Search results for ‘Subject term:"older people"’ Sort:
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Understanding repeated visits to adult protective services
- Authors:
- SUSMAN Allison, LEES Kristin E.L., FULMER Terry
- Journal article citation:
- Journal of Adult Protection, 17(6), 2015, pp.3912-399.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore Protective Service (PS) caseworker opinions related to why some older adults require repeated services. Design/methodology/approach: Using a constructivist grounded theory approach, focus groups were conducted with a major Adult Protective Services (APS) office, recorded, transcribed, and analysed using thematic analysis. Findings: Results from the qualitative analytic method of thematic analysis produced four overarching themes: poor communication between referral sources and APS; PS caseworkers as gatekeepers; self-determination; and changes in health conditions and family dynamics. Practical implications: The documented themes appear amenable to education interventions for both professionals and families. Originality/value: These new data add depth to the understanding of the PS caseworker experience and help guide research related to areas that need educational interventions with older adults who access APS and the professionals and families involved in such cases. (Publisher abstract)
Diagnostic communication in the memory clinic: a conversation analytic perspective
- Author:
- PEEL Elizabeth
- Journal article citation:
- Aging and Mental Health, 19(12), 2015, pp.1123-1130.
- Publisher:
- Taylor and Francis
Whether and how patients should be told their dementia diagnosis, has been an area of much debate. While there is now recognition that early diagnosis is important for dementia care little research has looked at how dementia-related diagnostic information is actually verbally communicated. The limited previous research suggests that the absence of explicit terminology (e.g., use of the term Alzheimer's) is problematic. This paper interrogates this assumption through a conversation analysis of British naturalistic memory clinic interaction. (Edited publisher abstract)
Preventing abuse through pre-employment checks: an international review
- Authors:
- MANTHORPE Jill, LIPMAN Valerie
- Journal article citation:
- Journal of Adult Protection, 17(6), 2015, pp.341-350.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to summarise the findings of a desk-based international review investigating the checking of staff and volunteers working with adults who are vulnerable or at risk (or similarly defined) receiving social care in their own homes, or in day centres or residential care. Design/methodology/approach: In England, as part of the government’s attempts to prevent harm to vulnerable people, employers must check if their staff or volunteers are barred from working with vulnerable adults in the health and care sectors or if they have a relevant criminal record. This review sought to explore practices elsewhere, with a view to informing policy and practice debates. The review was undertaken in winter 2014-2015. It mainly involved a search of internet-based material and databases. This was further informed by communications with experts and practitioners from different countries. Findings: The review found a variety of practices, ranging from no checks to substantial checks involving fingerprinting. Reasons for checks identified in different national contexts extend from efforts to stop fraudulent use of government subsidies to minimising the risk of harm to vulnerable adults, and more positively to enhance user and public trust in care providers. A small number of countries place particular emphasis on the rights of individuals to privacy and rehabilitation and this moral imperative overrides other policy goals. This review highlighted a lack of clarity in publicly available documents about the potentially multiple policy goals of different schemes and suggests that there may be advantages to clarifying the options available from other countries. Research limitations/implications: This review was confined to English language material and to material located through internet searching. Some material may not have been updated on internet sites. Originality/value: The details of the processes have not previously been collated to the best of the authors’ knowledge. (Publisher abstract)
Predicting gay affirmative practice from the theory of planned behavior
- Authors:
- WARREN Allison R., STEFFEN Ann M., WAYLAND Sherrill
- Journal article citation:
- Journal of Gerontological Social Work, 58(7-8), 2015, pp.671-683.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study utilised the theory of planned behaviour to examine individual intentions to engage in gay affirmative practice among ageing-focused professionals (N = 83) in the Midwestern United States. Participants completed self-report measures of perceived agency norms and individual attitudes related to the treatment of gay men and lesbians, intentions to provide gay affirmative care, and perceived behavioural control. Attitudes, norms and perceived behavioural control were examined as predictors of intentions; attitudes of individual ageing-service professionals emerged as the strongest predictor. Results indicated that affirmative attitudes within the agency may be important in predicting intentions to provide this type of care. (Edited 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)
Your care rating: 2014 survey
- Author:
- IPSOS MORI
- Publisher:
- Ipsos MORI
- Publication year:
- 2015
- Pagination:
- 31
- Place of publication:
- London
Report presenting a summary of findings from the 2014 Your Care Rating Survey, which is the largest survey of care home residents in the UK. The report provides details of how the survey was conducted and provides a summary of results under four themes: staff and care; home comforts; choice and having a say; and quality of life. The survey was conducted over 29 care providers and obtained views from over 21,000 residents from 1,096 care homes. Findings were analysed to give each home an Overall Performance Rating (OPR) out of 1,000. Although designed primarily for care home residents aged 65 or over, the survey also includes younger adults living in care homes. The overall results of resident feedback paints an encouraging picture of life in care homes from the majority of homes which took part. The overall average overall performance rating score for participating homes was 872 (in line with 871 in 2013) and more than half of the care homes which took part in the previous year improved their OPR score. Within the theme relating to Staff and Care, staff have positive views of the manner in which staff treat them, however a relatively smaller proportion of residents felt staff treat them as an individual and have time to talk. Other findings were that residents were less positive about having a say in their care and about having choice than they were about other aspects of their care, such as feeling safe and secure. Improving residents’ perceptions of having choice and control within their care home and also treating them in a more person centred way may help to improve their experience within their care home. (Edited publisher abstract)
Handling the dilemma of self-determination and dementia: study of case managers’ discursive strategies in assessment meetings
- Authors:
