scholarly journals How frail is frail? A systematic scoping review and synthesis of high impact studies

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. H. Gordon ◽  
N. Reid ◽  
I. S. Khetani ◽  
R. E. Hubbard
Keyword(s):  
Scoping Review ◽  
Frailty Index ◽  
Citation Impact ◽  
Aged Care ◽  
Continuous Variable ◽  
High Impact ◽  
Community Dwelling ◽  
Residential Aged Care ◽  
Eligibility Criteria ◽  
Impact Studies

Abstract Aims While the frailty index (FI) is a continuous variable, an FI score of 0.25 has construct and predictive validity to categorise community-dwelling older adults as frail or non-frail. Our study aimed to explore which FI categories (FI scores and labels) were being used in high impact studies of adults across different care settings and why these categories were being chosen by study authors. Methods For this systematic scoping review, Medline, Cochrane and EMBASE databases were searched for studies that measured and categorised an FI. Of 1314 articles screened, 303 met the eligibility criteria (community: N = 205; residential aged care: N = 24; acute care: N = 74). For each setting, the 10 studies with the highest field-weighted citation impact (FWCI) were identified and data, including FI scores and labels and justification provided, were extracted and analysed. Results FI scores used to distinguish frail and non-frail participants varied from 0.12 to 0.45 with 0.21 and 0.25 used most frequently. Additional categories such as mildly, moderately and severely frail were defined inconsistently. The rationale for selecting particular FI scores and labels were reported in most studies, but were not always relevant. Conclusions High impact studies vary in the way they categorise the FI and while there is some evidence in the community-dweller literature, FI categories have not been well validated in acute and residential aged care. For the time being, in those settings, the FI should be reported as a continuous variable wherever possible. It is important to continue working towards defining frailty categories as variability in FI categorisation impacts the ability to synthesise results and to translate findings into clinical practice.

scholarly journals Australian social work research on ageing and aged care: A scoping review

2016 ◽  
Vol 18 (4) ◽  
pp. 431-450 ◽  
Author(s):  
Mark Hughes ◽  
Christine Bigby ◽  
Clare Tilbury
Keyword(s):  
Social Work ◽  
Older People ◽  
Scoping Review ◽  
Asset Management ◽  
Social Work Practice ◽  
Aged Care ◽  
Community Services ◽  
Residential Aged Care ◽  
Bibliographic Databases ◽  
Social Work Research

Summary Little is known about the quantity, nature and range of Australian social work research on ageing and aged care. This scoping review involved a comprehensive search of seven online bibliographic databases. The review identified 108 peer-reviewed journal articles, published between January 2007 and June 2014, that reported Australian social work research on ageing and aged care. Findings The average number of authors per paper was 2.10 with most social work researchers co-authoring papers with non-social workers. The main topics of research focus were health and rehabilitation, elder abuse, asset management, community services and caregiving, housing and residential aged care, and ageing with an intellectual disability. The findings highlight the contribution social work researchers make to multidisciplinary gerontological research, and to understanding the lived experiences of older people and the provision of services. However, they also point to the relative paucity of research focusing on direct social work practice with older people, and the little evidence of the participation of older people and carers in the design and delivery of research. Applications The findings indicate the need for capacity-building strategies, such as developing networks of Australian social work researchers on ageing and aged care, to improve research outputs in this area.

Teaching strategies and activities to enhance students’ clinical placement in residential aged care facilities: a scoping review

2020 ◽  
Vol 18 (11) ◽  
pp. 2302-2334
Author(s):  
Rose McCloskey ◽  
Lisa Keeping-Burke ◽  
Cindy Donovan ◽  
Jessica Cook ◽  
Richelle Witherspoon ◽  
...  
Keyword(s):  
Teaching Strategies ◽  
Scoping Review ◽  
Aged Care ◽  
Clinical Placement ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

scholarly journals Self-efficacy of direct care workers providing care to older people in residential aged care settings: A systematic scoping review protocol

2020 ◽  
Author(s):  
Sumina Shrestha ◽  
Rayan Jafnan M Alharbi ◽  
Christine While ◽  
Julie Ellis ◽  
Muhammad Aziz Rahman ◽  
...  
Keyword(s):  
Older People ◽  
Scoping Review ◽  
Self Efficacy ◽  
Aged Care ◽  
Direct Care ◽  
Direct Care Workers ◽  
Residential Aged Care ◽  
Care Services ◽  
Factors Influencing ◽  
Care Workers

