Pub Date : 2020-07-24DOI: 10.1108/qaoa-10-2019-0059
T. Bielsten, J. Keady, Agneta Kullberg, R. Lasrado, I. Hellström
Purpose Interventions aimed at couples where one partner has dementia are often targeting burden, depression and cognitive function and do not focus on relationship and interpersonal issues. Furthermore, interventions within this population do not seem to have embraced a salutogenic and authentic dyadic approach where both partners’ experiences are considered. To address this gap, a self-management app, DemPower, which was piloted and tested among couples where one partner has dementia living at home, has been developed. This study explores couples‘ everyday experiences of engaging with the DemPower. Design/methodology/approach Semi-structured interviews with couples were analysed using thematic analysis. Findings The findings resulted in the following themes: growth of the relationship; we are not alone; and positive approach. The findings indicated that the experiences of a salutogenic and dyadic intervention can contribute to the feelings of empowerment, satisfaction of couples’ achievements and a sense of support through peers and with the intervention itself. Originality/value The findings of this study indicate that couples where one partner has dementia appreciate interventions that focuses on a salutogenic approach to their everyday life and relationship. The dyadic intervention contributed to feelings of empowerment, satisfaction of couples’ achievements and a sense of support through peers and through the intervention itself. Discussing, inventory and focus on strengths, resources and quality of life can therefore give couples insight in their growth of the relationship and their transitions during the dementia trajectory. Furthermore, this study can serve as an eye opener in health care for the type of support couples need and wishes to receive. This means that care for people with dementia and partners should adopt a more health-promoting approach.
{"title":"Couples’ experiences of using DemPower in everyday life","authors":"T. Bielsten, J. Keady, Agneta Kullberg, R. Lasrado, I. Hellström","doi":"10.1108/qaoa-10-2019-0059","DOIUrl":"https://doi.org/10.1108/qaoa-10-2019-0059","url":null,"abstract":"\u0000Purpose\u0000Interventions aimed at couples where one partner has dementia are often targeting burden, depression and cognitive function and do not focus on relationship and interpersonal issues. Furthermore, interventions within this population do not seem to have embraced a salutogenic and authentic dyadic approach where both partners’ experiences are considered. To address this gap, a self-management app, DemPower, which was piloted and tested among couples where one partner has dementia living at home, has been developed. This study explores couples‘ everyday experiences of engaging with the DemPower.\u0000\u0000\u0000Design/methodology/approach\u0000Semi-structured interviews with couples were analysed using thematic analysis.\u0000\u0000\u0000Findings\u0000The findings resulted in the following themes: growth of the relationship; we are not alone; and positive approach. The findings indicated that the experiences of a salutogenic and dyadic intervention can contribute to the feelings of empowerment, satisfaction of couples’ achievements and a sense of support through peers and with the intervention itself.\u0000\u0000\u0000Originality/value\u0000The findings of this study indicate that couples where one partner has dementia appreciate interventions that focuses on a salutogenic approach to their everyday life and relationship. The dyadic intervention contributed to feelings of empowerment, satisfaction of couples’ achievements and a sense of support through peers and through the intervention itself. Discussing, inventory and focus on strengths, resources and quality of life can therefore give couples insight in their growth of the relationship and their transitions during the dementia trajectory. Furthermore, this study can serve as an eye opener in health care for the type of support couples need and wishes to receive. This means that care for people with dementia and partners should adopt a more health-promoting approach.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-10-2019-0059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47480397","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}
Pub Date : 2020-07-16DOI: 10.1108/qaoa-06-2020-068
F. Poland
{"title":"Editorial","authors":"F. Poland","doi":"10.1108/qaoa-06-2020-068","DOIUrl":"https://doi.org/10.1108/qaoa-06-2020-068","url":null,"abstract":"","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-06-2020-068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44548696","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}
Pub Date : 2020-06-17DOI: 10.1108/qaoa-02-2020-0005
A. Cameron, Eleanor K. Johnson, Pauline Willis, L. Lloyd, Randall Smith
Purpose This paper aims to report the findings of a study that explores the contribution volunteers make to social care for older adults, identifying lessons for the social care sector and policymakers. Design/methodology/approach An exploratory multiple case study design was used to capture the perspectives and experiences of managers of services, volunteer co-ordinators, volunteers, paid care staff and older people. Seven diverse social care organisations took part in the study drawn from three locations in the South West of England. Findings This study identified three distinct models of volunteer contribution to social care services for older people. Although the contributions made by volunteers to services are valued, the study drew attention to some of the challenges related to their involvement. Research limitations/implications The organisations taking part in this small-scale study were all based in the South West of England, and the findings are therefore not generalisable but contribute to the growing evidence base related to this important field. Practical implications This study demonstrates the importance of the volunteer co-ordinator role and suggests that it is properly funded and resourced. It also confirms the importance of volunteers receiving appropriate training and support. Originality/value Given the increasing involvement of volunteers in the provision of social care, this paper provides lessons to ensure the role of volunteers in social care enhances rather than diminishes the quality of care provided.