- OSTERHOLM Johannes H., LARSSON Annika Taghizadeh, OLAISON Anna
- Journal article citation:
- Journal of Gerontological Social Work, 58(6), 2015, pp.613-636.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In assessment meetings concerning care services for people with dementia, Swedish case managers face a dilemma. On the one hand, according to the law, the right to self-determination of every adult citizen must be respected, but on the other hand cognitive disabilities make it difficult to fulfil obligations of being a full-fledged citizen. In this article, the authors examine 15 assessment meetings to identify discursive strategies used by case managers to handle this dilemma. The authors also examine how these affect the participation of persons with dementia, and indicate implications of their study for social work practice and research. (Edited publisher abstract)
Perceptions of care home staff on the effect of the care home environment for individuals living with dementia
- Author:
- BOYDEN Sally Dawn
- Journal article citation:
- Working with Older People, 19(2), 2015, pp.69-76.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore what existing literature about the care home environment for people with dementia reveals. It also evaluates the implications for practice, to show which parts of the care home environment staff feel have the most impact on the day to day lives of residents living with dementia. In turn, this paper seeks to feedback to care home management to improve practice and to contribute to research in care homes in the future. Design/methodology/approach: A literature review forms the basis of this research, in addition to four semi-structured interview conducted with care home staff of different roles; allowing them to share their experiences with little restriction. Participants were recruited through informal discussions with the researcher before the research took place, as part of her job role and using purposive sampling. Findings: Data were analysed using computer software Nvivo and identified four main categories which all participants discussed: social interaction, staff involvement, staff restrictions, staff involvement and physical elements of the environment. This research has shown the importance of staff presence in the care home environment to facilitate social interaction among residents with dementia. Research limitations/implications: The sample is very small due to staff not having the time to take part in the interview and this itself is a key finding. Interviews were able to capture feelings but not the overall experience of interaction between resident and staff, which observations would have achieved if there was more time to conduct the research. Originality/value: A literature review and qualitative research signifying the importance of staff presence in the care home setting in order for the residents to socially engage in their environment. However, it has also show the lack of time that is face by staff and the impact this has on people living with dementia. (Publisher abstract)
The care of older people with dementia in surgical wards from the point of view of the nursing staff and physicians
- Authors:
- HYNNINEN Nina, SAARNIO Reetta
- Journal article citation:
- Journal of Clinical Nursing, 24(1-2), 2015, pp.192-201.
- Publisher:
- John Wiley and Sons
Aims and objectives: The aim of this study is to describe the care of older people with dementia in surgical wards from the viewpoint of the nursing staff and physicians. Background: There has been little research on the impact of the increasing number of older people with dementia in surgical wards and the preparedness of multi-professional staff caring for them. Design: A qualitative, descriptive design was used. Methods: The data were collected using unstructured interviews with nursing staff (n = 19) and physicians (n = 9) who participate in caring for people with dementia in surgical wards. The collected data were analysed using inductive content analysis. Result: The nursing staff reported that caring for people with dementia was physically and mentally demanding. Physicians regarded memory disorder-related symptoms as primary causes of patients’ challenging behaviour, while in similar situations the nursing staff felt that such behaviour was related to their own personality or a deficiency in their nursing competence. The nursing staff commented that they had not received specific training in caring for people with dementia. Conclusion: The study highlights the importance of developing nurses’ skills to meet the current demands of their jobs. Thus, nursing staff urgently require additional training to safely care for this group of patients. In addition, the well-being of nursing staff needs further support, and working practices in the wards should be reviewed. Relevance to clinical practise: Education and up-to-date information related to patient care strongly improve the quality of nursing. The results can be applied to the development of competences related to the care of older people with dementia in surgical wards from a multi-professional standpoint. (Publisher abstract)
To what extent is the work environment of staff related to person-centred care? a cross-sectional study of residential aged care
- Authors:
- SJOGREN Karin, et al
- Journal article citation:
- Journal of Clinical Nursing, 24(9-10), 2015, pp.1310-1319.
- Publisher:
- John Wiley and Sons
Aims and objectives: To explore the relationship between staff characteristics, perceived work environment and person-centred care in residential aged care units. Background: Person-centred care is often described as the model of choice in residential aged care and in the care of persons with dementia. Few empirical studies have reported on the relationship between how staff experience different aspects of their work and person-centred care. Design: The study had a cross-sectional quantitative design. Methods: Staff in 151 residential aged care units in Sweden (n = 1169) completed surveys which included questions about staff characteristics, valid and reliable measures of person-centred care, satisfaction with work and care, job strain, stress of conscience and psychosocial unit climate. Statistical analyses of correlations, group differences and multiple linear regression analysis estimated with generalised estimating equation were conducted. Results: Higher levels of staff satisfaction, lower levels of job strain, lower levels of stress of conscience, higher levels of a supportive psychosocial unit climate and a higher proportion of staff with continuing education in dementia care were associated with higher levels of person-centred care. Job strain and a supportive psychosocial climate, explained most of the variation in person-centred care. Conclusions: This study shows that the work environment as perceived by staff is associated with the extent to which staff perceive the care as being person-centred in residential aged care. These empirical findings support the theoretical postulation that the work environment is an important aspect of person-centred care. Relevance to clinical practice: Promoting a positive and supportive psychosocial climate and a work environment where staff experience balance between demands and control in their work, to enable person-centred care practice, seems to be important implications for managers and leaders in residential aged care. (Publisher abstract)