Quality in Ageing and Older Adults最新文献_第9页

Changes in commissioning home care: an English survey 委托家庭护理的变化:一项英语调查

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2020-01-24 DOI: 10.1108/qaoa-10-2019-0055

S. Davies, J. Hughes, K. Davies, E. Dalgarno, Rowan Jasper, Helen Chester, A. Roberts, D. Challis

{"title":"Changes in commissioning home care: an English survey","authors":"S. Davies, J. Hughes, K. Davies, E. Dalgarno, Rowan Jasper, Helen Chester, A. Roberts, D. Challis","doi":"10.1108/qaoa-10-2019-0055","DOIUrl":"https://doi.org/10.1108/qaoa-10-2019-0055","url":null,"abstract":"The purpose of this study is to examine changes in the nature, form and range of commissioning arrangements for home care.,Data from two discrete national surveys of English local authorities with social service responsibilities were used. In the first, undertaken in 2007, responses from 111 of the 151 local authorities (74%) were received; in the second, undertaken in 2017, responses from 109 local authorities (72%) were received. A combined data set of 79 complete cases, 52% of local authorities, was created. Percentage point differences across the two time periods were calculated and tested to identify significant changes and a systematic analysis of the free-text responses regarding intended changes to the commissioning process in each data set was undertaken.,Findings identified substantial changes in some aspects of the commissioning of home care in the 2007-2017 decade. Collaboration between stakeholders had increased, particularly regarding the identification of future needs. Improved conditions of service and remuneration for home care workers were evident within the commissioning process. Standardised charges for home care (regardless of time and day) had also become more widespread. Initiatives to prompt providers to deliver more personalised care were more evident.,This paper describes the evolution of commissioning arrangements for home care in localities in response to national policy initiatives. It provides guidance to commissioners in meeting the needs of current service users and emphasises the importance of collaboration with stakeholders, particularly providers, in securing future capacity.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-10-2019-0055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48829593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Carer needs on an organic inpatient unit 护理人员需要有机住院病房

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-12-09 DOI: 10.1108/qaoa-08-2019-0048

J. Clegg, Sarah Craven-Staines

{"title":"Carer needs on an organic inpatient unit","authors":"J. Clegg, Sarah Craven-Staines","doi":"10.1108/qaoa-08-2019-0048","DOIUrl":"https://doi.org/10.1108/qaoa-08-2019-0048","url":null,"abstract":"The purpose of this paper is to further understand the needs of carers when a relative with dementia is admitted to an organic impatient ward.,A constructivist grounded theory approach was employed to generate a substantive theory to understand the needs of carers and how staff perceive carer needs when a relative is admitted to a dementia ward. Five relatives and six members of staff were interviewed using purposive and theoretical sampling. Interview transcripts were analysed using initial, focused and theoretical coding using constant comparative methods to develop the end theory.,The grounded theory concluded that carers have three categories of needs: “The Safe and Cared for Relative”, “The Informed Carer and “The Understanding, Responsive and Available Service”. Underpinning the needs are the relationships between carers, their relative and staff. Three barriers were identified which can impact on these needs being effectively met. These identified barriers were: Loss, Time and Ineffective Communication.,The grounded theory demonstrates that carers needs fundamentally relate to their relatives being safe and cared for and being included and informed during the admission. Relationships can be ruptured when a barrier prevents the needs from being effectively met. Recommendations are made to aim to reduce the impact of the barriers and to aid staff in developing their understanding of the carer experience.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-08-2019-0048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44577855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The development and feasibility testing of the Distress Recognition Tool 遇险识别工具的开发与可行性测试

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-12-06 DOI: 10.1108/qaoa-06-2019-0030

