Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 50
Filtrar
1.
J Clin Nurs ; 2020 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-32860272

RESUMO

AIMS AND OBJECTIVES: To understand how acute care nurses make decisions about administering "as-needed" (PRN) psychotropic medications to hospitalised people with dementia (PWD). BACKGROUND: Behavioural and psychological symptoms of dementia occur in approximately 75% of PWD admitted to acute care. Despite this, few studies provide insight into the use and prevalence of psychotropic use in acute care. DESIGN: A qualitative descriptive design was used to explore acute care nurses' decision-making about PRN psychotropic medication administration to PWD. METHODS: Semi-structured interviews were conducted with eight nurses from three acute care medical units in a large tertiary hospital in Western Canada. Conventional content analysis was used to develop three themes that reflect nurses' decision-making related to administering PRNs to hospitalised PWD. COREQ guidelines were followed. RESULTS: Three themes of legitimising control, making the patient fit and future telling were developed. Legitimising control involved medicating undesirable behaviours to promote the nurses' perceptions of safety. Making the patient fit involved maintaining routine and order. Future telling involved pre-emptively medicating to prevent undesirable behaviours from escalating. Nurses provided little to no mention of assessing for physical causes contributing to behaviours. PRNs were seen as a reasonable alternative to physical restraints and were frequently used. Additionally, organisational and unit routines greatly influenced nurses' decision-making. CONCLUSIONS: These findings provide an initial understanding of how nurses make decisions to administer PRN medications to hospitalised older people and may inform prescribing practices. There were novel findings about the lack of assessment prior to PRN administration, and the nurses' collective response in decision-making. More research is needed to better understand the complexities of nurses' decision-making, to assist in the development of interventions for nursing practice.

2.
Int J Older People Nurs ; : e12337, 2020 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-32790240

RESUMO

AIM: The aim of this integrative review was to identify nurses' perspectives of their role in influencing the functional status of hospitalised older people. METHODS: An integrative review using Whittemore and Knafls' method was conducted using EBSCOhost CINAHL, Ovid MEDLINE(R), EBSCOhost, Social Gerontology, Cochrane Database of Systematic Reviews and ProQuest Dissertations & Theses data bases. Only studies with nurses' perspectives, or beliefs about their role in function-focused care were included. Content analysis was used to develop the themes nurses' role in function-focused care and barriers to functional care. RESULTS: The review found 12 relevant articles. Nurses believed that they were responsible for function-focused care, yet functional care tasks were often missed. Organisational contexts created many barriers to providing function-focused care for patients. Nurses felt powerless to address these overarching problems in their organisations. CONCLUSION: Nurses understand the importance of functional care yet often fail to carry out functional care interventions. Lack of organisational support creates a workplace that is short on staff, time and equipment and does not prioritise functional care needs. Nurse leaders and healthcare organisations need to reprioritise function-focused care for the good of patients, families and healthcare budgets.

3.
J Contin Educ Nurs ; 51(9): 420-424, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32833032

RESUMO

As health care is continuously changing, it is important that nurses are continually learning to promote evidence-informed practice. eLearning has gained prominence to gain information and enhance learning within time and space constraints. Innovation such as gamification within and outside of eLearning has also risen in interest to increase engagement in the learning process. In this article, we discuss the usefulness of innovation such as gamification via an ePlatform for continuing education of acute care nurses. Although innovative methods using an ePlatform have the potential to meet nurses' desires for continuing education that is flexible and applicable to their work, more research is needed to understand its effectiveness among acute care nurses. [J Contin Educ Nurs. 2020;51(9):420-424.].

4.
Nurse Educ Today ; 93: 104537, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32717698

RESUMO

BACKGROUND: Despite efforts to incorporate information about older people in pre-licensure nursing programs, there are inconsistent results from studies examining student nurses' perceptions towards the aging population. There is research suggesting that healthcare settings and nursing practice is perpetuating negative perspectives towards older people. OBJECTIVE: To gain an understanding of how social contexts are influencing student nurses' experiences when learning to work with older people. DESIGN: Descriptive case study guided by the theoretical framework of social learning theory. SETTING: A university in Western Canada that offers a pre-licensure nursing program. PARTICIPANTS: 28 student nurses and 13 faculty in the nursing program. METHODS: Participant interviews and focus groups were conducted with nursing faculty and students. RESULTS: Key findings from this study are that students' previous experiences with older people, through family or work experiences, and their first clinical experience in long- term care negatively influenced their perceptions about working with older people. Clinical nurses and faculty influenced students' perceptions about nursing practice with older people, sometimes in subtle ways, underscoring that students are learning from what they see and hear in practice. Students were ill-prepared for the complexity of the aging population, particularly those with cognitive impairment. CONCLUSIONS: Learning activities that engage students in active learning, such as simulation, providing students with a positive lexicon of how to describe older patients, and more overt attention to the perspectives students and faculty bring to the learning environment need to be carefully explored. Meaningful learning experiences with older people in multiple contexts are needed to thoughtfully plan how to disrupt negative perceptions that might emerge through the nursing education program.

