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National service framework for older people: standard 4: general hospital care: National Learning Network event Thursday 22nd September, 2005
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 40p.
- Place of publication:
- London
This booklet, produced for the final Learning Network event held in London on September 22 2005, provides information about all the projects to support implementation of Standard 4 (General Hospital Care) of the National Service Framework for Older People, the progress of the projects and their achievement to date.
Report to Scottish Executive Health Department on the implementation of the clinical standards for food, fluid and nutritional care in hospitals
- Author:
- SCOTLAND. Scottish Executive. Health Department
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2004
- Pagination:
- 35p.
- Place of publication:
- Edinburgh
This report adressess the issues necessary to improve the nutritional status of patients in hospitals.
A perfect storm: care transitions for vulnerable older adults discharged home from the emergency department without a hospital admission
- Authors:
- CADOGAN Mary P., PHILLIPS Linda R., ZIMINSK Carolyn E.
- Journal article citation:
- Gerontologist, 56(2), 2016, pp.326-334.
- Publisher:
- Oxford University Press
Purpose of the Study: The purpose of the study was to describe, from the perspectives of emergency department (ED) providers, factors that influence quality and safety of transitions home from the ED for vulnerable older adults. Design and Methods: A grounded theory approach was used to analyse data from 9 focus groups conducted with ED staff that included representatives from nursing, medicine, pharmacy, social work, and respiratory therapy. Results: From the perspectives of these care providers, 5 antecedent concepts contribute to the perceived quality and safety of transitions from the ED to home. These 5 concepts include the nature of geriatric presentations, provider knowledge, consumer knowledge, the ED resource base, and health care system fractures. Co-occurrence and interaction among the 5 identified antecedents set up conditions for what one focus group participant described as a perfect storm. Implications: Older adults discharged home from the ED without a hospital admission are an increasingly important but understudied group within the transitional care literature. Although they share some similarities with those undergoing different health transitions, their unique needs and the specific characteristics of ED care require a novel approach. The model that emerged in this study provides direction for understanding the complex and interrelated aspects of their transitional care needs. (Edited publisher abstract)
Discovering what works well: exploring quality dementia care in hospital wards using an appreciative inquiry approach
- Authors:
- SCERRI Anthony, INNES Anthea, SCERRI Charles
- Journal article citation:
- Journal of Clinical Nursing, 24(13-14), 2015, pp.1916-1925.
- Publisher:
- John Wiley and Sons
Aims and objectives: To explore the quality dementia care in two geriatric hospital wards using appreciative inquiry with formal care workers and family members of inpatients with dementia. Background: Care models such as person-centred and relationship-centred care have been developed to explain what ‘quality’ dementia care should be. However, their usefulness and relevance to clinicians has been questioned. Design: Using an exploratory qualitative design within an appreciative inquiry framework, 33 care workers working in a geriatric hospital and 10 family members of patients with dementia were interviewed. Methods: Open-ended questions were asked to encourage care workers to narrate positive care experiences when the care was perceived to be at its best and to identify what made these experiences possible. Interviews were audio-taped and transcribed whilst data were analysed thematically using a qualitative data analysis software to assist in data management. Results: Positive care experiences can be understood within five care processes, namely building a relationship between the ‘extended’ dementia care triad, providing ‘quality time’ and ‘care in time’, going the ‘extra mile’, attending to the psychosocial needs and attending to the physical needs with a ‘human touch’. Factors facilitating these positive care experiences included personal attributes of care workers, and organisational, environmental and contextual factors. Conclusions: This study provides an alternative and pragmatic approach to understanding quality dementia care and complements the body of knowledge on factors influencing dementia care practices in hospitals. Relevance to clinical practice: By understanding the components of quality dementia care and how these can be achieved from different stakeholders, it is possible to develop strategies aimed at improving the care offered to patients with dementia in hospitals. (Publisher abstract)
Delirium: QS63
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This quality standard covers the prevention, diagnosis and management of delirium in adults (18 years and over) in hospital or long-term care settings. It is designed to contribute to improvements in the following outcomes: length of hospital stay; detection of delirium; incidence of delirium; falls in hospital; mortality; adults' experience of hospital care; and carer involvement in healthcare.
