Health Promotion Practices in Nursing for Elderly Persons in Municipal Home Care: An Integrative Literature Review

Karlsson, Sofie; Ridbäck, Ann; Brobeck, Elisabeth; Pejner, Margaretha Norell

doi:10.1177/1084822319863308

Cited by 9 publications

(11 citation statements)

References 31 publications

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“…For the individual patient, trauma may have a significant impact [ 46 ] because the return to their normal living environment may be challenging or impossible, during the process of safe discharge to a skilled nursing facility rather than home [ 47 ]. The increased demand in specialised nursing homes for geriatric patients with increasing incidence in medical comorbidities and chronic medical conditions is confronted by the limited capacity of nursing facilities [ 48 , 49 ] and will cause an economic challenge for the society.…”

Section: Discussionmentioning

confidence: 99%

The effect of geriatric comanagement (GC) in geriatric trauma patients treated in a level 1 trauma setting: A comparison of data before and after the implementation of a certified geriatric trauma center

Halvachizadeh

Gröbli²,

Berk

et al. 2021

PLoS ONE

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Introduction Improvements in life expectancy imply that an increase of geriatric trauma patients occurs. These patients require special attention due to their multiple comorbidity issues. The aim of this study was to assess the impact of the implementation of geriatric comanagement (GC) on the allocation and clinical outcome of geriatric trauma patients. Methods This observational cohort study aims to compare the demographic development and the clinical outcome in geriatric trauma patients (aged 70 years and older) before and after implementation of a certified geriatric trauma center (GC). Geriatric trauma patients admitted between January 1, 2010 and December 31, 2010 were stratified to group pre-GC and admissions between January 1, 2018 and December 31, 2018 to Group post-GC. We excluded patients requiring end-of-life treatment and those who died within 24 h or due to severe traumatic brain injury. Outcome parameters included demographic changes, medical complexity (measured by American Society of Anaesthesiology Score (ASA) and Charlson Comorbidity Index (CCI)), in-hospital mortality and length of hospitalization. Results This study includes 626 patients in Group pre-GC (mean age 80.3 ± 6.7 years) and 841 patients in Group post-GC (mean age 81.1 ± 7.3 years). Group pre-GC included 244 (39.0%) males, group post-GC included 361 (42.9%) males. The mean CCI was 4.7 (± 1.8) points in pre-GC and 5.1 (± 2.0) points in post-GC (p <0.001). In Group pre-GC, 100 patients (16.0%) were stratified as ASA 1 compared with 47 patients (5.6%) in Group post-GC (p <0.001). Group pre-GC had significantly less patients stratified as ASA 3 or higher (n = 235, 37.5%) compared with Group post-GC (n = 389, 46.3%, p <0.001). Length of stay (LOS) decreased significantly from 10.4 (± 20.3) days in Group pre-GC to 7.9 (±22.9) days in Group post-GC (p = 0.011). The 30-day mortality rate was comparable amongst these groups (pre-GC 8.8% vs. post-GC 8.9%). Conclusion This study appears to support the implementation of a geriatric trauma center, as certain improvements in the patient care were found: Despite a higher CCI and a higher number of patients with higher ASA classifications, Hospital LOS, complication rates and mortality did were not increased after implementation of the CG. The increase in the case numbers supports the fact that a higher degree of specialization leads to a response by admitting physicians, as it exceeded the expectable trend of demographic ageing. We feel that a larger data base, hopefully in a multi center set up should be undertaken to verify these results.

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Section: Discussionmentioning

confidence: 99%

The effect of geriatric comanagement (GC) in geriatric trauma patients treated in a level 1 trauma setting: A comparison of data before and after the implementation of a certified geriatric trauma center

Halvachizadeh

Gröbli²,

Berk

et al. 2021

PLoS ONE

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“…The results of this qualitative study reiterated that clinical classes, as a form of teaching, allow for an integration of theory and practice in learning [23], influencing the perception of students about health promotion and disease prevention in the elder. The connection between "school desk" knowledge and practice is vital to support the making of clinical decisions [24], and in this concrete case, for the learning of strategies that allow for the health promotion of the more vulnerable elder population. We corroborated the findings according to which elders with multiple morbidities need more complex health care, and health promotion is still not a priority for this group of people [25].…”