{"title":"Exploring the role of volunteers in social care for older adults","authors":"A. Cameron, Eleanor K. Johnson, Pauline Willis, L. Lloyd, Randall Smith","doi":"10.1108/qaoa-02-2020-0005","DOIUrl":"https://doi.org/10.1108/qaoa-02-2020-0005","url":null,"abstract":"\u0000Purpose\u0000This paper aims to report the findings of a study that explores the contribution volunteers make to social care for older adults, identifying lessons for the social care sector and policymakers.\u0000\u0000\u0000Design/methodology/approach\u0000An exploratory multiple case study design was used to capture the perspectives and experiences of managers of services, volunteer co-ordinators, volunteers, paid care staff and older people. Seven diverse social care organisations took part in the study drawn from three locations in the South West of England.\u0000\u0000\u0000Findings\u0000This study identified three distinct models of volunteer contribution to social care services for older people. Although the contributions made by volunteers to services are valued, the study drew attention to some of the challenges related to their involvement.\u0000\u0000\u0000Research limitations/implications\u0000The organisations taking part in this small-scale study were all based in the South West of England, and the findings are therefore not generalisable but contribute to the growing evidence base related to this important field.\u0000\u0000\u0000Practical implications\u0000This study demonstrates the importance of the volunteer co-ordinator role and suggests that it is properly funded and resourced. It also confirms the importance of volunteers receiving appropriate training and support.\u0000\u0000\u0000Originality/value\u0000Given the increasing involvement of volunteers in the provision of social care, this paper provides lessons to ensure the role of volunteers in social care enhances rather than diminishes the quality of care provided.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-02-2020-0005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45116421","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}
Pub Date : 2020-05-15DOI: 10.1108/qaoa-07-2019-0039
Leah Hewer-Richards, Dawn Goodall
Purpose: This paper aims to raise awareness of the ways in which faecal incontinence can impact the provision of dementia care by examining this through the lens of stigma. Design/methodology/approach: This paper contains a scoping review of available literature relating to faecal incontinence, dementia and stigma. Findings: Literature was organised into three themes: the origins of the stigma, the purpose of stigma and the care context. Research limitations/implications: Limitations of this paper include the lack of literature discussing faecal incontinence and dementia in relation to stigma. Practical implications: Stigma regarding faecal incontinence has the potential to impact quality of life of people with a dementia and contributes towards the invisible work of unqualified care workers. Originality/value: Stigma and faecal incontinence have only a small amount of research around them in residential dementia care.
{"title":"Everybody S***s: how defecation stigma reduces care quality in dementia","authors":"Leah Hewer-Richards, Dawn Goodall","doi":"10.1108/qaoa-07-2019-0039","DOIUrl":"https://doi.org/10.1108/qaoa-07-2019-0039","url":null,"abstract":"Purpose: This paper aims to raise awareness of the ways in which faecal incontinence can impact the provision of dementia care by examining this through the lens of stigma. Design/methodology/approach: This paper contains a scoping review of available literature relating to faecal incontinence, dementia and stigma. Findings: Literature was organised into three themes: the origins of the stigma, the purpose of stigma and the care context. Research limitations/implications: Limitations of this paper include the lack of literature discussing faecal incontinence and dementia in relation to stigma. Practical implications: Stigma regarding faecal incontinence has the potential to impact quality of life of people with a dementia and contributes towards the invisible work of unqualified care workers. Originality/value: Stigma and faecal incontinence have only a small amount of research around them in residential dementia care.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-07-2019-0039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47581243","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}
Pub Date : 2020-05-13DOI: 10.1108/qaoa-10-2019-0053
Kiara Lewis, Leanne Livsey, Robert J. Naughton, Kim Burton
Purpose Exercise has the potential to provide benefits for people living with dementia, yet the balance of evidence is uncertain. This paper aims to provide an evidence synthesis to determine whether exercise improves their health and well-being and what exercise should be recommended. Design/methodology/approach Structured search for existing literature reviews on exercise for dementia. Relevant articles were selected and critically appraised against systematic criteria. The findings from 15 high quality reviews were collated by using a best evidence synthesis approach. Findings The evidence is convincing for improving physical health, promising for cognitive benefits, mixed for psychological benefits and limited for behavioural outcomes. No evidence of harm was found. Overall, exercise can improve physical and mental health for people living with dementia: there is sufficient evidence to recommend multimodal exercise. Social implications The potential beneficial outcomes are of significant importance both for people with dementia and their caregivers. In the absence of more specific findings, the current recommendation for older adults in general is pragmatically justified – some activity is better than none, more activity provides greater benefits. Adding social interaction may be important for psychological and behavioural outcomes. Originality/value To the best of the authors’ knowledge, this paper is the first to encapsulate the literature to date on exercise for dementia. Combining the findings from previous reviews enabled a novel synthesis across the range of relevant interventions and outcomes.
