Porcel-Gálvez Ana María, Allande-Cussó Regina, Fadden Isotta Mac, Ferentinou Eleni, Zafiropoulou Maria, Lima-Serrano Marta
Department of Nursing, University of Seville, Seville, Spain.
Department of Sociology and Communication, Univesrity of Salamanca, Salamanca, Spain.
Public Health Nurs. 2025 Jan-Feb;42(1):564-578. doi: 10.1111/phn.13453. Epub 2024 Oct 15.
The aging Mediterranean Basin population presents complex challenges for healthcare systems, which require innovative care approaches. The study aimed to critically assess 19 socio-healthcare practices in the Mediterranean Basin that target the elderly population by analyzing their theoretical foundations, integration of care services, ethical considerations, gender-specific approaches, and use of technology.
An integrative literature review was conducted using a structured methodology.
Diverse sources across multiple languages were searched, with the inclusion criteria focusing on the alignment of socio-healthcare practices with the components of the nursing metaparadigm, the incorporation of transversal values, and relevance to the elderly population.
The socio-healthcare practices exhibited common themes, such as person-centered care, interdisciplinary collaboration, and incorporation of technology for coordinated care delivery. Ethical principles of autonomy, dignity, and respect were central, with some socio-healthcare practices addressing gender-specific care needs. Evidence-based findings emphasized holistic care, integration, ethics, and innovation in elderly socio-healthcare.
New eldercare frameworks should integrate these aspects, which offer a comprehensive approach to addressing the complex needs of elderly patients. Managers should design systems prioritizing patient well-being, whereas policymakers should develop equitable and high-quality care policies that collectively improve the well-being of the elderly population in the Mediterranean Basin.
地中海盆地老龄化人口给医疗保健系统带来了复杂挑战,这需要创新的护理方法。本研究旨在通过分析19种针对老年人口的地中海盆地社会医疗保健实践的理论基础、护理服务整合、伦理考量、针对性别方法以及技术应用,对其进行批判性评估。
采用结构化方法进行综合文献综述。
检索了多种语言的不同来源,纳入标准侧重于社会医疗保健实践与护理元范式各组成部分的一致性、横向价值观的纳入以及与老年人口的相关性。
社会医疗保健实践呈现出共同主题,如以患者为中心的护理、跨学科协作以及采用技术进行协调护理服务。自主、尊严和尊重等伦理原则至关重要,一些社会医疗保健实践还关注针对性别的护理需求。基于证据的研究结果强调老年社会医疗保健中的整体护理、整合、伦理和创新。
新的老年护理框架应整合这些方面,为满足老年患者的复杂需求提供全面方法。管理人员应设计优先考虑患者福祉的系统,而政策制定者应制定公平且高质量的护理政策,共同改善地中海盆地老年人口的福祉。