Volume 15, Issue 4 (Winter 2021)
Salmand: Iranian Journal of Ageing 2021, 15(4): 428-439 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Zendehtalab H R, Vanaki Z, Memarian R. Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran. Salmand: Iranian Journal of Ageing 2021; 15 (4) :428-439
URL: http://salmandj.uswr.ac.ir/article-1-1958-en.html
URL: http://salmandj.uswr.ac.ir/article-1-1958-en.html
1- Department of Nursing, School of Medical Scinces, University of Tarbiyat Modares, Tehran, Iran.
2- Department of Nursing, School of Medical Scinces, University of Tarbiyat Modares, Tehran, Iran. ,vanaki_z@modares.ac.ir
2- Department of Nursing, School of Medical Scinces, University of Tarbiyat Modares, Tehran, Iran. ,
Abstract: (5771 Views)
Objectives: In the geriatric care provided in health centers, the healthy elderly are neglected. This qualitative study aims to improve the quality of geriatric care for the healthy elderly.
Methods & Materials: This community-based participatory study was conducted from 2016 to 2018 with the participation of 11 healthcare providers, 54 older people and 54 family members in Shahid Motahari Comprehensive Health Center in Mashhad, Iran. The mean age of healthcare providers was 32.4±2.7 years with a work experience 8.3 years. The mean age of the elderly was 64.3±3.9 years. Data were collected using the SERVQUAL questionnaire and interviews, focus group discussions, and field note taking. After identifying the problems through interviews with 8 personnel and 19 older people, group discussion sessions were held to design the change programs. After implementing the change programs, 30 interviews were conducted with the participants and comparisons were made before and after the programs. Descriptive statistics was used to analyze the qualitative data, and descriptive statistics and paired t-test were used to analyze the quantitative data.
Results: The mean total score of service quality according to the elderly and their families in the pre-intervention stage was 63.02±9.46 and 61.83±9.05, respectively. These values reached 130.09±14.75 and 122.65±13.56 in the post-intervention stage, and this difference was statistically significant (P=0.001). The presented dynamic care model was able to improve geriatric care for the healthy elderly in the comprehensive health center by modifying the attitude, skills and empowerment of staff.
Conclusion: The dynamic care model can improve the quality of geriatric services for the healthy elderly with features such as active, participatory, continuous, comprehensive and supportive care. It can be used in other health centers.
Methods & Materials: This community-based participatory study was conducted from 2016 to 2018 with the participation of 11 healthcare providers, 54 older people and 54 family members in Shahid Motahari Comprehensive Health Center in Mashhad, Iran. The mean age of healthcare providers was 32.4±2.7 years with a work experience 8.3 years. The mean age of the elderly was 64.3±3.9 years. Data were collected using the SERVQUAL questionnaire and interviews, focus group discussions, and field note taking. After identifying the problems through interviews with 8 personnel and 19 older people, group discussion sessions were held to design the change programs. After implementing the change programs, 30 interviews were conducted with the participants and comparisons were made before and after the programs. Descriptive statistics was used to analyze the qualitative data, and descriptive statistics and paired t-test were used to analyze the quantitative data.
Results: The mean total score of service quality according to the elderly and their families in the pre-intervention stage was 63.02±9.46 and 61.83±9.05, respectively. These values reached 130.09±14.75 and 122.65±13.56 in the post-intervention stage, and this difference was statistically significant (P=0.001). The presented dynamic care model was able to improve geriatric care for the healthy elderly in the comprehensive health center by modifying the attitude, skills and empowerment of staff.
Conclusion: The dynamic care model can improve the quality of geriatric services for the healthy elderly with features such as active, participatory, continuous, comprehensive and supportive care. It can be used in other health centers.
Type of Study: Applicable |
Subject:
gerontology
Received: 2020/01/05 | Accepted: 2018/12/31 | Published: 2021/01/01
Received: 2020/01/05 | Accepted: 2018/12/31 | Published: 2021/01/01
References
1. National document on health promotion, welfare and dignity of Iranian Elderly. Ministry of Health and Medical Education .2011.
2. Booklet Guide to Integrated and Comprehensive Aging Care. Ministry of Health and Medical Education, Office of Family and Population Health, Elderly Health Department.