{"title":"Exercise and dementia: what should we be recommending?","authors":"Kiara Lewis, Leanne Livsey, Robert J. Naughton, Kim Burton","doi":"10.1108/qaoa-10-2019-0053","DOIUrl":"https://doi.org/10.1108/qaoa-10-2019-0053","url":null,"abstract":"\u0000Purpose\u0000Exercise has the potential to provide benefits for people living with dementia, yet the balance of evidence is uncertain. This paper aims to provide an evidence synthesis to determine whether exercise improves their health and well-being and what exercise should be recommended.\u0000\u0000\u0000Design/methodology/approach\u0000Structured search for existing literature reviews on exercise for dementia. Relevant articles were selected and critically appraised against systematic criteria. The findings from 15 high quality reviews were collated by using a best evidence synthesis approach.\u0000\u0000\u0000Findings\u0000The evidence is convincing for improving physical health, promising for cognitive benefits, mixed for psychological benefits and limited for behavioural outcomes. No evidence of harm was found. Overall, exercise can improve physical and mental health for people living with dementia: there is sufficient evidence to recommend multimodal exercise.\u0000\u0000\u0000Social implications\u0000The potential beneficial outcomes are of significant importance both for people with dementia and their caregivers. In the absence of more specific findings, the current recommendation for older adults in general is pragmatically justified – some activity is better than none, more activity provides greater benefits. Adding social interaction may be important for psychological and behavioural outcomes.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this paper is the first to encapsulate the literature to date on exercise for dementia. Combining the findings from previous reviews enabled a novel synthesis across the range of relevant interventions and outcomes.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-10-2019-0053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44576436","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}
Pub Date : 2020-04-29DOI: 10.1108/qaoa-05-2019-0021
R. Chiba, Yuki Ohashi, A. Ozaki
Several epidemiological studies have reported an age-related increase in the prevalence of sleep disturbances. This study aims to investigate the relationship between sleep and sarcopenia/frailty in older adults and clarify issues that remain to be addressed in future studies.,PubMed was searched for relevant studies with the following keywords in the title: “sleep” and “sarcopenia” or “sleep” and “frailty.” A total of 15 studies published in English between 1998 and 2018 were reviewed.,Among the four studies that examined the relationship between sarcopenia and sleep, two reported that long or short sleep duration increased the risk of sarcopenia and this association was more pronounced in women than men. Among the seven studies examining the relationship between frailty and sleep, four reported that higher Pittsburgh Sleep Quality Index (PSQI) scores were associated with an increased risk of frailty.,Most previous studies have focused on interventions targeting a single area such as muscle strength or exercise habits, in older adults at risk for frailty. The results suggest that interventions targeting improved sleep may positively impact the maintenance of muscle strength.,The literature review revealed that too much or too little sleep increases the risk of sarcopenia in older adults. Further, sleep deprivation, greater night-time wakefulness and reduced sleep quality increase the risk of frailty. Interestingly, the risk of mortality is increased in individuals with daytime functional disorders such as excessive drowsiness or napping habits.
