Search results for ‘Subject term:"older people"’ Sort:
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Beyond multiplication: incorporating importance into client satisfaction measures
- Author:
- HSIEH Chang-Ming
- Journal article citation:
- Research on Social Work Practice, 24(4), 2014, pp.470-476.
- Publisher:
- Sage
Objective: This article brings the discussions on incorporating perceived importance across study areas into the study of client satisfaction and cautions the use of multiplicative scores (multiplying satisfaction and importance scores) as a weighting method. An alternative weighting method is provided. Method: Analyze data from a client satisfaction survey of 103 clients of a publicly funded elderly case management service unit located in a large U.S. Midwest region city. Results: The alternative weighted score correlated higher with all the global client satisfaction measures than the multiplicative score. Conclusion: Using multiplicative scores to represent global client satisfaction should be avoided. The proposed alternative weighting method is a reasonable way to incorporate perceived importance to represent global client satisfaction. (Publisher abstract)
How older people define wellbeing: a synthesis of the evidence
- Author:
- CENTRE FOR AGEING BETTER
- Publisher:
- Centre for Ageing Better
- Publication year:
- 2014
- Pagination:
- 51
- Place of publication:
- London
This literature review investigates what is known about how older people define wellbeing. The literature search found 47 relevant papers. Nine papers were analysed further as they met the selection criteria and examined wellbeing based on the perspective of older people. The analysis focused on their methodology, findings and conclusions. Only one paper offered a credible, meaningful definition of wellbeing. Factors identified that older people felt promoted wellbeing included, social relationships, social capital, keeping active, capability, sufficient personal finances, quality and deliver of care, independence and choice. Barriers identified included retirement when it results in a loss of status or worth, adverse life events, loss of capability, lack of family support and limited resources. The review found a small number of formal studies, which varied widely in their sampling, methodology and levels of data analysis. Despite the differences in the studies, there were similarities in the findings. (Original abstract)
Power mobility and the built environment: the experiences of older Canadians
- Authors:
- KOROTCHENKO Alexandra, CLARKE Laura Hurd
- Journal article citation:
- Disability and Society, 29(3), 2014, pp.431-443.
- Publisher:
- Taylor and Francis
Using data from qualitative interviews with 15 men and 14 women aged 51–92, this study examines older Canadian adults’ experiences of using power wheelchairs and motorized scooters in the context of the built environment. When functioning properly and utilized within accessible spaces, power mobility devices provided many of the participants with the autonomy they desired. However, the features and functionality of power mobility equipment also constrained participants’ abilities to negotiate their surroundings and maintain valued social roles and physical activities. Participants’ experiences of power mobility technology as enabling or disabling were further complicated by the organization of the built environment, as the men and women described encountering various barriers to mobility within both public and private spaces. The findings are discussed in relation to the extant literature concerning the social and spatial construction of disability. (Edited publisher abstract)
What is person-centred care?
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 5 minutes
- Place of publication:
- London
This video illustrates what person-centred care is about, emphasises the importance of choice and control and introduces the idea that person-centred care is relevant for all adults and older people using social care services - whatever their needs or setting. People with experience of personalised services explain the impact that person-centred care has had on their lives. The video also looks at what person-centred care will mean for social care workers.
Decisions about equipment and adaptations used for bathing and showering
- Author:
- McLAGGAN Joy
- Journal article citation:
- Research Policy and Planning, 31(2), 2014/15, pp.143-160.
- Publisher:
- Social Services Research Group
Bathing and showering equipment and adaptations are commonly prescribed by Occupational Therapists in Adult Services. Despite this very little is known about what affects whether or not these items are used by individuals. With demands increasing it is essential that the experiences, preferences and needs of users are better understood in order that the equipment and adaptations provided are fully utilised and the need of the user met in a client-centred approach. This article details the research ‘Equipment and adaptations used for bathing and showering: views of individuals on their use’ (McLaggan, 2011) which examined: What equipment and/or adaptations do people use for bathing and showering?; Do people utilise all the equipment and/or adaptations they possess?; What affects whether or not people use equipment and/or adaptations? The article will consider the findings from this research in relation to existing research in this field. (Publisher abstract)
LGBT age audit tool: a guide for services and organisations working with older people to becoming more LGBT inclusive
- Author:
- LGBT HEALTH AND WELLBEING
- Publisher:
- LGBT Health and Wellbeing
- Publication year:
- 2014
- Pagination:
- 15
- Place of publication:
- Edinburgh
This tool is designed to help build the capacity of mainstream organisations to provide more culturally sensitive and inclusive services to older LGBT people. It sets out a circular process of four steps, which are: lead individual identified to start review process; collection and review of data; scoring and actions identified; and action plan and implementation. The tool can be used to gain an overall snapshot of a service and to help develop practice in a way that supports LGBT inclusion. The audit tool focuses on five categories: Thinking about evidence gathering: staff providing a service are supported to develop an awareness of working with LGBT people; the service is safe and accessible for LGBT people; the service has relevant policies and procedures to support LGBT inclusive practice; the service undertakes relevant equality monitoring with sexual orientation and gender identity included; and the service is proactive about its promotion, publicity and engagement. (Edited publisher abstract)
