scholarly journals How formal navigators interpret their roles supporting families

2019 ◽  
Vol 20 (1) ◽  
pp. 10-19
Author(s):  
Laura Funk ◽  
Wanda Hounslow
Keyword(s):  
Older Adults ◽  
Social Care ◽  
Service Providers ◽  
Dominant Strategy ◽  
Future Research ◽  
Service Access ◽  
Structural Barriers ◽  
Content Type ◽  
Formal Service ◽  
Health And Social Care

PurposeThe purpose of this paper is to examine how formal navigators interpret their roles supporting families of older adults.Design/methodology/approachThis study was an interpretive inquiry informed by critical gerontology and discourse analytic methods. Interview data were collected and analyzed from 22 formal service providers who helped older adults and their families navigate health and social care resources in one Western Canadian city.FindingsAlthough acknowledging structural barriers to service access, participants emphasized individual empowerment as their dominant strategy, interpreting their roles as providing information and education about services. In part, these interpretations may reflect the limited nature of their ability to help broker access or advocate; in part, they may also reflect the broader political and economic discourses surrounding care in Canada.Research limitations/implicationsWhen providers position navigation and access to care as individual problems, this can obscure structural burden as well as potential inequities among older adults. Future research should examine whether navigational role interpretations are similar or different to those of navigators in other regions. Navigators in other health and social care contexts may enact differing meanings in their work.Practical implicationsAlthough formal public navigators can play an important role, approaches that go beyond providing information may better meet families’ needs for support.Originality/valueThis is one of the first studies focused specifically on providers’ interpretations of the meaning of navigational work in health and social care for older adults, and to extend a critical gerontological gaze toward the issue of system navigation.

scholarly journals Health and social care providers’ perspectives of older people’s drinking: a systematic review and thematic synthesis of qualitative studies

2020 ◽  
Vol 49 (3) ◽  
pp. 453-467 ◽  
Author(s):  
Bethany Kate Bareham ◽  
Eileen Kaner ◽  
Liam Spencer ◽  
Barbara Hanratty
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Social Care ◽  
Service Providers ◽  
Qualitative Studies ◽  
Care Providers ◽  
Thematic Synthesis ◽  
Care Recipients ◽  
Health And Social Care ◽  
The Impact

Abstract Background alcohol may increase risks to late-life health, due to its impact on conditions or medication. Older adults must weigh up the potential risks of drinking against perceived benefits associated with positive roles of alcohol in their social lives. Health and social care workers are in a key position to support older people’s decisions about their alcohol use. Objective to systematically review and synthesise qualitative studies exploring health and social care providers’ views and experiences of older people’s drinking and its management in care services. Method a pre-specified search strategy was applied to five electronic databases from inception to June 2018. Grey literature, relevant journals, references and citations of included articles were searched. Two independent reviewers sifted and quality-appraised articles. Included study findings were analysed through thematic synthesis. Results 18 unique studies were included. Four themes explained findings: uncertainty about drinking as a legitimate concern in care provision for older people; the impact of preconceptions on work with older adults; sensitivity surrounding alcohol use in later life; and negotiating responsibility for older adults’ alcohol use. Discipline- and country-specific patterns are highlighted. Conclusions reservations about addressing alcohol could mean that service providers do not intervene with older adults. Judgements of whether older care recipients’ drinking warrants intervention are complex. Providers will need support and training to recognise and provide appropriate intervention for drinking amongst older care recipients.

scholarly journals Effects of knowledge management on the management of health and social care: a systematic literature review

2021 ◽  
Vol 25 (11) ◽  
pp. 203-221
Author(s):  
Tuomas Hujala ◽  
Harri Laihonen
Keyword(s):  
Knowledge Management ◽  
Literature Review ◽  
Organizational Performance ◽  
Cultural Change ◽  
Social Care ◽  
Academic Discipline ◽  
Evaluation Framework ◽  
Future Research ◽  
Content Type ◽  
Health And Social Care

Purpose The purpose of this study is twofold. First, it suggests that knowledge management (KM), as an academic discipline and managerial practice, provides valuable perspectives and tools to help health and social care management cope with both existing and future challenges. Second, it reviews the existing evidence on the effects of KM on the management of health and social care. Based on the results of the review, an evaluation framework for the effects of KM is proposed. Design/methodology/approach The literature review was conducted using the guidance of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement to search the Web of Science and SCOPUS databases. The search terms included “knowledge management”, “healthcare” and “effect.” Academic articles published between 2010 and 2020 were included. Findings The study identifies six main categories among the effects of KM on the management of health and social care as follows: enhanced understanding of customer needs, improved organizational performance, better targeted decision-making, improved quality of service, behavioral or cultural change and improved risk management. Originality/value This study contributes by summarizing the literature on the effects of KM on the management of health and social care and proposing avenues for future research in this area.