5.
Nurs Inq ; 27(3): e12346, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32064704

RESUMO

Nursing practice occurs in the context of conversations with healthcare users, other healthcare professionals, and healthcare institutions. This discussion paper draws on symbolic interactionism and Fairclough's method of critical discourse analysis to examine language that nurses use to describe the people in their care and their practice. We discuss how nurses' use of language constructs meaning about healthcare users and their own work. Through language, nurses are articulating what they believe about healthcare users and nursing practice. We argue that the language nurses use can contribute to viewing their practice as tasks on bodies that must be accomplished efficiently and objectively within the biomedical model, rather than relational and person-centered. Moreover, the language nurses use can perpetuate a sense of powerlessness within healthcare systems yet paradoxically they are in a position of power over healthcare users. Nurses' compliance with the efficiency and biomedical model results in a lack of emphasis on the full breadth of nursing work, which could be enacted in relational rather than power-laden practices. We conclude by positing that careful use of language among nurses in all settings is essential, if we are to begin to articulate what nursing is to ourselves and to others.

6.
Neurourol Urodyn ; 39(1): 324-330, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31782977

RESUMO

AIMS: The strong desire to void (SDV) induces changes in both cognition and gait. This may be due to the sensation of urinary urge acting as a source of diverted attention. This exploratory study examined the influence of SDV and a standardized distracting task on the performance of two measures of cognition, a simple reaction time (SRT) test and the trail making B test (TMT-B). METHODS: 18 volunteers, 8 male and 10 female, without lower urinary tract symptoms (LUTS) (mean age: 20.5, range: 20-47), performed a test of SRT and the TMT-B under three conditions; undistracted with an empty bladder, while experiencing SDV, and when performing a simultaneous distracting task, the auditory n back test. RESULTS: A statistically significant increase in SRT was found when experiencing SDV and when distracted compared with the undistracted, bladder empty condition. The time taken to compete the TMT-B significantly increased with distraction but was not affected by SDV. CONCLUSION: SDV induced a similar but smaller change in reaction time when compared with a distracting task, suggesting that SDV may act as a source of diverted attention in continent, healthy volunteers.

7.
Int J Nurs Educ Scholarsh ; 16(1)2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31577535

RESUMO

Educating nursing students about the ageing population is situated within negative societal, heath care and nursing perceptions. A cross-sectional design using Burbank's perceptions towards older people scale was used to survey students in a pre-licensure nursing program in western Canada. Findings revealed that students' perceptions about older people were lower in the third year of the nursing program and after four clinical experiences. We suggest that students' first experiences in long-term care settings, in which they learn to provide basic care to older people, be balanced with experiences of older people in a variety of settings. Such experiences would allow students to develop the knowledge and skill needed to work with an ageing population with complex healthcare needs. More research is needed to better understand students' experiences and perceptions about where in the program more learning strategies about how to best work with older people would be helpful.


Assuntos
Competência Clínica/normas , Bacharelado em Enfermagem/organização & administração , Enfermagem Geriátrica/organização & administração , Estudantes de Enfermagem/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Canadá , Estudos Transversais , Feminino , Humanos , Relação entre Gerações , Masculino , Local de Trabalho/organização & administração
8.
J Nurs Manag ; 27(8): 1784-1790, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31532017

RESUMO

AIM: To examine registered nurses', licensed practical nurses' and health care aides' perceptions of their and each other's roles. BACKGROUND: Nursing team members' perceptions about their own and each other's roles affect how they understand their contributions to patient care and their work relationships and social status within health care organisations. There is a paucity of literature on how nursing team members perceive their roles and those of their colleagues. DESIGN: Secondary analysis of qualitative data using qualitative description. The parent study used grounded theory to examine nursing care for hospitalized older adults. METHOD: Conventional content analysis of interview transcripts and field notes from the original study. RESULTS: All nursing team members reported satisfaction from providing direct care. Registered nurses were uniquely responsible for leadership. Scope-of-practice changes contributed to role confusion and tension among team members. CONCLUSIONS: More research is needed to better understand how to support nursing teams learning about one another. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers could facilitate clarification about nursing roles and support effective role deployment.


