Top-level managers' and politicians' worries about future care for older people with complex and acute illnesses - a Nordic study
Top-level managers' and politicians' worries about future care for older people with complex and acute illnesses - a Nordic study
复制标题
DOI：
10.1111/j.1748-3743.2012.00312.x
复制
发表时间：
2012-06-01
影响因子：
2.2
通讯作者：
Fagerstrom, Lisbeth
中科院分区：
文献类型：
--
作者：
Finnbakk, Elisabeth;Skovdahl, Kirsti;Fagerstrom, Lisbeth
背景不断增长的老龄化人口及其相关的复杂需求和疾病将在未来成为北欧国家面临的一个更加重要的挑战。这项研究的目的是描述和探讨高层管理人员和政治家在未来十年内为老年人提供最佳未来护理方面的看法和观点。本研究采用定性、描述性研究设计。2009年在瑞典、芬兰、丹麦和挪威采访了高层管理人员（n = 11）和政治家（n = 8）。通过显式和潜在内容分析对数据资料进行分析。今后的护理工作应主要侧重于老年人的个人需要和尊严。答复者还建议从预防的角度看待今后的护理。他们预计，老年人的需求将是复杂的，需要在家庭护理和养老院的高级护理能力，并指出领导能力和工作场所形象的重要性。有限的资源和卫生技术的使用将是主要问题，需要开放的思想来重新组织未来的护理。潜在的主题是“一个创造性的行动意愿-但对未来的潜在担忧”。研究结果揭示了未来最佳护理的多方面情景;老年人将有重大，紧迫和复杂的需求，但资源有限。在不久的将来，将需要在初级卫生保健范围内为老年人提供高级和专业水平的医疗和护理。为了满足需求，显然需要先进的临床能力的护士。显然还需要重组老年人的医疗保健服务，培养护士管理人员的领导能力，并使工作场所更具吸引力。
Background. The growing aging population, with its associated complex needs and illnesses, will in the future become an even more important challenge for the Nordic countries.Aim. The aim of the study was to describe and explore the perceptions and views of top-level managers and politicians in regard to an optimal future care for older people during the next decade.Design. The study has a qualitative, descriptive design.Methods. Top-level managers (n = 11) and politicians (n = 8) were interviewed in Sweden, Finland, Denmark and Norway in 2009. The data material was analysed through manifest and latent content analyses.Results. Future care should substantially focus on the individual needs and dignity of older people. The respondents also recommended a preventive perspective on future care. They anticipate that older people's needs will be complex, requiring nursing competence on an advanced level within home care and nursing homes, and point to the importance of leadership abilities and workplace image. Limited resources and the use of health technology will be dominant issues, entailing the need for open-mindedness to reorganise future care. The latent theme expressed was 'A creative willingness to act - but with an underlying worry about the future'.Conclusions. The findings reveal a multifaceted scenario of optimal future care; older people will have significant, acute and complex needs but resources will be limited. In the near future, medical treatment and nursing care for older people at advanced and specialised levels within primary health care will be needed.Implications for practice. To meet demands, a clear need exists for the advanced clinical competence of nurses. There is also a clear need to reorganise health care services for older people, develop the leadership abilities of nurse managers and make workplaces more attractive.