{"title":"Sleep disturbances in adults with frailty and sarcopenia","authors":"R. Chiba, Yuki Ohashi, A. Ozaki","doi":"10.1108/qaoa-05-2019-0021","DOIUrl":"https://doi.org/10.1108/qaoa-05-2019-0021","url":null,"abstract":"Several epidemiological studies have reported an age-related increase in the prevalence of sleep disturbances. This study aims to investigate the relationship between sleep and sarcopenia/frailty in older adults and clarify issues that remain to be addressed in future studies.,PubMed was searched for relevant studies with the following keywords in the title: “sleep” and “sarcopenia” or “sleep” and “frailty.” A total of 15 studies published in English between 1998 and 2018 were reviewed.,Among the four studies that examined the relationship between sarcopenia and sleep, two reported that long or short sleep duration increased the risk of sarcopenia and this association was more pronounced in women than men. Among the seven studies examining the relationship between frailty and sleep, four reported that higher Pittsburgh Sleep Quality Index (PSQI) scores were associated with an increased risk of frailty.,Most previous studies have focused on interventions targeting a single area such as muscle strength or exercise habits, in older adults at risk for frailty. The results suggest that interventions targeting improved sleep may positively impact the maintenance of muscle strength.,The literature review revealed that too much or too little sleep increases the risk of sarcopenia in older adults. Further, sleep deprivation, greater night-time wakefulness and reduced sleep quality increase the risk of frailty. Interestingly, the risk of mortality is increased in individuals with daytime functional disorders such as excessive drowsiness or napping habits.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-05-2019-0021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49662190","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}
Pub Date : 2020-04-15DOI: 10.1108/qaoa-05-2019-0022
E. Bolton, R. Dacombe
This study aims to explore the experiences of older people “ageing in place”, focussing on the implementation of “Circles of Support”, a pilot intervention aimed at mitigating the risk of hospitalisation amongst socially-isolated older people.,The study draws on qualitative research, taking in semi-structured interviews with participants in the intervention and with community networkers involved in delivering the programme.,The research provides indicative findings supporting the idea that social isolation is linked to health issues amongst older people. It also suggests that targeted interventions can go some way to mitigating this problem. The findings presented here also indicate the importance of a deeper understanding of the lived experiences of socially-isolated older people in designing and delivering interventions.,The study contribution is in three areas. It presents findings based on the pilot programme relating to the experiences of older people at risk of social isolation and provides an indication of the value of interventions aimed at tackling social isolation, connecting these to the risk of hospitalisation.
{"title":"“Circles of support”: social isolation, targeted assistance, and the value of “ageing in place” for older people","authors":"E. Bolton, R. Dacombe","doi":"10.1108/qaoa-05-2019-0022","DOIUrl":"https://doi.org/10.1108/qaoa-05-2019-0022","url":null,"abstract":"This study aims to explore the experiences of older people “ageing in place”, focussing on the implementation of “Circles of Support”, a pilot intervention aimed at mitigating the risk of hospitalisation amongst socially-isolated older people.,The study draws on qualitative research, taking in semi-structured interviews with participants in the intervention and with community networkers involved in delivering the programme.,The research provides indicative findings supporting the idea that social isolation is linked to health issues amongst older people. It also suggests that targeted interventions can go some way to mitigating this problem. The findings presented here also indicate the importance of a deeper understanding of the lived experiences of socially-isolated older people in designing and delivering interventions.,The study contribution is in three areas. It presents findings based on the pilot programme relating to the experiences of older people at risk of social isolation and provides an indication of the value of interventions aimed at tackling social isolation, connecting these to the risk of hospitalisation.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-05-2019-0022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43391881","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}
Pub Date : 2020-03-23DOI: 10.1108/qaoa-08-2019-0047
Ofer I. Atad, Dafna Caspi
Purpose The purpose of this paper is to explore the association between level of physical activity (PA) and perception of quality of life (QOL) and physical health in frail and non-frail older adults. Design/methodology/approach Volunteer participants in this quantitative cross-sectional study were a convenience sample of 236 independent residents (120 frail, 116 non-frail) in an assisted living facility in Israel. Frailty was measured by Fried et al.’s phenotype; QOL and physical health were measured using the World Health Organization Quality of Life Instruments (WHOQOL-BREF) questionnaire. PA level was ascertained from attendance lists completed by exercise class instructors in each class during the eight-week study. Findings Frail older adults who engaged in regular PA (at least 2.5 h/week) reported the same physical health as non-frail older individuals performing a similar level. Research limitations Unsupervised PA performed independently was not taken into consideration; exercise class attendance may be a less reliable criterion of PA than collection of objective data, i.e. calories burned; participants were selected from an economically homogeneous population of a specific assisted living facility with easy access to a variety of PA. Practical implications The level of PA performed by frail older adults impacts their perceived QOL and physical health. The logs were an incentive to attend PA classes. Originality/value A minimum of 2.5 h a week of regular PA can be a protective factor that improves perceived QOL and physical health in frail older adults.