Commentary on “Building capable environments using practice leadership”

2021 ◽  
Vol 26 (1) ◽  
pp. 9-13
Author(s):  
Edwin Jones
Keyword(s):  
Learning Disabilities ◽  
Early Intervention ◽  
Implementation Science ◽  
Design Methodology ◽  
Social Care ◽  
Future Research ◽  
Content Type ◽  
Health And Social Care ◽  
Care Training ◽  
Practical Implications

Purpose This paper aims to present a conceptual viewpoint highlighting the utility of active support in implementing capable environments and to extend this by presenting a three-tiered preventative model of positive behavioural support (PBS) in UK health and social care. Design/methodology/approach Provision of a commentary on “Building capable environments using practice leadership” by Linda Hume, Nadia Khan and Martin Reilly. Findings Capable environments and active support should be key, universal and essential PBS tier one supports in UK health and social care. Training staff in Active Support and developing practice leadership help implement capable environments. Originality/value The three-tiered PBS model was recently proposed by Leitch et al. (2020) and is worthy of further debate and refinement with the involvement of stakeholders. It has several practical implications including refocussing efforts on early intervention to get tier one supports implemented effectively in recognition that PBS is much wider than intense tier three supports. It could reinforce and motivate existing providers of quality support and indicate where and how other providers can commence the process of implementing PBS. Future research could consider the effectiveness of applying implementation science to the field of learning disabilities and PBS in particular.

What older adults do in online communities when they co-create and co-destruct value

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mostafa Kamalpour ◽  
Rebekah Eden ◽  
Rehan A. Syed ◽  
Laurie Buys ◽  
Amina Tariq ◽  
...  
Keyword(s):  
Older Adults ◽  
Online Community ◽  
Service Providers ◽  
Theoretical Perspective ◽  
Well Being ◽  
Service Science ◽  
Future Research ◽  
Content Type ◽  
Future Research Directions ◽  
The Impact

Purpose This study aims to explain the value co-creation and co-destruction practices of older adults in an online community (OC). Design/methodology/approach Adopting practice theory and service-dominant logic as a theoretical perspective, this paper examined an OC of older adults by conducting an inductive thematic analysis of the interactions of the participants in the community. Findings The analysis revealed older adults engage with three value co-creation plus one value co-destruction practices in the OC including, communal coping practices, happiness creation practices, social capital generation practices and disparaging practices for older adults. Research limitations/implications Illustrated in a conceptual model, this study extends previous work evidencing OCs serve as a platform for value co-creation and value co-destruction activities in the context of older adults. Further, it suggests OCs facilitate resilience of older adults through value co-creation practices. Recognition of value co-destruction in OCs is critical as it is detrimental to the resilience of older adults. This study provides the needed foundation to advance knowledge on the use of OCs by older adults and suggests future research directions. Practical implications Identifying co-creation and co-destruction practices of older adults in OCs enables service providers (e.g. caregivers) to engage better in online value co-creation practices. Further, the findings of this study address one of the main priorities of service science to investigate the impact of value co-creation on well-being. Originality/value Identifying co-creation and co-destruction practices of older adults in OCs enables service providers (e.g. caregivers) to engage better in online value co-creation practices. Further, the findings of this study address one of the main priorities of service science to investigate the impact of value co-creation on well-being.

scholarly journals Ambient Assisted Living: Identifying New Challenges and Needs for Digital Technologies and Service Innovation

2021 ◽  
Author(s):  
Vivian Vimarlund ◽  
Elizabeth M. Borycki ◽  
Andre W. Kushniruk ◽  
Kerstin Avenberg
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Social Care ◽  
Service Providers ◽  
Social Process ◽  
Ambient Assisted Living ◽  
The Elderly ◽  
Survey Study ◽  
Policy Makers ◽  
Health And Social Care

