The Impact of a Participatory Care Model on Work Satisfaction of Care Workers and the Functionality, Connectedness, and Mental Health of Community-Dwelling Older People

被引:5
作者
Bernoth, Maree [1 ]
Burmeister, Oliver K. [2 ]
Morrison, Mark [3 ]
Islam, Md Zahidul [2 ]
Onslow, Fiona [4 ]
Cleary, Michelle [5 ]
机构
[1] Charles Sturt Univ, Sch Nursing Midwifery & Indigenous Hlth, Locked Bag 588,Boorooma St, Wagga Wagga, NSW 2678, Australia
[2] Charles Sturt Univ, Sch Comp & Math, Bathurst, NSW, Australia
[3] Charles Sturt Univ, Fac Business, Bathurst, NSW, Australia
[4] Hobart Dist Nursing Serv Inc, Hobart, Tas, Australia
[5] Univ Tasmania, Sch Hlth Sci, Fac Hlth, Sydney, NSW, Australia
关键词
NATIONAL-HEALTH; AGING TRENDS; RISK-FACTORS; ENGLAND; DEPRESSION; TEAMS; FALLS; MANAGEMENT; ADULTS;
D O I
10.3109/01612840.2016.1149260
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This study describes and evaluates an innovative program designed to reduce functional decline among seniors, using a participatory care approach and integrated health teams. The evaluation provides older people and community support workers (CSWs) with the opportunity to share their experiences of being involved with an innovative program to reduce functional decline (mobility, skin integrity, nutrition, mental health, continence) of older, community dwelling adults implemented by a Nursing Service in a major capital city in Australia. As part of the program, CSWs were trained to provide care that aimed to reduce functional decline, and improve the quality of life for the care recipients. Data were collected through in-depth interviews with older people receiving care and a focus group (FG) was conducted with CSWs. Seven themes emerged during data analysis: 1) functionality/independence; 2) prevention; 3) confidence; 4) connection; 5) the approach; 6) care plans; and 7) the role of the CSWs. The relationship built between care giver and receiver and the mutual respect facilitated through adopting a participatory care approach was crucial. This relationship-focused care contributed to improved functionality and consequently quality of life for the older person, and for the CSW professional it contributed to their development, improved satisfaction with their role, and increased pride in the difference they make in the lives of their clients. Opportunities for improvement of the program included ensuring that participants understood the rationale for all aspects of the program, including regular reminders, as well as the use of regular reviews of individual outcomes.
引用
收藏
页码:429 / 435
页数:7
相关论文
共 18 条
[1]   Depression in the elderly [J].
Alexapoulos, GS .
LANCET, 2005, 365 (9475) :1961-1970
[2]   Information Management in Aged Care: Cases of Confidentiality and Elder Abuse [J].
Bernoth, Maree ;
Dietsch, Elaine ;
Burmeister, Oliver Kisalay ;
Schwartz, Michael .
JOURNAL OF BUSINESS ETHICS, 2014, 122 (03) :453-460
[3]   Depression and falls among community dwelling elderly people: a search for common risk factors [J].
Biderman, A ;
Cwikel, J ;
Fried, AV ;
Galinsky, D .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2002, 56 (08) :631-636
[4]  
Byrne G. J., 2010, COMMUNITY MENTAL HLT
[5]   Community psychiatric service in Hong Kong: Moving towards recovery-oriented personalized care [J].
Chui, William W. H. ;
Mui, Jolene H. C. ;
Cheng, Koi Man ;
Cheung, Eric F. C. .
ASIA-PACIFIC PSYCHIATRY, 2012, 4 (03) :155-159
[6]   Risk factors for depression among elderly community subjects: A systematic review and meta-analysis [J].
Cole, MG ;
Dendukuri, N .
AMERICAN JOURNAL OF PSYCHIATRY, 2003, 160 (06) :1147-1156
[7]   The baby boomers are nearly here - but do we have sufficient workforce in old age psychiatry? [J].
Draper, Brian ;
Anderson, Dave .
INTERNATIONAL PSYCHOGERIATRICS, 2010, 22 (06) :947-949
[8]   Mobility Device Use in Older Adults and Incidence of Falls and Worry About Falling: Findings from the 2011-2012 National Health and Aging Trends Study [J].
Gell, Nancy M. ;
Wallace, Robert B. ;
LaCroix, Andrea Z. ;
Mroz, Tracy M. ;
Patel, Kushang V. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2015, 63 (05) :853-859
[9]   What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing [J].
Kitson, Alison ;
Marshall, Amy ;
Bassett, Katherine ;
Zeitz, Kathryn .
JOURNAL OF ADVANCED NURSING, 2013, 69 (01) :4-15
[10]  
Mark L., 2009, Osteopathic Family Physician, V1, P64, DOI DOI 10.1016/J.OSFP.2009.06.006