G. Crowther, C. Brennan, K. Hall, Abbie Flinders, M. Bennett

{"title":"The development and feasibility testing of the Distress Recognition Tool","authors":"G. Crowther, C. Brennan, K. Hall, Abbie Flinders, M. Bennett","doi":"10.1108/qaoa-06-2019-0030","DOIUrl":"https://doi.org/10.1108/qaoa-06-2019-0030","url":null,"abstract":"People with dementia in hospital are susceptible to delirium, pain and psychological symptoms. These diagnoses are associated with worse patient outcomes, yet are often underdiagnosed and undertreated. Distress is common in people experiencing delirium, pain and psychological symptoms. Screening for distress may therefore be a sensitive way of recognising unmet needs. The purpose of this paper is to describe the development and feasibility testing of the Distress Recognition Tool (DRT). The DRT is a single question screening tool that is incorporated into existing hospital systems. It encourages healthcare professionals to regularly look for distress and signposts them to relevant resources when distress is identified.,The authors tested the feasibility of using the DRT in people with dementia admitted on two general hospital wards. Mixed methods were used to assess uptake and potential mechanisms of impact, including frequency of use, observation of ward processes and semi-structured interviews with primary stakeholders.,Over a 52-day period, the DRT was used during routine care of 32 participants; a total of 346 bed days. The DRT was completed 312 times; an average of 0.9 times per participant per day. Where participants had an identified carer, 83 per cent contributed to the assessment at least once during the admission. Thematic analysis of stakeholder interviews, and observational data suggested that the DRT was quick and simple to complete, improved ward awareness of distress and had the potential to improve care for people with dementia admitted to hospital.,This is the first short screening tool for routinely detecting distress in dementia in any setting. Its uptake was positive, and if effective it could improve care and outcomes for people with dementia, however it was beyond the scope of the study test this.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-06-2019-0030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42841297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Ageing carers and intellectual disability: a scoping review 老年护理人员和智力残疾:范围审查

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-11-28 DOI: 10.1108/qaoa-11-2018-0057

Aoife Mahon, E. Tilley, G. Randhawa, Y. Pappas, J. Vseteckova

{"title":"Ageing carers and intellectual disability: a scoping review","authors":"Aoife Mahon, E. Tilley, G. Randhawa, Y. Pappas, J. Vseteckova","doi":"10.1108/qaoa-11-2018-0057","DOIUrl":"https://doi.org/10.1108/qaoa-11-2018-0057","url":null,"abstract":"\u0000Purpose\u0000Individuals with intellectual disability(ies) are living longer contributing to an overall increase in the average age of caregivers. The purpose of this paper is to review the literature on the physical, social and psychological needs of ageing carers of individuals with intellectual disability(ies) in the UK.\u0000\u0000\u0000Design/methodology/approach\u0000A scoping review framework was used to identify literature from eleven databases, the grey literature and the references lists of relevant studies. Only primary research studies that discussed the needs of non-professional carers, aged 65+ years old, of individuals with intellectual disability(ies) in the UK were included. No date restrictions were applied. Thematic analysis was used to narratively synthesise findings.\u0000\u0000\u0000Findings\u0000Six studies were included. Five key themes were identified: Living with fear, lack of information, rebuilding trust, proactive professional involvement and being ignored. Housing and support information is not communicated well to carers. Professionals require more training on carer needs and trust must be rebuilt between carers and professionals. Proactive approaches would help identify carer needs, reduce marginalisation, help carers feel heard and reduce the risk of care crisis. Greater recognition of mutual caring relationships is needed.\u0000\u0000\u0000Originality/value\u0000This review highlighted the needs of older caregivers for individuals with intellectual disability(ies) as well as the need for more high-quality research in this field. The information presented in this review may be considered by primary care providers and funding bodies when planning future support for this growing population of carers.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-11-2018-0057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46952997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Age-friendly communities for older persons with intellectual disabilities 为智障长者而设的长者友好社区

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-11-28 DOI: 10.1108/QAOA-11-2018-0058

