Search results for ‘Subject term:"older people"’ Sort:
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Reviewing the reablement approach to caring for older people
- Authors:
- DOH Daniel, SMITH Ricki, GEVERS Paula
- Journal article citation:
- Ageing and Society, 40(6), 2020, pp.1371-1383.
- Publisher:
- Cambridge University Press
The authors discuss their critical review of reablement – an emerging global practice model in community- and home-based care for older people. Whereas the reablement approach is gaining global acceptance, there are questions and concerns among researchers and policy makers about what reablement means and how it is used in practice. The review examined the literature on reablement between 2005 and 2017 using clearly defined inclusion criteria. It focused on identifying within authors’ accounts its essential features and how it is practised. In the examination of conceptualisation, nine essential features of reablement were identified, the most predominant being the wish to improve the functionality of clients so they can continue to live in their own homes. Variability in policy and geographic contexts were also identified, as was the under-representation of social connectivity for clients.. The authors present a typology of four theoretical types of reablement to reflect on the current state of research and practice. (Edited publisher abstract)
Systematic literature review on the conceptualisation of autonomy in the nursing home
- Author:
- FELDMANN A
- Publisher:
- University of Twente
- Publication year:
- 2020
- Pagination:
- 39
- Place of publication:
- Netherlands
(Master's thesis, University of Twente). Background: The basic psychological need of autonomy that was identified by the Self-Determination-Theory (SDT) as essential for wellbeing can be often hard to adopt for elderly residents in the environment of nursing homes. This review study constructs the concept of autonomy from the perspective of elderly nursing home residents to gain an understanding of what specifically characterises their autonomy-needs. Methods: A systematic literature review was used to qualitatively synthesise all study records found that provide self-reports of residents on autonomy (n = 15). Relevant themes as described by nursing home residents were identified and compared to the components of autonomy as defined within the SDT to evaluate whether the theory matches the needs of nursing home residents. Results and Conclusion: Five themes as part of the conceptualisation of autonomy by nursing home residents were identified: Choice and control, Independence, Freedom and resources, Being seen and heard and Chosen dependence and competence. These compare to the definition of autonomy within the SDT, which is taking variations in needs into consideration that match the perspectives of nursing home residents. The SDT definition of autonomy was specified here to set a basis for wellbeing interventions in nursing homes to increase resident autonomy. (Edited publisher abstract)
Ageing and technology: a review of the research literature
- Authors:
- BLASCHKE Christina M., FREDDOLINO Paul P., MULLEN Erin E.
- Journal article citation:
- British Journal of Social Work, 39(4), June 2009, pp.641-656.
- Publisher:
- Oxford University Press
Considerable literature has appeared suggesting that Assistive Technologies (ATs) and Information and Communication Technologies (ICTs) may improve quality of life, extend length of community residence, improve physical and mental health status, delay the onset of serious health problems and reduce family and care-giver burden as the population ages. The goal of this review is to separate the evidence base for these claims from simple optimism about the ultimate value of technology-based tools. This is accomplished through an extensive examination of the empirical research literature in the field of ATs and ICTs as they relate to older adults and ageing populations. The review describes how these technologies are being utilized by older adults and barriers to their use, and identifies what is known - based on scientific studies - about the utility and effectiveness of the technologies. Appropriate social work practice in the digital age requires knowing what tools are available and their documented effectiveness and limitations. This review will thus consider the implications of current research knowledge for social work practice, education and research.
