School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Int J Older People Nurs. 2012 Jun;7(2):163-72. doi: 10.1111/j.1748-3743.2012.00312.x. Epub 2012 Feb 13.
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.
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.
The study has a qualitative, descriptive design.
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.
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'.
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.
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.
不断增长的老年人口及其相关的复杂需求和疾病，将成为北欧国家未来面临的更为重要的挑战。
本研究旨在描述和探讨高层管理人员和政治家对未来十年为老年人提供最佳护理的看法和观点。
本研究采用定性、描述性设计。
2009 年，在瑞典、芬兰、丹麦和挪威对 11 名高层管理人员和 8 名政治家进行了访谈。通过显在和潜在内容分析对数据资料进行分析。
未来的护理应主要关注老年人的个体需求和尊严。受访者还建议对未来的护理采取预防的观点。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中具备高级护理能力，并指出领导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，需要有开放的心态来重组未来的护理。潜在的主题是“行动的创造性意愿——但对未来的担忧”。
研究结果揭示了最佳未来护理的多方面情况；老年人将有重大、急性和复杂的需求，但资源将是有限的。在不久的将来，需要在初级卫生保健中为老年人提供高级和专业的医疗和护理。
为了满足需求，护士需要具备明确的高级临床能力。还需要明确需要对老年人的医疗服务进行重组，发展护士管理人员的领导能力，并使工作场所更具吸引力。