Dementia Action Alliance impact survey
- Author:
- KITCHEN Simon
- Publisher:
- Dementia Action Alliance
- Publication year:
- 2014
- Pagination:
- 25
- Place of publication:
- London
This is the first draft summary of the findings from the Dementia Action Alliance Impact survey for the DAA Board and DAA members, providing a snap shot of progress on the National Dementia Strategy and achievement of the National Dementia Declaration. The survey was completed by 1,352 respondents from a broad spread of geographic areas and perspectives including people with dementia, carers and professionals. The survey has found that the original objectives of the National Dementia Strategy were sound and continue to be relevant. The majority of valid responses said that there has been 'some' or 'lots' of progress against 16 of the 17 objectives from the original strategy. Raising awareness and understanding amongst the public and professionals has made the most progress. More respondents felt the NDS had 'got it right' for people with dementia than carers. A continuation of the NDS with modified objectives is strongly endorsed by DAA members and wider stakeholder network. People with dementia were most positive about 'I' statements related to dignity, choice, control and public attitudes to dementia but were much less positive about the support provided to those caring for them, with neutral scores on information and networks for carers and a negative score for access to respite care. There were significant negative scores for ongoing support from GPs, access to information and know-how and understanding by employers if they received an early diagnosis. (Edited publisher abstract)
Values important to terminally ill African American older adults in receiving hospice care
- Author:
- NOH Hyunjin
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 10(4), 2014, pp.338-355.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
While racial disparity in the use of hospice care by older African Americans is widely acknowledged, little is known about the values that they consider as important in receiving health care services along with direct experiences with having these values respected by hospice care providers. Using individual, face-to-face interviews, data were collected directly from 28 African American hospice patients about their experiences in hospice care. Content analysis was used to identify and categorise themes from multiple readings of the qualitative data. Resulting themes included: dying at home, open communications, independent decision-making, autonomy in daily life, unwillingness to be a burden, and relationships. Through the initial assessment, value preferences can be explored and then shared with hospice team members to ensure that services are provided in such a way that their values and preferences are respected. (Publisher abstract)
Choice and control for older people using home care services: how far have council-managed personal budgets helped?
- Authors:
- RABIEE Parvaneh, GLENDINNING Caroline
- Journal article citation:
- Quality in Ageing and Older Adults, 15(4), 2014, pp.210-219.
- Publisher:
- Emerald
Purpose: This paper reports the experiences of older people who use council-managed personal budgets (PBs) to fund home care services and their satisfaction with the level of choice and control they are able to exercise. Design/methodology/approach: Data were collected from 18 older people from eight home care agencies across three councils in England. All interviews were semi-structured and face-to-face. Findings: Areas discussed include choice and flexibility over care agency, care workers, tasks, and timing and duration of visits. Despite some optimism about improvements in choice and flexibility experienced by older people using home care services, the findings from this small study suggest that the gap between the 'ideal' of user choice and the 'reality of practice continues to be significant. The level of choice and control older people felt able to exercise to tailor home care services to their personal needs and preferences was restricted to low level choices. Other choices were constrained by the low levels of older people's PBs and council restrictions on what PBs can be spent on. Older people's understanding of limitations in public funding/pressures on agencies and their reluctance to play an active consumer role including willingness to 'exit' from unsatisfactory care arrangements appeared to further challenge the potential for achieving greater choice and control through council-managed PBs. Originality/value: The English government's policy emphasis on personalisation of care and support and new organisational arrangements for managed PBs aim to promote user choice and control. This is the first study to report the experiences of older people using managed PBs under these new arrangements. The paper highlights areas of interests and concerns that social care staff, support planners and commissioners may need to consider. (Edited publisher abstract)
Reflections on living with HIV over time: exploring the perspective of HIV-infected women over 5
- Authors:
- PSAROS Christina, et al
- Journal article citation:
- Aging and Mental Health, 19(2), 2014, pp.121-128.
- Publisher:
- Taylor and Francis
Objectives: This study explores the experiences of US women over 50 living with HIV to better understand how they make sense of their diagnosis and cope with their illness over time and during the aging process. Method: Nineteen women (mean age = 56.79, SD = 4.63) referred from Boston-area organisations and hospitals completed one-time, in-depth individual interviews, out of which 47% of the participants were identified as Black/African Americans, and 37% as White. The average time since diagnosis was 16.32 years (SD = 5.70). Inclusion criteria included: (1) female sex, (2) aged 50 or older, (3) HIV diagnosis, and (4) English speaking. Transcribed interviews were analyzed using a grounded theory approach and NVivo 9 software. Results: Findings are described across the following themes: (1) experiences at diagnosis, (2) uncertainty of disease course, (3) acceptance, and (4) living ‘well’ with HIV. Participants appeared to be well adjusted to their HIV diagnosis and described a progression to acceptance and survivorship; they identified strategies to ‘live well’ in the context of HIV. For some, health-related uncertainty about the future remained. These findings were organised into a model of coping with HIV. Conclusion: Themes and issues identified by this study may help guide interventions across the lifespan for women with HIV. (Edited publisher abstract)