Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 14
Navigating conflict: a model for nursing home social workers
- Authors:
- ALLEN Priscilla D., et al
- Journal article citation:
- Health and Social Work, 32(3), August 2007, pp.231-234.
- Publisher:
- Oxford University Press
Nursing home social workers require a variety of skills, including skills in managing interpersonal conflict. The authors illustrate why it is crucial to prepare nursing home social workers to handle conflict. They then present a resident-centred conflict resolution model to help guide nursing home social workers.
Shades of the workhouse
- Authors:
- CAMPBELL D., STATHAM D.
- Journal article citation:
- Care Weekly, March 1991, pp.12-13.
Reviews the work of the Wagner Development Group in promoting the ideals of the Wagner Report against the background of deep-seated antipathy towards 'the workhouse'. New initiatives include the development of a charter for children in residential care, and model contracts to ensure some security of tenure.
Cameos of care homes: revealing the resilience and expertise of care homes
- Authors:
- HARRIS Jess, et al
- Publisher:
- King's College London
- Publication year:
- 2018
- Pagination:
- 8
- Place of publication:
- London
Outlines key messages from staff working in two care homes taking part in the NHS New Care Models Programme, based in the Vanguard area of East and North Hertfordshire. The aim of the Programme was to develop new approaches to enable care homes to better support residents with complex health needs. Twelve staff from the care homes reflect on the support they received from getting involved in the Vanguard the different elements of the Vanguard they experienced, and the impact on individual staff and the care of residents. It draws out the key messages from a film where staff in two care homes reflect on their experiences of participating in the Vanguard programme. It includes views on the experiences of the Complex Care Champions 'Red Bag' scheme, and 'Impartial Assessor' for hospital discharge. (Edited publisher abstract)
Involuntary relocation and safe transfer of care home residents: a model of risks and opportunities in residents' experiences
- Authors:
- LEYLAND Anna F., SCOTT Jason, DAWSON Pam
- Journal article citation:
- Ageing and Society, 36(2), 2016, pp.376-399.
- Publisher:
- Cambridge University Press
Few studies explore the application of literature on care home closures in practice or how it can influence residents' experiences. The aim of this study was to investigate from multiple perspectives how a protocol, designed by a local council for the involuntary relocation and safe transfer of older adult residents, was adhered to and the influence that the protocol had on the experiences of residents who relocated from two care homes. Interviews were conducted with 34 stakeholders, including relocated residents (N=11), relatives (N=2), care home staff (N=13), managers (N=6) and advocates (N=2), and analysed using framework analysis. The protocol covered key aspects of guidelines extracted from research evidence grouped into four themes: involvement; staff approaches; preparation; and consistency and familiarity, with the majority of the guidelines being followed in practice. Two further themes that centred on the processes of transitional adjustment and impact of relocation were influenced by the protocol but were also mediated by factors relating to the environment and the resident. Involvement of residents, relatives and advocates, extensive planning and a person-centred approach were of particular importance in improving residents' experiences of relocation. A model that places residents' experiences at the centre of relocations is proposed, which draws on and applies the themes identified in this study and applies them within the context of opportunities and risks. (Publisher abstract)
Models of change for care homes
- Author:
- LACY Pamela
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Drawing on the findings of a study carried out by Skills for Care, this paper aims to stimulate discussion about how care homes may support people with sight loss and suggest areas for further research and development. The study used a rapid evidence assessment (REA) and qualitative work with five care homes to identify models of change and their impact on the quality of care homes. The REA identified seven models which care homes could adopt to change culture and service delivery. Each model has links to the prevailing policy of person-centred care, along with choice, flexibility and quality improvements. The research also identified seven key characteristics in care homes that were important for supporting change, including the need for strong leadership and the participation from staff and residents. While the evidence of the impact of change, either positive or negative, was limited, some formal evaluations indicated positive outcomes for residents’ physical and mental health, as well as improvements in staff satisfaction. The paper ends with discussion points for care home owners and managers to encourage them to make appropriate changes. (Edited publisher abstract)
Jimmy: assessing and exploring unmet needs
- Authors:
- SCOTT Ann, HUTCHINSON Tania
- Journal article citation:
- Journal of Dementia Care, 16(5), September 2008, pp.30-33.
