Futuro del cuidado gerontológico de enfermería. Perspectiva de futuros usuarios / The future of gerontologic nursing care. Next users' view

Objetivos: El cuidado institucionalizado de personas mayores es una realidad en España. Muchos hijos acompañan a sus padres en esa experiencia de vida y conforman su propia opinión. El objeto del estudio es conocer esa opinión, proponiendo una mirada hacia el futuro cuidado que ellos podrán recibir, partiendo de la opinión que tienen del cuidado actual que reciben sus padres. Metodología: La metodología utilizada es cualitativa, mediante entrevistas en profundidad y análisis de contenido, en una muestra integrada por hijos/as de residentes de dos centros residenciales de la ciudad de Jaén. Resultados: El resultado es que aceptan el modelo de cuidados actual para sus padres, salvo por algunas cuestiones que podrían mejorar, pero no lo admiten para sí mismos. Conclusiones: Se concluye que es necesaria la evolución de la asistencia, a través de la domiciliación y la especialización del cuidado (AU)

Objectives: The nursing home care of the elderly is a reality in Spain. Many of them are accompanied by their children in this life experience, whom create their own opinion. Knowing the children opinion including a future perspective is the main purpose of the research, on the basis of their current opinion of caring. Methods: A qualitative survey is used, with in-depth interviews and content analysis. The sample was selected from two nursing homes in the city of Jaen. Results: The main outcome was than they are satisfied with this kind of caring but not for themselves. Conclusions: We conclude that elderly care needs moving to home and through care specialization (AU)

Bibliometric Analysis on Geriatric Nursing Research in Web of Science (1900-2020).

OBJECTIVE: Aging is a growing public health concern for people, organizations, and governments. The current study was undertaken to provide insights into the global research output on geriatric nursing. METHODS: A bibliometric study was implemented using the WoS database for the period from 1900 to 2020. Various tools and measures were used to analyze and visualized. RESULTS: The search strategy found 4923 papers. The oldest paper was written by Beverly C. Andre in 1953. As team size increases, so does the number of citations. The USA was the active country and the highest number of coauthors. New York University was an active institution. Stig Karlsson was the most active author in Geriatric Nursing with 28 articles from Sweden, followed by Koen Milisen and Sandman, with 26 articles each from Sweden and Belgium. The most frequent words in this field were depression, malnutrition, education, Alzheimer's disease, and dementia. The latest research themes in this field were COVID-19, interprofessional locomotive syndrome, emergency nursing, and public health. The most influential papers were specified. Journal of the American Geriatrics Society was the most active journal. CONCLUSIONS: Geriatric nursing is a rooted field and has received special attention in the last decade. Policymakers, especially in developing countries, should pay attention to geriatric nursing as a specialty of nursing to solve aging issues they would face considering the increasing elderly population.

Prácticas de enfermeras en la prevención de caídas de mayores hospitalizados asociadas al conocimiento y actitudes / Practices of nurses in the prevention of falls of hospitalized elderly associated with knowledge and attitudes

OBJETIVO: Analizar la asociación de las prácticas de las enfermeras en la prevención de caídas de adultos mayores hospitalizados con su conocimiento y actitudes. METODOLOGÍA: Estudio transversal, analítico, realizado con 76 enfermeras en seis hospitales de Cuiabá, estado de Mato Grosso, Brasil. Los datos fueron recolectados por medio de entrevista con cuestionario validado y analizados mediante prueba de la χ2 de Pearson, con un nivel de significación del 5% y regresión de Poisson. RESULTADOS: Se constató que el 89,5% de las enfermeras tienen conocimientos insuficientes, un 52,6% actitud favorable y un 61,8% realiza prácticas preventivas. Hubo asociación entre las prácticas preventivas de caídas realizadas por las enfermeras y el conocimiento suficiente. CONCLUSIONES: La mayoría de las enfermeras tienen conocimiento insuficiente sobre caídas y su prevención; sin embargo, sus actitudes son favorables. Las enfermeras con conocimiento suficiente adoptan más medidas preventivas que aquellas con conocimiento insuficiente

OBJECTIVE: To analyze, through their knowledge and attitudes, the association of nurses' practices in the prevention of falls of hospitalized elderly. METHODOLOGY: A transversal and analytical study, performed with 76 nurses at six hospitals in Cuiabá state of Mato Grosso, Brasil. Data were collected through an interview with a validated questionnaire and analyzed using Pearson's chi-square (χ2) test with significance level of 5% and Poisson regression. RESULTS: It was verified that 89.5% of the nurses had insufficient knowledge, 52.6% had a favorable attitude and 61.8% had preventive practices. There was an association between the preventive practices of falls performed by nurses and sufficient knowledge. CONCLUSIONS: Most nurses have insufficient knowledge about falls and their prevention, however their attitudes are favorable. Nurses with sufficient knowledge adopt more preventive measures than those with insufficient knowledge

Gerontological & Wound Nursing now

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A retrospective/prospective on the future of geriatric nursing.

