Perspective on advanced directives among older adults in Shanghai: A qualitative study

Zhang, Rongrong; Xu, Yan; Yue-ping, Zhao

doi:10.1016/j.ijnss.2022.12.018

Cited by 2 publications

(2 citation statements)

References 28 publications

(48 reference statements)

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“…Nonetheless, there were topics addressed during the home visits that elicited conflicting experiences among the participants. Most of the older adults were open to discussing topics related to death and advance directives, experiencing similar feelings to the older adults in a study conducted in Shanghai [ 40 ]. However, some of the participants in the study were still reluctant to talk about death, perhaps because awareness of advance directives among older adults is relatively low, partly due to their low educational level [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Promoting the empowerment and emancipation of community-dwelling older adults with chronic multimorbidity through a home visiting programme: a hermeneutical study

Dobarrio-Sanz,

Chica-Pérez,

López-Entrambasaguas

et al. 2024

BMC Nurs

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Introduction Nurse-led preventive home visiting programmes can improve health-related outcomes in community-dwelling older adults, but they have not proven to be cost-effective. Home visiting programmes led by nursing students could be a viable alternative. However, we do not know how community-dwelling older adults with chronic multimorbidity experience home visiting programmes in which nursing students carry out health promotion activities. The aim of the study is to understand how community-dwelling older adults with chronic multimorbidity experience a home visiting programme led by nursing students. Methods A qualitative study based on Gadamer’s hermeneutics. Thirty-one community-dwelling older adults with chronic multimorbidity were interviewed in-depth. Fleming’s method for conducting hermeneutic, Gadamerian-based studies was followed and ATLAS.ti software was used for data analysis. Results Two main themes were generated: (1) ‘The empowering experience of a personalised health-promoting intervention’, and (2) ‘The emancipatory effect of going beyond standardised self-care education’. Conclusions The home visiting programme contributed to the community-dwelling older adults feeling more empowered to engage in health-promoting self-care behaviours. It also improved the older adults’ sense of autonomy and self-efficacy, while reducing their loneliness and addressing some perceived shortcomings of the healthcare system. Clinical relevance Older adults participating in a home visiting programme led by nursing students feel empowered to implement self-care behaviours, which has a positive impact on their perceived health status. Nurse leaders and nursing regulatory bodies could collaborate with nursing faculties to integrate preventive home visiting programmes led by nursing students into the services offered to community-dwelling older adults with chronic multimorbidity.

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Section: Discussionmentioning

confidence: 99%

Promoting the empowerment and emancipation of community-dwelling older adults with chronic multimorbidity through a home visiting programme: a hermeneutical study

Dobarrio-Sanz,

Chica-Pérez,

López-Entrambasaguas

et al. 2024

BMC Nurs

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“…ADs were developed by an American lawyer, Luis Kutner to make a legal statement about one's healthcare, much like about one's wealth and property (8). ADs have dramatically evolved over time, comprising the living will, Durable Power of Attorney, Do Not Resuscitate forms, and Medical Orders for Sustaining Treatment (9,10).…”

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confidence: 99%

Factors affecting advance directives completion among older adults in Korea

Choi,

2024

Front. Public Health

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ObjectiveAdvance directives (ADs) provide an opportunity for patients to enhance the quality of their end-of-life care and prepare for a dignified death by deciding treatment plans. The purpose of this study was to explore the multiple factors that influence the advance directives completion among older adults in South Korea.MethodsThis was a secondary analysis of a cross-sectional study of 9,920 older adults. The differences in ADs based on subjects’ sociodemographic characteristics, health-related characteristics, and attitude toward death were tested using the chi-squared and t-test. A multinomial logistic regression model was used to identify the influencing factor of ADs.ResultsThe number of chronic diseases, number of prescribed medications, depression, insomnia, suicide intention, and hearing, vision, or chewing discomfort were higher in the ADs group compared to the non-ADs group. The influencing factors of the signing of ADs included men sex, higher education level, exercise, death preparation education, lower awareness of dying-well, and experience of fracture.ConclusionInformation dissemination regarding ADs should be promoted and relevant authorities should consider multiple options to improve the physical and psychological health of older adults, as well as their attitude toward death to increase the ADs completion rate.

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Perspective on advanced directives among older adults in Shanghai: A qualitative study

Cited by 2 publications

References 28 publications

Promoting the empowerment and emancipation of community-dwelling older adults with chronic multimorbidity through a home visiting programme: a hermeneutical study

Promoting the empowerment and emancipation of community-dwelling older adults with chronic multimorbidity through a home visiting programme: a hermeneutical study

Factors affecting advance directives completion among older adults in Korea

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