Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 35
Perceptions and experiences of residents and relatives of emergencies in care homes: a systematic review and metasynthesis of qualitative research
- Authors:
- CURTIS Ffion, et al
- Journal article citation:
- Age and Ageing, 50(6), 2021, pp.1925-1934.
- Publisher:
- Oxford University Press
Background: the perceptions and experiences of care home residents and their families are important for understanding and improving the quality of emergency care. Methods: we conducted a systematic review and metasynthesis to understand the perceptions and experiences of care home residents and their family members who experienced medical emergencies in a care home setting. The review protocol was registered in PROSPERO (CRD42020167018). We searched five electronic databases, MEDLINE, CINAHL, PubMed, Cochrane Library and PsycINFO, supplemented with internet searches and forward and backward citation tracking from included studies and review articles. Data were synthesised thematically following the Thomas and Harden approach. The Critical Appraisal Skills Programme qualitative checklist was used to assess the quality of studies included in this review. Results: of the 6,140 references retrieved, 10 studies from four countries (Australia, Canada, UK and USA) were included in the review and metasynthesis. All the included studies were assessed as being of good quality. Through an iterative approach, we developed six analytical themes: (i) infrastructure and process requirements in care homes to prevent and address emergencies; (ii) the decision to transfer to hospital; (iii) experiences of transfer and hospitalisation for older patients; (iv) good communication is vital for desirable outcomes; (v) legal, regulatory and ethical concerns and (vi) trusting relationships enabled residents to feel safe. Conclusions: the emergency care experience for care home residents can be enhanced by ensuring resources, staff capacity and processes for high quality care and trusting relationships between staff, patients and relatives, underpinned by good communication and attention to ethical practice. (Edited 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)
What do people value when they provide unpaid care for an older person?: a meta-ethnography with interview follow-up
- Authors:
- AL-JANABI Hareth, COAST Joanna, FLYNN Terry N.
- Journal article citation:
- Social Science and Medicine, 67(1), July 2008, pp.111-121.
- Publisher:
- Elsevier
Government policies to shift care into the community and demographic changes mean that unpaid (informal) carers will increasingly be relied on to deliver care, particularly to older people. As a result, careful consideration needs to be given to informal care in economic evaluations. Current methods for economic evaluations may neglect important aspects of informal care. This paper reports the development of a simple measure of the caring experience for use in economic evaluations. A meta-ethnography was used to reduce qualitative research to six conceptual attributes of caring. Sixteen semi-structured interviews were then conducted with carers of older people to check the attributes and develop them into the measure. Six attributes of the caring experience comprise the final measure: getting on, organisational assistance, social support, activities, control, and fulfilment. The final measure (the Carer Experience Scale) focuses on the process of providing care, rather than health outcomes from caring. Arguably this provides a more direct assessment of carers' welfare. Following work to test and scale the measure, it may offer a promising way of incorporating the impact on carers in economic evaluations.
Exploring the experience of reablement: a systematic review and qualitative evidence synthesis of older people's and carers' views
- Authors:
- MULQUINY Lachlan, OAKMAN Jodi
- Journal article citation:
- Health and Social Care in the Community, early cite May 2022,
- Publisher:
- Wiley
Concerns from the worldwide ageing population and evidence of poor-quality aged care services have highlighted the need to develop innovative models of aged care which are acceptable to older people, economically sustainable and are safe. Reablement is a relatively new model for aged care that aims to support older people's desires to age independently in their usual place of residence and decrease dependency on aged care services. This qualitative evidence synthesis aimed to explore the experiences of older people and their carers (formal and informal) towards a reablement model of community aged care to ensure services are considerate of older people's needs. A systematic search was conducted across six electronic databases (Medline, Scopus, CINAHL, PsycINFO, Cochrane Library and Google Scholar) from 1990 to September 2021. Qualitative research exploring older people and their carers' experiences and perceptions of the reablement model used in community aged care services were identified. Nineteen articles were included in the synthesis following the screening of 668 abstracts and 56 full texts. Included articles were subject to quality assessment, and the data were synthesised using thematic synthesis. Three analytical themes were generated from the thematic synthesis; (i) reablement is a shift in approach to aged care, (ii) difficulties in developing tangible and meaningful reablement goals, (iii) reablement improves health and well-being. Reablement is generally well-received by older people and their informal carers. However, poor engagement from older people did occur when they had a poor understanding of their role in reablement and when they had not been fully consulted regarding their reablement goals. Current and future reablement services for older people should focus on ensuring an awareness of the processes and principles of reablement and collaboration between practitioner, the older person and their carer when developing goals to increase engagement. (Edited publisher abstract)
Engaging with older people: evidence review
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2011
- Pagination:
- 30
- Place of publication:
- London
Drawing on published research, this evidence review provides the theory behind engagement and provides a starting point for any community or organisation wanting to engage or involve older people in their activities. It outlines the different levels of engagement, from being consulted, to higher levels of involvement such as decision-making and agenda setting. It also identifies the benefits of participation for older people, organisations and communities as a whole. Benefits include older people having a greater sense of purpose, developing new skills, organisations getting feedback about their services, reaching groups who might not access their services; and improved relationships with communities. The review also identifies barriers and facilitators to successful engagement. Engagement is most likely to be successful when there is careful planning to overcome barriers of participation, making efforts to include people who are representative of the community, and providing feedback to participants and organisations. The review identifies a lack of published research and evaluation on engagement, especially with older people, and highlights the need for more evidence on what works well. (Edited publisher abstract)
