Epps Fayron, Weeks Gretchen, Graham Evan, Luster DeMicha
Georgia State University, Byrdine F. Lewis College of Nursing and Health Professions, Atlanta, Georgia.
Georgia State University, Byrdine F. Lewis College of Nursing and Health Professions, Atlanta, Georgia.
Geriatr Nurs. 2018 Nov;39(6):646-652. doi: 10.1016/j.gerinurse.2018.04.018. Epub 2018 May 24.
A culturally informed community health assessment was conducted to explore the community context of care for older adults in African American urban neighborhoods. The purpose of this study is to explore the challenges to aging in place for African American older adults living with dementia and their family members. Data collection and analysis were conducted as concurrent iterative procedures between photographs, media clippings, semi-structured interviews (N = 24), observation notes, and journaling. Content analysis revealed shame, improper housing, financial constraints, resource inadequacy, transportation concerns, and knowledge deficit as common challenges faced by the older adults and their families to receiving health services to support aging in place within urban neighborhoods. Data from this report are to inform clinicians, community partners, families, and service organizations, to promote uptake of future research and programing to improve outcomes for African American older adults living with dementia and their family members.
进行了一次基于文化的社区健康评估，以探索美国非裔城市社区中老年人的护理社区背景。本研究的目的是探讨患有痴呆症的美国非裔老年人及其家庭成员就地养老所面临的挑战。数据收集和分析是通过照片、剪报、半结构化访谈（N = 24）、观察笔记和日志记录等并行迭代程序进行的。内容分析显示，羞耻感、住房条件差、经济限制、资源不足、交通问题和知识匮乏是老年人及其家庭在城市社区接受健康服务以支持就地养老时面临的常见挑战。本报告的数据旨在为临床医生、社区合作伙伴、家庭和服务组织提供信息，以促进未来研究和项目的开展，改善患有痴呆症的美国非裔老年人及其家庭成员的结局。
