Cline Daniel D
Nurs Educ Perspect. 2014 May-Jun;35(3):185-92. doi: 10.5480/12-1053.1.
This analysis sought to define the concept of individualized aging.
The growing older adult population and shortage of health professionals with adequate knowledge of their specialized needs will strain the health care system. The National League for Nursing's Advancing Care Excellence for Seniors (ACES) project has addressed this challenge. The ACES framework identifies three unique concepts integral to delivering high quality care. Clarification of these concepts is needed for educational and research purposes.
Rogers and Knafl's evolutionary method of concept analysis was used.
The analysis identified two antecedents (past experiences and biological aging processes), three attributes (heterogeneity, living with age-related changes and multiple chronic conditions, and risk for complications), and two consequences (complexity of care over time and variability in health outcomes).
Knowledge of the antecedents, attributes, and consequences of individualized aging will allow health care providers to improve the care of older adults.
本分析旨在界定个体化衰老的概念。
老年人口不断增加,且缺乏充分了解老年人特殊需求的卫生专业人员,这将给医疗保健系统带来压力。美国国家护理联盟的老年人优质护理促进项目(ACES)应对了这一挑战。ACES框架确定了提供高质量护理不可或缺的三个独特概念。出于教育和研究目的,需要对这些概念进行阐释。
采用罗杰斯和克纳夫的概念分析演进方法。
该分析确定了两个前因(过去的经历和生物衰老过程)、三个属性(异质性、与年龄相关的变化及多种慢性病并存、并发症风险)以及两个后果(随着时间推移护理的复杂性和健康结果的变异性)。
了解个体化衰老的前因、属性和后果将有助于医疗保健提供者改善对老年人的护理。