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Article
Publication date: 19 February 2024

Anas Shehadeh, Sharyn Hunter and Sarah Jeong

This study aims to describe the current conceptualisation of self-management of dementia by family carers in the literature and from the views of dementia professionals and family…

Abstract

Purpose

This study aims to describe the current conceptualisation of self-management of dementia by family carers in the literature and from the views of dementia professionals and family carers, and to establish a more comprehensive concept of self-management of dementia by family carers.

Design/methodology/approach

A hybrid concept analysis included three phases: the theoretical phase reviewed the literature on self-management of dementia by family carers; the fieldwork phase interviewed professionals and family carers; and the analytical phase synthesised and discussed the findings from the previous two phases.

Findings

The findings revealed that self-management of dementia by family carers encompasses four domains: supporting care recipients, self-care, sustaining a positive relationship with care recipients, and personal characteristics and skills.

Originality/value

The findings highlighted the essential elements of the construct of self-management of dementia by family carers. The findings can be used as a conceptual framework of self-management and are useful in designing and evaluating self-management support interventions for family carers.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 25 January 2024

Anya Ahmed, Lorna Chesterton and Matthew J. Ford

The purpose of this paper is twofold: to explore the existing evidence around dementia services and interrogate the overarching UK policy development relating to service inclusion…

Abstract

Purpose

The purpose of this paper is twofold: to explore the existing evidence around dementia services and interrogate the overarching UK policy development relating to service inclusion of black and minoritised groups. The paper will go on to identify the implications for the dementia wellness pathway and make recommendations regarding how services can be more inclusive.

Design/methodology/approach

This paper examines the policy/practice landscape around dementia care provision and observes if lessons can be learnt to improve health outcomes for people living with dementia from black and minoritised communities.

Findings

A review of dementia policy demonstrates how opportunities to improve the awareness, diagnosis and post-diagnostic support for minoritised communities are being missed. The outcomes of this mean that individuals are denied vital treatment and support, which could enhance quality of life and delay the progression of dementia.

Practical implications

The authors’ premise is that not meeting the dementia support needs of less-heard communities has negative financial as well as social and health-related outcomes and has wider resonance and implications for all stages of the dementia wellness pathway. Moreover, there is a legal responsibility for public services to provide culturally sensitive, responsive, appropriate and available care, to all people, without discrimination.

Originality/value

This paper offers a valuable review of policy and practice around dementia care in the UK and makes recommendations to improve health outcomes for people living with dementia from black and minoritised communities.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 25 January 2024

Sarah Waller, Simon Chester Evans, Jennifer Bray and Teresa Atkinson

There is increasing interest in the UK in developing environments that support people who are neurodiverse. This paper aims to report on a project to develop a cognitively…

Abstract

Purpose

There is increasing interest in the UK in developing environments that support people who are neurodiverse. This paper aims to report on a project to develop a cognitively supportive environmental assessment tool to improve the design of health centres, where the majority of National Health Service consultations take place, for all users, including people living with dementia and those who are neurodiverse.

Design/methodology/approach

A three-stage process was used: a literature review; the development of a matrix of key design features for people living with dementia, autism and other neurodiverse conditions; and the development of an environmental assessment tool and guide for users, which included easy-to-read versions to maximise service user involvement.

Findings

The overarching concepts of dementia-friendly design can be adapted to create designs for everyone, including those who are neurodiverse.

Research limitations/implications

There is a paucity of research in environmental design for primary care from the patient’s perspective, and, more generally, further research on design for adults with learning disabilities and autism is needed.

Practical implications

The tools are free to download. With adaptation, they have potential applicability across health and care settings.

Originality/value

This project has confirmed that the principles of dementia-friendly design are applicable, with modifications, to a wider group of neurodiverse people. Critically, each person’s response to sensory stimuli is individual rather than determined by their condition.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 28 August 2024

Isabelle Latham, Dawn Brooker and Kay de Vries

This paper describes a model of “Learning to care” derived from a study exploring how care workers in care homes learn to care for people living with dementia. The “Learning to…

Abstract

Purpose

This paper describes a model of “Learning to care” derived from a study exploring how care workers in care homes learn to care for people living with dementia. The “Learning to care” model is primarily informal in nature in which influences such as formalised training and organisational culture impact care outcomes indirectly rather than directly.