This paper will describe the exciting progress in geriatric nursing practice over the past 40 years and pay tribute to the leadership in the field, the progress in our programs of research and our commitment to ensuring our older patients get the reliable, high value, evidenced-based care they deserve. A brief synopsis of the literature related to the future of geriatric nursing and the field of geriatrics, describing themes from the literature in the context of the papers contained herein. Themes include: shortage of trained geriatric healthcare professionals, shortage of faculty, paucity of research funding, interdisciplinary care is required, meaningful use and integration of technology, lack of research funding and lack of interest in geriatrics as a specialty. The rapidly accelerating demand for geriatric nurse experts and care for older adults positions the nursing profession as principal agent in bridging care-gap needs for older persons, families, and their communities.

Political and pedagogical projects of nursing residency to the elderly from Paulo Freire's perspective.

OBJECTIVE: to analyze political and pedagogical projects of nursing residency to the elderly from Paulo Freire's perspective. METHOD: a descriptive, exploratory study, qualitative approach using documentary analysis. Data source was pedagogical political projects of nursing residency programs in the health of the elderly. The data were collected between March and May 2017. Data analysis was based on Bardin's Thematic Analysis. It had as analytical categories specific dimensions of the proposed theoretical framework. RESULTS: twelve pedagogical political projects showed that learning dimensions appear in an incipient, fragmented way, demonstrating the reproduction of banking education, disregarding the importance of bringing the student as a subject of learning. CONCLUSION: there is a gap in pedagogical political projects from Paulo Freire's perspective. It is necessary that regulatory institutions can systematize and encourage so that pedagogical projects of these programs are based on Paulo Freire's epistemological bases, enabling the so desired holistic training.

The labor market in gerontological nursing in Brazil.

OBJECTIVE: to analyze the development of the labor market in Gerontological Nursing in Brazil, between 1970 and 1996. METHOD: a descriptive-qualitative study with a historical approach that uses the oral history of 14 research nurses working in the historical period, based on the ideas of Eliot Freidson. RESULTS: Nursing overcame barriers to change the care practices to elderly people in the period described, considering the lack of a specific labor market; the need for theoretical knowledge for Gerontology care; the scarcity of research and researchers in the field; the emergence of caregivers for elderly people; the construction of multidisciplinarity and the transformation of institutions for a long-term stay. FINAL CONSIDERATIONS: the expansion of the labor market at the time was grounded on advances on the production of knowledge of the aging process, supported by the demographic transition, that determined the increase in the demand by elderly people for health services and the enactment of specific laws protecting this population.

The labor market in gerontological nursing in Brazil / El mercado de trabajo en enfermería gerontológica en Brasil / O mercado de trabalho em enfermagem gerontológica no Brasil

ABSTRACT Objective: to analyze the development of the labor market in Gerontological Nursing in Brazil, between 1970 and 1996. Method: a descriptive-qualitative study with a historical approach that uses the oral history of 14 research nurses working in the historical period, based on the ideas of Eliot Freidson. Results: Nursing overcame barriers to change the care practices to elderly people in the period described, considering the lack of a specific labor market; the need for theoretical knowledge for Gerontology care; the scarcity of research and researchers in the field; the emergence of caregivers for elderly people; the construction of multidisciplinarity and the transformation of institutions for a long-term stay. Final considerations: the expansion of the labor market at the time was grounded on advances on the production of knowledge of the aging process, supported by the demographic transition, that determined the increase in the demand by elderly people for health services and the enactment of specific laws protecting this population.

