Search results for ‘Subject term:"older people"’ Sort:
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Older people's definitions of quality services
- Authors:
- QURESHI Hazel, HENWOOD Melanie
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 30p.
- Place of publication:
- York
Briefing paper which discusses the meaning of quality and draws together literature on older people's definition of quality services. Discusses various individual quality preferences, the contribution made by different services, the role of service delivery and how quality can be assessed and assured.
Systematic review of 29 self-report instruments for assessing quality of life in older adults receiving aged care services
- Authors:
- SIETTE Joyce, et al
- Journal article citation:
- BMJ Open, 11(11), 2021, Online only
- Publisher:
- BMJ Publishing Group
Background: Quality of life (QoL) outcomes are used to monitor quality of care for older adults accessing aged care services, yet it remains unclear which QoL instruments best meet older adults’, providers’ and policymakers’ needs. This review aimed to (1) identify QoL instruments used in aged care and describe them in terms of QoL domains measured and logistical details; (2) summarise in which aged care settings the instruments have been used and (3) discuss factors to consider in deciding on the suitability of QoL instruments for use in aged care services. Design Systematic review: Data sources MEDLINE, EMBASE, PsycINFO, Cochrane Library and CINAHL from inception to 2021. Eligibility criteria: Instruments were included if they were designed for adults (>18 years), available in English, been applied in a peer-reviewed research study examining QoL outcomes in adults >65 years accessing aged care (including home/social care, residential/long-term care) and had reported psychometrics. Data extraction and synthesis: Two researchers independently reviewed the measures and extracted the data. Data synthesis was performed via narrative review of eligible instruments. Results: 292 articles reporting on 29 QoL instruments were included. Eight domains of QoL were addressed: physical health, mental health, emotional state, social connection, environment, autonomy and overall QoL. The period between 1990 and 2000 produced the greatest number of newly developed instruments. The EuroQoL-5 Dimensions (EQ-5D) and Short Form-series were used across multiple aged care contexts including home and residential care. More recent instruments (eg, ICEpop CAPability measure for Older people (ICECAP-O) and Adult Social Care Outcomes Toolkit (ASCOT)) tend to capture emotional sentiment towards personal circumstances and higher order care needs, in comparison with more established instruments (eg, EQ-5D) which are largely focused on health status. Conclusions: A comprehensive list of QoL instruments and their characteristics is provided to inform instrument choice for use in research or for care quality assurance in aged care settings, depending on needs and interests of users. (Edited publisher abstract)
Quality indicators for community care for older people: a systematic review
- Authors:
- JOLING K.J., et al
- Journal article citation:
- PLoS ONE, 13(1), 2018, Online only
- Publisher:
- Plos Publications
- Place of publication:
- San Francisco, CA
Background: Health care systems that succeed in preventing long term care and hospital admissions of frail older people may substantially save on their public spending. The key might be found in high-quality care in the community. Quality Indicators (QIs) of a sufficient methodological level are a prerequisite to monitor, compare, and improve care quality. This systematic review identified existing QIs for community care for older people and assessed their methodological quality. Methods: Relevant studies were identified by searches in electronic reference databases and selected by two reviewers independently. Eligible publications described the development or application of QIs to assess the quality of community care for older people. Information about the QIs, the study sample, and specific setting was extracted. The methodological quality of the QI sets was assessed with the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. A score of 50% or higher on a domain was considered to indicate high methodological quality. Results: Searches resulted in 25 included articles, describing 17 QI sets with 567 QIs. Most indicators referred to care processes (80%) and measured clinical issues (63%), mainly about follow-up, monitoring, examinations and treatment. About two-third of the QIs focussed on specific disease groups. The methodological quality of the indicator sets varied considerably. The highest overall level was achieved on the domain ‘Additional evidence, formulation and usage’ (51%), followed by ‘Scientific evidence’ (39%) and ‘Stakeholder involvement’ (28%). Conclusion: A substantial number of QIs is available to assess the quality of community care for older people. However, generic QIs, measuring care outcomes and non-clinical aspects are relatively scarce and most QI sets do not meet standards of high methodological quality. This study can support policy makers and clinicians to navigate through a large number of QIs and select QIs for their purposes. (Publisher abstract)
Your hostel, your home: a short guide to hostel standards; keeping the quality in hostel life; outcome standards for Commonwealth-subsidised aged persons' hostels
- Author:
- AUSTRALIA. Department of Community Services and Health
- Publisher:
- Australian Government Publishing Service
- Publication year:
- 1991
- Pagination:
- 20p.
