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Making home care for older people more flexible and person-centred: factors which promote this
- Authors:
- PATMORE Charles, McNULTY Alison
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2005
- Pagination:
- 37p.
- Place of publication:
- York
This report examines the factors which make possible a flexible, person-centred approach to providing home care for older people in light of the Department of Health's Green Paper on Adult Social Care.
Caring for the whole person: home care for older people which promotes well-being and choice
- Authors:
- PATMORE Charles, McNULTY Alison
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2005
- Pagination:
- 93p.
- Place of publication:
- York
This report presents the final account from the three-part research project on flexible person-centred home care for older people, which was funded through the Department of Health Research Programme at the Social Policy Research Unit at York University, from 2001 till early 2005.
User-oriented elderly care: a validation study in two different settings using observational data
- Authors:
- KAZEMI Ali, KAJONIUS Petri J.
- Journal article citation:
- Quality in Ageing and Older Adults, 16(3), 2015, pp.140-152.
- Publisher:
- Emerald
Purpose: User-oriented care, defined as individualised assisting behaviours, is the dominant approach within elderly care today. Yet, there is little known about its conceptual structure. This paper proposes that user-oriented care has a bi-partite structure which may be decomposed into the two dimensions of task and relation. Design/methodology/approach: Care workers were “shadowed” (i.e. observed) at their work (n=391 rated interactions). User-oriented care was assessed along ten process quality indicators targeting the acts of caregiving (i.e. task focus, relation focus, involvement, time-use, body language, autonomy, respect, warmth, encouragement, and information) in two elderly care settings, i.e. home care and nursing home. Observations added up to 45 hours. Findings: Principal component analyses confirmed the proposed two-factor structure of user-oriented care. Specifically, the user-oriented care indicators loaded on two distinct factors, i.e. task and relation. The underlying structure of user-oriented care revealed to be invariant across the two settings. However, the results revealed interesting structural differences in terms of explained variance and the magnitude of factor loadings in the home care and nursing home settings. Differences also emerged specifically pertaining to the indicators of autonomy and time-use. These findings suggest that user-oriented behaviour may to some extent denote different acts of caregiving and what may be called task- and relation-orientation may be loaded with different meanings in these two care settings. Originality/value: This is the first study investigating user-oriented behaviour in the context of elderly care using a quantitative observational approach. The authors propose that the observed differences between the two care settings are primarily not due to better elderly care work in home care, but due to some inherent differences between these two contexts of care (e.g. better health and living at home). (Edited publisher abstract)
Power of the purchaser
- Authors:
- PATMORE Charles, McNULTY
- Journal article citation:
- Community Care, 6.10.05, 2005, pp.34-35.
- Publisher:
- Reed Business Information
This article presents research findings about factors which promote person-centred, customer-led home care for older people. It describes the far-reaching influence of social services purchasers over whether independent home care providers supply such a service.
Home care: commissioning for older people with complex needs
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Place of publication:
- London
This film highlights the challenges of commissioning home care for older people. It shows examples of providing good quality, person centred home care for older people with complex needs. The St Monica's trust approach to high quality person centred home care is built on the recruitment of the right staff and support , training and partnership working. This resource is aimed at commissioners of home care for older people, commissioners, care providers and carers. (Edited publisher abstract)
Places of living and places of dying: the case for preventing suicide in residential long-term care
- Authors:
- JAIN Briony, et al
- Journal article citation:
- Ageing and Society, 41(9), 2021, pp.1945-1960.
