JRF_Review_Annotated_Bibliography_Final_Oct_2008
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JRF_Review_Annotated_Bibliography_Final_Oct_2008
WARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBL JRF_Review_Annotated_Bibliography_Final_Oct_2008LIOGRAPHYPrepared by: Ala Szczepura, Warwick Medical SchoolDiane Clay, Warwick Medical SchoolJulia Hyde. Warwick Medical SchoolSara Nelson, The University of the West of EnglandDe id re Wild, The University of the West of EnglandWith input from Karen Spilsbury. University of York (Section 5.2)39722A JRF_Review_Annotated_Bibliography_Final_Oct_2008ddress for correspondence.Professor Ala SzczepuraUniversity of Warwick, Coventry CV4 7ALala.sz«gpMfa@\Yarw!CLac.uK(JRF project: .-1 Comparative StudyJRF_Review_Annotated_Bibliography_Final_Oct_2008
of Different Models of Improved Care in Care Homes)Models for providing improved care in residential care homes: A thematic literature reviewABSTRACTTWARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBL JRF_Review_Annotated_Bibliography_Final_Oct_2008eds of older people intensifyKey findings•The review identified extremely little published evidence on residential care homes; the research base is almost exclusively related to provision of care in nursing homes. Much of this research is from the US or other non-UK sources. Although It could be arg JRF_Review_Annotated_Bibliography_Final_Oct_2008ued that some findings are generalisable to the UK residential care context, a systematic process IS required to identify which. The literature oftenJRF_Review_Annotated_Bibliography_Final_Oct_2008
makes no distinction between nursing and residential homes, use of generic terms such as care home' should be avoided.•There is considerable internatiWARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBL JRF_Review_Annotated_Bibliography_Final_Oct_2008 Measures of social care, as well as clinical care, are needed The centrality of the resident's voice in measuring quality of life must be recognised Ethnic minority residents are almost entirely absent from the quality improvement literature.•Some clinical areas, internationally identified as key i JRF_Review_Annotated_Bibliography_Final_Oct_2008n terms of quality e g. palliative care, are absent in the general nursing and residential home quality improvement literature, others such as mentalJRF_Review_Annotated_Bibliography_Final_Oct_2008
health (dementia and depression), diabetes, and nutrition are present but not fully integrated.•Considerable evidence points to a need for better manaWARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBL JRF_Review_Annotated_Bibliography_Final_Oct_2008ht relate to residential care.•There is evidence that medical cover for nursing and residential care home residents IS sub-optimal. Care could be restructured to give a greater scope for proactive and preventive interventions. General practitioners' workload in care homes may be considered against q JRF_Review_Annotated_Bibliography_Final_Oct_2008uality-of-care measures.•There is US literature on the relationship between nurse staffing and nursing care home quality, with quality measured througJRF_Review_Annotated_Bibliography_Final_Oct_2008
h clinical-based outcomes for residents and organisational outcomes. Conclusions are difficult to draw however due to inconsistencies in the evidencebWARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBL JRF_Review_Annotated_Bibliography_Final_Oct_2008 transfers and ensuring patient safety across settings is important To date research has not considered transfer from residential to nursing home care.•The literature on district nurse and therapist roles in care homes includes very little research on residential care. Partnership working between di JRF_Review_Annotated_Bibliography_Final_Oct_2008strict nurses and care home staff appears largely to occur by default at present. There IS even less research evidence on therapist input to care homeJRF_Review_Annotated_Bibliography_Final_Oct_2008
s.•Set against the context outlined above, the international literature provides evidence of a number of approaches to care improvement, primarily in WARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBL JRF_Review_Annotated_Bibliography_Final_Oct_2008ential homes.1Models for providing Improved care in residential care homes: A thematic literature reviewReview BackgroundIn the next 20 years, the number of older people (65 and over) in England will rise significantly. In particular, the number of advanced age (85 and over) is predicted to increase JRF_Review_Annotated_Bibliography_Final_Oct_2008 by two-thirds. Although there is currently less ethnic diversity in the population aged over 65 than in younger age groups, this is predicted to chanJRF_Review_Annotated_Bibliography_Final_Oct_2008
ge over the coming 20 years.The issue of future long-term care for older people and how this can best be provided and funded has been widely discussedWARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBL JRF_Review_Annotated_Bibliography_Final_Oct_2008tting pressure on available health resources and funding.WARWICKBRISTOLUniversity of the West of EnglandModels for providing improved care in residential care homes:A thematic literature reviewANNOTATED BIBLGọi ngay
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