RESUMEN Objetivo: analizar el desarrollo del mercado de trabajo en la Enfermería Gerontológica brasileña, entre 1970 y 1996. Método: estudio descriptivo-cualitativo, con abordaje histórico, que utiliza la historia oral de 14 enfermeras investigadores y actuantes en el período histórico, fundamentada en las ideas de Eliot Freidson. Resultados: la Enfermería superó barreras para transformar las prácticas del cuidado a los ancianos en el período descrito, considerando la inexistencia del mercado de trabajo específico; la necesidad de conocimiento teórico para la atención en Gerontología; la escasez de investigaciones e investigadores en el área; el surgimiento del cuidador de ancianos; la construcción de la multidisciplinariedad y la transformación de las instituciones de larga permanencia. Consideraciones finales: la expansión del mercado de trabajo en la época fue motivada por avances en la producción del conocimiento sobre el proceso de envejecimiento, respaldado por la transición demográfica, que determinó el aumento en la demanda de ancianos en los servicios de salud y la promulgación de leyes específicas de protección a los ancianos.

RESUMO Objetivo: analisar o desenvolvimento do mercado de trabalho na Enfermagem Gerontológica brasileira, entre 1970 e 1996. Método: estudo descritivo-qualitativo, com abordagem histórica, que utiliza a história oral de 14 enfermeiras pesquisadoras atuantes no período histórico, fundamentada nas ideias de Eliot Freidson. Resultados: a Enfermagem venceu barreiras para a transformação das práticas do cuidado ao idoso no período descrito, considerando a inexistência de mercado de trabalho específico; necessidade de conhecimento teórico para o atendimento em Gerontologia; a escassez de pesquisas e pesquisadoras na área; o surgimento do cuidador de idosos; a construção da multidisciplinaridade e a transformação das instituições de longa permanência. Considerações finais: a expansão do mercado de trabalho na época foi fundamentada por avanços na produção do conhecimento sobre o processo de envelhecimento, respaldado pela transição demográfica, que determinou o aumento na demanda de idosos nos serviços de saúde e a promulgação de leis específicas de proteção aos idosos.

Political and pedagogical projects of nursing residency to the elderly from Paulo Freire's perspective / Proyectos políticos y pedagógicos de residencia de enfermería al anciano en la perspectiva de Paulo Freire / Projetos políticos e pedagógicos de residência de enfermagem ao idoso na perspectiva freiriana

ABSTRACT Objective: to analyze political and pedagogical projects of nursing residency to the elderly from Paulo Freire's perspective. Method: a descriptive, exploratory study, qualitative approach using documentary analysis. Data source was pedagogical political projects of nursing residency programs in the health of the elderly. The data were collected between March and May 2017. Data analysis was based on Bardin's Thematic Analysis. It had as analytical categories specific dimensions of the proposed theoretical framework. Results: twelve pedagogical political projects showed that learning dimensions appear in an incipient, fragmented way, demonstrating the reproduction of banking education, disregarding the importance of bringing the student as a subject of learning. Conclusion: there is a gap in pedagogical political projects from Paulo Freire's perspective. It is necessary that regulatory institutions can systematize and encourage so that pedagogical projects of these programs are based on Paulo Freire's epistemological bases, enabling the so desired holistic training.

RESUMEN Objetivo: analizar los proyectos políticos y pedagógicos de residencia de enfermería en el anciano en la perspectiva de Paulo Freire. Método: estudio descriptivo, exploratorio, enfoque cualitativo utilizando el análisis documental. La fuente de datos fueron los proyectos políticos pedagógicos de programas de residencia de enfermería en salud del anciano. Los datos fueron recolectados entre marzo y mayo de 2017. El análisis de los datos fue a partir del Análisis Temático de Bardin, teniendo como categorías analíticas dimensiones propias del referencial teórico propuesto. Resultados: doce proyectos políticos pedagógicos mostraron que las dimensiones de aprendizaje aparecen de manera insípida, fragmentada, demostrando la reproducción de la educación bancaria, desconsiderando la importancia de traer al educando como sujeto del aprendizaje. Conclusión: hay una laguna en los proyectos políticos pedagógicos en la perspectiva de Paulo Freire. Es necesario que las instituciones reguladoras puedan sistematizar y estimular para que los proyectos pedagógicos de estos programas sean pautados en las bases epistemológicas de Paulo Freire, posibilitando la tan deseada formación holística.