Design/methodology/approach

This study used a focused, critical ethnographic approach in two care homes in England resulting in 63 h of observation of care of people living with advanced dementia, 15 semi-structured interviews and 90 in-situ ethnographic interviews with care staff.

Findings

The findings reveal a three-level model of learning to care. At the level of day-to-day interactions is a mechanism for learning that is wholly informal and follows the maxim “What Works is What Matters”. Workers draw on resources and information within this process derived from their personal experiences, resident influences and care home cultural knowledge. Cultural knowledge is created through a worker’s interactions with colleagues and the training they receive, meaning that these organisational level influences affect care practice only indirectly via the “What Works is What Matters” mechanism.

Originality/value

This study makes an original contribution by explaining the nature of day-to-day informal learning processes as experienced by care workers and those living with dementia in care homes. In particular, it illuminates the specific mechanisms by which organisational culture has an effect on care practice and the limitations of formal training in influencing such practice.

Details

Journal of Workplace Learning, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-5626

Keywords

Abstract

Purpose

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.

Design/methodology/approach

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.

Findings

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.

Originality/value

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.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 10 September 2024

Yunus Emre Ayhan, Muhammet Özmen, Nur Ozturk and Nilay Aksoy

Alzheimer’s disease (AD) is the primary cause of dementia in elderly people and needs extensive professional care. The aim of our study was to assess the level of knowledge among…

Abstract

Purpose

Alzheimer’s disease (AD) is the primary cause of dementia in elderly people and needs extensive professional care. The aim of our study was to assess the level of knowledge among primary health-care providers, primarily Family Physicians (FPs) and community pharmacists (CPs), about AD and its treatment.

Design/methodology/approach

A cross-sectional study using Google Forms sent by email or message to FPs and CPs in Istanbul in June–July 2023. Turkish modified the Alzheimer’s Disease Knowledge Scale (ADKS) and Alzheimer’s Medicines Knowledge Level Questionnaire (AMKLQ) were used in this study.

Findings

A total of 63 FPs with a mean age of 35.3 ± 7.8 and 138 CPs with a mean age of 38.6 ± 12.6 enrolled in the study. There was no statistically significant difference between FPs and CPs in terms of total ADKS score (19.82 ± 2.30 vs 19.23 ± 3.08, p = 0.136), but there was a significant difference in terms of total AMKLQ score (4.31 ± 1.40 vs 3.81 ± 1.49, p = 0.020). Health-care providers with Alzheimer’s training had a higher total AMKLQ score (OR =1.08 CI 95% [1.03–1.14], p = 0.012).

Originality/value

FPs’ knowledge of AD is on par with that of CPs. Nevertheless, it has been observed that FPs have more proficiency in delivering accurate responses to the AMKLQ and ADKS inquiries, which encompass crucial details regarding the treatment of AD. The sole determinant of the highest mean AMKLQ score was found to be professional education. Collectively, these arguments emphasize the need for primary health-care practitioners to obtain comprehensive and ongoing education regarding AD and its treatment.

Details

Quality in Ageing and Older Adults, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1471-7794

Keywords

Content available
Article
Publication date: 16 July 2024

Kuan-Yu Yueh and Wen-Jung Chang

This paper aims to explore the trends in academic research on elder abuse from 1990 to 2023 using bibliometric analysis. It seeks to identify research trends, hotspots and gaps…

Abstract

Purpose

This paper aims to explore the trends in academic research on elder abuse from 1990 to 2023 using bibliometric analysis. It seeks to identify research trends, hotspots and gaps and proposes future research directions.

Design/methodology/approach

Using bibliometric analysis method, this study analyzes 2,404 documents related to elder abuse from the Scopus database. Visual analysis is conducted using VOSviewer software to reveal research trends, thematic clusters and their interrelationships.

