‐productive workshops. Recorded data were analysed using thematic analysis.ResultsThe needs of older people with vision impairment are often overlooked in the acute hospital setting. Four themes identified (1) Trauma and Loss; (2) Vulnerability and Feeling Invisible; (3) Being disabled, and (4) Feeling safe. Trauma associated with vision loss was acute, particularly if acquired during the hospital admission. The experience of vision impairment coupled with illness served to heighten feelings of vulnerability and needs were often overlooked creating a sense of invisibility. The hospital environment was experienced as disabling, and care needs were not always acknowledged. Supportive communications and access to own audio/supportive devices were vital in supporting a sense of safety.ConclusionsOur study is significant in highlighting the increasing global importance of vision aware care in the context of an ageing population. The study is also unique in illustrating the potential for inclusive and creative co‐productive approaches which engage both older people with sight loss and healthcare students to promote vision aware practice. Supporting vision impaired older people through diagnosis, care and discharge is vital for promoting equitable positive health outcomes and quality of life.Impact StatementWhat problem did the study address? Despite a high prevalence of sight loss within the older patient population, it is unclear how the acute hospital setting supports people living with vision impairment.What were the main findings? The hospital environment and lack of vision aware care can impact negatively on the care experience resulting in poorer physical and psychosocial wellbeing.Where and whom will the research have an impact? This work will inform the development of vision aware care educational resources, policy, and practice.Implications for the Profession and/or Patient CareVision aware care is vital for supporting quality of life and health outcomes for all older people.Reporting MethodEQUATOR guidelines have been adhered to using the COREQ checklist.Patient or Public ContributionThe charitable organisation Sheffield Royal Society of Blind (SRSB) was involved in the planning of the research to ensure that volunteer participants could take part and the conduct of the research was inclusive to their needs.

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“你好......我在这里！一项涉及视力障碍老年人及其急性医院护理经历的共同生产定性研究


目的了解视力障碍老年人在急性医院环境中的经验和护理需求。设计使用共生产、基于用户的设计的定性研究。方法7 名视力障碍老年人和 6 名医疗保健学生在 6 名研究人员促进的共同生产研讨会中合作。使用主题分析对记录的数据进行分析。结果在急性医院环境中，视力障碍老年人的需求经常被忽视。确定了四个主题 （1） 创伤和损失;（2） 脆弱和感觉被忽视;（3） 残疾，以及 （4） 感到安全。与视力丧失相关的创伤是急性的，尤其是在入院期间获得性创伤。视力障碍的经历加上疾病加剧了脆弱感，需求经常被忽视，造成了一种隐形感。医院环境被认为是致残的，护理需求并不总是得到承认。支持性通信和获得自己的音频/支持设备对于支持安全感至关重要。结论我们的研究在强调在人口老龄化背景下视力意识护理日益增长的全球重要性方面具有重要意义。该研究在说明包容性和创造性的共同生产方法的潜力方面也很独特，这些方法可以让视力丧失的老年人和医疗保健学生参与进来，以促进视觉意识实践。通过诊断、护理和出院支持视力受损的老年人对于促进公平的积极健康结果和生活质量至关重要。影响陈述该研究解决了什么问题？ 尽管老年患者群体中视力丧失的患病率很高，但尚不清楚急性医院环境如何支持视力障碍患者。主要发现是什么？医院环境和缺乏视觉意识护理会对护理体验产生负面影响，导致身体和社会心理健康状况变差。研究将在何处以及谁产生影响？这项工作将为视觉意识护理教育资源、政策和实践的开发提供信息。对专业和/或患者的影响 CareVision 意识护理对于支持所有老年人的生活质量和健康结果至关重要。使用 COREQ 检查表遵守报告方法EQUATOR 指南。患者或公众捐款慈善组织谢菲尔德皇家盲人协会 （SRSB） 参与了研究的规划，以确保志愿者参与者可以参与，并且研究的进行符合他们的需求。