Caley Miskimmin, S. Shooshtari, V. Menec, K. Duncan, Toby L. Martin, B. Stoesz

{"title":"Age-friendly communities for older persons with intellectual disabilities","authors":"Caley Miskimmin, S. Shooshtari, V. Menec, K. Duncan, Toby L. Martin, B. Stoesz","doi":"10.1108/QAOA-11-2018-0058","DOIUrl":"https://doi.org/10.1108/QAOA-11-2018-0058","url":null,"abstract":"The life expectancy for persons with intellectual disabilities (ID) has increased significantly, resulting in an increasing number of aging persons with ID. To promote healthy and active aging of persons with ID, discussions on new initiatives to design age-friendly communities have begun at local and international levels. The purpose of this paper, a qualitative research study, is to identify features of an age-friendly community, and facilitators and barriers from the perspectives of older adults with mild ID and their caregivers who live in the city of Winnipeg in Canada.,Seven older persons with mild ID were interviewed, and 15 caregivers participated in focus group discussions. All participants were asked questions about features of community living and their experiences in eight broad topic areas (i.e. transportation, housing, social participation, respect and social inclusion, opportunities for community involvement, communication and information, community support and healthcare services, and outdoor spaces and buildings).,The results indicated that many of the current features of the city of Winnipeg do not adequately address the needs of aging persons with ID; specifically, participants revealed that issues related to accessibility, social participation, social disrespect and inclusion, and lack of resources were important barriers to independence.,The findings will increase awareness of the needs of aging persons with ID and inform programme planning, service delivery, coordination of community-based services and policies to support healthy and active aging for this vulnerable population.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/QAOA-11-2018-0058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42660887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Intellectual disability and dementia: perspectives on environmental influences 智力残疾与痴呆：环境影响视角

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-11-28 DOI: 10.1108/qaoa-11-2018-0060

A. Sheth

{"title":"Intellectual disability and dementia: perspectives on environmental influences","authors":"A. Sheth","doi":"10.1108/qaoa-11-2018-0060","DOIUrl":"https://doi.org/10.1108/qaoa-11-2018-0060","url":null,"abstract":"The purpose of this paper is to improve understandings of environmental influences on participation in routine and familiar activities for people with intellectual disabilities and dementia from first-person and caregiver perspectives.,Four adults with intellectual disabilities and dementia participated in 2 nominal group technique sessions and 12 family and staff caregivers participated in 5 standard focus groups. Transcripts were analyzed utilizing thematic analysis centering the findings from nominal group technique sessions and an ecological systems lens.,Participants with intellectual disabilities and dementia identified six important themes: activity access, caregiver assistance, social interactions, responsibilities, privacy, and health and wellness. Their perspectives focused primarily at an immediate environment level, while caregiver input added additional understandings from broader ecological systems levels.,This study provides a beginning point to establishing a framework for creating supports and addressing barriers to participation for adults with intellectual disability and dementia based on direct input from potential service consumers and their caregivers. People with intellectual disabilities and dementia provide valuable insights into their experiences through engagement in accessible research.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-11-2018-0060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41502181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

“One does not forget, it all comes back”: elderly people with intellectual disability review adversities and stress-protection in their lives “人不忘，一切都会回来”:智障老年人回顾生活中的逆境和压力保护

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-11-28 DOI: 10.1108/qaoa-11-2018-0061

H. Schepens, Joris Van Puyenbroeck, B. Maes

{"title":"“One does not forget, it all comes back”: elderly people with intellectual disability review adversities and stress-protection in their lives","authors":"H. Schepens, Joris Van Puyenbroeck, B. Maes","doi":"10.1108/qaoa-11-2018-0061","DOIUrl":"https://doi.org/10.1108/qaoa-11-2018-0061","url":null,"abstract":"People with intellectual disability are reported to encounter many negative life events during their increasingly long lives. In the absence of protective elements, these may cause toxic stress and trauma. Given the reported negative effects of such adverse events on their quality of life (QoL), the perspective of older people with intellectual disability themselves may be of relevance. The paper aims to discuss these issues.,The authors questioned nine participants with mild intellectual disability, aged 61–88 years old, in four 90-min focus group sessions and thematically analysed the data.,Many recent and bygone negative life events still weighed heavily on the participants. Negative interactions, experiences of loss, lack of control and awareness of one’s disability caused stress. Their emotional response contrasted with their contentment, compliance and resilience. Having (had) good relationships, having learnt coping skills, remaining active, talking about past experiences and feeling free of pain, safe, well supported, capable, respected and involved seemed to heighten resilience and protect participants from toxic stress.,Monitoring and preventing adverse (childhood) experiences, supporting active/emotional coping strategies, psychotherapy and life story work may facilitate coping with negative events and enhance QoL of elderly people with intellectual disability.,Elderly people with mild intellectual disability run a higher risk of experiencing (early) adverse events in life. They are very capable of talking about their experiences, QoL, and the support they need. Focus groups were a reliable method to capture their insights.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-11-2018-0061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44013422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Ageing and increased longevity amongst people with intellectual disabilities: an editorial 智障人士的老龄化和寿命延长:一篇社论