- Place of publication:
- Canberra, ACT
Improving the quality of residential care for older people: a study of government approaches in England and Australia
- Author:
- TRIGG Lisa
- Publisher:
- London School of Economics and Political Science. Personal Social Services Research Unit
- Publication year:
- 2018
- Pagination:
- 33
- Place of publication:
- London
Summary of the author’s PhD thesis that looked at what governments can do to encourage care providers to improve their quality. The study compared the approaches taken in England and Australia to improve quality in residential care for older people. This qualitative research study examines and compare regulatory regimes for raising provider quality. It examines how understandings of quality in each country are linked to differences in the respective regulatory regimes; how and why these regimes have developed; how information on quality is used by each government to influence quality improvement; and how regulatory regimes influence providers to deliver quality. The study develops a new typology of three provider quality orientations (organisation-focused, consumer-directed, relationship-centred) to examine differences between the two regulatory regimes. The research draws on interviews conducted between January 2015 and April 2017 with 79 individuals from different stakeholder groups in England and Australia, and interviews with 24 individuals from five provider organisations in each country. These interviews highlighted greater differences between the two regimes than previous research suggests. For example, while each system includes a government role for inspecting or reviewing provider quality, there are differences around how quality is formally defined, the role and transparency of quality information, and how some provider quality behaviour is influenced by different policy interventions. Two important findings emerge from the study for policymakers and researchers. First, the importance of considering the broader historical and institutional context of the care sector overall, not simply the regulatory environment, as shown by the more welfare-oriented approach in England when compared to Australia’s highly consumerist approach. Second, the importance of considering the overall ‘regulatory space’ when designing policy interventions for quality. Policymakers should consider the effects and interaction of multiple policy interventions, the impact of funding mechanisms and the activity of multiple stakeholders, and not restrict attention to those policy interventions explicitly developed for quality improvement goals. See the related resources link for a link to the full PhD thesis. (Edited publisher abstract)
The view from within: "good" care from the perspective of care professionals: lessons from an explorative study
- Authors:
- SHULMANN Katharine, et al
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- Vienna
Policy briefing which focuses on care quality from the perspective of professionals working in the field of long term care in Austria. Specifically the briefing looks at what care professionals consider to be high quality care and how it should be defined; and what structural-, process- and outcome-related factors they believe affect outcomes. The study draws on interviews and workshops with representatives from various professional groups, as well as 24-hour carers and family carers, to identify themes and issues central to discussions of "good" care. The interviews and workshops identified a number of factors for the provision of high quality care: the continued development of a distinct long term care identity, rather than a separate identity of health/social care; working conditions; relationships, including between care professionals and users, and between professionals and informal carers; the way that care services are financed and structured, which has a strong influence on the delivery of care, interaction and cooperation; and the importance of multidisciplinary care teams. The authors propose recommendations to directly and indirectly improve quality of care through action at the macro, organisational, and individual levels. (Edited publisher abstract)
The effects of enhanced program review and staff training on the management of aggression among clients in a long-term neurobehavioral rehabilitation program
- Authors:
- NAREVIC Egle, et al
- Journal article citation:
- Aging and Mental Health, 15(1), January 2011, pp.103-112.
- Publisher:
- Taylor and Francis
This study investigated the effects of staff training, staff support groups, and increased client behaviour monitoring on physical aggression toward peers and objects. Data were collected for 267 older clients treated in a long-term neurorehabilitation programme in the San Francisco Bay area over 15 months. During this time, programmatic enhancements were introduced including: staff training and support groups; individualised programme development; and client-centred weekly and systemic monthly behaviour management reviews. Incidents of physical aggression were assessed using staff reports. The clients had neurobehavioral disability of various origins, 73% had a psychiatric diagnosis in addition to one or more medical diagnoses, and 58% had a dementia diagnosis. The number of physical aggression per client per month was reduced by 77% following the implementation of programmatic enhancements. Overall, the enhanced systematic behavioural review of clients along with staff training and on-going staff support groups reduced the incidents of behavioural problems in older people with psychiatric problems and neurobehavioral disabilities.
Obstacles to implementing research outcomes in community settings
- Authors:
- BALL Karlene, WADLEY Virginia, ROENKER Daniel
- Journal article citation:
- Gerontologist, 43(Special Issue), March 2003, pp.29-36.
- Publisher:
- Oxford University Press
This American article argues that in contrast to controlled laboratory or clinic-based research that can fail to capture the real-world behaviors of older adults, field research offers the best opportunity for ecological validity. However, the tradeoff inherent in field studies is the potential sacrifice of scientific rigour. Applied research presents a unique set of challenges that vary with context. This article discusses these challenges along with possible solutions. Examples are drawn from an ongoing, longitudinal study of driving competence that is being conducted in Department of Motor Vehicles field sites. The challenges faced at each stage of the project are discussed. Methodological issues include identifying field collaborators, approaching administrators with the research proposal, producing a battery that is manageable and acceptable while maintaining scientific merit, training indigenous personnel to administer this battery, introducing the research and consenting potential participants, and managing large data sets offsite. Additional issues include quality control, the importance of distinguishing between individuals who consent and those who decline participation, and the collection of follow-up data via telephone.
Seeking residents' views in homes for older people: a user's perspective approach
- Authors:
- WALKERDEN Steve, CAMPBELL Tina
- Journal article citation:
- Managing Community Care, 7(5), October 1999, pp.35-43.
- Publisher:
- Pavilion
This article describes the experiences of a major provider of residential care for older people in Australia, in ascertaining the views of their residents. It discusses resource implications, outlines benefits and recommends the use of a specific approach which provides a practical demonstration of commitment to quality care.
Enhancing the quality of care in residential and nursing homes: more than just a professional responsibility
- Author:
- NOLAN Mike
- Journal article citation:
- Journal of Elder Abuse and Neglect, 10(1/2), 1999, pp.61-77.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article highlights a range of issues considered essential to improving the quality of care received by older people in residential and nursing home settings. It is argued that improving such care represents a societal as well as a professional responsibility and that remedial action is needed at a number of levels. Five 'routes' to achieving quality are outlined, and it is suggested that these are not simply alternatives but that each requires attention if genuine progress is to be made.