Background: The ambient assisted living (AAL) market is rapidly becoming fundamental to the delivery of health and social care services for the elderly. Worldwide many different steps have been taken to increase the engagement of older adults with these technologies. Much of this work has focused on the development of novel digital services that increase wellbeing or tackle social challenges. Aim: The aim of the study was to identify and describe the demands for AAL-services from the perspective of older adults. We also examine the challenges and needs of the ambient assisted living market using a needs based approach. Method: An exploratory case study was conducted with an aim to capture information about older adults’ demands for AAL services. A survey was used to collect the data. The survey study respondents validated the results. Results: The results of the study indicate that the area of AAL needs be studied from a multiple-sided market perspective. Our research suggests there is a need to describe and understand the factors that facilitate or constrain the implementation of services with focus on health and social care. There is also a need to describe and analyze the relationship between policy and practice and its effects on the AAL market. It is necessary to capture expressed demand, to identify market challenges at the macro level and to be able to understand how services should operate and serve older adults in practice. Such research is critical to the development of guidance for policy makers, suppliers and service providers. Discussion: Older adults are asking for intelligent, assistive living solutions that help them to continue to live independent lives and remain socially included in their networks, associations, and communities. The elderly need services that stimulate and maintain their physical and intellectual capital. The development of innovative AAL environments is, however, a complex social process that involves the use and delivery of innovative ICT–based services. The implementation and use of AAL to support older adults involve service providers and elderly consumers. Conclusions: The results of the study may be of interest to policy makers, entrepreneurs, technology suppliers, service providers and health and social care organizations, who are willing to innovate and influence the development of the AAL market through their choices and decisions.

Case definition for health and social care services integrated initiatives

2019 ◽  
Vol 27 (4) ◽  
pp. 264-275 ◽  
Author(s):  
Siu Mee Cheng ◽  
Cristina Catallo
Keyword(s):  
Older Adults ◽  
Social Services ◽  
Literature Search ◽  
Social Care ◽  
Case Definition ◽  
Content Type ◽  
Health And Social Services ◽  
Care Integration ◽  
Health And Social Care ◽  
Integrated Health

Purpose The purpose of this paper is to develop a case definition of integrated health and social services initiatives that serve older adults, and will provide characteristics to aid in the identification of such initiatives. The case definition is intended to ease the identification of integrated health and social care initiatives. Design/methodology/approach A limited search was undertaken of both scientific and gray literature that documented and/or examined integrated health and social services initiatives. In addition, literature on well-documented and generally accepted integrated healthcare and social services models that reflect collaborations from healthcare and social services organizations that support older adults was also used to develop the case definition. Findings The case definition is as follows: healthcare organizations from across the continuum of care working together with social services organizations, so that services are complementary and coordinated in a seamless and unified system, with care continuity for the patient/client in order to achieve desired health outcomes within a holistic perspective; the initiatives comprise at least one healthcare organization and one social care organization; and these initiatives possess 18 characteristics, grouped under 9 themes: patient care approach; program goals; measurement; service and care quality; accountability and responsibility; information sharing; culture; leadership; and staff and professional interaction. Research limitations/implications A limitation of this study is that the characteristics are based on a limited literature search. The quality of some of the literature both gray and published was not definitive: information on how they undertook the literature search was not provided; exclusion and inclusion criteria were not included; and there was insufficient detail on the design of the studies included. Furthermore, the literature reviews are based on integrated initiatives that target both seniors and non-senior’s based services. The cross-section of initiatives studied is also different in scale and type, and these differences were not explored. Practical implications The case definition is a useful tool in aiding to further the understanding of integrated health and social care initiatives. The number of definitions that exist for integrated health and social care initiatives can make it confusing to clearly understand this field and topic. The characteristics identified can assist in providing greater clarity and understanding on health and social care integration. Originality/value This study provides greater coherence in the literature on health and social care integration. It aids in better framing the phenomenon of healthcare and social services integration, thereby enhancing understanding. Finally, the study provides a very useful and concrete list of identifying characteristics, to aid in identifying integrated health and social care initiatives that serve older adults.