RESUMO Objetivos: analisar os projetos políticos e pedagógicos de residência de enfermagem ao idoso, na perspectiva Freiriana. Método: estudo descritivo, exploratório, abordagem qualitativa utilizando a análise documental. A fonte de dados foram os projetos políticos pedagógicos de programas de residência de enfermagem em saúde do idoso. Os dados foram coletados entre março e maio de 2017. A análise dos dados foi a partir da Análise Temática de Bardin, tendo como categorias analíticas dimensões próprias do referencial teórico proposto. Resultados: doze projetos políticos pedagógicos mostraram que as dimensões de aprendizagem aparecem de maneira insipiente, fragmentada, demonstrando a reprodução da educação bancária, desconsiderando a importância de trazer o educando como sujeito do aprendizado. Conclusão: há uma lacuna nos projetos políticos pedagógicos na perspectiva Freiriana. É necessário que as instituições reguladoras possam sistematizar e estimular para que os projetos pedagógicos destes programas sejam pautados nas bases epistemológicas Freirianas, possibilitando a tão desejada formação holística.

Diagnósticos enfermeros prevalentes en personas mayores no institucionalizadas / Prevalent nursing diagnoses in non-institutionalized older people

Objetivos: Identificar posibles deficiencias nutricionales y establecer los diagnósticos enfermeros más prevalentes en personas mayores no institucionalizadas. Material y métodos: Proyecto piloto en el que se ha utilizado la herramienta Mini Nutritional Assessment a personas de nuestro entorno, mayores de 65 años, que viven en su domicilio y aparentemente en buen estado de salud. Resultados: Se han realizado 24 encuestas a personas mayores, con una media de edad de 82 años y un rango entre los 68 y los 90 años. Todos presentaban riesgo nutricional, siendo alto en 19 de ellas. Se han identificado cuatro diagnósticos enfermeros que, por orden de frecuencia son: "deterioro de la deglución", "Ingesta inferior a las necesidades", "Déficit de autocuidado: alimentación" y "gestión ineficaz de la propia salud". Sin embargo, en ningún caso, ni la familia ni la propia persona, habían considerado la posibilidad de consultar con su médico o enfermera por suponer las causas del riesgo como normales a consecuencia de la edad. Conclusiones: La valoración del riesgo nutricional mediante herramientas de cribado, es un requisito esencial en la atención de los adultos mayores no institucionalizados y con autonomía funcional, al tratarse de un segmento de población que, aunque no suelen presentar problemas de malnutrición, si pueden estar en situación de riesgo, que puede pasar desapercibido por su autonomía o por su aparente buen estado de salud

Objetives: Identify possible nutritional deficiencies and establish the most prevalent nursing diagnoses in non-institutionalized older people. Material and methods: It has been carried out an exercise in which students have applied the Mini Nutritional Assessment tool to people over 65 years old of our environment who live in their own homes and apparently in good health condition. Results: 24 surveys have been carried out to old people with an average age of 82 and an age range of 68 to 90. All of them had nutrition risk and it was high in 19 of them. Four nursing diagnoses have been identified (by order of frequency): "Impaired swallowing", "Imbalanced nutrition: less than body", "Feeding self-care deficit", "Ineffective health management". However, neither the family nor the tested person had considered the possibility of consulting their general practitioner or community nurse because they assumed this risk was part of normal aging process Conclusions: The assessment of nutritional risk by screening tools is an essential requirement in the care of noninstitutionalized elderly people with functional autonomy. Despite the fact that they do not usually suffer malnutrition problems, this segment of population may be in an unnoticed risk situation because of their autonomy and their apparent good health status

A physical resilience conceptual model - contributions to gerontological nursing.

OBJECTIVES: To analyze and reflect on the potential applicability of the contribution of the physical resilience conceptual model of Whitson et al. in the care for older adults. METHOD: The present article of reflection was structured based on the consultation of articles and definition of inherent concepts, with analysis and reason of the potentialities of its application in geriatric nursing care. RESULTS: Physical resilience is influenced by diverse stimuli. The identification of stressors and early intervention enable the delay of the functional capacity decline. In practice, the planning of interventions that depend on the innate capacity of older adults is of utmost importance. CONCLUSION: The trajectory outlined over a debilitating event is relevant to understand the factors that contribute to the development of frailty or pre-frailty conditions. This knowledge allows nurses to adjust their practice and contribute to the effectiveness of interventions and a better prevention of the frailty syndrome.

