Search results for ‘Subject term:"older people"’ Sort:
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Service providers' perceptions of working in residential aged care: a qualitative cross-sectional analysis
- Authors:
- BENNETT Michelle K., et al
- Journal article citation:
- Ageing and Society, 35(9), 2015, pp.1989-2010.
- Publisher:
- Cambridge University Press
A number of professional disciplines employed internally and externally provide services in Residential Aged Care Facilities (RACFs). Literature has long highlighted numerous workplace issues in RACFs, yet little progress has been made in addressing these. As such there has been a call for greater understanding of shared issues among service providers. The aim of the current study is to explore and compare the perceptions of a cross-section of service providers regarding the challenges and motivators to working in RACFs. In-depth semi-structured interviews were conducted with 61 participants including: care managers, nurses, assistants in nursing, care, domestic and support staff, and speech pathologists. Analysis revealed few issues unique to any one service discipline, with four key themes identified: (a) working in RACFs is both personally rewarding and personally challenging; (b) relationships and philosophies of care directly impact service provision, staff morale and resident quality of life; (c) a perceived lack of service-specific education and professional support impacts service provision; and (d) service provision in RACFs should be seen as a specialist area. These data confirm there are key personal and professional issues common across providers. Providers must work collaboratively to address these issues and advocate for greater recognition of RACFs as a specialist service area. Acknowledging, accepting and communicating shared perceptions will reduce ongoing issues and enhance multi-disciplinary care. (Publisher abstract)
Medical day hospital care for older people versus alternative forms of care (review)
- Authors:
- BROWN Leslie, et al
- Publisher:
- John Wiley and Sons
- Publication year:
- 2015
- Pagination:
- 98
Geriatric day hospitals are out-patient facilities which older patients attend for a full or near full day and receive multidisciplinary health care in one place. They can provide a range of specialist services, including assessment, rehabilitation, and medical, nursing, maintenance, social and respite care. This systematic review aimed to examine the effectiveness of medical day hospitals for older people in preventing death, disability, institutionalisation and improving subjective health status. The searches included the Cochrane Effective Practice and Organisation of Care (EPOC) Group Register of Studies, CENTRAL (2013,Issue 7), MEDLINE via Ovid (1950-2013 ), EMBASE via Ovid (1947-2013) and CINAHL via EbscoHost (1980-2013). Sixteen trials involving 3,689 participants were included in the review. They compared day hospitals with other comprehensive services (including inpatient and outpatient services), home based care and no comprehensive services. Results found that attendance at a day hospital offers benefits compared to providing no treatment which include reducing the risk of needing more help with daily activities such as washing or dressing. Patients are also less likely to suffer one of the following: dying, being institutionalised or becoming more dependent on others. There is no apparent benefit when day hospitals are compared with other comprehensive services or home care. The economic value of day hospitals when compared with other health care services remains unclear. (Edited publisher abstract)
PROTECT: a pilot program to integrate mental health treatment into elder abuse services for older women
- Authors:
- SIREY Jo Anne, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 27(4/5), 2015, pp.438-453.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The goal of this pilot programme was to test the usefulness of adapted Problem-Solving Therapy (PST) and anxiety management, called PROTECT, integrated into elder abuse services to reduce depression and improve self-efficacy. A total of 68 depressed women victims were randomised to receive elder abuse resolution services combined with either PROTECT or a mental health referral. Full follow-up data were available for 45 clients. At follow-up, the PROTECT group showed greater reduction in depressive symptoms and endorsed greater improved self-efficacy in problem-solving when compared to those in the Referral condition. These preliminary findings support the potential usefulness of PROTECT to alleviate depressive symptoms and enhance personal resources among abused older women. (Edited publisher abstract)
The evolving role of Geriatric Emergency Department social work in the era of Health Care Reform
- Author:
- HAMILTON Christine
- Journal article citation:
- Social Work in Health Care, 54(9), 2015, pp.849-868.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the era of Medicaid Redesign and the Affordable Care Act, the emergency department (ED) presents major opportunities for social workers to assume a leading role in the delivery of care. Through GEDI WISE—Geriatric Emergency Department Innovations in care through Workforce, Informatics and Structural Enhancements,—a unique multidisciplinary partnership made possible by an award from the Center for Medicare and Medicaid Innovation, social workers in The Mount Sinai ED have successfully contributed to improvements in health outcomes and transitions for older adults receiving emergency care. This article will describe the pivotal and highly valued role of the ED social worker in contributing to the multidisciplinary accomplishments of GEDI WISE objectives in this new model of care. (Publisher abstract)
A systematic evaluation of a multidisciplinary social work-lawyer elder mistreatment intervention model
- Authors:
- RIZZO Victoria M., BURNE David, CHALFY Amy
- Journal article citation:
- Journal of Elder Abuse and Neglect, 27(1), 2015, pp.1-18.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study introduces a conceptually based, systematic evaluation process employing multivariate techniques to evaluate a multidisciplinary social work-lawyer intervention model (JASA-LEAP). Logistic regression analyses were used with a random sample of case records (n = 250) from three intervention sites. Client retention, programme fidelity, and exposure to multidisciplinary services were significantly related to reduction in mistreatment risk at case closure. Female gender, married status, and living with perpetrator significantly predicted unfavourable outcomes. This study extends the elder mistreatment programme evaluation literature beyond descriptive/bivariate evaluation strategies. Findings suggest that a multidisciplinary social work-lawyer elder mistreatment intervention model is a successful approach. (Edited publisher abstract)