Findings

The study shows a rising concern for elder abuse, especially in nursing homes, domestic settings and among dementia patients. However, research on prevention and intervention measures is lacking, despite increasing international collaboration. Yet, deeper exploration of cross-cultural and regional differences remains limited.

Practical implications

This study reveals that improving care conditions for nursing home residents and dementia patients requires increased funding, professional training for caregivers, the strengthening of regulations and the establishment of clear guidelines for reporting abuse. Additionally, promoting international cooperation, sharing best practices, raising public awareness and supporting ongoing research are essential measures to ensure the safety and dignity of older adults.

Originality/value

To the best of the authors’ knowledge, this study represents the first systematic review of elder abuse research using bibliometric analysis, providing researchers and policymakers with a comprehensive knowledge framework of the field’s development trends and research hotspots.

Details

The Journal of Adult Protection, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 29 July 2024

Fangli Hu, Jun Wen and Metin Kozak

This paper aims to cover mental health research related to tourism and hospitality, starting in 1984, and track its development until 2020. Relevant research published between…

Abstract

Purpose

This paper aims to cover mental health research related to tourism and hospitality, starting in 1984, and track its development until 2020. Relevant research published between 2020 and 2023 during the COVID-19 pandemic is also reviewed to determine how this research stream is evolving.

Design/methodology/approach

A detailed search of Scopus and Google Scholar yielded 4,790 mental health studies in tourism and hospitality; 102 were ultimately retained for systematic review. VOSviewer was used to visualize cluster analysis results.

Findings

Research on mental health in the context of tourism and hospitality is limited and can be classified into four themes. The most prominent involves mental health in relation to COVID-19. Thematic differences between studies published before and after the onset of the pandemic are also specified. The findings inform a critical reflection on the conceptual framework linking tourism and mental health, as well as potential research avenues, covering research populations, topics, methods, data sources and outcome measures.

Practical implications

This in-depth analysis of the extant literature provides a foundation for stakeholders to better understand, address and promote mental health in tourism and hospitality. Such insights can steer future research and enlighten industry practitioners, thus contributing to sustainable industry development.

Originality/value

This paper represents a pioneering effort to systematically review mental health studies in tourism and hospitality. It offers a holistic perspective and unique insights, bridging substantial knowledge gaps. This paper is also meant to prompt academics and practitioners to contemplate mental health-related research and practice.

目的

本文系统性地回顾了自1984年以来与旅游和酒店业相关的心理健康研究, 以追踪该领域在2020年之前的研究进展。本研究还审视了在2020年至2023年COVID-19大流行期间发表的相关文章, 以洞察这一研究流派的演变趋势。

设计/方法/途径

通过对Scopus和Google Scholar数据库进行详尽的搜索, 我们发现了4,790篇有关旅游和酒店业的心理健康研究。经过严格筛选, 我们最终保留了102篇文章进行系统性综述。为了更清晰地呈现聚类分析的结果, 我们采用了VOSviewer对相关研究主题进行可视化。

研究结果

目前有关旅游与酒店业心理健康的研究十分有限, 主要分为四个主题。其中, 与COVID-19相关的心理健康研究是最突出的主题。此外, 本文还详细比较了大流行病爆发前后发表的相关研究之间存在的主题差异。我们创造性地提出了连接旅游和心理健康的概念模型, 并对未来研究方向进行了批判性反思, 涉及研究人群、主题、方法、数据来源和测量指标等方面。

实践意义

本文对现有文献的深入分析为关键利益相关者更好地理解、应对和促进旅游和酒店业中的心理健康提供了基础。这些见解可以指导未来的学术研究, 并启示业界从业者, 从而促进行业的可持续发展。

原创性/价值

本文是旅游和酒店业心理健康研究的一项开创性工作。它通过系统的文献回顾提供了全面的视角和独特的见解, 填补了这一领域的重要知识空白。本文还旨在促使学术界和从业者思考与心理健康相关的研究和实践。

Objetivo

Esta revisión sistemática abarca la investigación en salud mental relacionada con el turismo y la hostelería, a partir de 1984, para seguir su evolución hasta 2020. También se revisan las investigaciones pertinentes publicadas entre 2020 y 2023, durante la pandemia de COVID-19, para determinar cómo evoluciona esta corriente de investigación.

