The hospital is an environment which accomodates the elderly persons and in which these last have to make trainings at one time when they are not in full possession with all their physical, psychological and cognitive capacities. They can then live there humiliating situations which generate feelings of discomfort, embarrassment and shame. The presence of interveners not very warm, lacking compassion lack and impressed negative prejudices towards the elderly patients, is another factor which is added to lead them not to feel at ease, involving, inter alia, consequences a fall of their self-esteem. However the affective touch is a strategy which would have the potential to act on the personal value of the elderly patients and to thus improve their self-esteem. It is with a view to popularize the use of the affective touch in practice nurse that a study was carried out in order to check its effects on the self-esteem of the elderly patients. The results confirm that the emotional touch influences positively the self-esteem of the elderly patients. The authors of the study thus recommend the systematization of the affective touch in nursing practice.
To describe the association between specific nursing interventions performed in the context of nurse case management and older people's quality of life and functional ability.
Nurse case management through a university hospital and two community health centers.
One hundred seventy-five community-dwelling frail older persons (> or =70 and at risk for repeated hospitalizations).
Specific groups of nursing interventions provided in the context of nurse case management over a 10-month period--coping assistance, lifespan care, risk management, and physical comfort promotion--were focused on. These interventions were recorded using a standardized nursing language. Outcomes were measured using telephone and home interview and medical record review using the 36-item Short Form and the Older American Resources and Services Multidimensional Functional Assessment Questionnaire.
Older people receiving coping assistance interventions demonstrated an increase in instrumental activity of daily living functioning although they had lower general health, role-emotional, and mental health scores.
Coping assistance is one nursing intervention of several provided in the context of nurse case management that is independently associated with improving the functional status of frail older persons even in the presence of declining health normally associated with aging over several months. Examining the relationships between specific nursing activities and health outcomes of frail older persons may be useful in furthering understanding of the results of randomized trials of nurse case management in this population.
This study is part of main investigation entitled 'The Efficiency of Care. The Importance of Work Environment and Climate', the purpose of which is an examination of the relationships between culture, climate and experiences of care providers and patients in different settings. The purpose of the present study was to investigate the perception care personnel had of themselves as reported on the Nurse Self-Description Form (NSFD). Olsson and Gullberg have added two items to the original 19-item form in the Swedish version. The research was conducted in all six wards of a geriatric hospital in Sweden, and the sample consisted of 67 head nurses, registered nurses, practical nurses and nursing assistants. It was assumed that a similar structure of factor dimensions would appear as in previous studies with the NSFD. The resulting three-factor Varimax solution explained 63% of the variation. A different factor content emerged, however, which required factor names to be provisionally renamed Intuitive-Resourceful Nurse, Ambitious-Knowledgeable Nurse, and Reliable-Considerate Nurse.
The first article in this series (Vol 11(11): 759-63) described the development of the ACTION project, an information technology-based initiative designed to enhance the quality of life for family carers and older people, and the second article (Vol 11(12): 827-31) considered how the usability of the ACTION system as a whole was evaluated. This, the third article, presents a case study which describes in more detail the impact of the ACTION project on the lives of both a family carer (Rolf) and his wife (Kerstin), and on the technical worker (Thomas) who helped Rolf and Kerstin to learn to use the ACTION system. The impact of the intervention is assessed using two broad sets of criteria: (1) those relating to the PREP (Preparedness, Enrichment, Predictability) model of nursing interventions, and (2) those relating to the wider implications of participation in a research and development project of this nature.