- Publisher:
- Cambridge University Press
This commentary addresses the increasing public health problem of suicide in later life and presents the case for preventing suicide in residential long-term care settings. We do so by examining this issue from the perspective of three levels of stakeholders – societal, organisational and individual – considering the relevant context, barriers and implications of each. We begin by discussing contemporary societal perspectives of ageing; the potential impact of ageism on prevention of late-life suicide; and the roles of gender and masculinity. This is followed by a historical analysis of the origin of residential long-term care; current organisational challenges; and person-centred care as a suicide prevention strategy. Finally, we consider suicide in long-term care from the perspective of individuals, including the experience of older adults living in residential care settings; the impact of suicide on residential care health professionals and other staff; and the impact of suicide bereavement on family, friends and other residents. We conclude with recommendations for policy reform and future research. This commentary aims to confront the often unspoken bias associated with preventing suicide among older adults, particularly those living with complex medical conditions, and invoke an open dialogue about suicide prevention in this population and setting. (Edited publisher abstract)
Achieving person-centredness through technologies supporting integrated care for older people living at home: an integrative review
- Authors:
- MACINNES Julie, et al
- Journal article citation:
- Journal of Integrated Care, 29(3), 2021, pp.274-294.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to identify the range, type and outcomes of technological innovations aimed at supporting older people to maintain their independence within the context of integrated care at home. We also discuss key emergent themes relevant to the use of person-centred technology for older people in integrated care and propose recommendations for policy and practice. Design/methodology/approach: An integrative review methodology was used to identify and describe recent scientific publications in four stages: problem identification, literature search, data evaluation and data analysis. Findings: Twelve studies were included in the review. Three studies described remote consultations, particularly telemedicine; five studies described tools to support self-management; three studies described the use of healthcare management tools, and one study described both remote consultation and self-care management. Emergent themes were: acceptability, accessibility and use of digital technologies; co-ordination and integration of services; the implementation of digital technologies; and safety and governance. Several recommendations are proposed relevant to integrated care teams, technology developers and researchers. Originality/value: This review uniquely considers the extent to which novel digital technologies used in integrated care for older people are person-centred. (Edited publisher abstract)
Social care for older people – a blind spot in the Norwegian care system
- Authors:
- SCHONFELDER Walter, EGGEBO Helga, MUNKEJORD Mai Camilla
- Journal article citation:
- Social Work in Health Care, 59(9-10), 2020, pp.631-649.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A growing number of older people in Norway receive care services at home. Public policy aims at promoting social safety, preventing social problems and providing recipients of care with the means to live an active and meaningful everyday life together with others. However, health-related services have long been prioritized at the expense of other care services. Our aims are to investigate how professional caregivers in Norwegian home care for older people relate their professional mandate to social care to assess what different professional positions regarding social care imply for realizing the ideal of integrated and person-centered care. Interviews with 16 professional caregivers are analyzed within the framework of positioning theory. A variety of discursive positions relating the own professional mandate to social care are identified. Findings suggest that the absence of common standards leaves it up to the individual caregiver if social care needs are met or not. Common standards for social care delivery and a more suitable skill mix among health and social care professionals are proposed. (Edited publisher abstract)
Adaptation to care dependency in community care
- Authors:
- VINGARE Emme-Li, CARLSSON Oie Umb
- Journal article citation:
- Quality in Ageing and Older Adults, 18(4), 2017, pp.254-264.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the lived experiences of adapting to care dependency among adults receiving health and social care in ordinary housing. Design/methodology/approach: This was done by conducting a phenomenological study by interviewing ten adults, receiving home care services in ordinary housing. Findings: Participants not only adapted by becoming a “good patient” but they had four strategies they used: sociability, distance, competence and compliance, contributing to a sense of dignity and personal safety. Research limitations/implications: Further research is needed regarding how to preserve quality of care with adults with various ways of adapting to care dependency. Practical implications: The relationship between professionals and adults in care dependency is a dynamic process where a need for understanding different modes of adaptation is vital. Good treatment and quality care may be different things to different adults, depending on what aspects of the process of adaptation concern them the most, and depending on their individual adaptation strategy. Originality/value: This paper contributes to the understanding of modes of adaptation to care dependency from the perspective of adults indicating that working person centred may include respecting strategies not traditionally being associated with “the good patient.” (Edited publisher abstract)
Engaging in coordination of health and disability services as described by older adults: processes and influential factors
- Authors:
- RUGGIANO Nicole, SHTOMPEL Natalia, EDVARDSSON David
- Journal article citation:
- Gerontologist, 55(6), 2015, pp.1015-1025.
- Publisher:
- Oxford University Press
Purpose of the Study: There is little consensus on the definition and design of effective care coordination for older adults with chronic conditions, and the majority of care coordination models minimise the role and voice of older patients. This study aims to examine how older adults perceive and engage in the process of care coordination of health and disability support services and the factors that influence their engagement. Design and Methods: Thirty-seven older adults with chronic conditions and nine geriatric case managers participated in semi-structured interviews that focused on older adults’ experiences with self-managing and coordinating their health and support services. Interview data were systematically analysed for themes. Results: The interview data revealed that involving older adults in care coordination is a complex, multi-stage process, conceptualized as making self-health assessments, making informed decisions about care, and executing and coordinating care. The findings indicate that a number of factors facilitate older adults’ decision and capacity to become involved in the coordination of their care, including their perceptions about how their condition impacted their everyday lives, and availability of intrinsic resources, tangible resources, and social network. Low perceptions of control over health and lack of such resources constrain their involvement. Implications: Practitioners may facilitate older adults’ involvement in care coordination by using language with older patients that emphasises psychosocial experiences in addition to medical symptomatology. They may also provide targeted support for patients with limited facilitating factors to promote involvement at multiple stages of the care coordination process. (Edited publisher abstract)