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Community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Boromarajonani College of Nursing Udon Thani, Udon Thani, Thailand .ORCID iD: 0000-0003-0240-7122
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand .
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. School of Health and Welfare, Halmstad University, Halmstad, Sweden; VID Specialized University, Bergen, Norway .ORCID iD: 0000-0003-0017-5188
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-3307-6779
(English)In: Journal of Holistic Nursing, ISSN 0898-0101, E-ISSN 1552-5724Article in journal (Refereed) In press
Abstract [en]

Purpose: Describe community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand. Method: Data were collected through five focus group interviews with 36 community nurses in northeastern Thailand. Latent content analysis was conducted to analyze the data. Findings: Healthy aging was characterized by the interconnection of older persons, older persons’ family members and the community. Healthy aging was associated with two themes: “being strong” and “being a supporter and feeling supported”. The nurses’ experiences in promoting healthy aging were described by the themes “providing health assessment”, “sharing knowledge” and “having limited resources”. Conclusions: The findings of this study provide a deeper understanding of the meaning of healthy aging from a holistic viewpoint. Community nurses must pay attention to older persons and their surroundings when planning how to promote healthy aging. Person-centredness should be applied in practice to promote healthy aging. The current findings contribute useful information that should help policy makers develop healthy-aging strategies in Thailand.

Keyword [en]
healthy aging; health promotion; holistic care; older people; person-centredness; qualitative research; Thai nurses
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-34558OAI: oai:DiVA.org:mdh-34558DiVA: diva2:1060396
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2016-12-28Bibliographically approved
In thesis
1. Understanding healthy aging in Isan-Thai culture
Open this publication in new window or tab >>Understanding healthy aging in Isan-Thai culture
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The older population in Thailand is growing, and the number of older people who suffer from health problems is increasing as well. The health situation of the older population challenges healthcare providers to care for older people. Healthy aging is key to promoting the health of older people and sustaining their well-being. However, little is known about healthy aging in Thailand, especially in northeastern Thailand, or the Isan region, where the number of older people is increasing. Thus, this thesis aims to understand the factors associated with perceived health and healthy aging and how older people and their relatives in the Isan region conceptualize healthy aging. This thesis also focuses on how community nurses experience the meaning and promotion of healthy aging in this region.

This thesis includes four studies. The first is a quantitative cross-sectional study with 453 participants aged 60 years or older. The second and third studies are qualitative with a phenomenographic approach that is based on lifeworld theory. Participants in the second and third studies include 17 older people and 14 relatives who are responsible for caring for older people, respectively. The fourth study is a qualitative study that involves focus group interviews with 36 community nurses who work with older people in the Isan region.

The findings of the first study show a variance (24.3%) in perceived health and healthy aging based on residential area, marital status and disability status. The meaning of healthy aging, which was derived from the second, third and fourth studies, was divided into three domains: being interconnected; being able to do something good and feeling strong; and thinking beyond the capacity and functions of body and mind. The promotion of healthy aging was described as “providing health assessments”, “sharing knowledge”, and “having limited resources”.

The findings of the first study revealed the key factors that will help healthcare providers promote healthy aging. The findings of the second, third and fourth studies revealed that older people, their children and grandchildren, and community nurses attach different meanings to healthy aging. The finding regarding promotion of healthy aging emphasizes that the person-centredness should be integrated in practice when promoting healthy aging. The results of this thesis will be useful to policymakers, who can apply this enhanced understanding of healthy aging to develop healthcare practices that promote healthy aging.

 

Place, publisher, year, edition, pages
Stockholm: E-Print AB, 2017
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 220
Keyword
cross-sectional study, focus group interviews, healthy aging, lifeworld theory, nursing, person-centred care, phenomenography, relatives, Thai nurses
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-34559 (URN)978-91-7485-307-0 (ISBN)
Public defence
2017-02-17, Filen, Mälardalen university, Eskilstuna Campus, Eskilstuna, 10:00 (English)
Opponent
Supervisors
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2017-01-20Bibliographically approved

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