Section: Discussionmentioning

confidence: 99%

Health Promotion and Disease Prevention in the Elderly: The Perspective of Nursing Students

Ferreira

Baixinho

Ferreira

et al. 2022

JPM

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Health promotion and disease prevention are closely linked to health literacy. Therefore, intervention to increase individuals’ knowledge is essential if action is to be taken to promote a healthy lifestyle with support from health professionals for decision making on choices leading to behavioral change. Taking into account the growing aging population, nurses and nursing students have to develop interventions to promote health and prevent disease in these people, in order to keep them healthy and with quality of life. This study aims to understand how nursing students’ experiences in a clinical teaching context contributed to the development of their competencies in the promotion of health and prevention of disease in the elderly. Method: Qualitative, exploratory, and descriptive study carried out with ten students about to finish a graduate nursing course in a higher education institution in the South of Portugal. This study was carried out through narratives, one of the most common data collection procedures in social and health investigations. The content analysis technique, more specifically the thematic categorical analysis, was used for data analysis. The study received authorization from the Ethics Committee of the institution where it took place. Results: Three categories were found: “Strategies to promote health and prevent disease in the elderly”, “Health improvements from the implementation of the strategies to promote health and prevent disease in the elderly”, and “The impact your participation in these strategies to promote health and prevent disease in the elderly had on your formative process”. Conclusion: The students developed competencies during their clinical teaching experiences through the implementation of strategies of health promotion and disease prevention adapted to/focused on the needs of the elderly.

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“…The outcome of such programs is early discharge from the hospital, the reduction of hospital workload, and the empowerment of care-seekers in self-care [ 53 ]. In a review study, Karlsson pointed out the impact of home visit programs on reducing unnecessary emergency visits by the elderly and the development of elderly self-care [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

“…Karlsson’s study showed that the clients with chronic illnesses were satisfied with nursing counseling. The clients were less inclined to visit a doctor frequently, for they needed to spend more time and money [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study

et al. 2022

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Background Considering the need for nurses specializing in community health and in order to define professional duties for future planning towards creating the position of community health nurses in the primary health care system of Iran, this study aims to explain the range of services which can be provided by community health nurses from the perspective of the mangers and nurses. Methods The present qualitative study was conducted with the approach of contract content analysis in Iran in 2020. This study was conducted through in-depth and semi-structured interviews with 22 participants, including community health nursing faculty members, health deputies and managers, community health nurses working in health centers, and the care seekers visiting comprehensive health centers. The samples were selected through purposeful sampling. The interviews continued until data saturation. Data analysis was performed simultaneously with data collection. The interviews were recorded, transcribed, and analyzed through Graneheim & Lundman’s content analysis method, and data management was done using MAXQDA software. To achieve data trustworthiness, the criteria presented by Lincoln and Guba were used. Results The obtained data were classified into the two main categories of service provision settings and service provision domains. The category service provision settings covered 7 subcategories including participation in the family physician plan, activities at the centers for vulnerable groups of the community, establishing private community health clinics, leading health promotion programs in the 3rd generation hospitals, activities in comprehensive health centers, follow-ups and home visits, and activities in schools’ health units. Service provision domains consisted of 6 subcategories including participation in health planning, decision-making, and policymaking, research on the health system, health promotion, monitoring and coordination, providing care for the patients with non-communicable diseases and high-risk groups, and eldercare. Conclusions From the participants’ perspective, important services that can be provided by the community health nurse are health promotion, the management of chronic patients and the elderly, follow-ups, and home visits. Therefore, it is recommended that health policy makers pay attention to the service provision areas and the services providable by the community health nurse in their macro-planning, and to provide primary health care in comprehensive health centers using inter-professional care models, integrating the community health nurse into the care team.

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Health Promotion Practices in Nursing for Elderly Persons in Municipal Home Care: An Integrative Literature Review

Cited by 9 publications

References 31 publications

The effect of geriatric comanagement (GC) in geriatric trauma patients treated in a level 1 trauma setting: A comparison of data before and after the implementation of a certified geriatric trauma center

The effect of geriatric comanagement (GC) in geriatric trauma patients treated in a level 1 trauma setting: A comparison of data before and after the implementation of a certified geriatric trauma center

Health Promotion and Disease Prevention in the Elderly: The Perspective of Nursing Students

Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study

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