National Audit of intermediate care report 2013
- Author:
- NHS BENCHMARKING NETWORK
- Publisher:
- NHS Benchmarking Network
- Publication year:
- 2013
- Pagination:
- 110
- Place of publication:
- Manchester
The National Audit of Intermediate Care provides an overview of intermediate care commissioning and provision in England. This is the second year of the audit, which has been extended to cover crisis response and social care re-ablement services. The 2012 audit focused on health based bed and home intermediate care services; and this report presents findings from data collected on these subjects for both 2011/12 and 2012/13 for comparison. The audit is a partnership project between the British Geriatrics Society, the Association of Directors of Adult Social Services, AGILE - Chartered Physiotherapists working with older people, the College of Occupational Therapists - Specialist Section Older People, the Royal College of Physicians (London), the Royal College of Nursing, the Patients Association, the Royal College of Speech and Language Therapists, and the NHS Benchmarking Network. A Steering Group. The focus of this audit is on quality of service provision, and it finds diversity of provision and variations in commissioning. The cost of an intermediate care bed day reported by commissioners ranged from an average of £182 in residential care homes to an average of £260 per bed day in acute hospital settings. The data also continue to suggest that mental health workers are still rarely included in the establishment in intermediate care teams. People with dementia comprise only 12% of service users, and thus continue to be under-represented. (Edited publisher abstract)
Joint briefing: the Francis Inquiry. Part 1: background information
- Authors:
- VOLUNTARY ORGANISATIONS DISABILITY GROUP, SUE RYDER CARE, NATIONAL CARE FORUM
- Publisher:
- Voluntary Organisations Disability Group
- Publication year:
- 2013
- Pagination:
- 5
- Place of publication:
- London
This is Part 1 of a two-part briefing for Voluntary Organisations Disability Group and National Care Forum members. It summarises the background to the Francis Inquiry into events at Mid Staffordshire NHS Trust , its main recommendations, and developments since the report was published. It notes key proposals in the Government's initial response, published as 'Patients first and foremost': to put in place a culture of zero harm and compassionate care; to detect problems quickly; to ensure proper accountability for wrongdoers; and to ensure real leadership and motivation of all NHS and social care staff: It also provides links to other independent reviews (Cavendish, Berwick, Keogh and Clwyd). In response, the Care Quality Commisison (CQC) has identified five key attributes to ensure higher standards of care for all services: they should be safe, effective, caring, responsive, and well led. (Edited publisher abstract)
Joint briefing: the Francis Inquiry. Part 2: implications of the Francis Inquiry for social care providers
- Authors:
- VOLUNTARY ORGANISATIONS DISABILITY GROUP, SUE RYDER CARE, NATIONAL CARE FORUM
- Publisher:
- Voluntary Organisations Disability Group
- Publication year:
- 2013
- Pagination:
- 9
- Place of publication:
- London
This is Part 2 of a two-part briefing for Voluntary Organisations Disability Group members in conjuction with the National Care Forum and Sue Ryder. It aims to explain why the Francis Inquiry into events at Mid Staffordshire NHS Trust and the resulting reforms are important to social care providers. It attempts to draw together some of the overarching 'improvement themes' that providers should be aware of. It also recommends a number of key areas for the attention of chief executives, directors and Chairs of Boards. It recommends a new commitment to openness, transparency and candour. A set of fundamental standards should be established and enforced, that commissions for quality and does not tolerate non-compliance. It suggests actions and resources for change. There needs to be a renewed focus on person centred service provision in which users have a voice. (Edited publisher abstract)
Delivering dignity: securing dignity in care for older people in hospitals and care homes: a report for consultation
- Author:
- COMMISSION ON DIGNITY IN CARE FOR OLDER PEOPLE
- Publisher:
- Local Government Association
- Publication year:
- 2012
- Pagination:
- 42p.
- Place of publication:
- London
The Commission on Dignity in Care for Older People was established in July 2011 to identify the underlying causes of failures and shortcomings in the care of older people identified in recent reports and investigations. This draft report, issued for public consultation, is based on expert evidence from across health and social care, a literature review, written submissions, public hearings, and site visits and meetings. It looks at changing society's attitudes to older people, who is cared for, the standards of care people should have a right to expect, moving between home, hospital and care home, residential and nursing home care providers, commissioning dignified care, patient, resident and public representation, universities, professional bodies and staff development, and regulation. It also presents case studies, discusses making things happen and sets out key recommendations for hospitals and care homes.
Dignity and nutrition inspection programme: national overview
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 30p.
- Place of publication:
- London
This report summarises the results from a national inspection programme of NHS hospitals in England. Inspects focused on two outcomes: looking at whether older people are treated with respect and whether they get food and drink that meets their needs. The inspections took place between March and June 2011 and used teams made up of CQC inspectors, a practising and experienced nurse and an ‘expert by experience’ (someone with experience of caring or receiving care). One hundred NHS hospitals were inspected and all the inspections were unannounced. Of those inspected: 45 hospitals met both standards; 35 met both standards but needed to improve in one or both; 20 hospitals did not meet one or both standards. Problems identified included: patients’ privacy not being respected; call bells being put out of patients’ reach, or not answered soon enough; staff speaking to patients in a dismissive or disrespectful way; patients not being given the help they needed to eat; and patients being interrupted during meals and having to leave their food unfinished. Appendices include details on what the Care Quality Commission looks for in an inspection and a list of hospitals inspected. Individual hospital reports giving findings at the time of each visit are also available from the Care Quality Commission.