3. Sibiya MN1, Gwele NS. A model for the integration of primary health-care services in the province of KwaZulu-Natal, South Africa. J Nurs Manag. 2013 Mar;21(2):387-95. [DOI:10.1111/j.1365-2834.2012.01420.x] [PMID]
4. Johnson C S , Duraiswamy M , Desai R , Frank L. Health Service Provider's Perspectives on Healthy Aging in India. Ageing Int (2011) 36:445-462. [DOI:10.1007/s12126-010-9096-6]
5. Alizadeh M, fakhrzadeh H, Sharifi F, Mohamadiazar M, Nazari N. Analytical performance of administrations in charge of ageing program in Iran. ijdld. 2013; 13 (1) :74-81 [Persian].
6. Iasiello M, Bartholomaeus J, Jarden A, van Agteren J. Maximising the Opportunity for Healthy Ageing: Online Mental Health Measurement and Targeted Interventions. Stud Health Technol Inform. 2018; 246:111-123.
7. Moradi S, Fekrazad H, Mousavi M T, Arshi M. The study of relationship between Social Participation and quality of life of old people who are member of senior association of Tehran City in 2011. Salmand. 2013; 7 (4) :41-46 [Persian].
8. Heravi.M. Designing and Validation of the Domestic elder Abuse Assessment Questionnaire. (Thesis P.hD in Nursing).Tarbiat Modares University, Medical Sciences Faculty,2009 [Persian].
9. Fotoukian Z, *Mohammadi Shahboulaghi F, Fallahi Khoshknab M. Analytical on empowerment interventions in older people with chronic disease: A review literature.JHPM, 2013: 2(4):65-76 [Persian].
10. Mohammadi Mehr M, Zamani-Alavijeh F, Hasanzadeh A, Fasihi T. Effect of Healthy Lifestyle Educational Programs on Happiness and Life Satisfaction in the Elderly: A Randomized Controlled Trial Study. Salmand: Iranian Journal of Ageing. 2019; 13 (4) :440-451[Persian]. [DOI:10.32598/SIJA.13.4.440]
11. Kazemi N, Sajjadi H, Bahrami G. Quality of Life in Iranian Elderly. Salmand: Iranian Journal of Ageing. 2019; 13 (5) :518-533 [Persian]. [DOI:10.32598/SIJA.13.Special-Issue.518]
12. Hazavehei MM,Faghih Soltani P,Moeini B, Soltanian AR.Evaluation of the Educational Nutrition Intervention's Effect on Healthy Nutritional Behaviors Promotion in Elderly of Sanandaj:Application BASNEF Model.J Neyshabur Univ Med Sci. 2017;5(1):39-51 [Persian].
13. Darvishpoor Kakhki A, Abed Saeedi J, Delavar A, Saeed-O-Zakerin M. Autonomy in the Elderly: A Phenomenological Study. Hakim Research Journal 2010; 12(4): 1- 10 [Persian].
14. Alaviani M, Khosravan S, Alami A, Moshki M. The Effect of a Multi-Strategy Program on Developing Social Behaviors Based on Pender's Health Promotion Model to Prevent Loneliness of Old Women Referred to Gonabad Urban Health Centers. Int J Community Based Nurs Midwifery. 2015 Apr; 3(2):132-40 [Persian].
15. Sahaf R,et.al. Validity and Reliability of CHAMPS Physical Activity Questionnaire for Older People Living in Tehran.Salmand, 2014;9(3):206-217 [Persian].
16. Mesbahi M, Abaszadeh A. Empowerment of staff of kerman university of medical sciences, Iran. .Journal of quality research in health sciences.2013; 1(4): 321-31.
17. Motaghed Z, Davoudi Monfared E, Mohazab Turabi S, Nemati I, Mousavi A, Eshraghi R, et al . Assessment of Quality of Services in Health Centers from the perspective of Clients by SERVQUAL Method. hrjbaq. 2017; 2 (1):49-55 [Persian]. [DOI:10.18869/acadpub.hrjbaq.2.1.49]
18. Heidarnia M, , Riazi-Isfahani S, Abadi A, Mohseni M. Cross cultural adaptation and assessing validity and reliability of SERVQUAL questionnaire in hospital service quality. Research in Medicine. 2014; 38 (2) :98-105.
