Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Int J Older People Nurs. 2022 Sep;17(5):e12464. doi: 10.1111/opn.12464. Epub 2022 Apr 10.
Mobility challenges may indicate functional decline and are a relevant problem faced by older people. An individual's perception of mobility is affected and moderated by several factors and varies significantly from one community to another. Providing an improved understanding of how older people perceive and experience mobility is a step towards better preparing nurses for roles they are increasingly expected to play.
The purpose of the study was to investigate perceptions and experiences of mobility in a group of Brazilian community-dwelling older people living with mobility challenges.
Data were generated between June and October 2018 through in-depth interviews, socio-demographic surveys and field notes. Purposive sampling strategies were used to recruit 23 Brazilian older people to participate in this focused ethnographic study. Data were analysed using qualitative content analysis.
Perceptions of Brazilian community-dwelling older people living with mobility challenges were culturally learned and influenced by the social, physical and health environments. Participants' previous experiences with mobility had significant implications on values they attributed to mobility challenges. In addition, older people's experiences with mobility challenges were an integral part of sense of self and strongly related to contextual factors.
This study contributes new information to the field of inquiry on mobility of older people as it focuses on the perceptions of a specific age group and culture and attends to the interrelationships between health conditions and contextual factors affecting the mobility of older people.
This study's particular contributions to the nursing discipline are related to improving care by revealing the significance of the context of mobility in which nursing actions are applied.
行动障碍可能表明功能下降，是老年人面临的一个相关问题。个人对行动的感知受到多种因素的影响和调节，并且在不同社区之间差异很大。更好地了解老年人如何感知和体验行动，是为护士在他们越来越被期望扮演的角色做好更好准备的一步。
本研究的目的是调查一群巴西社区居住的、有行动障碍的老年人对行动的看法和体验。
2018 年 6 月至 10 月期间，通过深入访谈、社会人口学调查和实地笔记收集数据。采用目的性抽样策略招募了 23 名巴西老年人参与这项聚焦民族志研究。使用定性内容分析对数据进行分析。
有行动障碍的巴西社区居住的老年人对行动的看法是文化习得的，并受社会、物理和健康环境的影响。参与者之前的行动经验对他们赋予行动障碍的价值观有重大影响。此外，老年人对行动障碍的体验是自我意识的一个组成部分，与背景因素密切相关。
本研究对老年人行动领域的研究做出了新的贡献，因为它侧重于特定年龄组和文化的看法，并关注影响老年人行动的健康状况和背景因素之间的相互关系。
本研究对护理学科的特殊贡献在于通过揭示护理行动应用的行动背景的重要性，来改善护理。
