Østensen Elisabeth, Gjevjon Edith Roth, Øderud Tone, Moen Anne
Doctoral Candidate, University of Oslo, Faculty of Medicine, Department of Nursing Science, Oslo, Norway.
Associate Professor, Diakonova University College, Oslo, Norway; Previously Researcher at University of Oslo, Department of Nursing Science, Oslo, Norway.
J Nurs Scholarsh. 2017 Jan;49(1):44-53. doi: 10.1111/jnu.12268. Epub 2016 Nov 21.
To present an emerging innovative care model that supports participation and thriving by older adults in residential care, by introduction to new technology and mobilizing volunteer services.
Qualitative, exploratory study, introducing tablet computers to 15 older adults in two municipalities.
The intervention encompassed weekly workshops over the course of 1 year with volunteer adolescents as personal tutors. Observations of workshops, interviews with nurses, and repeated semistructured interviews with older adult participants eliciting their perspective on use, experiences, perceived usefulness, and overall evaluation of the intervention.
A model of four components is suggested to support participation and thriving by older adults in residential care: (a) simplified tools: iPad-technology relatively easy to use; (b) person-centered process: one-to-one tutoring following each individual's own pace; (c) young volunteers to teach technology, establishing an intergenerational arena; and (d) being mindful of driving forces that encourage use and learning. We found that all kinds of use and all levels of mastery generated a sense of pride that supported thriving and enjoyment.
These findings support the use of new technology and use of volunteer services for sustaining thriving in older adults. The person-centered approach stimulates use of the tablet, and participants showed enjoyment, more social participation, and reported subjective experiences of thriving.
Innovative models of care that prevent (or postpone) functional decline and support thriving in older adults are highly sought after in health care. A model that systematically involves volunteer services comes with potentials to alleviate nurses' workload, and then the intervention is seen as a manageable and low-cost initiative in residential care.
通过引入新技术和动员志愿服务，介绍一种新兴的创新护理模式，以支持老年居民参与护理并实现良好发展。
定性探索性研究，在两个城市向15名老年人引入平板电脑。
干预措施包括在1年的时间里每周举办工作坊，由青少年志愿者担任个人导师。对工作坊进行观察，与护士进行访谈，并对老年参与者进行反复的半结构化访谈，以了解他们对干预措施的使用看法、体验、感知有用性和总体评价。
提出了一个由四个部分组成的模式，以支持老年居民参与护理并实现良好发展：（a）简化工具：相对易于使用的iPad技术；（b）以人为本的过程：按照每个人自己的节奏进行一对一辅导；（c）年轻志愿者教授技术，建立一个代际交流平台；（d）关注鼓励使用和学习的驱动力。我们发现，各种使用方式和各个掌握水平都产生了一种自豪感，这种自豪感支持了良好发展和愉悦感。
这些发现支持使用新技术和志愿服务来维持老年人的良好发展。以人为本的方法促进了平板电脑的使用，参与者表现出愉悦感、更多的社会参与，并报告了良好发展的主观体验。
在医疗保健领域，人们迫切需要创新的护理模式来预防（或延缓）老年人的功能衰退并支持他们实现良好发展。一种系统地纳入志愿服务的模式有可能减轻护士的工作量，因此该干预措施被视为养老院中一项易于管理且低成本的举措。
