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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.
Models for providing improved care in residential care homes: a thematic literature review: master bibliography
- Authors:
- SZCZEPURA Ala, et al
- Publisher:
- University of Warwick
- Publication year:
- 2008
- Pagination:
- 88p., bibliog.
- Place of publication:
- Coventry
This bibliography is one output from a review of the available research evidence to support improved care in residential care homes as the needs of older people intensify. No commentary or discussion is included.
Residential care for adults
- Author:
- PEACE Sheila
- Journal article citation:
- Research Matters, 9, April 2000, pp.36-38.
- Publisher:
- Community Care
The research reviewed in this article considers contrasting approaches to residential care, and the different lifestyles the residents may experience as a result.
Beyond the control of the care home: a meta-ethnography of qualitative studies of infection prevention and control in residential and nursing homes for older people
- Authors:
- DAKER‐WHITE Gavin, et al
- Journal article citation:
- Health Expectations, early cite August 2021, Online only
- Publisher:
- Wiley
Objective: This study aimed to develop interpretive insights concerning Infection Prevention and Control (IPC) in care homes for older people. Design: This study had a meta-ethnography design. Data Sources: Six bibliographic databases were searched from inception to May 2020 to identify the relevant literature. Review Methods: A meta-ethnography was performed. Results: Searches yielded 652 records; 15 were included. Findings were categorized into groups: The difficulties of enacting IPC measures in the care home environment; workload as an impediment to IPC practice; the tension between IPC and quality of life for care home residents; and problems dealing with medical services located outside the facility including diagnostics, general practice and pharmacy. Infection was revealed as something seen to lie ‘outside’ the control of the care home, whether according to origins or control measures. This could help explain the reported variability in IPC practice. Facilitators to IPC uptake involved repetitive training and professional development, although such opportunities can be constrained by the ways in which services are organized and delivered. Conclusions: Significant challenges were revealed in implementing IPC in care homes including staffing skills, education, workloads and work routines. These challenges cannot be properly addressed without resolving the tension between the objectives of maintaining resident quality of life while enacting IPC practice. Repetitive staff training and professional development with parallel organisational improvements have prospects to enhance IPC uptake in residential and nursing homes. Patient or Public Contribution: A carer of an older person joined study team meetings and was involved in writing a lay summary of the study findings. (Edited publisher abstract)
Measuring safety in older adult care homes: a scoping review of the international literature
- Authors:
- RAND Stacey, et al
- Journal article citation:
- BMJ Open, 11(3), 2021, p.e043206. Online only
- Publisher:
- BMJ Publishing Group
Background: Safety is a key concern in older adult care homes. However, it is a less developed concept in older adult care homes than in healthcare settings. As part of study of the collection and application of safety data in the care home sector in England, a scoping review of the international literature was conducted. Objectives The aim of the review was to identify measures that could be used as indicators of safety for quality monitoring and improvement in older adult residential or nursing care homes. Sources of evidence Systematic searches for journal articles published in English language from 1 January 1970, without restriction to the study location or country, were conducted in Web of Science, Scopus and PubMed on 28 July 2019. Eligibility criteria Inclusion criteria were: peer-reviewed journal articles; qualitative or quantitative studies of older adult nursing and/or residential care homes; and related to any aspect of safety in care homes, including the safety of healthcare provision in the care home. A total of 45 articles were included after review of the title/abstract or full text against the inclusion criteria. Charting methods Key information was extracted and charted. These findings were then mapped to the Safety Measurement and Monitoring Framework in healthcare (SMMF), adapted by the research team to reflect the care home context, to determine the coverage of different aspects of safety, as well as potential gaps. Results and conclusions Systematic searches for journal articles published in English language from 1 January 1970, without restriction to the study location or country, were conducted in Web of Science, Scopus and PubMed on 28 July 2019. Inclusion criteria were: peer-reviewed journal articles; qualitative or quantitative studies of older adult nursing and/or residential care homes; and related to any aspect of safety in care homes, including the safety of healthcare provision in the care home. A total of 45 articles were included after review of the title/abstract or full text against the inclusion criteria. Key information was extracted and charted. These findings were then mapped to the Safety Measurement and Monitoring Framework in healthcare (SMMF), adapted by the research team to reflect the care home context, to determine the coverage of different aspects of safety, as well as potential gaps. The findings indicate that there are a range of available safety measures used for quality monitoring and improvement in older adult care homes. These cover all five domains of safety in the SMMF. However, there are potential gaps. These include user experience, psychological harm related to the care home environment, abusive or neglectful care practice and the processes for integrated learning. Some of these gaps may relate to challenges and feasibility of measurement in the care home context. (Edited publisher abstract)
Instrumental swallowing assessment in adults in residential aged care homes: a scoping review
- Authors:
- BIRCHALL Olga, et al
- Journal article citation:
- Journal of the American Medical Directors Association, 22(2), 2021, pp.372-379.
