Resilience among older adults living at home : Urban-rural difference in a population-based study

Funding Information: The research was funded with grants from the Icelandic Regional Development Institute, the University of Akureyri Research Fund, the Akureyri Hospital Research Fund, and the Icelandic Nurses´ Association Research Fund. None of these hold a specific grant number. Publisher Copyright: © by Società Italiana di Gerontologia e Geriatria (SIGG).Objective. We examined how individual and contextual factors affect resilience in community-dwelling older adults living in urban or rural areas in Northern Iceland. Methods. A cross-sectional study, conducted from 2017–2018, ran-domly sampled community-dwelling older adults (age ≥ 65) stratified by residency (urban/rural), age, and gender. Results. Compared with rural dwellers (n = 75), urban dwellers (n = 105) had more education (p 0.001). Conclusions. We found a significant association between contextual and individual factors and resilience. To enable older adults to live lon-ger in their own homes, health care professionals should pay attention to health literacy and mental health factors that increase resilience.Peer reviewe

„SVO SITUR ÞETTA BARA Í SÁLINNI“ Reynsla ljósmæðra af áhrifum alvarlegra atvika í fæðingu. Fyrri grein.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked DownloadInngangur: Störf heilbrigðisstarfsmanna eru krefjandi og þeim fylgir ekki bara ánægja heldur einnig álag. Niðurstöður rannsókna á áhrifum alvarlegra atvika í fæðingu á heilbrigðisstarfsmenn benda til þess að hátt hlutfall þeirra upplifi sálræna og líkamlega vanlíðan í kjölfarið. Markmið rannsóknarinnar var að kanna hvort alvarleg atvik í fæðingum hafi áhrif á líðan og störf ljósmæðra. Aðferð: Rannsóknarsniðið er eigindlegt og stuðst var við fyrirbærafræðilega nálgun. Úrtakið var tilgangsúrtak þar sem tekin voru djúpviðtöl við fimmtán ljósmæður sem störfuðu á fjórum mismunandi stofnunum á Íslandi en allar höfðu þá sameiginlegu reynslu að hafa lent í alvarlegum atvikum í starfi sínu. Aðferð Colazzi var notuð við gagnagreiningu. Niðurstöður: Niðurstöður rannsóknarinnar sýndu að alvarleg atvik í fæðingu hafa mikil áhrif á líðan ljósmæðra, ekki eingöngu strax eftir atvikin heldur geta þau líka haft langvarandi áhrif. Við greiningu gagna komu í ljós fimm aðalþemu sem lýstu líðan þeirra og því hvað þær töldu vera gagnlegt til þess að bæta líðanina. Tvö þemu eru viðfangsefni þessarar greinar það fyrra nefnist einbeitt meðan á atvikinu stendur en svo hrynur maður en það síðara svo situr þetta bara í sálinni. Ályktun: Þrátt fyrir að lenda í alvarlegum atvikum nefndu margar ljósmæðurnar að samt sem áður hefðu þær á endanum náð að vinna sig í gegnum atvikið og það hefði jafnvel styrkt þær. Lykilhugtök: alvarleg atvik í fæðingu, ljósmæður, áhrif á líðanBackground: Healthcare workers do intense work that provides, not only positive experiences, but also potentially severe stress. Research on the effects of serious incidents during birth on health care workers indicate that a high percentage of them experience psychological and physical symptoms following the incidents. The goals of the study were to explore whether serious incidents during birth affect the well-being and work of midwives. Methods: The research design was qualitative and phenomenological. The sampling method was purposive and an in depth interviews was conducted with fifteen midwives who worked at four different healthcare institutions in Iceland. All had the common experience of having participated in a serious incident at work. Colazzi´s method was used for data analysis. Result: The results showed that serious incidents during birth had great effects on the midwives. Not just right after the incidents, but the effects were also potentially long lasting. Five main themes emerged during analysis. Two of them are the subject of this paper. The first theme was called focused during the incident but then you collapse; the second theme was called then it just sits in the psyche. Conclusions: Despite experiencing serious incidents at work, many of the midwives mentioned that in the end they worked through it and that the incident ultimately even made them stronge