Abstract:
AIM:The aim of this study was to explore the experience of loneliness among frail older people living at home. BACKGROUND:Loneliness is a threat to the physical and psychological well-being with serious consequences if left unattended. There are associations between frailty and poor psychological well-being, implying that frail older people who experience loneliness are vulnerable. DESIGN:Qualitative content analysis, focusing on both latent and manifest content. METHOD:Frail older people (65+ years), living at home and who have experienced various levels in intensity of loneliness, were purposively selected from a larger interventional study (N = 12). For this study, 'frail' means being dependent in activities of daily life and having repeated contacts with healthcare services. Data were collected between December 2009-August 2011. Semi-structured interviews were performed, audio recorded and transcribed verbatim. FINDINGS:The analysis resulted in the overall theme 'Being in a Bubble', which illustrates an experience of living in an ongoing world, but excluded because of the participants' social surroundings and the impossibility to regain losses. The theme 'Barriers' was interpreted as facing physical, psychological and social barriers for overcoming loneliness. The theme 'Hopelessness' reveals the experience when not succeeding in overcoming these barriers, including seeing loneliness as a constant state. A positive co-existing dimension of loneliness, offering independence, was reflected in the theme 'Freedom'. CONCLUSION:The findings suggest that future strategies for intervening should target the frail older persons' individual barriers and promoting the positive co-existing dimension of loneliness. When caring, a person centred approach, encompassing knowledge regarding physical and psychological aspects, including loneliness, is recommended.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Taube E,Jakobsson U,Midlöv P,Kristensson Jdoi
10.1111/jan.12853subject
Has Abstractpub_date
2016-03-01 00:00:00pages
631-40issue
3eissn
0309-2402issn
1365-2648journal_volume
72pub_type
杂志文章abstract::The extensive literature in the field of competence and performance is reviewed in this paper, which argues that there is much confusion between these different constructs. It concludes that since nurse pre-registration education is concerned with producing nurses who consistently provide care of a high quality, great...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb02391.x
更新日期:1994-09-01 00:00:00
abstract:AIMS:To understand how women with Parkinson's disease (PD) experience and cope with menstruation and associated gynaecological problems, and adjustments to womanhood. This paper focuses on menstruation. RATIONALE:Unique hormonal fluctuations are known to affect women with idiopathic PD, however, our understanding of t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02408.x
更新日期:2002-12-01 00:00:00
abstract:AIMS:The aims of this review were to: (a) determine the clinical presentation; and (b) outcomes of adult hospitalized patients with COVID-19 to provide practicing nurses with a cogent and concise clinical impression of COVID-19 patients. DESIGN:We conducted a systematic review of early published, peer-reviewed, origin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14558
更新日期:2020-12-01 00:00:00
abstract:AIMS:To examine the relationships between perceived ethical leadership, perceived interactional justice climate, and patient-oriented organizational citizenship behaviour. DESIGN:A cross-sectional non-experimental design was employed. METHODS:The convenience sampling was adopted. Data were collected in July and Augus...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14366
更新日期:2020-07-01 00:00:00
abstract:AIM:This paper is a report of a study to describe how treatment fidelity is being enhanced and monitored, using a model from the National Institutes of Health Behavior Change Consortium. BACKGROUND:The objective of treatment fidelity is to minimize errors in interpreting research trial outcomes, and to ascribe those o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2648.2007.04386.x
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:With the emerging focus on home-based care, there is an increasing demand on spouses to look after their chronically ill partners at home. The theoretical aspects of caring have been much discussed in the literature, but the pragmatic aspects have received less attention. Carer stress has been explored, but ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03126.x
更新日期:2004-09-01 00:00:00
abstract:AIM:To examine how a major Clostridium difficile outbreak in the UK was represented in the media. BACKGROUND:Clostridium difficile is a serious health care-associated infection with significant global prevalence. As major outbreaks have continued to occur worldwide over the last few decades, it has also resulted in in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12305
更新日期:2014-07-01 00:00:00
abstract:AIM:To critically review the literature related to situation awareness and clinical decision-making by nurses. BACKGROUND:International recognition that situation awareness positively contributes to clinical decision-making has led to a growing body of healthcare literature. To date, research has predominately focused...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2012.05989.x
更新日期:2012-07-01 00:00:00
abstract::A prospective study designed for 336 hospitalized patients with stroke and their families, who were followed from the discharge day to the third month after being discharged, was carried out in order to compare the costs and effectiveness of home care with the community-based nursing homes for stroke patients with dif...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.00410.x
更新日期:1997-11-01 00:00:00
abstract:AIM:To determine the association between time to first analgesic medication and emergency department length of stay (ED LOS). DESIGN:Retrospective cohort study. METHOD:We conducted this study in a large, inner-city emergency department and included adult patients who presented with pain as a symptom and received anal...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14216
更新日期:2020-01-01 00:00:00
abstract:AIM:This study investigates the effect of a participatory organizational intervention on social capital and organizational readiness for change. DESIGN:Cluster randomized controlled trial. METHODS:In 2016, 27 departments from five hospitals in Denmark were randomly allocated at the department level to 1 year of parti...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14441
更新日期:2020-10-01 00:00:00
abstract:AIMS:The aim of this study is to: (a) develop an evidence-based multidisciplinary educational intervention for patients with a venous leg ulcer; and (b) conduct a pilot study to assess the feasibility of the intervention in the clinical setting. DESIGN:A two-stage study design was used: (a) an multidisciplinary expert...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14502
更新日期:2020-10-01 00:00:00
