Nursing homes: a suitable alternative to hospital care for older people in the UK?

The aim of this article was to investigate presentations of “wet” eldercare facilities in Sweden, a type of facility that provides care for older people with long-term alcohol problems and where the consumption of alcohol is allowed. Wet eldercare facilities challenge traditional Swedish policy on alcohol treatment, and their approach constitutes a breach of mainstream policies on alcohol and treatment, where abstinence is a goal. Data for the study consisted of articles that reported on two nursing homes in the City of Gothenburg during 1995–2017, a total of 65 articles. Qualitative content analysis was used to identify relevant themes. The study revealed that with the exception of a media scandal at one of the facilities in 2017, reports were mostly positive. Residents were portrayed as “chronic” alcoholics (kroniker) who were resistant to treatment, but in need of the type of permissive approach and care that was provided at the facilities. In the article we refer to this as a framework of matched arrangements. Readers of several media reports were invited to see the person behind the scruffy addict and the approach was in some cases developed into a critique of unrealistic ambitions of mainstream treatment. This critique was, however, not developed into a coherent framework. A conclusion was that the surprisingly positive portrayal of residents and descriptions of the facilities as “different” should be understood in relation to the way the media creates interest by reporting on events and arrangements that appear as out of the ordinary.

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What factors promote or inhibit implementation of a new procedure for screening and treatment of malnutrition in community settings? A prospective process evaluation of theImplementing Nutrition Screening in Community Care for Older People(INSCCOPe) project (UK)

BMJ Open ◽

10.1136/bmjopen-2018-023362 ◽

2019 ◽

Vol 9 (2) ◽

pp. e023362 ◽

Cited By ~ 2

Author(s):

Mike Bracher ◽

Jane Murphy ◽

Katherine Steward ◽

Kathy Wallis ◽

Carl R May

Keyword(s):

Older People ◽

Process Evaluation ◽

Community Care ◽

Evaluation Study ◽

Routine Care ◽

Ethical Review ◽

Nutrition Screening ◽

Ethical Approval ◽

The Uk ◽

Care For Older People

IntroductionMalnutrition remains underdetected, undertreated and often overlooked by those working with older people in primary care in the UK. A new procedure for screening and treatment of malnutrition is currently being implemented by a large National Health Service (NHS) trust in England, incorporating a programme of training for staff working within Integrated Community Teams and Older People’s Mental Health teams. Running in parallel, the Implementing Nutrition Screening in Community Care for Older People process evaluation study explores factors that may promote or inhibit its implementation and longer term embedding in routine care, with the aim of optimising sustainability and scalability.Methods and analysisImplementation will be assessed through observation of staff within a single area of the trust, in addition to the procedure development and delivery group (PDDG). Data collection will occur at three observation points: prior to implementation of training, baseline (T0); 2 months following training (T1); and 8 months following training (T2). Observation points will consist of a survey and follow-up semistructured telephone interview with staff. Investigation of the PDDG will involve: observations of discussions around development of the procedure; semistructured telephone interviews prior to implementation, and at 6 months following implementation. Quantitative data will be described using frequency tables reporting by team type, healthcare provider role group, and total study sample (Wilcoxon rank-sum and Wilcoxon signed-rank tests may also be conducted if appropriate. Audio and transcription data will be analysed using Nomarlization Process Theory as a framework for deductive thematic analysis (using the NVIVO CAQDAS software package).Ethics and disseminationEthical approval for the study has been granted through institutional ethical review (Bournemouth University); NHS Research Ethics committee approval was not required. Dissemination will occur through presentations to academic and practitioner audiences and publication results in peer-reviewed academic journals.