{"title":"Exercise and perceived quality of life among frail older adults","authors":"Ofer I. Atad, Dafna Caspi","doi":"10.1108/qaoa-08-2019-0047","DOIUrl":"https://doi.org/10.1108/qaoa-08-2019-0047","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to explore the association between level of physical activity (PA) and perception of quality of life (QOL) and physical health in frail and non-frail older adults.\u0000\u0000\u0000Design/methodology/approach\u0000Volunteer participants in this quantitative cross-sectional study were a convenience sample of 236 independent residents (120 frail, 116 non-frail) in an assisted living facility in Israel. Frailty was measured by Fried et al.’s phenotype; QOL and physical health were measured using the World Health Organization Quality of Life Instruments (WHOQOL-BREF) questionnaire. PA level was ascertained from attendance lists completed by exercise class instructors in each class during the eight-week study.\u0000\u0000\u0000Findings\u0000Frail older adults who engaged in regular PA (at least 2.5 h/week) reported the same physical health as non-frail older individuals performing a similar level.\u0000\u0000\u0000Research limitations\u0000Unsupervised PA performed independently was not taken into consideration; exercise class attendance may be a less reliable criterion of PA than collection of objective data, i.e. calories burned; participants were selected from an economically homogeneous population of a specific assisted living facility with easy access to a variety of PA.\u0000\u0000\u0000Practical implications\u0000The level of PA performed by frail older adults impacts their perceived QOL and physical health. The logs were an incentive to attend PA classes.\u0000\u0000\u0000Originality/value\u0000A minimum of 2.5 h a week of regular PA can be a protective factor that improves perceived QOL and physical health in frail older adults.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-08-2019-0047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43351802","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}
Pub Date : 2020-03-09DOI: 10.1108/qaoa-08-2019-0042
Philippa Miskelly, N. Kerse, J. Wiles
Managing patients in advanced age is complex, especially when it comes to multi-morbidities and polypharmacy. The purpose of this qualitative study is to investigate challenges, opportunities and potential solutions from a primary healthcare provider perspective.,Fifty-seven participants joined in group discussions on challenges and opportunities of working with advanced age. Participants included general practitioners (GPs), practice nurses, students and administration staff working in ten general practices. A thematic analysis was developed, supported by NVivo software.,Poor lines of communication and fragmentation of services between differing levels of health care services available for older people were highlighted. This has implications for quality of care and equity of services. Participants also reported challenges in treatment and funding regimes.,The small sample size and regional nature of the study, along with the semi-structured nature of the group discussions and rigorous thematic analysis, indicate that this qualitative data is transferable, dependable, confirmable and credible. Comparing the views of tertiary and community services would be useful.,A range of potential strategies and solutions to the current fragmented services was offered by GPs. For example, adequately funded and staffed community-based health hubs; IT platforms enabling timely flow of patient information between primary and tertiary health providers and creation of medical, nursing and allied health roles aimed at improving synergy between GP and tertiary services.,Obtaining the perspectives of general practice highlights the challenges and complexities of caring for those in advanced age brings. These insights have not been previously been explored in-depth within this setting in New Zealand.
{"title":"Joining-the-dots: caring for patients in advanced age","authors":"Philippa Miskelly, N. Kerse, J. Wiles","doi":"10.1108/qaoa-08-2019-0042","DOIUrl":"https://doi.org/10.1108/qaoa-08-2019-0042","url":null,"abstract":"Managing patients in advanced age is complex, especially when it comes to multi-morbidities and polypharmacy. The purpose of this qualitative study is to investigate challenges, opportunities and potential solutions from a primary healthcare provider perspective.,Fifty-seven participants joined in group discussions on challenges and opportunities of working with advanced age. Participants included general practitioners (GPs), practice nurses, students and administration staff working in ten general practices. A thematic analysis was developed, supported by NVivo software.,Poor lines of communication and fragmentation of services between differing levels of health care services available for older people were highlighted. This has implications for quality of care and equity of services. Participants also reported challenges in treatment and funding regimes.,The small sample size and regional nature of the study, along with the semi-structured nature of the group discussions and rigorous thematic analysis, indicate that this qualitative data is transferable, dependable, confirmable and credible. Comparing the views of tertiary and community services would be useful.,A range of potential strategies and solutions to the current fragmented services was offered by GPs. For example, adequately funded and staffed community-based health hubs; IT platforms enabling timely flow of patient information between primary and tertiary health providers and creation of medical, nursing and allied health roles aimed at improving synergy between GP and tertiary services.,Obtaining the perspectives of general practice highlights the challenges and complexities of caring for those in advanced age brings. These insights have not been previously been explored in-depth within this setting in New Zealand.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-08-2019-0042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47563901","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}
Pub Date : 2020-03-09DOI: 10.1108/qaoa-03-2020-067
F. Poland
{"title":"Editorial","authors":"F. Poland","doi":"10.1108/qaoa-03-2020-067","DOIUrl":"https://doi.org/10.1108/qaoa-03-2020-067","url":null,"abstract":"","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-03-2020-067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47402381","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}
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