Assuntos
Papel do Profissional de Enfermagem/psicologia , Equipe de Enfermagem/normas , Percepção , Atitude do Pessoal de Saúde , Teoria Fundamentada , Humanos , Relações Interprofissionais , Equipe de Enfermagem/métodos , Equipe de Enfermagem/estatística & dados numéricos , Pesquisa Qualitativa
9.
J Wound Ostomy Continence Nurs ; 46(5): 424-433, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31513130

RESUMO

For purposes of this review, we defined toileting disability as a result of practices, procedures, or conditions that result in an individual requiring assistance using the bathroom. This scoping review synthesizes existing knowledge of extrinsic and/or intrinsic factors that might lead to or be associated with toileting disability and identified knowledge gaps related to toileting disability in older adults residing in long-term care or assisted living facilities. A search of 9 electronic databases and the gray literature identified 3613 articles. After exclusions and screening of the full text of 71 articles, 7 remaining eligible articles mapped research activity and identified knowledge gaps in this area. Only 1 study used toileting disability as the primary outcome; it was present in 15% of older adults without dementia living in long term-care facilities (a subgroup that comprised 34% of all residents). The other 6 articles examined factors and treatment of overall activities of daily living (ADL) performance as their primary outcome; in these, toileting disability was added to other difficulties, yielding a summary ADL outcome score. No study reported the incidence, distribution, or factors that affect toileting disability in long-term care; findings of this scoping review suggest a rich research agenda for future investigation.


Assuntos
Atividades Cotidianas , Moradias Assistidas/tendências , Aparelho Sanitário , Assistência de Longa Duração/tendências , Humanos , Incidência , Assistência de Longa Duração/métodos
10.
Can J Aging ; : 1-13, 2019 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-31514762

RESUMO

La collaboration interprofessionnelle est reconnue comme un moyen permettant d'améliorer l'efficacité et la qualité des soins. Cependant, elle est aussi associée à des défis tels que la multiplicité des routines, des connaissances et des identités professionnelles, ainsi qu'à des hiérarchies professionnelles et des contraintes de temps. Compte tenu de ces défis, la compréhension des moyens utilisés par les professionnels pour collaborer efficacement à la prestation de soins axés sur le patient est limitée. Le but de cette étude était d'explorer la perception du personnel interprofessionnel sur la collaboration interprofessionnelle et les soins axés sur le patient lorsqu'il œuvre auprès de personnes âgées hospitalisées. Un devis avec triangulation de convergence à méthodes mixtes a été utilisé. Trente-six employés interprofessionnels ont répondu à un sondage qui comprenait une mesure des soins axés sur le patient et un indice modifié de la collaboration interdisciplinaire. Quatorze membres du personnel infirmier ont été interviewés. Des différences ont été observées entre les deux groupes sur un point relatif à leur perception des soins axés sur le patient. Bien que les scores de tous les membres du personnel suggéraient qu'une grande valeur était accordée à la collaboration interprofessionnelle, ces scores étaient faibles en ce qui concerne la participation à des activités qui facilitaient les activités de collaboration. Trois thèmes ont été identifiés à partir des données des entrevues : la connaissance du patient et de la famille, les besoins fonctionnels et les processus de communication. Le personnel a rapporté que les tournées quotidiennes avec les équipes interprofessionnelles appuyaient la collaboration interprofessionnelle et les soins axés sur le patient.Interprofessional collaboration is understood to improve efficiencies and quality of care but is associated with challenges such as professionals' differing routines, knowledge, and identities, as well as professional hierarchies and time constraints. Given these challenges, there is limited understanding of how professionals collaborate effectively in providing patient-centred care. This study, with a convergence triangulation mixed-methods study design, explored interprofessional staffs' perceptions of interprofessional collaboration and patient-centred care when working with hospitalized older adults. Thirty-six staff responded to a survey which included the Patient-Centred Care measure and the Modified Index of Interdisciplinary Collaboration; we also interviewed 14 nursing staff. Although all scores suggested a high value was placed on interprofessional collaboration, scores were low related to activities that facilitated team processes. We identified three themes from the data: knowing the patient/family, functional needs, and communication processes. Staff identified daily rounds with interprofessional teams as supportive of interprofessional collaboration and patient-centred-care.