- Publisher:
- Elsevier (for the American Medical Directors Association)
Objectives: To systematically describe evidence on the use of instrumental swallowing assessment for residents of aged care homes. Design: Scoping review using the Joanna Briggs Institute methodology for scoping reviews. Setting and Participants: Published peer-reviewed and gray literature written in English between 2000 and 2020 about instrumental swallowing assessment (ISA) in adults in residential aged care homes (RACHs). Measures: A systematic, 3-tiered search of databases including Medline, CINAHL, Embase, Scopus, and Cochrane Database of Systematic Reviews, and gray literature databases was conducted. Content analysis identified common themes. Results: Forty-two sources, 30 from peer-reviewed journals, 12 gray literature publications, and 66 websites of mobile ISA providers that discussed videofluoroscopic swallowing studies (VFSS) and/or fiberoptic endoscopic evaluation of swallowing (FEES) use in RACHs were included. Most peer-reviewed sources were referenced narratives or surveys of speech pathology practice patterns (53.3%). Researchers in 3 studies used onsite mobile FEES and in 2 studies off-site VFSS, with adults living in RACHs, as part of their research design (16.7%). There were 66 mobile instrumental swallowing assessment provider websites, based within the United States. Three countries (Australia, United States, United Kingdom) had professional guidelines that stipulated minimal requirements for the safe and appropriate provision of ISA services across settings. Themes identified across sources included (1) the approach to swallowing management and clinical indicators for ISA, (2) the role of ISA, (3) service and consumer influences on ISA, and (4) mobile FEES. Conclusions and Implications: There is a paucity of quality research on instrumental swallowing assessment in adults living in RACHs. There are broad regional and international variances in the way that videofluoroscopy and FEES are accessed and used. A more robust evidence base is required to guide health professionals to design tailored ISA care pathways for residents of RACHs, to achieve high-quality health, social, and economic outcomes. (Edited publisher abstract)
What is the prevalence of loneliness amongst older people living in residential and nursing care homes? A systematic review and meta-analysis
- Authors:
- GARDINER Clare, et al
- Journal article citation:
- Age and Ageing, 49(5), 2020, pp.748-757.
