Sheppard Francine Hebert, Livsey Kae Rivers, Martin J Danielle
Western Carolina University School of Nursing, Asheville, North Carolina, USA.
Int J Older People Nurs. 2025 Sep;20(5):e70043. doi: 10.1111/opn.70043.
This research project explored nurse-led health goal setting activities in residents living in low-income and other residential senior housing communities.
As part of home visit clinical experiences, student nurses met with residents 3+ times to establish health goals, discuss goal progress and identify goal types, goal-achieving rewards and barriers/facilitators to goal attainment.
Themes emerged from identified goals: Getting Around, Maintaining and Regaining Health, Living as an Independent Adult and Relationships and Purpose. Rewards for achieving goals yielded themes: Feel Better About Myself; Sense of Accomplishment; I am in Control and Remain Independent. Barriers and facilitators to meeting goals were identified.
Findings from this study support prior findings of concerns facing older adults as identified by the Age Friendly Health Systems initiative, co-developed by The John A. Hartford Foundation, the Institute for Healthcare Improvement (IHI), the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA).
本研究项目探讨了护士主导的低收入及其他老年住宅社区居民健康目标设定活动。
作为家访临床经验的一部分,实习护士与居民会面3次以上,以确立健康目标、讨论目标进展,并确定目标类型、实现目标的奖励以及实现目标的障碍/促进因素。
从确定的目标中浮现出一些主题:出行、保持和恢复健康、作为独立成年人生活以及人际关系和生活目的。实现目标的奖励产生了一些主题:自我感觉更好;成就感;我能掌控并保持独立。确定了实现目标的障碍和促进因素。
本研究的结果支持了由约翰·A·哈特福德基金会、医疗改进研究所(IHI)、美国医院协会(AHA)和美国天主教医疗协会(CHA)共同发起的“友善健康系统倡议”所确定的老年人面临的相关问题的先前研究结果。