Older people’s perceived autonomy in residential care: an integrative review
- Authors:
- MOILANEN Johanna, et al
- Journal article citation:
- Nursing Ethics, early cite 1 October 2020,
- Publisher:
- Sage
Autonomy has been recognised as a key principle in healthcare, but we still need to develop a consistent understanding of older people’s perceived autonomy in residential care. This study aimed to identify, describe and synthesise previous studies on the perceived autonomy of older people in residential care. Ethical approval was not required, as this was a review of published literature. This study carried out an integrative review to synthesise previous knowledge published in peer-review journals in English up to September 2019. Electronic and manual searches were conducted using the CINAHL, Philosopher’s Index, PubMed, SocINDEX, Scopus and Web of Science databases. The data were analysed using the constant comparison method. The review identified 46 studies. Perceived autonomy referred to the opportunities that older people had to make their own choices about their daily life in residential care, and achieving autonomy promoted both health and quality of life. Autonomy was linked to older people’s individual capacities, including their level of independence, physical and mental competence, personal characteristics, and whether relatives shared and supported their perceived autonomy. Professionals could facilitate or hinder older peoples’ autonomy in a number of ways, including providing opportunities for autonomy, how daily care needs and activities were managed, and controlling older people’s choices. Professionals’ characteristics, such as education and attitudes, and the older people’s living environments were also associated with their perceived autonomy and included organisational characteristics and physical and social care facilitators. Older people’s perceived autonomy promoted health and quality of life in residential care. However, their autonomy was associated with a number of protective and restrictive individual and environmental factors, which influenced whether autonomy was achieved. (Edited publisher abstract)
Older people's experiences of everyday travel in the urban environment: a thematic synthesis of qualitative studies in the United Kingdom
- Authors:
- GRAHAM Hilary, et al
- Journal article citation:
- Ageing and Society, 40(4), 2020, pp.842-868.
- Publisher:
- Cambridge University Press
Compared to younger age groups, older people spend more time in their locality and rely more heavily on its pedestrian and public transport infrastructure. Qualitative studies provide unique insight into people's experiences. The researchers conducted a qualitative evidence synthesis of United Kingdom-based studies of older people's experiences of travelling in the urban environment. The researchers searched health, social science, age-related and transport-related databases from 1998 to 2017. Fourteen papers (from 12 studies) were included in a thematic synthesis, a three-staged process that moves iteratively between codes, descriptive themes and cross-cutting analytical themes. Emerging themes were discussed with policy advisers. Four overarching themes were identified. The first and second theme pointed to the importance of ‘getting out’ and of being independent travellers. The third and fourth themes highlighted how local environments and travel systems enabled (or prevented) older people from realising these valued dimensions of travel. The loss of local amenities and micro-environmental features, such as pavement quality, personal safety and aesthetic appearance, were recurrent concerns. Free modes of travel like walking and bus travel were highly valued, including the social engagement they facilitated. The review suggests that, while its extrinsic value (reaching destinations) matters, the intrinsic value of travel matters too. The process of travel is experienced and enjoyed for its own sake, with older people describing its contribution to their wellbeing. (Edited publisher abstract)
How smart homes are used to support older people: an integrative review
- Authors:
- TURJAMAA Riitta, PEHKONEN Aki, KANGASNIEMI Mari
- Journal article citation:
- International Journal of Older People Nursing, 14(4), 2019, p.e12260.
- Publisher:
- John Wiley & Sons, Ltd
- Place of publication:
- West Sussex
Background: The number of healthy older people is increasing, and most of them want to live in their own homes for as long as possible. Smart home technology can support living at home, but synthetised knowledge of previous studies about their suitability for the everyday lives of older people is rare. Methods: Data for this integrated review were obtained by searching the PubMed, CINAHL and Scopus databases from 2012 to 2019, based on inclusion and exclusion criteria, and then carrying out quality appraisals of the papers that were selected. Results: This study identified 944 papers, and 16 were included in the review. According to our analysis, smart home solutions for older people focused on devices for daily and healthy living and older people's safety. The smart home solutions they discussed were used to help older people carry out everyday activities and lead healthier and more fulfilled lives, by improving their physical safety and social communication. Older people reported that smart homes improved their sense of security, quality of daily life and activities and provided them with information about the care they could receive. However, research on older people playing an active role in developing smart home technology was lacking. Conclusion: The existing literature focused on evaluating daily activities with routine measurements. There has been a lack of research that has focused on older people's experiences as the end users of this technology. However, the papers lacked data on how older people could maintain their social relationships and become more proactive in daily living. Implications for practice: With further development, smart homes can be used to support older people to perform daily activities and help them maintain their social relationships. These steps will ensure that they can continue to live independently in their own homes for longer. (Edited publisher abstract)
Care co‐ordination for older people in the third sector: scoping the evidence
- Authors:
- ABENDSTERN Michele, et al
- Journal article citation:
- Health and Social Care in the Community, 26(3), 2018, pp.314-329.
