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Exploring older people’s experiences of shielding during the COVID-19 pandemic
- Authors:
- PHELAN Amenda, DALY Louise, KEOGH Brian
- Publisher:
- Trinity College Dublin. School of Nursing and Midwifery
- Publication year:
- 2021
- Pagination:
- 108
- Place of publication:
- Dublin
The aim of this study was to identify older people’s experiences of shielding during the COVID19 pandemic; to explore older people’s experiences of shielding as a public health measure; to identify the personal circumstances of shielding (i.e. alone/family); to identify facilitators and challenges within the period of shielding; to elicit any consequences of shielding (physical/psychological/social); and to consider any lessons which are important considerations if shielding of older people is necessary as a future public health measure. A total of 20 interviews were conducted ranging between 15 to 52 minutes. Participants included 8 males and 12 females ranging in age from 59 years to 92 years. The study found that older people made substantial changes to their daily lives to comply with the COVID-19 shielding guidance; COVID-19 had significant impacts on the health of older people in the community; social capital was demonstrated as compensatory measures were adopted to daily lives; older people reported a general stoic approach to living in the pandemic and they demonstrated resilience in multiple ways; the use of technology assisted in managing social and practical activities, however, its use, satisfaction and familiarity differed within the participants in the study; older people need more integrated support systems which maintain their personal, health and social needs; consideration needs to be given to pandemic related information to avoid information fatigue, misinformation, and confusion; post-pandemic rehabilitation will be required to focus on restoring lost physical ability and address the consequences of social isolation and loneliness; there is a need to ensure that ageist approaches do not underpin guidance; the rights of autonomy and self-determination need to be central considerations in future similar crises. (Edited publisher abstract)
Concluding commentary
- Author:
- LEAPER Robert
- Journal article citation:
- Social Policy and Administration, 27(3), September 1993, pp.257-265.
- Publisher:
- Wiley
Draws conclusions from a series of companion studies on the views of older people in cities in the United Kingdom, Eire, Belgium and France.
Older people's views of support services in response to elder abuse in communities across Ireland
- Authors:
- BEGLEY Emer, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 13(1), 2012, pp.48-59.
- Publisher:
- Emerald
This study investigated older peoples’ perceptions of interventions and services to support people experiencing abuse. Participants included 58 older people, aged 65 years and over, who took part in focus groups across Ireland. Preventative community-based approaches and peer supports were identified as important mechanisms to support people experiencing, and being at risk of, elder abuse. Choices regarding care provision and housing, as well as opportunities for engagement in community activities where they can discuss issues with others were identified as ways to prevent abuse. The policy implication of the findings from this research is that enhanced attention and resources should be directed to community activities that enable older people to share their concerns informally thereby gaining confidence to seek more formal interventions when necessary. Suggested for future research are presented.
“The day is long you know?” Older people’s voices on their homecare experiences in Ireland
- Authors:
- MULLINS Lhara, HODGINS Margaret
- Journal article citation:
- Journal of Social Care, 2, 2019,
- Publisher:
- Dublin Institute of Technology
- Place of publication:
- Dublin
The population of people aged over 65 years in Ireland is increasing, creating an expanding homecare market with over 60,000 older people in receipt of homecare in 2015. Yet lack of regulation and legislation within the homecare market in Ireland causes unpredictability in service provision, while lack of research further compounds the issue of inconsistency in homecare services. Adopting a qualitative methodology, 14 older people in receipt of homecare and two family members of recipients were interviewed for this study. Two focus groups with older people in the community were also undertaken. Findings suggest that participants were largely satisfied with the homecare they received and value the social contact this provides. Fear and hesitation in relation to retaining the service appeared evident from the data collected. Older people in receipt of homecare place profound value on the relationship they develop with their homecare worker and this relationship largely dictates their level of satisfaction with the service. (Edited publisher abstract)
“Time is more important than anything else”: tensions of time in the home care of older adults in Ireland
- Authors:
- MCDONALD Anne, et al
- Journal article citation:
- International Journal of Care and Caring, 3(4), 2019, pp.501-515.
- Publisher:
- Policy Press
This article explores perceptions of time reported by service users, family carers, care workers, nurses, social workers and agency managers across home support services for older adults in Ireland. The findings are organised around: time spent waiting for care; time spent ‘processing’ care across primary and secondary care boundaries; time and person-centred care; and time, technology and communication. Time emerges as a problematic aspect of all processes and structures around formal home care, suggesting that addressing issues around time is central to resolving systemic challenges. Greater flexibility in time allocation and effective communication among stakeholders could improve experiences of care. (Publisher abstract)
Recruiting and retaining older persons within a home-based pilot study using movement sensors
- Authors:
- BAILEY Cathy, BUCKLEY Vanessa
- Journal article citation:
- Health and Social Care in the Community, 19(1), January 2011, pp.98-105.