- Publisher:
- Oxford University Press
The number of older people living in residential and nursing care homes is rising. Loneliness is a major problem for older people, but little is known about the prevalence of loneliness amongst older people living in care homes. Aim: to undertake a systematic review of literature on the prevalence of moderate and severe loneliness amongst older people living in residential and nursing care homes. Design: we systematically reviewed the databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycINFO, Embase, Scopus, Cochrane and Allied and Complementary Medicine Database (AMED) from inception to January 2019. We included all studies reporting data on the prevalence of loneliness amongst older people living in care homes. A random-effects meta-analysis was conducted on all eligible data. Results: a total of 13 articles were included, representing 5,115 participants (age range of 55–102 years, mean age 83.5 years, 68% female). There was a significant variation between studies in estimates of prevalence. The prevalence of moderate loneliness ranged from 31 to 100%, and the prevalence of severe loneliness ranged from 9 to 81%. The estimated mean prevalence of ‘moderate loneliness’ was 61% (95% confidence interval (CI): 0.41, 0.80). The estimated mean prevalence of ‘severe loneliness’ was 35% (95% CI: 0.14, 0.60). Conclusion: the prevalence of both moderate loneliness and severe loneliness amongst care home residents is high enough to warrant concern. However, the significant variation in prevalence estimates warrants further research. Future studies should identify which interventions can address loneliness and promote meaningful social engagement to enhance quality of life in care homes. (Edited publisher abstract)
Preventing respiratory illness in older adults aged 60 years and above living in long-term care
- Authors:
- RIOS Patricia, et al
- Publisher:
- University of Oxford, Centre for Evidence-Based Medicine
- Publication year:
- 2020
- Place of publication:
- Oxford
This rapid overview of reviews identifies evidence from systematic reviews on infection protection and control measures for preventing respiratory illness (including coronavirus and influenza) in older adults aged 60 years and above living in long-term care. The results of the included systematic reviews suggest that high quality evidence supports treating residents with antiviral chemoprophylaxis with adamantine, as well as adamantine in combination with personal protective equipment. For the rest of the strategies, there was either no evidence of effectiveness (e.g., social isolation) or mixed evidence of effectiveness (e.g., rimantadine, zanamivir, hand hygiene, personal protective equipment). The mixed evidence on hand hygiene and use of personal protective equipment does not imply these should not be used in outbreaks. (Edited publisher abstract)
Is greenery associated with mental health among residents of aged care facilities? A systematic search and narrative review
- Authors:
- CARVER Alison, et al
- Journal article citation:
- Aging and Mental Health, 24(1), 2020, pp.1-7.
- Publisher:
- Taylor and Francis
Objectives: Older adults living in residential aged care facilities (RACFs) may be vulnerable to mental health issues. Evidence suggests greenery is beneficial for adults’ mental health in community settings. This review aims to summarise evidence of associations between greenery in RACFs and residents’ mental health. Method: Six databases were searched with three sets of terms related to: (1) exposure (e.g. garden, green); (2) outcome (e.g. mental health, well-being); and (3) setting (e.g. aged care, nursing home). The inclusion criteria were peer-reviewed journal articles published in English up to 2017, reporting quantitative/qualitative associations between greenery and mental health in RACFs. Results: Of the nine articles identified, seven reported positive associations between greenery (in particular, garden use) at RACFs and some aspect of residents’ mental well-being (e.g. quality of life); however, four out of seven studies used observations and perceptions of staff and relatives. One study examined depression and reported reduction in depression following garden use, while one examined physiological indicators of stress (blood pressure, heart rate) and found no association with garden use. Seven studies examined garden use and four examined the presence of greenery (two examined both exposures). Conclusion: Exposure to greenery and use of greenspace in RACFs show promise for promoting mental health. However, the findings relied mainly on non-validated measures of mental health. More robust evidence based on valid and reliable mental health measures is needed. Future studies also need to examine the effect of visual exposure to greenery and the effect of greenery on stress reduction. (Publisher abstract)
Handovers in care homes for older people – their type, timing and usefulness. Findings from a scoping review
- Authors:
- MORIARTY Jo, et al
- Journal article citation:
- Ageing and Society, 39(4), 2019, pp.851-871.
- Publisher:
- Cambridge University Press
There is a considerable body of literature on the importance of effective shift handovers in hospitals and other health-care settings but less is known about the transfer of information between staff starting and completing stints of paid work in care homes. In the first of two articles considering this under-explored topic, this study reports findings from a scoping review examining what is known about shift-to-shift handovers in care homes for older people and their equivalents. It is based on systematic searches of electronic databases of English-language journals on ageing and internet searches for material published between January 2005 and October 2016. Guidance from the regulatory body for health and social care in England, the Care Quality Commission, highlights the importance of handovers in care homes but the degree to which they are embedded into care home routines appears to be variable, influenced by factors such as workplace culture, shift patterns and the extent to which they involve all those on duty or just those with professional qualifications. Staffing shortages and whether or not members of staff are paid for their time attending handovers appear to be further constraints on their use. The study concludes that there is considerable scope for further research in this field to identify and develop good practice. (Edited publisher abstract)