- Publisher:
- Wiley
The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co‐ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co‐ordination activity, and to identify evidence gaps. It was undertaken between autumn 2013 and summer 2014 and updated with additional searches in 2016. Electronic and manual searches of international literature using distinct terms for different approaches to care co‐ordination were undertaken. From a total of 835 papers, 26 met inclusion criteria. Data were organised in relation to care co‐ordination approaches, types of third sector organisation and care recipients. Papers were predominantly from the UK and published this century. Key findings included that: a minority of literature focused specifically on older people and that those doing so described only one care co‐ordination approach; third sector services tended to be associated with independence and person‐centred practice; and working with the statutory sector, a prerequisite of care co‐ordination, was challenging and required a range of features to be in place to support effective partnerships. Strengths and weaknesses of care co‐ordination practice in the third sector according to key stakeholder groups were also highlighted. Areas for future research included the need for: a specific focus on older people's experiences; an investigation of workforce issues; detailed examination of third sector practices, outcomes and costs; interactions with the statutory sector; and an examination of quality assurance systems and their appropriateness to third sector practice. The main implication of the findings is a need to nurture variety within the third sector in order to provide older people and other adults with the range of service options desired. (Edited publisher abstract)
Improving mental health in later life: the role of service user involvement
- Author:
- CREPAZ-KEAY David
- Journal article citation:
- Quality in Ageing and Older Adults, 17(3), 2016, pp.179-188.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe service user involvement, explain some of the key issues that define, affect or protect mental health in later life and show how involvement may contribute to better mental health in later life. Design/methodology/approach: The paper reviews existing definitions of involvement and mental health in later life; provides a more detailed review of some examples of involvement at a range of levels and illustrates how these could have a positive impact on mental health. Findings: Active involvement and engagement at all levels offers significant opportunities for older people to protect and improve their own mental health and the mental health of society as a whole. Research limitations/implications: This research does not set out to promote any particular intervention or involvement technique. The examples given have been evaluated in a variety of ways. Practical implications: Service user involvement should be considered as an important potential contributor to mental health in later life. Social implications: The paper encourages people in later life to be considered as a community resource rather than a problem that needs to be solved. Originality/value: This paper brings together existing research with a focus on the relationship between involvement and individual and collective mental health. (Publisher abstract)
Older adults' perceptions of mobility: a metasynthesis of qualitative studies
- Authors:
- GOINS R. Turner, et al
- Journal article citation:
- Gerontologist, 55(6), 2015, pp.929-942.
- Publisher:
- Oxford University Press
Purpose of the Study: Optimal mobility is an important element of healthy ageing. Yet, older adults’ perceptions of mobility and mobility preservation are not well understood. The purposes of this study were to (a) identify studies that report older adults’ perceptions of mobility, (b) conduct a standardised methodological quality assessment, and (c) conduct a metasynthesis of the identified studies. Design and Methods: Studies with community-dwelling adults aged ≥65 years, focused on perceptions of mobility pertaining to everyday functioning, used qualitative methods, and were cited in PubMed, Embase, CINAHLPlus, or Geobase databases were included. Study quality was appraised using the McMaster University Tool. Results: Out of 748 studies identified, 12 met inclusion criteria. Overall quality of the studies was variable. Metasynthesis produced 3 overarching themes: (a) mobility is part of sense of self and feeling whole, (b) assisted mobility is fundamental to living, and (c) adaptability is key to moving forward. Implications: Older adults’ perceptions of mobility can inform interventions that would involve actively planning for future mobility needs and enhance the acceptance of the changes, both to the older adult and the perceived response to changes by those around them. (Edited publisher abstract)
Older people's wellbeing monitor for Wales: evidence review
- Authors:
- TURLEY R.L., et al
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2009
- Pagination:
- 45p.
- Place of publication:
- Cardiff
This report provides the strategy and results of a comprehensive literature search commissioned by the Office of the Chief Social Research Officer, Welsh Assembly Government. It is designed to support the development of an Older People’s Wellbeing Monitor for Wales which will summarise the latest research on health and wellbeing indicators. The search strategy was designed to identify papers relating to the Monitor’s proposed chapter headings and themes: independence and material wellbeing; participation; care; self-fulfilment and active ageing; and dignity and social inclusion. The review places particular focus on studies conducted in Wales and the UK.