abstract:TITLE:Women's experiences with vaginal pessary use. AIM:This paper is a report of a study of the lived experiences of women using vaginal pessaries for the treatment of urinary incontinence (UI) and/or pelvic organ prolapse. BACKGROUND:The use of a vaginal pessary offers a non-surgical treatment option to provide phy...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05095.x
更新日期:2009-11-01 00:00:00
abstract:AIM:This paper reports a study to measure quality of life, before and after revascularization, in patients with intermittent claudication and critical limb ischaemia from a long-term perspective. BACKGROUND:Patients with peripheral arterial occlusive disease have a number of problems which affect their quality of life...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2005.03499.x
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:Two decades after the emergence of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), the infection remains enigmatic and shameful. In Sweden, many HIV-infected persons still encounter attitudes of avoidance. AIMS:The aims were to investigate differences between attitudes of nurs...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02553.x
更新日期:2003-03-01 00:00:00
abstract:AIM:To examine and compare the personal concerns of family members providing care for people with Huntington disease in the United Kingdom and the United States. BACKGROUND:Family carers of people with Huntington disease may feel burdened by caregiving responsibilities and concerned about illness risk for relatives. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05727.x
更新日期:2012-01-01 00:00:00
abstract:AIMS:To examine the experiences of health transitions for young people with intellectual disabilities and their carers and identify the implications for nursing practice. DESIGN:A systematic review and critical appraisal of qualitative, quantitative, and mixed methods studies. DATA SOURCES:A search of the relevant li...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.13985
更新日期:2019-11-01 00:00:00
abstract:AIM:To investigate persons with dementia and their informal caregivers' views of inter-sectoral information, communication and collaboration throughout the trajectory of dementia care, in eight European countries. BACKGROUND:Living with dementia and being next of kin to a person with dementia means having to live thro...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12581
更新日期:2015-06-01 00:00:00
abstract:AIM:To understand the individualization process of the standardized care plan (SCP) that nurses design for hospitalized patients. BACKGROUND:To apply the nursing process, it is advisable to use SCP to standardize the diagnosis, planning and evaluation stages. However, the fundamental element of this methodology is the...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.13823
更新日期:2019-01-01 00:00:00
abstract::Privacy during hospitalization can be jeopardized as caring situations are often intimate. The aims of the current study were to explore patients' and nurses' attitudes towards privacy and to study whether nurses' perceptions of patients' privacy needs corresponded with the patients' own reported needs. Two questionna...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.t01-1-00576.x
更新日期:1998-05-01 00:00:00
abstract::Clinical and policy developments in health care have recently created demand for a professional response in terms of the development of advanced roles for nurses, notably 'nurse practitioner' roles. Such roles demand the exercise of autonomy, a term which eludes succinct definition despite the fact that the preparatio...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.00948.x
更新日期:1999-03-01 00:00:00
abstract::Patient assessment underpins every aspect of nursing care. However, there is much evidence to suggest that many nurses lack the skills necessary to communicate effectively with their patients, and so assess their individual problems and concerns. Communication studies to date have been descriptive, or have concentrate...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.1996.tb02668.x
更新日期:1996-02-01 00:00:00
abstract::Because of trends in the health care environment, hospitals are restructuring to innovative patient care delivery systems. The Case Management Model, with its emphasis on quality patient care and cost containment, is gaining widespread recognition throughout Canada and the United States. In this paper, the Case Manage...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01834.x
更新日期:1992-10-01 00:00:00
abstract::This study describes the meaning of pain and its implications for everyday life in 35 persons with symptoms of post-polio syndrome. The mean age of the study group is 65 years and the sex ratio of men to women is 1.5:1. The study persons were interviewed on two occasions in their homes and answered a pain questionnair...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00695.x
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Cystic fibrosis (CF) is the most common inherited disease of childhood. Caring for a child with CF is stressful and this has implications for the main carer, the parental relationship, well siblings, family functioning as well as the affected child. AIM:This study aimed to explore current stresses and copin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02299.x
更新日期:2002-08-01 00:00:00
abstract:AIM:To report on a study examining policy development for advanced practice nursing from intent of policy to realization in practice. BACKGROUND:Inclusion of advanced practice nursing roles in the healthcare workforce is a worldwide trend. Optimal advanced nursing practice requires supportive policies. Little is known...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12915
更新日期:2016-06-01 00:00:00
abstract:AIM:This paper is a report of a study to validate the Discomfort Scale - Dementia of Alzheimer Type in Italian. BACKGROUND:Dementia is a long and highly debilitating illness with a slow course and a steadily rising prevalence. Improving the quality of life of patients with dementia requires instruments to measure thei...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04810.x
更新日期:2008-11-01 00:00:00
abstract:AIM:To illuminate the meaning of offering care and a place to live to people with Alzheimer's disease in a special care unit. RATIONALE:There is a need to gain a deeper understanding about so called 'homelike' care settings, and about how to promote experiences of being at home in residents with Alzheimer's disease. T...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02145.x
更新日期:2002-04-01 00:00:00
abstract:AIM:This paper reports a study of women's responses to abortion over an extended time. BACKGROUND:Most studies of postabortion responses do not portray what women experience over an extended time period, since many only use a 24 month follow-up period. Results from previous studies indicate that women have thoughts ab...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03871.x
更新日期:2006-06-01 00:00:00
abstract:AIM:This paper is a report of the item selection process and evaluation of the content validity of the Critical-Care Pain Observation Tool for non-verbal critically ill adults. BACKGROUND:Critically ill patients experience moderate to severe pain in the intensive care unit. While critical care clinicians strive to obt...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2008.04847.x
更新日期:2009-01-01 00:00:00