Febrey Samantha, Frost Julia, Hall Abi J, Morley Naomi, Whitney Julie, Johnston Vicky, Wilson Payal, Kilgore Cliff, Goodwin Victoria A
Research Assistant, Faculty of Health and Life Sciences, University of Exeter, England.
Associate Professor in Health Services Research, Faculty of Health and Life Sciences, University of Exeter, England.
Int J Adv Pract. 2024 Oct 2;2(4):191-198. doi: 10.12968/ijap.2023.0048.
Advanced practitioner (AP) roles are becoming increasingly common in primary care and community settings for supporting older people and those living with frailty.
The aim of this study was to explore health and social work AP roles in primary care and community settings in the UK, and understand how they support older people and factors that may impact on APs use of technology in practice.
A cross-sectional, web-based survey was adopted to explore the views and perspectives of APs.
The survey received 111 responses. There were different views as to whether technology was suitable for older people. Although digital exclusion was a concern, it was perceived that this would change in the future as generations become more digitally literate. Respondents suggested that using technology brought about efficiencies and the ability to respond sooner to symptom changes, with some concerns mentioned regarding the accuracy of technology that may miss signs and symptoms.
This is the first national survey to explore advanced practice roles with older people in non-hospital settings. While APs have wide-ranging skills, few currently use technology in their practice. Findings will inform a future study on digitally enhanced comprehensive geriatric assessments.
在初级保健和社区环境中，高级从业者（AP）角色在支持老年人和体弱多病者方面正变得越来越普遍。
本研究旨在探讨英国初级保健和社区环境中健康与社会工作AP角色，并了解他们如何支持老年人以及可能影响AP在实践中使用技术的因素。
采用基于网络的横断面调查来探究AP的观点和看法。
该调查共收到111份回复。对于技术是否适合老年人存在不同观点。尽管数字排斥是一个问题，但人们认为随着各代人数字素养的提高，这种情况在未来将会改变。受访者表示使用技术提高了效率，并能够更快地对症状变化做出反应，但也有人担心技术的准确性可能会遗漏一些体征和症状。
这是首次在非医院环境中探索针对老年人的高级实践角色的全国性调查。虽然AP具备广泛的技能，但目前很少有人在实践中使用技术。研究结果将为未来关于数字化增强综合老年评估的研究提供参考。