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-11-28 DOI: 10.1108/qaoa-12-2019-066

M. Redley

引用次数: 1

Encouraging managers of care homes for older adults to participate in research 鼓励老年人护理院的管理人员参与研究

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-08-29 DOI: 10.1108/qaoa-04-2019-0017

N. Smith, A. Towers, Grace Collins, Sinead Palmer, S. Allan, J. Beecham

{"title":"Encouraging managers of care homes for older adults to participate in research","authors":"N. Smith, A. Towers, Grace Collins, Sinead Palmer, S. Allan, J. Beecham","doi":"10.1108/qaoa-04-2019-0017","DOIUrl":"https://doi.org/10.1108/qaoa-04-2019-0017","url":null,"abstract":"\u0000Purpose\u0000Research in care homes requires the co-operation of care home managers. Noting the challenges faced by the care home sector, the purpose of this paper is to consider ways in which research studies can encourage care home managers and their homes to participate in research.\u0000\u0000\u0000Design/methodology/approach\u0000The discussion is informed by two research projects which are used to explore methods of encouraging managers of care homes to participate in research. One of the studies included interviews with care home managers to understand their reasons for taking part in research.\u0000\u0000\u0000Findings\u0000This paper outlines and assesses three strategies for encouraging care home managers to participate in research: working in partnership, providing payment and providing personalised feedback on findings. Whereas all the strategies have the potential to encourage care home managers’ participation in research, partnership working in particular was found to be fraught with difficulties.\u0000\u0000\u0000Research limitations/implications\u0000This paper suggests that the research projects could employ any of these strategies to encourage managers of care homes to participate in research. It also suggests that proactive measures could help ameliorate the pitfalls of partnership working.\u0000\u0000\u0000Originality/value\u0000This paper shows the advantages and disadvantages of using a combination of strategies for encouraging the participation of care home managers in research.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-04-2019-0017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62225468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Intergenerational exchange and the possibilities of role substitution for older people 代际交流和老年人角色替代的可能性

IF 1.5

Quality in Ageing and Older Adults Pub Date : 2019-08-29 DOI: 10.1108/qaoa-03-2019-0013

J. Macfarlane, C. Stephens, Joanne E. Taylor

{"title":"Intergenerational exchange and the possibilities of role substitution for older people","authors":"J. Macfarlane, C. Stephens, Joanne E. Taylor","doi":"10.1108/qaoa-03-2019-0013","DOIUrl":"https://doi.org/10.1108/qaoa-03-2019-0013","url":null,"abstract":"PurposeRole loss or substitution are common experiences of older adults, and a role typically held by older people – great grandparent or grandparent – is now under threat. Set within the context of a retirement village where an Intergenerational Programme (IGP) was taking place, the purpose of this paper is to understand older people’s perspectives on preschool-aged children, and the roles they adopt with them.Design/methodology/approachThe authors conducted semi-structured interviews and analysed the data using narrative analysis (n=19).FindingsFour narratives were identified, revealing that older adults adopt the roles of teacher and compromiser when interacting with children, believe they are “plugging a gap” in society through their involvement with younger generations and are reminded of life when with them.Research limitations/implicationsThe study does not feature the voice of younger children within intergenerational contact; information which would have provided a different perspective on the roles identified.Social implicationsThe bulk of global IGP practice is targeted at bringing together older and younger people who are not as young as preschool age, but this may be an opportunity missed. Retirement village operators may also want to consider intergenerational activity with preschool-aged children as a way for them to provide opportunities for role substitution within this environment.Originality/valueThe findings identify a positive perception older people have about young children in today’s society, expanding on very limited literature. How older adults perceive their role with young children is also identified within this research, highlighting how interacting with non-related preschoolers can provide some older people with a substitute role in later years.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-03-2019-0013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49289018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1