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A critical review of research on hospitalization from nursing homes; what is missing?
- Authors:
- AGOTNES Gudmund, et al
- Journal article citation:
- Ageing International, 41(1), 2016, pp.3-16.
- Publisher:
- Springer
- Place of publication:
- New York
In this paper the authors seek to summarise research literature on hospitalisation from nursing homes, to identify shared themes, findings and approaches, and to analyse strengths and weaknesses of the literature. The main aim of the article is to critically review current research on the topic of hospitalisation from nursing homes, based on a variety of original research articles and literature overviews. First, the authors examine why studies of hospitalisation from nursing homes are considered to be important in the literature, focusing on what is described as large variation in rates of hospitalisation between institutions and geographical areas as well as the occurrence of unwanted and avoidable hospitalisations. Second, the authors present studies on reasons for rates of hospitalisations of nursing home patients based on patient characteristics. Third, studies that have focused on institutional characteristics that may explain rates of hospitalisations are presented. Fourth, the authors examine factors and conditions highlighted in parts of the literature on hospitalisation, more closely than others connected to practice and decision making. Finally, some of the weaknesses of these hospitalisation studies are discussed and areas for future research studies are discussed. (Edited publisher abstract)
Factors affecting user participation for elderly people with dementia living at home: a critical interpretive synthesis of the literature
- Authors:
- HAUGEN Per Kristian, SLETTEBO Tor, YTREHUS Siri
- Journal article citation:
- European Journal of Social Work, 22(6), 2019, pp.974-986.
- Publisher:
- Taylor and Francis
Professional caregivers are expected to facilitate user participation for people with dementia. At the same time, an increasing number of elderly people with dementia are now being cared for at their homes. Research is scarce on user participation for people with dementia, especially for people with dementia who live at home. This article aims to systematically and critically review the factors affecting user participation for elderly people with dementia living at home from the viewpoint of the patients, family caregivers, professional caregivers and researchers. A systematic literature search and critical interpretive synthesis were conducted. The search yielded 1,957 articles. In total, 112 full-text articles were retrieved, of which 27 met the inclusion criteria. Five broad analytical themes were identified during the analysis: individual characteristics, professional caregiver characteristics, decision characteristics, relational characteristics and organisational characteristics. The results show that the value placed on user participation can differ between family caregivers and professional caregivers. People with dementia still experience stigmatisation, preventing user participation, and relations with both family and professional caregivers play a key role in enabling user participation for people with dementia. (Edited publisher abstract)
Prioritising care services: do the oldest users lose out?
- Authors:
- GAUTUN Heidi, GRODEM Anne Skevik
- Journal article citation:
- International Journal of Social Welfare, 24(1), 2015, pp.73-80.
- Publisher:
- Wiley
Population ageing is a major concern in most European countries. Demands for health- and care services will increase, as older people typically have a higher need for such services. Older users increasingly compete with younger users for the same limited care resources. By interviewing decision-makers in Norwegian municipalities, this study examines how staff in the Norwegian care sector make decisions regarding the allocation of services to younger and older users. Despite providing for equal rights to services, laws allow for an interpretation of needs and this can result in the unequal distribution of services. The study indicates that needs are defined differently for younger and older users, which affects the amount, type and content of the services allocated to younger and older people. (Edited publisher abstract)