11.
Int J Older People Nurs ; 14(4): e12265, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31441244

RESUMO

AIM: As part of a larger primary study on evidence-informed practice with hospitalised older people, we aimed to (a) examine nursing staffs' perceptions of the interactive geriatric educational intervention and to explore how perceptions of their work context may influence their ability to enact the evidence-informed assessment and care approaches discussed during the educational sessions and (b) compare differences in perceptions of context between RNs, LPNs and HCAs. METHOD: A survey-based evaluation that used both closed and open-ended questions was conducted as part of an interactive educational intervention on cognitive impairment and managing responsive behaviours. Data were gathered on participants' perceptions of the education intervention and organisational context. RESULTS: Findings from this study suggest when education is tailored to nurses' articulated educational needs, it is well received; however, barriers to implementation exist. Assessment of the context by using a standardised survey tool to get the nursing staffs' perceptions of organisational context revealed strengths in leadership support and day-to-day interactions with other nurses and healthcare professionals, but potential barriers related to lack of facilitation to transfer new knowledge into practice existed. CONCLUSION: Providing evidence-based education related to care of older patients and evaluating nursing staffs' perceptions of the education and their context has laid the groundwork for a long-term relationship with the managers and nursing staff on the participating medical units. Further investigation about how best to incorporate the facilitator role into the medical units to support evidence-based practices with older patients is warranted.  IMPLICATIONS FOR PRACTICE: While nurses are receptive to new knowledge, the unpredictable workload of acute care creates challenges to implementing this new knowledge. Assessment of contextual factors that influence evidence-informed practice facilitates planning for implementation of new knowledge and support practice change.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem Geriátrica , Unidades Hospitalares , Capacitação em Serviço , Recursos Humanos de Enfermagem no Hospital , Padrões de Prática em Enfermagem , Adulto , Idoso , Alberta , Feminino , Serviços de Saúde para Idosos , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
13.
Int J Older People Nurs ; 14(1): e12220, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30628753

RESUMO

BACKGROUND: Nursing teams work with hospitalised older people in institutions, which prioritise a biomedical model of care. This model does not fit the needs of older people because it emphasises efficacy and a narrow definition of patient safety, but does not prioritise functional needs. Nursing care is provided around the clock within the context of fiscal restraints as well as negative societal and nursing perspectives about ageing and old people. Yet, nursing perceptions of managing safety and potential harms to older patients within these hospital institutions are not well understood. METHODS: An integrative review was conducted to examine nursing perspectives of safety and harm related to hospitalised older people. RESULTS: The majority of included papers focused on restraint use. Findings reveal that nurses are using restraints and limiting mobility as strategies to manage their key priority of keeping older patients safe, reflecting a narrow conceptualisation of safety. Policy, administrative support and individual nurse characteristics influence restraint use. Safety policies that nurses interpret as preventing falls can encourage the use of restraints and limiting mobility, both of which result in functional losses to older people. CONCLUSIONS: This complex issue requires attention from clinical nurses, leaders, policy makers and researchers to shift the focus of care to preservation and restoration of function for older people in hospital as a safety priority. IMPLICATIONS FOR PRACTICE: Clinical leaders and nursing teams should engage in developing processes of care that incorporate maintaining and restoring older people's function.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem Geriátrica , Modelos de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Segurança do Paciente , Idoso , Idoso de 80 Anos ou mais , Humanos
14.
Dementia (London) ; 18(2): 432-447, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27811017

RESUMO

A visit to an emergency department can be a disorientating experience for someone with dementia. Empowered caregivers can mitigate harm stemming from communication issues to support a successful emergency department visit. A qualitative study determined the feasibility of the structure, format, and content of eight hospital-readiness communication tools. Data collection involved English and French-language caregiver focus groups in two Canadian provinces. Study findings have the potential to (a) improve safety in emergency care to older people with dementia and their caregivers, and (b) offer cost-effective communication tools for web-based knowledge translation activity in acute care.


