Bjuresäter Kaisa, Bergström Andrén Mattias, Mäki-Torkko Elina, Anderzén-Carlsson Agneta, Carlsson Per-Inge
Institution of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.
Department of Audiology, Central Hospital, Region Värmland, Karlstad, Sweden.
J Multidiscip Healthc. 2024 Oct 9;17:4693-4707. doi: 10.2147/JMDH.S468262. eCollection 2024.
Hearing loss increases with age and due to increased life expectancy there is an increase in the number of individuals living with hearing loss. Older people with hearing loss residing in nursing homes are often dependent on healthcare professionals to help them with their hearing aids.
The aim of the study was to translate and test the psychometric properties of a Swedish version of a Norwegian questionnaire and to assess healthcare professionals' self-reported knowledge, experience, skills, competence, and information needs pertaining to residents' hearing loss and hearing aids in the Swedish context.
A Norwegian questionnaire was translated and adapted, and thereafter distributed to healthcare professionals in nine nursing homes in mid Sweden between 2020 and 2021, and 313 questionnaires were returned.
An exploratory factor analysis demonstrated adequate factorial structure in six factors, satisfying construct validity and internal consistency for the Swedish version. A confirmatory factor analysis showed a satisfactory model fit. Healthcare professionals reported having the skills required for handling hearing aids, but reported lower scores for having received information about hearing aids, taking initiatives to refer residents to hearing healthcare units, and checking for earwax. Registered nurses generally reported lower perceived knowledge and practical skills concerning hearing aids. Seventy-seven percent of the total group reported a need for information regarding hearing aid maintenance.
Healthcare professionals reported that the majority of nursing home residents need help with their hearing aids, but only a minority of these professionals had received education on hearing loss and training in hearing aid maintenance. Enrolled nurses and care assistants demonstrated higher levels of competence in handling hearing aids compared to registered nurses. In order to ensure safe and effective care, as well as facilitate communication among older adults with hearing loss, healthcare professionals need appropriate education and training.
听力损失会随着年龄增长而增加，并且由于预期寿命的提高，听力损失患者的数量也在增加。居住在养老院的老年听力损失患者通常依赖医疗保健专业人员来帮助他们使用助听器。
本研究的目的是翻译并测试一份挪威问卷的瑞典语版本的心理测量特性，并评估医疗保健专业人员在瑞典背景下自我报告的与居民听力损失和助听器相关的知识、经验、技能、能力和信息需求。
对一份挪威问卷进行了翻译和改编，然后在2020年至2021年期间分发给瑞典中部九家养老院的医疗保健专业人员，共返回313份问卷。
探索性因素分析表明六个因素具有足够的因素结构，满足瑞典语版本的结构效度和内部一致性。验证性因素分析显示模型拟合良好。医疗保健专业人员报告具备处理助听器所需的技能，但在接受助听器相关信息、主动将居民转介至听力保健单位以及检查耳垢方面得分较低。注册护士通常报告在助听器方面的感知知识和实践技能较低。总样本中有77%报告需要有关助听器维护的信息。
医疗保健专业人员报告称，大多数养老院居民在使用助听器方面需要帮助，但这些专业人员中只有少数接受过听力损失教育和助听器维护培训。与注册护士相比，在册护士和护理助理在处理助听器方面表现出更高的能力水平。为了确保安全有效的护理，并促进听力损失老年人之间的沟通，医疗保健专业人员需要适当的教育和培训。