- Publisher:
- Wiley
This article reports on key aspects of recruiting and retaining a small group of community dwelling older adults in to a study, piloting motion sensors in their homes for 8 weeks. While the aim of the study was to consider how motion sensors may increase understanding of falls in the home, and how such sensors would fit into older people’s lives, it also produced valuable research insights into the recruitment and retention of older people into home-based technology research, and its challenges. The article considers the recruitment strategy in terms of informed consent and non-exploitation, planning and explaining, the retention strategy in terms of communicating and recording and sharing data. It is hoped that by offering an analyses of the challenges and strategies it may help develop skills that maximise the involvement of older adults in research whilst at the same time ensuring inclusive and non-exploitative research relationships.
An economic and social evaluation of the Senior Help Line in Ireland
- Author:
- O'SHEA Eamon
- Journal article citation:
- Ageing and Society, 26(2), March 2006, pp.267-284.
- Publisher:
- Cambridge University Press
The Senior Help Line in Ireland provides a confidential telephone listening service for socially-excluded older people and is operated by older volunteers. This paper provides a systematic examination and assessment of the service, from the perspectives of costs, outcomes and best practice. The study uses personal interviews, focus groups and postal questionnaires to elicit information about the service and its impact on volunteers and callers. The Senior Help Line has made a significant contribution to the health and wellbeing of older people in Ireland at relatively low cost. The service demonstrates the positive effects of volunteering for older people, and the value and effectiveness of peer-to-peer communication for vulnerable callers. The help-line is a model project in terms of accountability and best practice, but requires additional resources, particularly for publicity and training. It needs to become a branded national service for vulnerable older people to meet the level of need for a service of this kind. The help-line also needs to be linked more formally to existing health and social care provision for older people, to become part of a holistic model of healthy ageing for older people. For the service to reach its manifest potential, the efforts of the volunteers need to be supported by higher and sustained levels of public spending, through more widespread and substantial public-voluntary partnership arrangements.
Views and perceptions of older Irish people
- Author:
- LARRAGY Joe
- Journal article citation:
- Social Policy and Administration, 27(3), September 1993, pp.235-247.
- Publisher:
- Wiley
Reports on a survey of older Irish people and their views on housing, dependency, social contact, health and service provision. One of a series of companion studies.
Impact of community care in enabling older people with complex needs to remain at home
- Authors:
- RYAN Assumpta Ann, et al
- Journal article citation:
- International Journal of Older People Nursing, 4(1), 2009, pp.22-32.
- Publisher:
- John Wiley & Sons, Ltd
- Place of publication:
- West Sussex
Aim. This aim of the study was to explore the impact of community care in enabling older people with complex needs to remain at home. Background. Changing demographic trends and successive government policies have led to an increase in the number of older people with complex needs residing in the community. Design. A qualitative approach using semi‐structured interviews was used to collect data from older people (n=17) and carers (n=14). Method. Social workers were asked to identify community dwelling older people (65+years) with multiple needs requiring interventions from a range of health and social care practitioners. Results. Community care enabled older people with complex needs who would otherwise have required residential or nursing home care to remain in their own homes. This was the expressed wish of both the older people and carers interviewed. Conclusions. The provision of high‐quality community care for older people is a globally significant challenge and one that requires creative solutions, both at a local and strategic level. Relevance to clinical practice. Nurses and other health and social care professionals need to understand the significance of ‘home’ for older people and take steps to ensure that additional and appropriate resources are targeted towards community care. (Edited publisher abstract)
Perceptions, preferences, and acceptance of information and communication technologies in older-adult community care settings in Ireland: a case-study and ranked-care program analysis
- Authors:
- WALSH Kieran, CALLAN Aoife
- Journal article citation:
- Ageing International, 36(1), March 2011, pp.102-122.
- Publisher:
- Springer
- Place of publication:
- New York
This study examines the perceptions and preferences of older people (as current care users) and the general population (as prospective care users) on the role of information and communication technologies (ICT) within the community-care provision in Ireland. Data were used from four case studies of community care sites, three focus-group discussions and 60 face-to-face exploratory survey interviews (based around stated-preference scenarios) with a general population sample. Care preferences were rooted in orthodox forms of person-led care provision. Perceptions of technology, experience/familiarity with technology, and difficulty conceptualizing technology and need for technology assistance, are interconnected in how people influence ICT preferences and acceptance. More dominant, however, were micro- and macro-contextual factors associated with community care, namely (1) the state of the older adult community care sector; (2) the desire for person-to-person contact; (3) the context of place.