Assuntos
Cuidadores , Demência/terapia , Serviços Médicos de Emergência/normas , Serviço Hospitalar de Emergência/normas , Assistência Centrada no Paciente/métodos , Idoso , Comunicação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Participação do Paciente , Pesquisa Qualitativa
15.
J Clin Nurs ; 28(1-2): 221-234, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30039614

RESUMO

OBJECTIVES: To examine nursing staffs' geriatric knowledge, perceptions about interprofessional collaboration and patient-centred care, and perceived learning needs related to working with hospitalised older people. METHOD: A triangulation mixed methods design was used. A survey was administered to nursing staff that contained the Knowledge About Older Patients Quiz, the patient-centered Care measure and the Modified Index of Interdisciplinary Collaboration measure. Interviews were conducted to understand nursing staffs' learning needs. Survey data were analysed using descriptive statistics. Interview data were analysed using content analysis. Survey and interview data were then compared and contrasted. RESULTS: Twenty-two nursing staff (response rate 26%) completed surveys and 14 participated in interviews. The mean knowledge about older patients score was 22.95, indicating moderately high gerontological knowledge. The mean scores on the patient-centered Care measure and Modified Index of Interdisciplinary Collaboration were moderately high at 3.75 and 3.86, respectively. Themes developed from analysis of the interview data were as follows: complex vulnerable population, clinical care concerns and working as a team. In spite of scores on knowledge surveys, nursing staff identified learning needs related to managing the responsive behaviours of older patients with cognitive impairment, chemical and physical restraints, mobility and continence. CONCLUSIONS: There was an incongruence between survey and interview data as nursing staff reported gaps in their knowledge despite moderately high scores on the Knowledge about Older People Quiz. Further research is needed to understand additional factors that influence nurses' educational needs.


Assuntos
Educação Continuada em Enfermagem/métodos , Enfermagem Geriátrica/educação , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Desenvolvimento de Pessoal/métodos , Idoso , Canadá , Feminino , Enfermagem Geriátrica/organização & administração , Hospitalização/estatística & dados numéricos , Humanos , Masculino , Determinação de Necessidades de Cuidados de Saúde , Restrição Física
16.
J Wound Ostomy Continence Nurs ; 46(1): 44-50, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30531409

RESUMO

PURPOSE: This study aimed to determine from what sources women with urinary and dual urinary and fecal incontinence sought and received information about incontinence and absorbent products. We also evaluated source utility. DESIGN: Descriptive, embedded, mixed-methods study with qualitative interviews nested into a survey design in a modified explanatory sequence. SUBJECTS AND SETTING: The target population was community-dwelling women in Canada who used containment products to manage urinary incontinence. Three hundred fifteen women completed the online survey, and 9 participated in interviews. METHOD: Quantitative data were collected using an online survey that was advertised in multiple locations, including continence and urogynecology clinics, non-for-profit health Web sites, and social media. Descriptive statistics were used for analysis. Using initial quantitative data results, a semistructured interview guide was designed to gain further insight. Local survey participants were invited to interviews at the end of the survey. Interview transcripts were coded using content analysis. The codes were then collapsed into categories and finally themes. RESULTS: The most common sources of information (n = 284/315) were retail outlets (43%) and television/radio (42%). The greatest percentages of "useful" or "very useful" resources were healthcare professionals (83%). Content analysis identified 5 themes: (1) using existing knowledge, (2) seeking knowledge, (3) finding the right pad, (4) being safe and secure, and (5) perceptions of healthcare professionals' roles. Product choice was made through trial and error; women drew information from a variety of sources, including product labels. Perceptions of helpfulness of experiences with healthcare professionals varied. CONCLUSION: Although women used multiple sources when selecting containment products, they did not receive information in a manner that suited their needs, resulting in a trial-and-error approach to product selection. Healthcare professionals should actively give information on containment products during their assessment of continence in patient encounters.


Assuntos
Absorventes Higiênicos/normas , Percepção , Incontinência Urinária/enfermagem , Absorventes Higiênicos/tendências , Adulto , Idoso , Idoso de 80 Anos ou mais , Canadá , Incontinência Fecal/enfermagem , Feminino , Humanos , Entrevistas como Assunto/métodos , Pessoa de Meia-Idade , Pesquisa Qualitativa , Inquéritos e Questionários
17.
Can J Nurs Res ; 50(3): 110-119, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29536774

RESUMO

Background Arab immigrants have increasing rates of stroke and uncontrolled stroke risk factors coupled with minimal resources for stroke prevention. Purpose This article describes the results of an interpretive descriptive study about Arab immigrant women's experiences of practicing stroke prevention. We use an intersectionality approach to discuss some of the factors that influenced women's ability to manage their health. Methods Sixteen middle-aged and older Arab Muslim immigrant women were recruited between 2015 and 2016 from two religious centers in an urban Canadian center. Women were between the ages of 45 and 75 years, were living in the community, and had a combination of stroke risk factors. Semi-structured interviews lasting 2-3 h were conducted in Arabic by the primary bilingual researcher. Data analysis was completed in Arabic, with final themes and exemplars translated to English with the support of a certified translator. Results Study themes include relating life stressors to physical health, pursuing knowledge in the dark, negotiating medication and treatment options, making an effort to eat healthy and be active, and identifying triple ingredients for empowerment. Conclusion Economic status, access to transportation, language fluency, life stressors, and personal coping strategies influenced Arab women's ability to manage personal health.