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Privatization, Hybridization and Resistance in Contemporary Care Work

Working in the Context of Austerity ◽

10.1332/policypress/9781529208672.003.0005 ◽

2020 ◽

pp. 97-108

Author(s):

Pat Armstrong ◽

Donna Baines

Keyword(s):

Nursing Home ◽

Older People ◽

Nursing Home Care ◽

Non Profit ◽

Main Form ◽

The Uk ◽

Market Relations ◽

Care For Older People ◽

Integrated Processes

This chapter identifies seven forms of overlapping and interwoven privatization. In the current era of austerity, privatization has been able to extend its reach through these integrated processes and, in some cases, operate almost by stealth as an overarching ideological force that legitimizes private-market relations in places where it once would have been thought to be contrary to a public sector ethic of entitlement and equity. This is a growing dynamic across many public and non-profit/voluntary services and organizations. The chapter discusses the seven forms of privatization in the provision of long-term residential or nursing home care for older people in Ontario, Canada and in the UK. Private ownership is commonly thought to be the only or main form of privatization, but austerity analyses can be more incisive and specific, with a greater awareness of the complexity and multiplexity of the forms of privatization operating within formerly public and non-profit spaces. The chapter then looks at resistance in the sphere of care for older people, some of which has been successful.

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FEATURES OF THE FORMATION OF CARE FOR THE OLDERLY IN NON-STATE RESIDENTIAL HOMES

Успехи геронтологии ◽

10.34922/ae.2020.33.5.006 ◽

2021 ◽

pp. 870-878

Author(s):

К. А. Галкин

Keyword(s):

Nursing Homes ◽

Older People ◽

Rural Areas ◽

Large City ◽

The Elderly ◽

Structured Interviews ◽

Personalized Care ◽

Care For The Elderly ◽

Informal Rules ◽

Care For Older People

В статье рассматриваются особенности заботы и ухода за пожилыми людьми в двух кейсах, которые представляют собой частные дома-интернаты для людей старше 60 лет. В частности, рассматривается создание заботы в условиях альтернативных возможностей, организация альтернативной заботы о пожилых людях в таких учреждениях и особенности формирования подобной заботы. В исследовании рассмотрены вопросы о соотношении формальных (институциональных) норм заботы о пожилых людях и неформальных правил, которые создаются сотрудниками частных домов-интернатов для пожилых людей, имеющих ограниченную профессионализацию в сфере работы с людьми старше 60 лет. Роль неформальных правил в рамках создания заботы о пожилых людях важна с точки зрения расширения агентности пожилых людей и их инклюзии в социум. В исследовании проанализировано сочетание особенностей формальных и неформальных правил по осуществлению заботы. На примере двух кейсов, полуструктурированных интервью с сотрудниками и администрацией, волонтёрами частных домовинтернатов ( n =30) автор показывает, что забота, которая формируется в частных домах-интернатах для пожилых людей, может достаточно сильно отличаться в зависимости от расположения учреждения, особенностей сотрудников и их профессионализации. Для более глобального пространства крупного города регионального значения забота о пожилых людях оказывается чётко регламентированной различными нормами и стандартами. Особенности заботы частного дома-интерната в сельской местности заключаются в персонифицированной заботе и создании больших возможностей для активности пожилых людей. The article discusses the features of care and care for the older in two cases, which are private nursing homes for people over sixty years of age. In particular, is the creation of concern in terms of great opportunities, the organization of alternative care for older people in such institutions and how such concerns. The study examines the relationship between formal (institutional) norms of social care for the older and informal rules that are created by employees of private nursing homes for the older who have limited professionalization in the ﬁeld of work with people over sixty years of age. The role of informal rules in creating care for older people is important in terms of including the agency of older people and their inclusion in society. The study analyzes the combination of features of formal and informal rules for the implementation of care. Using the example of two cases, semi-structured interviews with employees and administration, volunteers of private nursing homes ( n =30), the author shows that the care that is formed in private nursing homes for the older can differ quite signiﬁcantly depending on the location of the institution, the characteristics of employees and their professionalization For a more global space of a large city of regional signiﬁcance care for the elderly is clearly regulated by various norms and standards. Features of care of a private nursing homes in rural areas consist in personalized care and creating greater opportunities for the activities of older people.

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