A physical resilience conceptual model - contributions to gerontological nursing / Un modelo conceptual de resiliencia física - contribuciones a la enfermería gerontológica / Um modelo conceitual de resiliência física - contribuições para a enfermagem gerontológica

ABSTRACT Objectives: To analyze and reflect on the potential applicability of the contribution of the physical resilience conceptual model of Whitson et al. in the care for older adults. Method: The present article of reflection was structured based on the consultation of articles and definition of inherent concepts, with analysis and reason of the potentialities of its application in geriatric nursing care. Results: Physical resilience is influenced by diverse stimuli. The identification of stressors and early intervention enable the delay of the functional capacity decline. In practice, the planning of interventions that depend on the innate capacity of older adults is of utmost importance. Conclusion: The trajectory outlined over a debilitating event is relevant to understand the factors that contribute to the development of frailty or pre-frailty conditions. This knowledge allows nurses to adjust their practice and contribute to the effectiveness of interventions and a better prevention of the frailty syndrome.

RESUMEN Objetivos: Analizar y reflexionar sobre la potencial aplicabilidad de la contribución del modelo conceptual de resiliencia física de Whitson y colaboradores en el cuidado al anciano. Método: Artículo de reflexión estructurado partiendo de la consulta de artículos y definición de los conceptos inherentes, con análisis y fundamentación de las potencialidades de su aplicación en el cuidado de enfermería geriátrica. Resultados: La resiliencia física recibe influencias de diferentes estímulos. Identificar los estresores e intervenir precozmente permite atrasar la declinación de la capacidad funcional. En la práctica, resulta fundamental planificar intervenciones que dependan de la capacidad innata propia del anciano. Conclusión: El camino trazado durante un episodio debilitante es relevante para comprender los factores que contribuyen al desarrollo de estados de fragilidad o prefragilidad. Este conocimiento permite que el enfermero adecue su actuación y contribuye a la eficacia de las intervenciones y a una mejor prevención del síndrome de fragilidad.

RESUMO Objetivos: Analisar e refletir sobre a potencial aplicabilidade do contributo do modelo conceitual de resiliência física de Whitson e colaboradores no cuidado à pessoa idosa. Método: Este artigo de reflexão foi estruturado a partir da consulta de artigos e definição dos conceitos inerentes, com análise e fundamentação das potencialidades da sua aplicação no cuidado de enfermagem geriátrico. Resultados: A resiliência física é influenciada por diferentes estímulos. A identificação dos estressores e a intervenção precoce permitem atrasar o declínio da capacidade funcional. Na prática, é fundamental planejar intervenções que dependam da capacidade inata que a pessoa idosa apresenta. Conclusão: A trajetória traçada ao longo de um episódio debilitante é relevante para compreender os fatores que contribuem para o desenvolvimento de estados de fragilidade ou pré-fragilidade. Este conhecimento permite ao enfermeiro adequar a sua atuação e contribuir para a eficácia das intervenções e para uma melhor prevenção da síndrome da fragilidade.

The experience of older people living in an elderly residential home (Panti Sosial Tresna Werdha): a phenomenology

Objective: The aim of this study was to gain an overview of the experiences of older people living in an elderly residential home (Panti Sosial Tresna Werdha [PSTW]). Method: The study used qualitative method with the descriptive phenomenology approach. The participants consisted of six older people who live in institutions. Data were collected through in-depth interviews in accordance with the purpose of the research, and an analysis of the data from the interviews was performed using the analysis stage by Collaizi. Results: Three themes emerged from this study, namely independent living needs and support systems as a reason for staying at PSTW, the adaptive response to life in PSTW, and family support as a contributing factor to remaining at PSTW. Conclusions: Most of the elderly's support came from their children or nephews and nieces. Receiving full emotional support from relatives through family visits was deemed necessary for the elderly, as it made them feel happy to continue the rest of their lives in the elderly care home

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Twitter discussions about the predicaments of robots in geriatric nursing: forecast of nursing robotics in aged care.

BACKGROUND: People use social media to express perceptions, attitudes and a wide range of concerns regarding human life. AIM: This study aims at analysing the ongoing discussions on the internet microblog Twitter and offers some coming predicaments regarding developments in geriatric nursing regarding nursing robots. METHODS: Data were retrospectively collected from Twitter. 1322 mentions were included in the final analyses, where principles of interpreting data by using netnography were utilized. RESULTS: Many ideas are presented expressing functional, psychological and social aspects of robots in nursing care. Most postings come from metropolitan cities around the globe. The discussion focuses on market-driven, science fiction solutions for aged care. Twitter users overall seem to be positive using various nursing robots in aged care. These discussions offer a window into the attitudes and ideas of this group of users. CONCLUSION: We suggest that monitoring Twitter discussions on social media can provide valuable insights into current attitudes as well as forecast coming trends.