Making a reality of integration: less science, more craft and graft

2014 ◽  
Vol 22 (5/6) ◽  
pp. 189-196 ◽  
Author(s):  
Helen Dickinson
Keyword(s):  
Design Methodology ◽  
Social Care ◽  
Future Research ◽  
Content Type ◽  
Research And Practice ◽  
Health And Social Care ◽  
The Future

Purpose – The purpose of this paper is to explore the study of integration and two perspectives that are found within the literature: the science of integration; and integration as craft and graft. These different perspectives are analysed for their inherent strengths and weaknesses and suggestions for the future research of integration are set out. Design/methodology/approach – This paper is a commentary of the broad approaches that have been taken in studying integration. Findings – The scientific perspective of integration has tended to dominate the literature and the industry that has developed around integration to date. However, the craft and graft perspective is one that is receiving increasing attention in recent times and which has much to offer in terms of better understanding issues of integration. Originality/value – This paper is concerned with approaches to research into integration and also draws in newly emerging insights from the broader field of governance. It suggests that the author may wish to reconsider how the author research and practice integration in the context of health and social care.

scholarly journals MEASUREMENT OF SOCIAL NETWORKS OF ELDERS USING TECHNOLOGIES IN THE CONTEXT OF HEALTH AND SOCIAL CARE: A SCOPING REVIEW

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S72-S72
Author(s):  
Sijia Wei ◽  
Eleanor S McConnell ◽  
Kayla Wright-Freeman ◽  
Amanda Woodward ◽  
Bada Kang ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Networks ◽  
Social Network ◽  
Scoping Review ◽  
Social Care ◽  
Well Being ◽  
Future Research ◽  
Digital Devices ◽  
Health And Social Care ◽  
Care Technology

Abstract Social networks impact the health and wellbeing of older adults. The importance of social networks drives the need to reliably measure social networks. Advancements and innovations in the internet, electronic and digital devices, social media and health care technology enriches our ability to collect social network and health data to overcome limitations in social network measurement. This scoping review will review approaches utilizing technology to assist the measurement and analysis of social networks among older adults in the context of health and social care. Joanna Briggs Institute methodology was followed; PubMed (MEDLINE), Sociological Abstracts, SocINDEX, CINAHL, and Web of Science were searched for related articles. Conference abstracts and proceedings were included. We discuss the gaps and advances in measurement of social networks of older adults using technology and implications for future research in social networks of older adults as a lever for improving health and well-being.

The impact of the Health and Social Care Act, 2012 on the health and wellbeing of rough sleepers

2016 ◽  
Vol 24 (5/6) ◽  
pp. 249-259 ◽  
Author(s):  
James Sebastian Fuller
Keyword(s):  
Service User ◽  
Public Involvement ◽  
Social Care ◽  
Service Providers ◽  
Patient Choice ◽  
Front Line ◽  
Support Worker ◽  
Content Type ◽  
Health And Social Care ◽  
The Impact

Purpose The purpose of this paper is to explore the impact of the Health and Social Care Act, 2012 on London’s rough sleepers as seen from the perspective of one former homeless service user (currently working as a support worker in a day centre providing outreach and “drop in” facilities for people who are street homeless and other vulnerable adults including female sex workers). The discussion centres on some of the unintended impacts of changes to healthcare commissioning; the new arrangements for patient, public representation; and the enhanced role of local councils. Design/methodology/approach This paper is grounded in front line practitioner reflection/opinion and draws on practical experience and observation at Spires, as well as research and government papers published by other service providers. The aspirations of the Health and Social Care Act, 2012 are set out before its practical application are examined from the rough sleeper’s dimension. Findings Putting clinicians and GPs centre stage in the commissioning and purchasing of healthcare may have some benefits for individual patient choice, but it can also dilute patient public involvement in health and social care with negative effects for vulnerable and excluded groups, including rough sleepers. The terms of reference ascribed to Local Healthwatch Organisations, the official representatives of the people, are narrower than previously and limit their ability to influence official policy. The Act centralises control whilst devolving operational responsibility, especially for public health provision on which rough sleepers often rely. It is suggested that local voluntary organisations and specialist “inclusion” health groups are increasingly being expected to take over responsibility for delivering health and social care and that mainstream collaboration is much reduced rather than enhanced by this fragmentation. Research limitations/implications This review is based on the opinion of an “expert by experience” which may not be representative. Originality/value This is one of few papers which present a front line service user/practitioner perspective on the impact of clinical commissioning on services for marginalised groups.

Sign in / Sign up

Export Citation Format

Share Document