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Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study

AIMS: To explore reasons, thoughts, motives, and influencing factors regarding the use or non‐use of Personal Safety Alerting Devices (PSADs) in the daily lives of community‐dwelling older persons. DESIGN: A qualitative descriptive study design was used. METHODS: Six focus groups were conducted with...

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Autores principales: Thilo, Friederike J. S., Schols, Jos M. G. A., Halfens, Ruud J. G., Linhart, Monika, Hahn, Sabine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756415/
https://www.ncbi.nlm.nih.gov/pubmed/33048381
http://dx.doi.org/10.1111/jan.14566
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author Thilo, Friederike J. S.
Schols, Jos M. G. A.
Halfens, Ruud J. G.
Linhart, Monika
Hahn, Sabine
author_facet Thilo, Friederike J. S.
Schols, Jos M. G. A.
Halfens, Ruud J. G.
Linhart, Monika
Hahn, Sabine
author_sort Thilo, Friederike J. S.
collection PubMed
description AIMS: To explore reasons, thoughts, motives, and influencing factors regarding the use or non‐use of Personal Safety Alerting Devices (PSADs) in the daily lives of community‐dwelling older persons. DESIGN: A qualitative descriptive study design was used. METHODS: Six focus groups were conducted with a total of 32 older persons between February–August 2016. Data analysis followed the Qualitative Analysis Guide of Leuven. RESULTS: The participants described the use or non‐use of PSADs as a decision resulting from a “legitimation process”. This process implies that a person needs to perceive the necessity for a PSAD and then determine the right moment at which to start using it. During this process, each person weighs her or his “ageing self” and “perception of technology” then decides whether to start using a device or to delay its use. “Critical events” initiate this process, compelling the person to consider their own safety and their possible need for assistance. CONCLUSION: The legitimation process suggests that the initiation of PSAD use represents a turning point in life. Using a PSAD is not simply a matter of obtaining one. It is a complex decision‐making process establishing legitimation for its use, which is interwoven with one's individual ageing, self‐perception, and the meaning attributed to the device. IMPACT: Older persons need to be supported; in particular, they require time to go through the legitimation process for PSAD use. Nurses can empower them in this process, such that they perceive using a PSAD as a means to restore their frailty balance and feel enabled to (re)gain control over their own life and thus to preserve their independence.
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spelling pubmed-77564152020-12-28 Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study Thilo, Friederike J. S. Schols, Jos M. G. A. Halfens, Ruud J. G. Linhart, Monika Hahn, Sabine J Adv Nurs Research Papers AIMS: To explore reasons, thoughts, motives, and influencing factors regarding the use or non‐use of Personal Safety Alerting Devices (PSADs) in the daily lives of community‐dwelling older persons. DESIGN: A qualitative descriptive study design was used. METHODS: Six focus groups were conducted with a total of 32 older persons between February–August 2016. Data analysis followed the Qualitative Analysis Guide of Leuven. RESULTS: The participants described the use or non‐use of PSADs as a decision resulting from a “legitimation process”. This process implies that a person needs to perceive the necessity for a PSAD and then determine the right moment at which to start using it. During this process, each person weighs her or his “ageing self” and “perception of technology” then decides whether to start using a device or to delay its use. “Critical events” initiate this process, compelling the person to consider their own safety and their possible need for assistance. CONCLUSION: The legitimation process suggests that the initiation of PSAD use represents a turning point in life. Using a PSAD is not simply a matter of obtaining one. It is a complex decision‐making process establishing legitimation for its use, which is interwoven with one's individual ageing, self‐perception, and the meaning attributed to the device. IMPACT: Older persons need to be supported; in particular, they require time to go through the legitimation process for PSAD use. Nurses can empower them in this process, such that they perceive using a PSAD as a means to restore their frailty balance and feel enabled to (re)gain control over their own life and thus to preserve their independence. John Wiley and Sons Inc. 2020-10-13 2021-01 /pmc/articles/PMC7756415/ /pubmed/33048381 http://dx.doi.org/10.1111/jan.14566 Text en © 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Papers
Thilo, Friederike J. S.
Schols, Jos M. G. A.
Halfens, Ruud J. G.
Linhart, Monika
Hahn, Sabine
Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study
title Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study
title_full Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study
title_fullStr Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study
title_full_unstemmed Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study
title_short Deciding about the use of a Personal Safety Alerting Device—The need for a legitimation process: A qualitative study
title_sort deciding about the use of a personal safety alerting device—the need for a legitimation process: a qualitative study
topic Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756415/
https://www.ncbi.nlm.nih.gov/pubmed/33048381
http://dx.doi.org/10.1111/jan.14566
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