19. Venkatapuram S, Ehni HJ, Saxena A. Equity and healthy ageing Perspectives. Bulletin of the World Health Organization. 2017; 95:791-92. [DOI:10.2471/BLT.16.187609] [PMID] [PMCID]
20. Yasobant S.J. Comprehensive public health action for our aging world: the quintessence of public health policy.Int Med Res. 2018 Feb; 46(2):555-56. [DOI:10.1177/0300060517718452] [PMID] [PMCID]
21. Sowa A, Tobiasz-Adamczyk B, Topór-Mądry R, Poscia A, la Milia DI. Predictors of healthy ageing: public health policy targets. BMC Health Serv Res. 2016;16(5):441-479. [DOI:10.1186/s12913-016-1520-5] [PMID] [PMCID]
22. A strategy for active, healthy ageing and old age care in the Eastern Mediterranean Region.2006-2015.World Health Organization. Regional Office for the Eastern Mediterranean. Cairo.2006.
23. Capezuti E, Boltz M, Cline D, Vaughn Dickson V, Rosenberg MC, Wagner L, et al. Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment. J Clin Nurs. 2012 Nov; 21(21-22): 3117-3125 [DOI:10.1111/j.1365-2702.2012.04259.x] [PMID] [PMCID]
24. Lopez M, Delmore B, Ake J, Kim Y, Golden P, Bier J, et al. Implementing a Geriatric Resource Nurse Model. JONA. 2002; 32(11): 577-85. [DOI:10.1097/00005110-200211000-00005] [PMID]
25. https://www.hospitalelderlifeprogram.org/about/
26. Song M, Kong EH. Older adults' definitions of health: A metasynthesis. Int J Nurs Stud. 2015 Jun;52(6):1097-106. [DOI:10.1016/j.ijnurstu.2015.02.001] [PMID]
27. Asadi Noghabi A, Alhani F, Peyrovi H. The Concept of Health in Elderly People: A Literature Review. IJN. 2012; 25 (78) :62-71 [Persian].
28. Richardson A, Potter J, Paterson M, Harding T, Tyler-Merrick G, Kirk R. et al. Office design and health: a systematic review. N Z Med J. 2017; 130 (1467):39-49.
29. Safi MH, Fereydounfar AA, Arshi SH. Quality of Primary Health Services in the Clinics of Shomal Health Center of Tehran. Community Health 2014; 1(1):54-61 [Persian].
30. Jafari A, Mohammadpur F, Alam Tabriz A, Khadivi R. Effective strategies for empowerment of experts staff in health deputy of Shahrekord University of Medical Sciences, Iran, 2005. J Shahrekord Univ Med Sci. 2008; 10 (2) :66-71 [Persian].
31. Tarrahi M J, Hamouzadeh P, Bijanvand M, Lashgarara B. The quality of health care services provided in health care centers of Khorramabad using SERVQUAL model in 2010. yafte. 2012; 14 (1) :13-21 [Persian].
32. Nasiripour A, Tabibi S, Habibi M. Relationships between Welfare Facilities and Staff's Sense of Responsibility in Noor District Health Centers. j.health. 2012; 3 (3) :28-37 [Persian].
33. Beikzad J, Hoseinpour A, Hejazi Bavil M. A Survey on the Relationship between Responsibility and Job Satisfaction of Nurses working in Teaching Hospitals Affiliated with Tabriz University of Medical Sciences. jhosp. 2014; 13 (1) :53-60 [Persian].
34. Skår R. The meaning of autonomy in nursing practice. J Clin Nurs. 2010 Aug;19(15-16):2226-34 [DOI:10.1111/j.1365-2702.2010.03350.x] [PMID]
35. Oshodi TO, Bruneau B, Crockett R, Kinchington F, Nayar S, West E. Registered nurses' perceptions and experiences of autonomy: a descriptive phenomenological study.BMC Nurs. 2019; 18:51. [DOI:10.1186/s12912-019-0378-3] [PMID] [PMCID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
