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Working with Older People

Table of Contents for Working with Older People. List of articles from the current issue, including Just Accepted (EarlyCite)
Working with Older People
  1. Role of psychological well-being, quality of life and distress tolerance in caregivers of geriatric population: an Indian exploratory study
    This study aims to gain an understanding of how caring for an ageing population affects caregivers’ psychological well-being, quality of life and ability to tolerate distress. This study provides valuable insights into the challenges faced by family caregivers and underscores the critical need for comprehensive support systems. A correlational method and cross-sectional research design was used for the study. For this, a sample of 200 caregivers in the age range of 25–60 years who were taking care of the geriatric population above the age of 70 years for a minimum of one year were chosen. Four questionnaires − Burden Scale for Family Caregivers, Psychological Well-Being Scale, World Health Organization’s Quality of Life Scale-BRIEF version and Distress Tolerance Scale were chosen. Correlation and multivariate regression were calculated using statistical package for social sciences (SPSS) 21 and Jamovi 3.4.1. This study found that there is a negative correlation of caregiver burden with psychological well-being, quality of life and distress tolerance. The sub-domains of self-acceptance, psychological health and tolerance levels were most impacted for the caregivers. Through multivariate regression, it was found that the caregiver burden significantly predicted psychological well-being and quality of life. This study focuses on the English-speaking caregivers which may overlook the diverse linguistic and cultural variations within the broader caregiver community in India and the data collection exclusively targeted family caregivers providing support to geriatric population without chronic illnesses. This restriction could potentially limit the generalizability of the findings to the broader caregiving context. The implications of this research are that for caregivers, this study underscores the importance of tailored support programmes that address the negative impact of caregiver burden on psychological well-being and quality of life. Health-care professionals can use the findings to incorporate mental health assessments and interventions within caregiving contexts, recognizing the interconnected nature of these variables. Policymakers can use the findings to inform policies related to caregiver support and health-care resource allocation. In India, the social norm is that children are expected to take care of their parents when they become old. Taking care of elderly parents can be challenging, even emotionally. As a result, this study will focus on how caregivers’ psychological well-being, quality of life and ability to tolerate distress are affected. Consequently, promoting the creation of community support groups and workplace mental health programmes which could give caregivers a forum to voice their concerns.
  2. Unmet health-care needs among Jordanian Roma with chronic diseases
    This study aims to identify the reasons for unmet health-care needs and related barriers among the Roma population with chronic diseases in Jordan. A descriptive survey with a cross-sectional design was conducted, involving a sample of 347 Jordanian Roma participants. Data collection was performed using a structured questionnaire based on the Canadian Community Health Survey. The analysis revealed that within the three categories of reasons for unmet health-care needs (accessibility, availability and acceptability), “Transportation issues” under the accessibility category constitute the most reported reasons: (mean = 90.4%, SD = 22.6%), followed by “Cost” (mean = 89.0%, SD = 26.2%) and “Care not available in the area” (mean = 85.8%, SD = 23.6%). Predictors of unmet health-care needs were being married, having health insurance and self-perception of mental health (OR = 0.215, p = 0.044), (OR = 0.391, p = 0.008) and (OR = 0.302, p = 0.002) respectively. Unmet health-care needs are highly prevalent among Jordanian Roma, rendering them a vulnerable group susceptible to other diseases. To address this pressing issue, concerted and comprehensive efforts should be made to improve the utilization and accessibility of health-care services within this community. Furthermore, efforts should be made to elevate their social standing and status. facilitate their integration into the broader community.
  3. Jordanian nurses’ competencies in providing community care during disaster: a cross-sectional survey
    The purpose of this paper is to assess the perceived level of Jordanian nurses’ competencies in offering care to the community during a disaster. A correlational descriptive design was used to assess nurses’ competencies in offering care for the community during a disaster. A total of 370 nurses (55 % males) aged 25−55 agreed to participate. The mean score of competencies of nurses who offer care to the community during the disaster was 2.11 (SD = 0.59) points. The results of correlation coefficient tests revealed a significant positive correlation between stated competencies level and nurses’ sex, receiving disaster education and training with rpb (371) = 0.13, p < 0.01; rpb (598) = 0.15, p = 0.004; rpb (598) = 0.21, p < 0.001, respectively. Furthermore, the “care of communities” subscale had a weak positive correlation with the. Nurses play a critical role in disaster response. However, there was a gap in nurses’ competencies for disaster, which shows there is a crucial need to include disaster management courses in the nursing curriculum and update disaster management courses in hospitals based on nurses’ needs to improve their competencies during disasters.
  4. A psychometric study of validation and cross-cultural adaptation of the Holden Communication Scale for elderly with dementia in care homes
    This paper aims to validate and adapt the Arabic version of Holden Communication Scale (HCS) for assessing communication skills among old people with dementia in care home. A study involving 210 elderly residents from Jordanian care homes was conducted, where they completed the Arabic version of the HCS. Internal consistency and factor analysis techniques were precisely used to assess the scale's reliability. Additionally, cognitive function evaluation used the Arabic iteration of the Saint Louis University Mental Status (SLUMS) questionnaire, while communication skills were comprehensively appraised using the HCS. The Arabic HCS has strong content validity, with a one-component structure accounting for 60% of the variation and a three-factor structure accounting for 77.2% of the variance. The original three-subgroup structure of the scale was recreated, and internal consistency varied from 0.85 to 0.87, indicating good reliability. This study aimed to assess the reliability and validity of the Arabic version of the HCS among old people with dementia residing in care homes. The authors conducted examination of its psychometric properties within this unique population.
  5. Association between intrinsic capacity and weak muscle strength in naval medical center older adults
    The purpose of this study was to determine the association between intrinsic capacity (IC) and dynapenia in older adults in outpatient clinics at the Naval Medical Center. The study design was observational, analytical and retrospective. The study from which the collected data came was an observational analytical cohort, whose main objective was to describe the factors associated with frailty in older adults. The population comes from the Peruvian Naval Medical Center. This was a retrospective, observational, analytical study of the factors associated with frailty in older adults from the Naval Medical Center of Peru. Data from 1667 participants was analyzed, 682 of them were female (40.9%) and 985 were male (50.1%); regarding age, most participants had 71–80 years (n = 761, 45.6%). Prevalence of the dynapenia was 34.5% (n = 576), and 80.08% (n = 1335) had an altered IC. In an adjusted model using Poisson regression, a prevalence ratio of 2.76 (95%, CI 2.06–3.70) was found. In conclusion, there is an association between IC and dynapenia in older adults. In Latin America and Peru, there is limited information regarding this topic and tools for the evaluation of IC.

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