BeatriceJKalisch博士，密西根大学护理学院提图斯杰出教授，已出版10部书籍，发表科研论文超过150篇，在世界各地包括中国、加拿大、澳大利亚等国家做了800多场专题报告，并被美国国家医学科学院（Institute of Medicine）聘为2013～2...BeatriceJKalisch博士，密西根大学护理学院提图斯杰出教授，已出版10部书籍，发表科研论文超过150篇，在世界各地包括中国、加拿大、澳大利亚等国家做了800多场专题报告，并被美国国家医学科学院（Institute of Medicine）聘为2013～2014年护理驻院学者（Scholar-in-Residence）。她在病人安全、护理团队工作、护理缺失、护士形象、联邦基金对护理教育及实践的影响等方面进行了大量研究并取得了丰硕成果。Kalisch博士为本刊撰文，全面介绍了其护理缺失的研究：发现护理缺失的现象，通过质性研究对护理缺失进行概念分析，如何构建研究的理论框架，发展护理缺失的测量工具，医院护理缺失的现状调查，人员结构与护理缺失的关系，护理人员离职、满意度等与护理缺失的关系，患者结局与护理缺失，患者对护理缺失的认知。希望本文能帮助读者关注护理缺失，同时能对如何系统开展科学研究有所裨益。展开更多
Objectives:The integrated model of frailty shifted the physiologically-dominated view to an integrated and multidisciplinary view of frailty and adopted an integrated and holistic approach to the complex challenges fa...Objectives:The integrated model of frailty shifted the physiologically-dominated view to an integrated and multidisciplinary view of frailty and adopted an integrated and holistic approach to the complex challenges facing frail older adults and their caregivers.There is an urgent need for researchers to identify multi-faceted frailty among older adults and to explore contributors to it.We assessed the level of frailty among older residents in long-term care(LTC)facilities in Shanghai,China and explored risk factors of multiple dimensions of frailty among older residents.Methods:It is a cross-sectional descriptive study.We interviewed 218 older residents from nine LTC facilities.We used Tilburg Frailty Indicator to assess older residents’physiological,psychological,and social frailty.The Geriatric Depression Scale,Mini-Mental state examination,Athens Insomnia Scale,and Activity of Daily Living(ADL)Scale were used to assess their depressive symptoms,cognitive function,sleep quality and ADL abilities,respectively.Results:Older residents have a moderate level of frailty in physiological,psychological and social domains.There is a high correlation among dimensions of frailty.Older residents’depressive symptoms have remained positively associated with their overall and each domain of frailty.Older residents’actual activity participation and exercise in LTC facilities are negatively associated with older residents’overall,physiological and social frailty.Conclusions:Frailty is a multi-dimensional concept and is prevalent among older residents in LTC facilities.It is important to take an integrated view on frailty and carry out appropriate and comprehensive interventions to prevent adverse outcomes and provide holistic care for frail older residents in LTC facilities.There is an urgent need to improve the quality and expand the number of activities offered within LTC facilities that would engage older residents in a person-centered way,despite their age,ADL abilities,frailty and functional limitations.展开更多
文摘BeatriceJKalisch博士，密西根大学护理学院提图斯杰出教授，已出版10部书籍，发表科研论文超过150篇，在世界各地包括中国、加拿大、澳大利亚等国家做了800多场专题报告，并被美国国家医学科学院（Institute of Medicine）聘为2013～2014年护理驻院学者（Scholar-in-Residence）。她在病人安全、护理团队工作、护理缺失、护士形象、联邦基金对护理教育及实践的影响等方面进行了大量研究并取得了丰硕成果。Kalisch博士为本刊撰文，全面介绍了其护理缺失的研究：发现护理缺失的现象，通过质性研究对护理缺失进行概念分析，如何构建研究的理论框架，发展护理缺失的测量工具，医院护理缺失的现状调查，人员结构与护理缺失的关系，护理人员离职、满意度等与护理缺失的关系，患者结局与护理缺失，患者对护理缺失的认知。希望本文能帮助读者关注护理缺失，同时能对如何系统开展科学研究有所裨益。
基金This work was supported by the Fudan University Nursing Research Foundation(Fund#FNF201706).
文摘Objectives:The integrated model of frailty shifted the physiologically-dominated view to an integrated and multidisciplinary view of frailty and adopted an integrated and holistic approach to the complex challenges facing frail older adults and their caregivers.There is an urgent need for researchers to identify multi-faceted frailty among older adults and to explore contributors to it.We assessed the level of frailty among older residents in long-term care(LTC)facilities in Shanghai,China and explored risk factors of multiple dimensions of frailty among older residents.Methods:It is a cross-sectional descriptive study.We interviewed 218 older residents from nine LTC facilities.We used Tilburg Frailty Indicator to assess older residents’physiological,psychological,and social frailty.The Geriatric Depression Scale,Mini-Mental state examination,Athens Insomnia Scale,and Activity of Daily Living(ADL)Scale were used to assess their depressive symptoms,cognitive function,sleep quality and ADL abilities,respectively.Results:Older residents have a moderate level of frailty in physiological,psychological and social domains.There is a high correlation among dimensions of frailty.Older residents’depressive symptoms have remained positively associated with their overall and each domain of frailty.Older residents’actual activity participation and exercise in LTC facilities are negatively associated with older residents’overall,physiological and social frailty.Conclusions:Frailty is a multi-dimensional concept and is prevalent among older residents in LTC facilities.It is important to take an integrated view on frailty and carry out appropriate and comprehensive interventions to prevent adverse outcomes and provide holistic care for frail older residents in LTC facilities.There is an urgent need to improve the quality and expand the number of activities offered within LTC facilities that would engage older residents in a person-centered way,despite their age,ADL abilities,frailty and functional limitations.
