scholarly journals Needs Assessment of Safe Medicines Management for Older People With Cognitive Disorders in Home Care: An Integrative Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Mojtaba Vaismoradi ◽  
Samira Behboudi-Gandevani ◽  
Stefan Lorenzl ◽  
Christiane Weck ◽  
Piret Paal
Keyword(s):  
Systematic Review ◽  
Data Analysis ◽  
Home Care ◽  
Older People ◽  
Needs Assessment ◽  
Family Caregivers ◽  
Healthcare Professionals ◽  
Cognitive Disorders ◽  
Knowledge Synthesis ◽  
Medicines Management

Background and Objectives: The global trend of healthcare is to improve the quality and safety of care for older people with cognitive disorders in their own home. There is a need to identify how medicines management for these older people who are cared by their family caregivers can be safeguarded. This integrative systematic review aimed to perform the needs assessment of medicines management for older people with cognitive disorders who receive care from their family caregivers in their own home.Methods: An integrative systematic review of the international literature was conducted to retrieve all original qualitative and quantitative studies that involved the family caregivers of older people with cognitive disorders in medicines management in their own home. MeSH terms and relevant keywords were used to search four online databases of PubMed (including Medline), Scopus, CINAHL, and Web of Science and to retrieve studies published up to March 2021. Data were extracted by two independent researchers, and the review process was informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Given that selected studies were heterogeneous in terms of the methodological structure and research outcomes, a meta-analysis could not be performed. Therefore, narrative data analysis and knowledge synthesis were performed to report the review results.Results: The search process led to retrieving 1,241 studies, of which 12 studies were selected for data analysis and knowledge synthesis. They involved 3,890 older people with cognitive disorders and 3,465 family caregivers. Their methodologies varied and included cohort, randomised controlled trial, cross-sectional studies, grounded theory, qualitative framework analysis, and thematic analysis. The pillars that supported safe medicines management with the participation of family caregivers in home care consisted of the interconnection between older people's needs, family caregivers' role, and collaboration of multidisciplinary healthcare professionals.Conclusion: Medicines management for older people with cognitive disorders is complex and multidimensional. This systematic review provides a comprehensive image of the interconnection between factors influencing the safety of medicines management in home care. Considering that home-based medicines management is accompanied with stress and burden in family caregivers, multidisciplinary collaboration between healthcare professionals is essential along with the empowerment of family caregivers through education and support.

scholarly journals PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care

2021 ◽  
Vol Volume 14 ◽  
pp. 2841-2849
Author(s):  
Mojtaba Vaismoradi ◽  
Shazia Jamshed ◽  
Stefan Lorenzl ◽  
Piret Paal
Keyword(s):  
Mental Health ◽  
Home Care ◽  
Older People ◽  
Mental Health Disorders ◽  
Medicines Management ◽  
Health Disorders

scholarly journals Systematic review of EASY-care needs assessment for community-dwelling older people

2015 ◽  
Vol 44 (4) ◽  
pp. 559-565 ◽  
Author(s):  
Christopher Craig ◽  
Neil Chadborn ◽  
Gina Sands ◽  
Helena Tuomainen ◽  
John Gladman
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Needs Assessment ◽  
Community Dwelling ◽  
Care Needs ◽  
Community Dwelling Older People

scholarly journals What is good communication for people living with dementia? A mixed-methods systematic review

2017 ◽  
Vol 29 (11) ◽  
pp. 1785-1800 ◽  
Author(s):  
Sarah Alsawy ◽  
Warren Mansell ◽  
Phil McEvoy ◽  
Sara Tai
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Family Caregivers ◽  
Interpersonal Relationships ◽  
Healthcare Professionals ◽  
Eligibility Criteria ◽  
Good Communication ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care

ABSTRACTBackground:Many strategies have been recommended to support caregivers in communicating with people who live with dementia. However, less is known about what makes communication a good and meaningful experience from the perspective of people with dementia. Understanding this may enhance the person with dementia's sense of connectedness, strengthen their relationships, and facilitate person-centered care. The current review aimed to evaluate research that examined experiences of communication in people living with dementia. Studies that examined reports provided by people with dementia, healthcare professionals, and family caregivers were included.Methods:A mixed-methods systematic review was conducted using PsychINFO, MEDLINE, and EMBASE databases.Results:After applying the eligibility criteria, 15 studies were included. Although eight of these recruited people with dementia, only one focused on their perspectives of communication experiences and the remaining studies focused on the perspectives of family caregivers and healthcare professionals. These studies either explored experiences without suggestions of communication methods, “open exploration,” or through examining experiences of strategies, “exploration of strategies.” A significant theme was around communication difficulties that affected interpersonal relationships and activities of daily living. Conversely, personhood strategies and a strong underlying relationship were believed to facilitate communication. The one study that examined the perspectives of people with dementia emphasized the importance of retaining valued relationships and feeling respected during communication.Conclusions:The need to involve people with dementia in research, particularly around their experiences of communication, is evident. Such research would be imperative for facilitating person-centered care, strengthening social relationships, and informing training programs.

