Tuckett Anthony G, Banchoff Ann W, Winter Sandra J, King Abby C
School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, Qld, Australia.
College of Nursing, Yonsei University Health System, Seodaemun-gu, Seoul, Korea.
Int J Older People Nurs. 2018 Mar;13(1). doi: 10.1111/opn.12171. Epub 2017 Sep 21.
This paper presents a review of the literature about the built environment as it impacts the health of older people. It then introduces the gerontological nurse and researcher to the Our Voice framework for engaging older people as citizen scientists in order to empower them as agents of change in improving their local built environment and ultimately advancing community health.
Community-level strategies to promote successful ageing in place are critical both to optimising health outcomes and containing healthcare costs. Such strategies must take into account the influence of the built environment both on individual health behaviours and on overall community health. At the same time, the perspectives and experiences of older people themselves ought to inform policies and practices in a systematic way.
Integrative literature review.
A wide scan of English language articles published in the EMBASE, PubMed and CINAHL bibliographic databases was conducted. Additional articles were sourced by mining relevant reference lists (i.e., snowball sampling). Papers included were published between 2005 and 2016.
Three distinct components emerged from the review: the impact of the built environment on health-in particular the health of older persons; citizen science and its applicability for older people research; and the promise of the Our Voice citizen science framework to activate changes in the built environment that improve older peoples' health.
The ageing of the world's population brings with it an increased population-level risk of chronic disease and disability. We present the Our Voice framework, developed by researchers at Stanford University, as a promising strategy for engaging and empowering older people as citizen scientists, as a framework to apply to gerontological nursing and improving community health.
Gerontology nurses are encouraged to: (i) Recognise the impact of the built environment and other community-level factors on the health of their patients. (ii) Encourage older adults to take an active role in documenting features of their environments that promote or hinder healthy living. (iii) Support policies and programmes that promote healthy environments.
本文对有关建成环境对老年人健康影响的文献进行综述。接着向老年护理人员和研究人员介绍“我们的声音”框架，该框架旨在让老年人成为公民科学家，从而使他们能够成为变革推动者，改善当地的建成环境，并最终促进社区健康。
在社区层面促进成功老化的策略对于优化健康结果和控制医疗成本至关重要。此类策略必须考虑建成环境对个人健康行为以及整个社区健康的影响。与此同时，老年人自身的观点和经历应以系统的方式为政策和实践提供信息。
综合文献综述。
对在EMBASE、PubMed和CINAHL文献数据库中发表的英文文章进行广泛检索。通过挖掘相关参考文献列表（即滚雪球抽样）获取其他文章。纳入的论文发表于2005年至2016年之间。
综述得出三个不同的组成部分：建成环境对健康的影响——尤其是对老年人健康的影响；公民科学及其在老年人研究中的适用性；以及“我们的声音”公民科学框架在促使建成环境发生改善老年人健康的变化方面的前景。
世界人口老龄化带来了人口层面慢性病和残疾风险的增加。我们介绍由斯坦福大学研究人员开发的“我们的声音 ”框架，它是一种让老年人成为公民科学家并赋予其权力的有前景的策略，是一个可应用于老年护理和改善社区健康的框架。
鼓励老年护理人员：（i）认识到建成环境和其他社区层面因素对其患者健康的影响。（ii）鼓励老年人积极记录其环境中促进或阻碍健康生活的特征。（iii）支持促进健康环境的政策和项目。
