Faculty of Health Sciences, Department of Public Health, University of Stavanger, Postbox 8600, Stavanger, 4036, Norway.
Faculty of Health Sciences, Department of Quality and Health Technology, University of Stavanger, Stavanger, Norway.
BMC Med Educ. 2024 Sep 17;24(1):1019. doi: 10.1186/s12909-024-06014-9.
Interprofessional assessment and management of health needs for older adults living at home can help prioritize community service resources and enhance health, yet there is a shortage of professionals with the necessary competencies. Therefore, support and training for healthcare professionals in community settings to assess older adults' health with the aim of for health promotion are needed.
To identify and provide an overview of published papers describing approaches for training healthcare professionals in assessing physical, mental, and social health needs in older adults living at home.
A systematic literature search of the Cinahl, Medline, Academic Search Ultimate, Scopus, Embase, and British Nursing Index databases was performed. We considered studies focusing on the training of healthcare professionals in assessing a single or multiple health needs of older adults aged 65 and above living at home. We considered studies published between 1990 - and March 2024. The review evaluated qualitative, quantitative, and mixed methods studies published in English-language peer-reviewed academic journals. A quality appraisal was conducted via the Mixed Methods Appraisal Tool (MMAT).
Twenty-three studies focused on training healthcare professionals to assess health needs and plan care for older adults living at home were included. The majority of the included studies combined teacher-driven pedagogical approaches consisting of educational sessions, written materials or e-learning, and more participant-engaging pedagogical approaches such as knowledge exchange or various forms of interactive learning. Healthcare professionals were trained to detect and manage single and multiple health needs, and some studies additionally incorporated interprofessional collaboration. Healthcare professionals were satisfied with the training content and it increased their confidence and competencies in health needs assessment and care planning for older adults. Moreover, some studies have reported that training interventions foster the implementation of new and effective ways of working and lead to positive outcomes for older adults.
Healthcare professionals were satisfied with a combination of participant-engaging and teacher-driven pedagogical approaches used to train them in assessing health needs and planning care for older adults living at home. Such training can lead to enhanced assessment skills and facilitate improvements in practice and health promotion for older adults. Future research is recommended on interprofessional simulation training for conducting structured and comprehensive health needs assessments of older adults living at home, as well as on the implementation of such assessments and health-promoting interventions.
跨专业评估和管理居家老年人群的健康需求有助于优先配置社区服务资源并增进健康，但具备相关必要能力的专业人员却十分短缺。因此，需要为社区环境中的医疗保健专业人员提供支持和培训，以评估老年人的健康状况并促进健康。
确定并概述描述培训医疗保健专业人员评估居家老年人群的身体、心理和社会健康需求方法的已发表文献。
对 Cinahl、Medline、Academic Search Ultimate、Scopus、Embase 和 British Nursing Index 数据库进行系统文献检索。我们考虑了专注于培训医疗保健专业人员评估 65 岁及以上居家老年人群单一或多种健康需求的研究。我们考虑了 1990 年至 2024 年 3 月期间发表的研究。该综述评估了以英语发表在同行评议学术期刊上的定性、定量和混合方法研究。使用混合方法评估工具 (MMAT) 进行质量评估。
纳入了 23 项专注于培训医疗保健专业人员评估居家老年人群健康需求和计划护理的研究。大多数纳入的研究结合了教师主导的教学方法（包括教育课程、书面材料或电子学习）和更能让参与者参与的教学方法（如知识交流或各种形式的互动学习）。培训医疗保健专业人员以识别和管理单一和多种健康需求，一些研究还纳入了跨专业合作。医疗保健专业人员对培训内容感到满意，这提高了他们对老年人群健康需求评估和护理计划的信心和能力。此外，一些研究报告称，培训干预措施促进了新的和有效的工作方式的实施，并为老年人群带来了积极的结果。
医疗保健专业人员对用于培训他们评估居家老年人群健康需求和计划护理的参与式和教师主导的教学方法相结合感到满意。这种培训可以提高评估技能，并促进老年人群的实践改进和健康促进。建议开展针对跨专业模拟培训的研究，以对居家老年人群进行结构化和全面的健康需求评估，并开展此类评估和促进健康的干预措施。
