Search results for ‘Subject term:"care homes"’ Sort:
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Perceptions and experiences of residents and relatives of emergencies in care homes: a systematic review and metasynthesis of qualitative research
- Authors:
- CURTIS Ffion, et al
- Journal article citation:
- Age and Ageing, 50(6), 2021, pp.1925-1934.
- Publisher:
- Oxford University Press
Background: the perceptions and experiences of care home residents and their families are important for understanding and improving the quality of emergency care. Methods: we conducted a systematic review and metasynthesis to understand the perceptions and experiences of care home residents and their family members who experienced medical emergencies in a care home setting. The review protocol was registered in PROSPERO (CRD42020167018). We searched five electronic databases, MEDLINE, CINAHL, PubMed, Cochrane Library and PsycINFO, supplemented with internet searches and forward and backward citation tracking from included studies and review articles. Data were synthesised thematically following the Thomas and Harden approach. The Critical Appraisal Skills Programme qualitative checklist was used to assess the quality of studies included in this review. Results: of the 6,140 references retrieved, 10 studies from four countries (Australia, Canada, UK and USA) were included in the review and metasynthesis. All the included studies were assessed as being of good quality. Through an iterative approach, we developed six analytical themes: (i) infrastructure and process requirements in care homes to prevent and address emergencies; (ii) the decision to transfer to hospital; (iii) experiences of transfer and hospitalisation for older patients; (iv) good communication is vital for desirable outcomes; (v) legal, regulatory and ethical concerns and (vi) trusting relationships enabled residents to feel safe. Conclusions: the emergency care experience for care home residents can be enhanced by ensuring resources, staff capacity and processes for high quality care and trusting relationships between staff, patients and relatives, underpinned by good communication and attention to ethical practice. (Edited publisher abstract)
Evidence summary: emerging evidence on the protective effect of vaccines from COVID-19 infections among care home populations
- Authors:
- SMITH Sian, SALCHER-KONRAD Maximilian, COMAS-HERRERA Adelina
- Publisher:
- International Long Term Care Policy Network
- Publication year:
- 2021
- Place of publication:
- London
This evidence summary looks at three recently published studies that assessed, not only protection from severe COVID-19 outcomes, but also to what extent the vaccines stop the virus spreading. Key findings include: in a large cohort study of 10,412 residents in care homes in England, first doses of the Oxford / AstraZeneca or BioNTech / Pfizer vaccine were shown to be 56% protective against SARS-CoV-2 infection at 28-34 days and 62% at 35-48 days; in a small, single-centre study from the US, a single dose of the BioNTech / Pfizer vaccine was shown to reduce viral load, potentially indicating limited transmission of the virus among vaccinated nursing home residents; in a small Spanish study of 5 care homes, two doses of the BioNTech / Pfizer vaccine produced an immune response (indicating protection from future infection) among residents, with no statistically significant difference in response by residents’ levels of frailty or disability. (Edited publisher abstract)
Evidence summary for lateral flow devices (LFD) in relation to care homes
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2020
- Place of publication:
- London
A summary of published research papers on lateral flow device (LFD) efficacy and preliminary findings from the evaluation of the Department of Health and Social Care (DHSC) care home visitor testing pilot November 2020. The summary follows the release of visitor testing guidance that supports friends and relatives to visit care home residents and provides clarity on the available evidence to support safe visiting as part of our overall approach to promote the health and wellbeing of care home residents. Friends and relatives tested immediately before their visit can demonstrate they are likely to be free of risk of transmitting COVID-19 by having an LFD negative result. Testing must be done directly before the visit takes place and must be undertaken in combination with other infection prevention and control measures. (Edited publisher abstract)
People, pets and care homes: a story of ambivalence
- Authors:
- SMITH Randall, JOHNSON Julia, ROLPH Sheena
- Journal article citation:
- Quality in Ageing and Older Adults, 12(4), 2011, pp.217-228.
- Publisher:
- Emerald
The aim of this article is to examine the history of pet ownership and its relationship to well-being in later life, and to compare current and past attitudes, policies and practices with regard to the issue of pet ownership in communal residential settings for older people. The article includes a review of the literature on pets and older people. It discusses pets and health and well-being, pets and older people, pet visiting schemes and institutional care, and personal and communal pets in care homes. It also draws on new data from research conducted by the authors, which compared archived material on residential homes for older people visited in the late 1950s as part of a study by Peter Townsend (The Last Refuge) with findings from revisiting a sample of these homes 50 years later. The research included observation and interviews with managers and residents, and responses indicated ambivalent attitudes, ambiguity at the policy level, and variation in practice.
Assisted living literature through May 2004: taking stock
- Authors:
- KANE Rosalie A., CHAN Jane, KANE Robert L.
- Journal article citation:
- Gerontologist, 47(3), December 2007, pp.125-140.
- Publisher:
- Oxford University Press
This article assesses the state of research on assisted living (AL) from 1989 to May 2004. The research undertook keyword searches for AL research and amplified these with searches of Web sites, conference proceedings, and follow-up inquiries. Items were annotated and coded according to categories reflecting the research methods used and the topics studied. Additional comparisons were carried out for 38 studies with quantitative data that permitted summarizing resident characteristics, settings, and entry and move-out patterns. The 411 identified items ranged across a large number of topics. Qualitative studies outnumbered quantitative ones, and longitudinal studies were rare. Little standardization was found in the way variables were measured, making cross-study comparisons difficult. As AL research has become more common, some items are directed at studying ways to proceed within AL as opposed to globally commenting on the worth of AL as a service sector. The research base for AL has grown rapidly but is still underdeveloped. The authors recommend using more consistent sets of standardized measures in AL studies and reporting analyses based on them. They also recommend fuller reporting of details on sampling, time frames, and measures in AL research.