scholarly journals 097How Do People Perceive Home-care Robots? A Questionnaire Study with Older People, Family Caregivers, and Care Professionals in Japan

2017 ◽  
Vol 46 (Suppl_3) ◽  
pp. iii1-iii12
Author(s):  
Sayuri Suwa ◽  
Mayuko Tsujimura ◽  
Mina Ishimaru ◽  
Atsuko Shimamura ◽  
Hiroo Ide ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Family Caregivers ◽  
Questionnaire Study ◽  
Care Robots

scholarly journals Knowledge and attitude of healthcare professionals to frailty screening in primary care: a systematic review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e037523
Author(s):  
Ijeoma Okpechi ◽  
Gurch Randhawa ◽  
David Hewson
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Older People ◽  
Healthcare Professionals ◽  
Adverse Outcomes ◽  
Primary Data ◽  
Limited Information ◽  
Academic Journal ◽  
Framework Analysis ◽  
Knowledge And Attitude

IntroductionFrailty is an increasingly common condition in which physiological decline as a result of accumulated deficits renders older people more vulnerable to adverse outcomes. An increasing range of frailty screening programmes have been introduced in primary care to identify frail older people in order to deliver appropriate interventions. However, limited information on the knowledge and attitude of healthcare professionals (HCPs) with respect to frailty screening is known. The aim of this systematic review is to provide evidence on the knowledge and attitude of HCP in terms of frailty screening, and potentially identify barriers and facilitators to frailty screening to improve implementation of frailty screening in primary care.Methods/designA systematic review of qualitative research will be conducted. Databases searched will be MEDLINE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO and Web of Science from January 2001 to August 2019. Methods will be reported based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Population, interest, context and study design methodology was used to develop inclusion and exclusion criteria with HCPs as population, frailty screening as interest and knowledge or attitude of HCPs to frailty screening as context. Studies with a qualitative methodology or a mixed-method design where the qualitative component is analysed separately will also be included. Quality appraisal will be carried out using the Joanna Briggs Institute appraisal tool for qualitative studies. Data will be extracted from each selected study with thematic framework analysis used to synthesise findings.Ethics and disseminationThis systematic review does not require ethical approval as primary data will not be collected. The findings will be disseminated at conferences and in a relevant academic journal. This review will assist HCPs and relevant stakeholders to tackle the challenges of frailty screening in primary care.PROSPERO registration numberCRD42019159007.

scholarly journals Integrated Home Care Programs for frail older people: evidence from a systematic review

2017 ◽  
Vol 27 (suppl_3) ◽  
Author(s):  
A Acampora ◽  
L Trozzi ◽  
C Zandalasini ◽  
F Landi ◽  
R Bernabei ◽  
...  
Keyword(s):  
Systematic Review ◽  
Home Care ◽  
Older People ◽  
Frail Older People

scholarly journals Personal care and practical support at home: a systematic review of older people’s views and experiences

2019 ◽  
Vol 23 (2) ◽  
pp. 87-106
Author(s):  
Irene Kwan ◽  
Deborah Rutter ◽  
Beth Anderson ◽  
Claire Stansfield
Keyword(s):  
Systematic Review ◽  
Home Care ◽  
Older People ◽  
Bibliographic Databases ◽  
Care Providers ◽  
Personal Care ◽  
Content Type ◽  
Time To Build ◽  
Care And Support ◽  
At Home

Purpose Considering the views of service users is important to identify their needs as this helps providers to develop appropriate and responsive services. For older people receiving home care, recognising their needs is the first step towards supporting them to maintain independence and promote wellbeing. The paper aims to discuss these issues. Design/methodology/approach A systematic review was conducted in 2014 to explore the personal experiences of older people in England about the care and support they received at home. Studies published between 2004 and 2013 were identified from bibliographic databases and websites. A total of 17 studies satisfied the inclusion criteria. Data were extracted using a standardised coding tool and narratively synthesised. Study quality was evaluated. Findings Nine themes were identified. Older people valued an approach that was person centred, flexible and proactive to respond to their changing needs and priorities, focusing on what they can or would like to do to maintain their independence. Allowing time to build trust between older people and their care workers helped to realise older peoples’ aspirations and goals. Practical help to promote choice and reduce social isolation was perceived to be as important as personal care. Practical implications Evidence from this review contributed to the development of a social care guideline on home care, and informed key practice recommendations for care providers in England. Originality/value This review highlighted the value older people place in person-centred care incorporating practical help both inside and outside the realm of personal care.

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