- Publisher:
- Hawker
A case study is used to demonstrate the support model used by the Newcastle Challenging Behaviour Service. The case study illustrates how an elderly man, whose agitated behaviour in the evenings caused problems for care staff and other residents, was helped using the model. The model conceptualises residents' behaviours as strategies employed by a person to meet an unfulfilled or 'unmet' need.
Improving health care for assisted living residents
- Authors:
- KANE Robert L., MACH John R.
- Journal article citation:
- Gerontologist, 47(3), December 2007, pp.100-109.
- Publisher:
- Oxford University Press
The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. It draws on a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary health care and other health services for AL residents. Results found AL residents are frequently frail older persons who need good chronic care. The predominant care models today do not respond adequately to this challenge. Medical care for AL residents is currently practiced very much like that for persons living in the community. The potential for using the aggregation of patients has not been effectively tapped. The authors review some managed care models from other elements of long-term care, including the Evercare model, to look for ways that might be adapted. However, the current funding approach emphasizes living settings rather than inherent client characteristics. A research agenda might include ways to improve communication between AL and medical providers and to get AL staff more actively involved in daily care. Research support might produce the data necessary to entice the Centers for Medicare and Medicaid Services into changing its current reimbursement policies to create a climate better suited to delivering good chronic disease care in AL facilities.
Work stressors and the quality of life in long-term care units
- Authors:
- PEKKARINEN Laura, et al
- Journal article citation:
- Gerontologist, 44(5), October 2004, pp.633-643.
- Publisher:
- Oxford University Press
The purpose of this work was to examine how structural factors, residents' needs for physical and psychosocial assistance, and the work stressors experienced by employees are related to the quality of life of elderly residents in long-term care. Cross-sectional survey data were collected from 1,194 employees and 1,079 relatives of residents in 107 residential-home units and health-center bed wards. Data were analyzed using multilevel modeling. The majority of differences in both employees' and relatives' perceptions of residents' quality of life across units could be explained by work stressors such as time pressure. Large unit size was related to both increased time pressure among employees and reduced quality of life of residents. Long-term care units are encouraged to review their practices so that employee well-being is supported. Attention also should be focused on unit size, as small units appear better able to help employees cope with work stress, resulting in better quality of life for residents.
Research into practice: proceedings of the fourth annual JUC/BASW conference Leeds University September 1988
- Author:
- BRITISH ASSOCIATION OF SOCIAL WORKERS
- Publisher:
- British Association of Social Workers
- Publication year:
- 1989
- Pagination:
- 87p.,bibliogs.
- Place of publication:
- Birmingham
Contains paper by SMALE Gerry and STATHAM Daphne: "Research into practice: using research in practice and policy making." Also includes papers on: research and the black experience; using research to change practice for elderly people in residential care; child care in Warwickshire; and listening to the consumer: a new model for social services research.
Culture change in long term care: the Wellspring model
- Authors:
- KEHOE Mary Ann, HEESCH Betsy van
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(1/2), 2003, pp.159-173.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
While embarking on a journey to learn how to survive in the permanently altered health care marketplace, a group of eleven Wisconsin not-for-profit providers learned that the true keys to sustained organizational quality include teaching line staff best clinical practices and, more importantly, in changing the typical long-term care culture of control. Wellspring Innovative Solutions for Integrated Health Care emerged in 1994 as a pro-active response to the trend toward “managed care,” decreased reimbursement, limited human resources, increased resident acuity, and increased consumer demand for quality. Despite increased challenges in these areas, today Wellspring members have continued to be totally committed to providing quality care and quality of life to those served. At its core Wellspring believes that few individuals are working in long-term care today for the pay. Rather, individuals are attracted to the field because they want to make a difference. Wellspring focuses on showing line staff employees in all departments the difference they can make on a daily basis. Wellspring culture values and respects not only the individual resident, but also each employee, no matter their department nor function. This article describes the philosophy of the Wellspring approach, its history, implementation and initial outcomes.