My home life: quality of life in care homes: a review of the literature
- Author:
- NATIONAL CARE HOMES RESEARCH AND DEVELOPMENT FORUM
- Publisher:
- Help the Aged
- Publication year:
- 2007
- Pagination:
- 192p., bibliog.
- Place of publication:
- London
My Home Life is a new initiative aimed at improving the quality of life of those who are living, dying, visiting and working in care homes for older people. This review aims to find existing best practices in care homes and promote care homes as a positive option for older people. The project is working to help improve the quality of life in care home, through the development of a range of resources, events, practice development initiatives and other activities.
Resident-to-resident harm in care homes and residential settings
- Authors:
- MITCHELL Deanne, SHEIKH Sanah, LUFF Rebekah
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2021
- Pagination:
- 34
- Place of publication:
- London
This scoping report explores the issue of resident-to-resident harm in care homes, also referred to as resident-to-resident abuse. The report explores current research, policy and practice about resident-to-resident harm in care homes. Sections of the report cover: definitions and types of resident-to-resident abuse; prevalence of resident-to-resident abuse; risk factors for resident-to-resident abuse; prevention of and interventions for resident-to-resident abuse; research gaps and potential case studies. The scoping, looked at the research evidence to establish what techniques and practices might be considered best practice in this area of work. Unfortunately, the research review found little in the way of evidence to support good practice in this area. (Edited publisher abstract)
SCIE research briefing 10: terminal care in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
- Edition:
- Rev. ed.
A web-based briefing providing a concise summary of the current knowledge base on the provision of care to terminally ill older people aged 65 and over within care homes settings. The briefing divides the knowledge available into organisational knowledge, policy community knowledge, practitioner knowledge, research knowledge, and user and carer knowledge. Highlights additional contacts and resources and includes links to the full text of documents. The document was commissioned by the Social Care Institute for Excellence (SCIE).
A scoping review of education and training resources supporting care home staff in facilitating residents’ sexuality, intimacy and relational needs
- Authors:
- HORNE Maria, et al
- Journal article citation:
- Age and Ageing, 50(3), 2021, pp.758-771.
- Publisher:
- Oxford University Press
Background: Having positive intimate, sexual and relational experiences is an important issue for older adults in care settings, yet little is known on the extent to which nursing staff and care workers have received education or training in addressing and meeting these needs among older residents. This scoping review aimed to identify and examine what education and training resources exist to assist nursing staff and care workers to meet their residents’ needs in this area. Methods and analysis: Using the Arksey and O’Malley framework, we systematically searched papers and grey literature to identify education interventions and resources that aimed to facilitate care home staff to meet their residents’ sexuality, intimacy and relational needs. Results: Eleven studies (one dissertation) and three education resources met the inclusion criteria; most were conducted in the USA and Australia. Across the studies and resources identified, the education content was mixed and the methodology, presentation, design and duration varied widely. The focus of the education interventions and resources was to increase knowledge and improve and/or change attitudes towards the: (i) sexual expression of older people living in residential aged care, (ii) sexuality and ageing and (iii) expression of sexuality in people with dementia. Conclusion: Few education interventions and training resources were identified. The findings suggest that education interventions can improve knowledge and/or change care staff attitudes, in the short-term, towards older people’s sexuality, intimacy and relational needs in care home settings, which can lead to facilitating staff to enhance person-centred care in this area of need. (Edited publisher abstract)
What is the evidence for the activities of Namaste Care? A rapid assessment review
- Authors:
- BRAY Jennifer, BROOKER Dawn J., GARABEDIAN Claire
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 20(1), 2021, pp.247-272.
- Publisher:
- Sage
Objectives: To assess the quality of research evidence for the different activity components for the psycho-social Namaste Care intervention for care home residents with advanced dementia. DesignNamaste Care is a multi-component intervention delivered on a daily basis to people living with advanced dementia or people at end of life with dementia. A significant part of its operationalisation within care homes is the delivery of a number of activities delivered by trained in-house Namaste Care workers to a group of residents with similar high dependency needs. The Namaste Care workers focus on touch, music, nature, sensory experience, aromas and interactions with objects delivered in a way to enhance feelings of enjoyment and wellbeing. This review evaluated the evidence for using these activities with people living with advanced dementia. A systematic search of peer-reviewed research articles was conducted between November 2016 and September 2018 using search terms of activities used in Namaste Care. The quality of each accepted article was rated using the Rapid Evidence Assessment scale. Results: The initial literature search returned 1341 results: 127 articles including 42 reviews were included. The majority of activity interventions yielded between 10 and 20 peer-reviewed papers. The use of smells and aromas, interacting with animals and dolls, the use of various forms of music (e.g. background music, singing, personalised music), nature, lighting, various forms of touch/massage and sensory interventions (including Snoezelen) all appear to have proven efficacy with people living with advanced dementia. Conclusions: There is generally a limited number of research papers and reviews in this area, but overall there is a good evidence base for including these activities within Namaste Care for people living with advanced dementia. (Edited publisher abstract)