Diseño/metodología/enfoque

Una búsqueda detallada en Scopus y Google Scholar arrojó 4.790 estudios sobre salud mental en turismo y hostelería; finalmente se seleccionaron 102 para la revisión sistemática. Se utilizó VOSviewer para visualizar los resultados del análisis de conglomerados.

Resultados

La investigación sobre la salud mental en el contexto del turismo y la hostelería es limitada y puede clasificarse en cuatro temas. El más destacado se refiere a la salud mental en relación con COVID-19. También se especifican las diferencias temáticas entre los estudios publicados antes y después del inicio de la pandemia. Los resultados aportan una reflexión crítica sobre el marco conceptual que vincula turismo y salud mental, así como posibles vías de investigación, que abarcan poblaciones de investigación, temas, métodos, fuentes de datos y medidas de resultados.

Implicaciones prácticas

Este análisis en profundidad de la bibliografía existente sienta las bases para que las partes interesadas comprendan, aborden y promuevan mejor la salud mental en el turismo y la hostelería. Estos conocimientos pueden orientar futuras investigaciones e ilustrar a los profesionales del sector, contribuyendo así al desarrollo sostenible de la industria.

Originalidad/valor

Este artículo representa un esfuerzo pionero por revisar sistemáticamente los estudios sobre salud mental en el turismo y la hostelería. Ofrece una perspectiva holística y una visión única, cubriendo importantes lagunas de conocimiento. Este artículo también pretende incitar a académicos y profesionales a contemplar la investigación y la práctica relacionadas con la salud mental.

Article
Publication date: 10 April 2024

Joyce Shaffer and Freda Gonot-Schoupinsky

The purpose of this paper is to meet Dr Joyce Shaffer, PhD, ABPP, Clinical Associate Professor at the University of Washington.

Abstract

Purpose

The purpose of this paper is to meet Dr Joyce Shaffer, PhD, ABPP, Clinical Associate Professor at the University of Washington.

Design/methodology/approach

This case study is presented in two sections: a positive autoethnography written by Joyce Shaffer, followed by her answers to ten questions.

Findings

In this positive autoethnography, Shaffer shares her life story and reveals numerous mental health and positive aging recommendations and insights for us to reflect on.

Research limitations/implications

This is a personal narrative, albeit from someone who has been a clinical psychologist and active in the field of aging for many decades.

Practical implications

A pragmatic approach to aging is recommended. According to Shaffer, “those of us who can recognize the beat of the historical drummer can harvest the best of it and learn from the rest of it.”

Social implications

Positive aging has strong social implications. Shaffer considers that it is not only about maximizing our own physical, mental, emotional and social health but also about maximizing that of others, to make our world a better place for everyone.

Originality/value

Positive aging can be experienced despite adversity. As Shaffer says, “Adversity used for growth and healed by love is the answer.”

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 24 October 2023

Shaista Noor and Bushra Qureshi

The purpose of this study to highlight the changing living patterns in the Pakistani community from joint family to nuclear family setup which is becoming the main reason for the…

Abstract

Purpose

The purpose of this study to highlight the changing living patterns in the Pakistani community from joint family to nuclear family setup which is becoming the main reason for the loss of days when family members used to be responsible for elderly care. The ageing population in Pakistan are suffering from severe health and care issues. The Pakistani society, which once used to consider the senior citizen as a blessing now started considering them as a forced liability.

Design/methodology/approach

This study adopts the qualitative research strategy and interviews conducted in the local language with five women and men elderly each residing in old folk homes.

Findings

The study revealed that the main reasons behind increasing old folk trends in Pakistan are lack of family support, migration of children, less community awareness, economic issues, loneliness, dementia and invasion of western culture.

Originality/value

This study adopts the qualitative research strategy and interviews conducted in the local language with five women and men elderly each residing in old folk homes. The study revealed that the main reasons behind increasing old folk trends in Pakistan are lack of family support, migration of children, less community awareness, economic issues, loneliness, dementia and invasion of western culture.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

1 – 10 of 118