Abstract Background Self-efficacy is developed through a person’s interaction with his/her physical and social environment. Self-efficacy in caring is an essential attribute of care workers to develop a positive attitude towards their clients, improve work performance, and enhance job satisfaction. Care workers’ self-efficacy may vary according to the context in which the care is being provided. Aged care is a multidimensional and challenging setting, and characteristics of aged care services are different from those of acute care services. The objective of this review is to give an overview of the self-efficacy of residential aged care workers in caring for older people and factors influencing their self-efficacy. Methods The protocol for this review is based on the Joanna Briggs Institute Reviewer's Manual for Scoping Review. A systematic search of the literature on electronic databases MEDLINE, PsycINFO, CINAHL, AgeLine, SCOPUS, and ProQuest Dissertations and Theses Global will be carried out using predefined search terms to identify relevant studies. This review will include all primary studies irrespective of the study design. Two reviewers will independently conduct title and abstract screening, full-text screening, and data extraction. A third reviewer will resolve discrepancies, while the final decision for conflicting studies will be made by consensus within the review team. Joanna Briggs Institute critical appraisal tools will be used to assess the methodological quality of the included studies. Quantitative findings will be presented in narrative form accompanied by tabulated results and a random effects meta-analysis will be conducted to compute the pooled estimates of the impacts of various influencing factors on caring self-efficacy of the direct care workers. Qualitative research findings will be synthesised using the meta-aggregation approach. Discussion This review aims to bring together the evidence on the caring self-efficacy of aged care workers and associated factors. This will be an important source of knowledge to policymakers and aged care providers to understand the self-efficacy of aged care workers in order to support and enhance their self-efficacy and thereby improve their caring behaviours towards their clients. Scoping Review Registration Joanna Briggs Institute Systematic Review Register with the title ‘A scoping review of factors influencing caring efficacy of direct care workers providing care to older people’ ( https://joannabriggs.org/ebp/systematic_review_register )

Caring self-efficacy of direct care workers in residential aged care settings: A mixed methods scoping review

2021 ◽  
Vol 42 (6) ◽  
pp. 1429-1445
Author(s):  
Sumina Shrestha ◽  
Rayan JM Alharbi ◽  
Yvonne Wells ◽  
Christine While ◽  
Muhammad Aziz Rahman
Keyword(s):  
Mixed Methods ◽  
Scoping Review ◽  
Self Efficacy ◽  
Aged Care ◽  
Direct Care ◽  
Direct Care Workers ◽  
Residential Aged Care ◽  
Care Workers

Medication use in aged care residents in the last year of life: A scoping review

2020 ◽  
Vol 34 (7) ◽  
pp. 832-850
Author(s):  
Charlotte Aitken ◽  
Michal Boyd ◽  
Lorraine Nielsen ◽  
Aileen Collier
Keyword(s):  
Scoping Review ◽  
Medication Safety ◽  
Keyword Search ◽  
Medication Use ◽  
Well Being ◽  
Access To Medicines ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities

Background: A substantial number of older adults die in residential aged care facilities, yet little is known about the characteristics of and how best to optimise medication use in the last year of life. Aim: The aim of this review was to map characteristics of medication use in aged care residents during the last year of life in order to examine key concepts related to medication safety and draw implications for further research and service provision. Design: A scoping review following Arskey and O’Malley’s framework was conducted using a targeted keyword search, followed by assessments of eligibility based on title and content of abstracts and full papers. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, the scoping review protocol was prospectively registered to the Open Science Framework on 27 November 2018. Data Sources: We searched MEDLINE, EMBASE, AMED, CINAHL and Cochrane databases to identify peer-reviewed studies published between 1937 and 2018, written in English and looking at medication use in individuals living in aged care facilities within their last year of life. Results: A total of 30 papers were reviewed. Five key overarching themes were derived from the analysis process: (1) access to medicines at the end of life, (2) categorisation and classes: medicines and populations, (3) polypharmacy and total medication numbers, (4) use of symptomatic versus preventive medications and (5) ‘inappropriate’ medications. Conclusion: Number of prescriptions or blunt categorisations of medications to assess their appropriateness are unlikely to be sufficient to promote well-being and medication safety for older people in residential aged care in the final stages of life.

scholarly journals A scoping review to explore the experiences and outcomes of younger people with disabilities in residential aged care facilities

Brain Injury ◽  
2020 ◽  
Vol 34 (11) ◽  
pp. 1446-1460
Author(s):  
Stacey Oliver ◽  
Emily Z. Gosden-Kaye ◽  
Hannah Jarman ◽  
Dianne Winkler ◽  
Jacinta M. Douglas
Keyword(s):  
Scoping Review ◽  
People With Disabilities ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Frailty Levels in Residential Aged Care Facilities Measured Using the Frailty Index and FRAIL-NH Scale

2016 ◽  
Vol 64 (11) ◽  
pp. e207-e212 ◽  
Author(s):  
Olga Theou ◽  
Edwin C.K. Tan ◽  
J. Simon Bell ◽  
Tina Emery ◽  
Leonie Robson ◽  
...  
Keyword(s):  
Frailty Index ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

scholarly journals Applying Salutogenesis in Residential Care Settings

2022 ◽  
pp. 447-457
Author(s):  
Viktoria Quehenberger ◽  
Karl Krajic
Keyword(s):  
Well Being ◽  
Aged Care ◽  
Community Dwelling ◽  
Residential Aged Care ◽  
Positive Health ◽  
Aged Patients ◽  
Term Care ◽  
Social Challenges

AbstractThis chapter focuses on aged and highly aged patients who have long and rather comprehensive contacts with healthcare institutions of long-term care, either in residential aged care or in community-dwelling. Therefore, it is well accepted in the literature that a salutogenic orientation and health promotion measures could contribute to the quality of life, well-being, and health of this group. Furthermore, a good sense of coherence (SOC) can be considered as a positive resource for coping with the physical, mental, and social challenges and transitions related to aging.But the state of descriptive research on salutogenesis focusing not only on residents but also somewhat less so on community dwellers is still scarce and has mostly been conducted in few countries. Concerning intervention research only very few studies have specifically applied salutogenic principles to promote positive health among older people.In light of this scarce research situation, the authors make recommendations for further research in this relevant and growing area of health care.

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