Older people and home care in Wales: findings from a survey of service users
- Authors:
- LLEWELLYN Mark, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 14(3), 2013, pp.167-179.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to provide an account of a comprehensive and independent study of 1,029 older people who receive home care in Wales. The study aims to expand knowledge on the views of older people, a group who traditionally have struggled to make their voices heard. It asked older people about six specific components of home care: being listened to; having trained, knowledgeable and skilled care workers; having enough time to be cared for; receiving care from as few different workers as possible; receiving quality care; and being signposted to other sources of information. Design/methodology/approach – After an initial literature review and period of analysis, a thematic framework for home care was developed which contained the six components described above. A questionnaire was subsequently designed and distributed via the post to all home care services over 65 years old in four local authorities across Wales. A sample response rate of 26.7 per cent was achieved. Findings – The paper provides evidence on the levels of satisfaction (or otherwise) with the home care received by older people in Wales. Overall, nearly 85 per cent of older people are either “satisfied” or “very satisfied”, and given the sample size these data are significant (within appropriate confidence intervals) for the whole of the 25,000 people who receive home care in Wales. However, it is difficult to contextualise these findings given that there are no effective comparator data. Research limitations/implications – Given the chosen research approach, the results may lack a certain depth of understanding. That said, the size of the sample does provide commissioners and providers of services with certainty about the general population view. Originality/value – This paper offers a unique independent analysis of home care in Wales, and provides the reader with detailed insights into the views of older people who rarely get a chance to be heard. (Publisher abstract)
Older adults' experiences of occupational therapy predischarge home visits: a systematic thematic synthesis of qualitative research
- Authors:
- ATWAL Anita, et al
- Journal article citation:
- British Journal of Occupational Therapy, 75(3), March 2012, pp.118-127.
- Publisher:
- Sage
The authors believe that, despite predischarge home visits by occupational therapists being common in practice, there has been a tendency to neglect users' perceptions and experiences when evaluating whether this intervention is clinically and cost effective. A qualitative literature review was undertaken as a basis for systematic thematic synthesis of older adults' perceptions and experiences of predischarge home visits. Electronic database search were searched, conference proceedings hand searched and universities and occupational therapy professional bodies within Europe, Australia and North America contacted. Forty-four studies were initially identified, of which 13 studies (7 published, 6 unpublished) were selected for detailed screening. Only three qualitative studies met the inclusion criteria. Two main themes emerged: older adults' perceptions of home visits, and acceptance of occupational therapy. Although, in general, older adults are satisfied with predischarge home visits, the experience may provoke anxiety for some patients. Older people felt that they were not always involved in the decision making process during the visit, which may result in no-acceptance of the occupational therapy recommendations. The authors conclude that insufficient attention has been paid to older adults' perceptions of predischarge home visits. They believe that further work is necessary to determine their effectiveness from a user’s perspective.
Participatory action research with older adults: key principles in practice
- Authors:
- BLAIR Thomas, MINKLER Meredith
- Journal article citation:
- Gerontologist, 49(5), October 2009, pp.651-662.
- Publisher:
- Oxford University Press
This article uses data from a literature review of thirteen articles (covering 10 separate studies) on participatory action research (PAR) which has taken place with older people as the prominent partners. While many research methodologies in a wide range of social contexts were observed, each study illustrated several core, and often overlapping, principles of PAR. For example, its participatory, empowering and co-learning nature, ability to build capacity and change systems, emphasis on both balancing research and action and encouraging sustainability through long term collaborations were seen by the authors to complement the features of more traditional investigator-driven research. Whilst challenging and labour intensive, involving older people with PAR added value in terms of research quality and action outcomes as well as benefiting the elders themselves by adding to their skills base. The authors call for the scope of future gerontology to include research with, rather than just on, older adults and their caregivers to utilise these individuals’ invaluable knowledge as co-researchers.
A review of satisfaction instruments used in long-term care settings
- Author:
- CASTLE Nicholas G.
- Journal article citation:
- Journal of Aging and Social Policy, 19(2), 2007, pp.9-41.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
The authors review studies in the published literature using satisfaction surveys in long-term care settings. These settings include nursing homes, assisted living facilities, hospital long-term care units, and residential care homes. Rather than simply describe instruments in existence, the review compares and contrasts the format, content, and administration of these instruments. 50 studies were identified that have either developed or used satisfaction instruments in long-term care facilities. However, the review also shows that satisfaction instruments in the published literature vary greatly in numerous ways, including the number of questions they contain, the number of respondents included in the study, assessment of psychometric properties, and in the number of domains used. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
SCIE research briefing 12: involving individual older patients and their carers in the discharge process from acute to community care: implications for intermediate care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
This web-based briefing provides a concise summary of the research and policy literature into the means, benefits and difficulties of involving patients in the planning of discharge to community or intermediate care. It also considers the role of carers in this process, as well as what happens when an older person’s ability to communicate their preferences in these matters is affected by dementia, language difficulties, or an unwillingness or reluctance to express preferences about the provision of care. The briefing also examines policy and research findings on older people’s involvement in discharge planning more generally. The briefing was commissioned by the Social Care Institute for Excellence (SCIE).