Assuntos
Árabes , Emigrantes e Imigrantes , Islamismo , Acidente Vascular Cerebral/prevenção & controle , Idoso , Alberta , Feminino , Acesso aos Serviços de Saúde , Humanos , Pessoa de Meia-Idade , Autocuidado , Saúde da Mulher
18.
Neurourol Urodyn ; 37(1): 501-509, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28471525

RESUMO

BACKGROUND: There is a well-recognised association between falls and lower urinary tract symptoms (LUTS) in older adults, with estimates of odd ratios for falls in the presence of LUTS ranging between 1.5 and 2.3. Falls and LUTS are both highly prevalent among older people and both are markers of frailty, with significant associated morbidity, mortality, and healthcare resource cost. This association is not well examined or explained in the literature. AIMS: We aimed to outline current knowledge of the association between falls and lower urinary tract symptoms and suggest a research program to further investigate this. MATERIALS AND METHODS: A consensus conference of experts in the field was convened to review the current literature and brainstorm potential future investigative avenues. RESULTS AND DISCUSSION: Despite the recognition of this association, there has been little research to examine its potential causes, and no intervention trial has established if reducing LUTS or urinary incontinence can reduce the risk of falls. The commonly held assumption that urgency causes falls through rushing to the toilet is likely incorrect. Falls and LUTS are both symptoms of frailty and have many common causes. Gait, balance, and continence are all processes requiring cognitive input, and the concept of dual tasking may be a further link. CONCLUSION: The significant association between lower urinary tract symptoms and falls is currently unexplained, and further research into the potential causes of this association is needed.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Sintomas do Trato Urinário Inferior/complicações , Sintomas do Trato Urinário Inferior/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Idoso Fragilizado , Transtornos Neurológicos da Marcha/complicações , Transtornos Neurológicos da Marcha/epidemiologia , Humanos , Masculino , Equilíbrio Postural , Prevalência , Incontinência Urinária/complicações , Incontinência Urinária/epidemiologia
19.
Nurs Inq ; 25(2): e12226, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29230911

RESUMO

The increase in ethnically and linguistically diverse older adults in Canada necessitates attention to their experiences and needs for healthy ageing. Arab immigrant women often report challenges in maintaining health, but little is known about their ageing experiences. This interpretive descriptive study uses a transnational life course framework to understand Arab Muslim immigrant women's experiences of engaging in health-promoting practices as they age in Canada. Women's stories highlight social dimensions of health such social connectedness, social roles and social support that are constructed and maintained within different migration contexts across the life course. Barriers and facilitators to healthy ageing in this population centred around five themes: (i) the necessity of staying strong, (ii) caring for self while caring for others, (iii) double jeopardy of chronic illnesses and loneliness, (iv) inadequate support within large social networks and (v) navigating access to health-supporting resources. The findings point to transnational connections and post-migration social support as major influencers in creating facilitators and barriers to healthy ageing for Arab Muslim immigrant women.


Assuntos
Envelhecimento/psicologia , Emigrantes e Imigrantes/psicologia , Determinantes Sociais da Saúde/etnologia , Idoso , Árabes/psicologia , Canadá/etnologia , Feminino , Acesso aos Serviços de Saúde/normas , Humanos , Pessoa de Meia-Idade , Narração , Pesquisa Qualitativa , Populações Vulneráveis/etnologia
20.
Healthc Manage Forum ; 30(1): 26-31, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28929901

RESUMO

Emergency Departments (EDs) are an integral part of the Canadian healthcare system. Older people living with dementia challenge EDs. They have complex health profiles that pose multiple challenges for staff. The current one-size-fits-all approach that aids efficiency in a technologically dependent hospital setting may not always serve older people living with dementia, their caregivers, or staff well. The premise that older people living with dementia are a problem for Canadian EDs must be reconsidered. Understanding the complexity of the situation is aided by the dementia-friendly ED framework. We propose one way to enhance communication between those living with dementia who receive ED services and those providing the service.


Assuntos
Demência/terapia , Serviço Hospitalar de Emergência , Idoso , Doença de Alzheimer/terapia , Canadá , Comunicação , Serviço Hospitalar de Emergência/organização & administração , Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA