Older people's satisfaction with intermediate care: a systematic review

2007 ◽  
Vol 17 (3) ◽  
pp. 199-218 ◽  
Author(s):  
Andrew Wilson ◽  
Suzanne Richards ◽  
Janette Camosso-Stefinovic
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Older Patients ◽  
Hospital Care ◽  
Patient Choice ◽  
Intermediate Care ◽  
Care Services ◽  
The Relationship

Although intermediate care takes a variety of different forms and has developed somewhat differently in different countries, we believe that intermediate-care schemes have enough in common to make it meaningful to examine the relationship between this method of care and the views of older patients receiving either it or its alternatives. This is particularly important as one of the underlying principles of intermediate care is to extend patient choice; furthermore, most intermediate-care services target older people. In this review we examine evidence about whether older people prefer intermediate or hospital care, and what they like and dislike about intermediate care.

scholarly journals Specialist palliative care services for older people in primary care: A systematic review using narrative synthesis

2019 ◽  
Vol 34 (1) ◽  
pp. 32-48 ◽  
Author(s):  
Kim de Nooijer ◽  
Yolanda WH Penders ◽  
Lara Pivodic ◽  
Nele J Van Den Noortgate ◽  
Peter Pype ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Palliative Care ◽  
Older People ◽  
Narrative Synthesis ◽  
Specialist Palliative Care ◽  
Family Carers ◽  
Care Services ◽  
Specialist Services ◽  
Palliative Care Services

Background: There is recognition that older people with incurable conditions should have access to specialist palliative care services. However, it remains unclear which activities and outcomes these services entail for older people in primary care and to which patients they are provided. Aim: The aim of this review was to identify the criteria for referral to specialist services; who provides specialist palliative care; through which activities and with which frequency; which outcomes are reported; and which suggestions are made to improve services. Design: Systematic review of the literature and narrative synthesis. Quality appraisal and selection of studies were performed independently by two researchers. Participant characteristics, intervention features, outcome data and suggestions for improvement were retrieved. Data sources: Embase, Medline, Web of Science, Cochrane, Google Scholar, PsycINFO and CINAHL EBSCO databases (until June 2019). Results: Ten eligible articles, three qualitative, three quantitative, three mixed-method and one narrative review, were identified. Referral criteria were mainly based on patient characteristics such as diagnosis. The specialist services involved a variety of activities and outcomes and descriptions were often lacking. Services could be improved regarding the information flow between healthcare professionals, greater in-depth palliative care knowledge for case managers and social workers, identification of a key worker and support for family carers. Conclusion: The limited evidence available shows areas for improvement of the quality of and access to specialist services for older people, such as support for family carers. In addition, this review underscores the need for comprehensive reporting of interventions and the use of consensus-based outcome measures.

Validity, reliability and feasibility of tools to identify frail older patients in inpatient hospital care: A systematic review

2015 ◽  
Vol 20 (2) ◽  
pp. 218-230 ◽  
Author(s):  
R. M. J. Warnier ◽  
E. van Rossum ◽  
E. van Velthuijsen ◽  
W. J. Mulder ◽  
J. M. G. A. Schols ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Patients ◽  
Hospital Care ◽  
Inpatient Hospital

The Relationship between the Delivery of Day Care Services for Older People and the Design of Day Unit Premises

1997 ◽  
Vol 17 (1) ◽  
pp. 41-64 ◽  
Author(s):  
VALERIE BACON ◽  
CHRISTOPHER LAMBKIN
Keyword(s):  
Service Delivery ◽  
Older People ◽  
Day Care ◽  
Community Care ◽  
Models Of Care ◽  
Care Services ◽  
New Models ◽  
Effective Delivery ◽  
Design Factors ◽  
The Relationship

In response to recent community care policies in Britain, co-ordinated, needs-led models of care have been introduced into day care services for older people. Whilst their introduction has prompted detailed consideration of the changes required in the organisation and management of these services, less attention has been paid to their implications for the design of day care premises. Yet design factors impinge on all aspects of service delivery and any shortcomings in design may undermine the effective delivery of new models of care. This article uses findings from recent research to explore how design factors may facilitate or constrain service delivery, focusing on two aspects of the new models of care – that services should meet the needs of individual users and be locally-based.

Nurses' Attitudes Toward Older Patients in Acute Care in Israel

2013 ◽  
Vol 18 (2) ◽  
Author(s):  
Maxim Topaz ◽  
Israel Doron
Keyword(s):  
Nursing Education ◽  
Older People ◽  
Acute Care ◽  
Older Patients ◽  
Health Care Services ◽  
Design Method ◽  
Strong Predictor ◽  
Poor Quality ◽  
Care Services ◽  
Nurses Knowledge

Ageism has been found to negatively affect the health care services that older persons receive, both implicitly through unfair resource allocation by the stakeholders, and explicitly, by providing offensive and poor quality treatment. In this article, the authors review the literature relating to ageing, noting that negative attitudes among caregivers toward older patients in acute care settings are a strong predictor of ageism. They describe a study in which they explored a group of Israeli nurses’ knowledge of ageing and attitudes toward older people in an acute care setting and analyzed the relationship between these variables using a descriptive, correlational design method. Nurses working in one of the largest public hospital in Israel completed Kogan’s Attitudes Towards Older People Scale and Palmore’s Facts on Ageing Quiz. Findings indicated that the nurses’ level of knowledge of ageing was relatively low. The authors discuss nurses’ knowledge of ageing and nurses’ ethnicity as significant predictors of ageist attitudes. They conclude by recommending that nurse educators strengthen gerontological content in the nursing curriculum and provide culturally tailored nursing education to reduce ageism among professional nurses.

Obesity and Natural Spaces in Adults and Older People: A Systematic Review

2021 ◽  
pp. 1-14
Author(s):  
Andreia Teixeira ◽  
Ronaldo Gabriel ◽  
Luis Quaresma ◽  
Ana Alencoão ◽  
José Martinho ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Premature Mortality ◽  
Public Health Issue ◽  
Healthy Weight ◽  
Inclusion Criteria ◽  
Active Lifestyle ◽  
Promising Tool ◽  
Meta Analyses ◽  
The Relationship

Background: Obesity is an important public health issue that has increased globally in the last decade and continues to be one of the main causes of morbidity and premature mortality. An accumulating body of evidence suggests that contact with nature is a valuable resource for the promotion of a more active lifestyle and seems to have a central role in maintaining a healthy weight. The authors conducted a systematic review to summarize the findings of studies that investigated the relationship between natural spaces and obesity. Methods: Following Primary Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was conducted using 11 databases for studies fully available in English and published between 2010 and 2020, with adults (18–64 y) and/or older people (≥65 y). Results: Fifty studies were found that met all the inclusion criteria. The majority (68%) of papers found that higher availability and less distance to green and blue spaces are associated with lower levels of adiposity. These associations were positive, even after adjusting for the demographic and socioeconomic factors. Conclusions: Exploring the characteristics of green and blue spaces seems to be a promising tool for urban planning and health policies. The authors suggest the implementation of exercise programs in contact with nature for future interventions.

Training interventions to improve general hospital care for older people with cognitive impairment: systematic review

2019 ◽  
Vol 214 (4) ◽  
pp. 201-212 ◽  
Author(s):  
Clare Abley ◽  
Claire Dickinson ◽  
Zoe Andrews ◽  
Laura Prato ◽  
Lyndsay Lindley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Impairment ◽  
Older People ◽  
Hospital Care ◽  
Health Management ◽  
Educational Interventions ◽  
Post Intervention ◽  
Review Team ◽  
Standard Quality ◽  
Care For Older People

BackgroundIn response to increasing numbers of older people in general hospitals who have cognitive impairment such as dementia and delirium, many hospitals have developed education and training programmes to prepare staff for this area of clinical practice.AimsTo review the evidence on educational interventions on hospital care for older people with cognitive impairment.MethodA mixed methods systematic review and narrative synthesis was undertaken. The following electronic databases were searched: Medline, Embase, CINAHL, PsycINFO, EBM Reviews, ASSIA and Scopus, as well as Health Management Information Consortium (HMIC), ProQuest, PubMed and SCIE: Social Care Online. Initial searches were run in August 2014 (update search September 2016). Titles and abstracts of studies retrieved were screened independently. The full text of eligible studies were then independently assessed by two review team members. All included studies were assessed using a standard quality appraisal tool.ResultsEight studies relating to delirium, six on dementia and two on delirium and dementia were included, each testing the use of a different educational intervention. Overall, the quality of the studies was low. In relation to delirium, all studies reported a significant increase in participants' knowledge immediately post-intervention. Two of the dementia studies reported an increase in dementia knowledge and dementia confidence immediately post-intervention.ConclusionsThe variety of outcomes measured makes it difficult to summarise the findings. Although studies found increases in staff knowledge, there is insufficient evidence to conclude that educational interventions for staff lead to improved patient outcomes.Declaration of interestNone.

scholarly journals A whole system study of intermediate care services for older people

2005 ◽  
Vol 34 (6) ◽  
pp. 577-583 ◽  
Author(s):  
John B. Young ◽  
Mike Robinson ◽  
Sue Chell ◽  
Diana Sanderson ◽  
Stephen Chaplin ◽  
...  
Keyword(s):  
Older People ◽  
Intermediate Care ◽  
System Study ◽  
Care Services
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