There is a need to increase older adults’ access and adherence to falls prevention strategies. This study aims to explore older adults’ perceived barriers to participation in a fall prevention strategy. A qualitative descriptive approach was used. Semi-structured interviews were conducted with 18 older adult users of a Day Care Unit from a Private Institution of Social Solidarity in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in September 2019. The interviews were recorded transcribed verbatim and analysed thematically using the method of constant comparisons. The barriers to participation in a fall prevention strategy are healthcare system gaps, social context, economic context, health status, psychological capability, and lack of knowledge to demystify myths and misconceptions about falls. There are different barriers to participate in a fall prevention strategy. It is urgent to eliminate or reduce the effect of these barriers to increase older adults’ participation in fall prevention strategies.
There is an increasing emphasis on developing person-centered care in rehabilitation settings. However, this care practice has not been fully implemented due to several factors. This study explores rehabilitation workforce perspectives on the barriers and facilitators to implementing person-centered care (PCC). This was a quantitative descriptive study, which was developed based on interviews with 12 healthcare professionals from a private institution in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in October 2020. Braun, Clarke, Hayfield, and Terry’s content analysis was applied to the transcripts, and these were transcribed verbatim. The consolidated criteria for reporting qualitative research (COREQ) checklist were applied to this study. Participants described barriers such as an unsupportive organization and leadership, staff constraints, heavy workload, and resistance to change. Unique to this study, a patient’s clinical characteristics were identified as barriers to person-centered care. As facilitators, they described leadership, staff satisfaction, a positive physical environment, training and education, and shared decision-making. It is essential to understand the perceptions of the rehabilitation workforce, as they play an integral role in providing PCC. This study serves as a guide to facilitate person-centered care, as it provides an understanding of key barriers and facilitators for its implementation in rehabilitation settings.
Ageism refers to stereotyping (how we think), prejudice (how we feel), and discrimination (how we act) against people based on their age. It is a serious public health issue that can negatively impact older people’s health and quality of life. The present protocol has several goals: (1) adapt the Ambivalent Ageism Scale for the general Portuguese population and healthcare professionals; (2) assess the factorial invariance of the questionnaire between general population vs. healthcare professionals; (3) evaluate the level of ageism and its predictors in the general population and evaluate the level of ageism and its predictors in healthcare professionals; (4) compare the levels of ageism between groups and the invariance between groups regarding the explanatory model of predictors of ageism. This quantitative, cross-sectional, descriptive, observational study will be developed in partnership with several Healthcare Professional Boards/Associations, National Geriatrics and Gerontology Associations, and the Universities of the Third Age Network Association. The web-based survey will be conducted on a convenience sample recruited via various social media and institutional channels. The survey consists of three questionnaires: (1) Demographic data; (2) Ambivalent Ageism Scale; (3) Palmore-Neri and Cachioni questionnaire. The methodology of this study will include translation, pilot testing, semantic adjustment, exploratory and confirmatory factor analysis, and multigroup analysis of the Ambivalent Ageism Scale. Data will be treated using International Business Machines Corporation (IBM®) Statistical Package for the Social Sciences (SPSS) software and Analysis of Moment Structures (AMOS). Descriptive analysis will be conducted to assess the level of ageism in the study sample. The ageism levels between the two groups will be compared using the t-student test, and two Structural Equation Modeling will be developed to evaluate the predictors of ageism. Assessing ageism is necessary to allow healthcare professionals and policymakers to design and implement strategies to solve or reduce this issue. Findings from this study will generate knowledge relevant to healthcare and medical courses along with anti-ageism education for the Portuguese population.
RESUMOEnquadramento: Assumir a decisão de institucionalizar a pessoa com demência é uma situação que desencadeia stress nos cuidadores informais, verificando-se relatos de sentimentos de perda de controlo, solidão, isolamento, culpabilização e vergonha por não conseguirem manter o papel de cuidadores.É fundamental conhecer quais são as necessidades sentidas pelos cuidadores informais da pessoa com demência em contexto de institucionalização de longo prazo, de modo a poder ser realizada uma intervenção centrada na pessoa, englobando o seu familiar como parte do cuidar.Objetivo: Identificar as necessidades dos cuidadores informais da pessoa com demência em contexto de institucionalização de longo prazo.Método: Revisão Scoping desenvolvida sob as orientações do Joanna Briggs Institute, com recurso a pesquisa no motor de busca EBSCO, nas bases de dados MEDLINE e CINAHL, e na base de dados ScienceDirect, com o friso temporal de 2009 a 2018.Resultados: Foram selecionados seis artigos que envolveram cuidadores de pessoas com demência em contexto de institucionalização de longo prazo. Verificou-se que existem necessidades distintas nas fases pré e pós-institucionalização. A pré-institucionalização relacionada com o processo de tomada de decisão de institucionalizar a pessoa, onde se incluem as necessidades de conhecer previamente a instituição e a existência de uma rede de apoio que suporte a decisão. A pós-institucionalização, diz respeito a todas as necessidades que surgem desde o momento de admissão da pessoa na instituição de cuidados a longo prazo, nomeadamente o acolhimento, o apoio durante as visitas, o estabelecimento de uma parceria com os cuidadores formais, a monitorização da qualidade dos cuidados e as questões financeiras.
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