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Evaluation of the factors that promote improved experience and better outcomes of older adults in intermediate care setting

Evaluation of the factors that promote improved experience and better outcomes of older adults in intermediate care setting

Blendell, Rona and Ojo, Omorogieva ORCID: 0000-0003-0071-3652 (2020) Evaluation of the factors that promote improved experience and better outcomes of older adults in intermediate care setting. J - Multidisciplinary Scientific Journal, 3 (1). pp. 20-31. ISSN 2571-8800 (Online) (doi:https://doi.org/10.3390/j3010004)

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Abstract

The aim of this article was to identify the main contributing factors to optimising improved experience and better outcomes for older adults participating in intermediate care setting. Background: Intermediate care is an integrated team intervention for patients experiencing an acute change in their function and well-being. Crisis intervention is one of several intermediate care pathways and provides a timely, person-centred, goal setting assessment to determine appropriate care and support for patients in the community. Method: This systematic review was conducted using key search terms and Boolean operators. A Critical Appraisal Skills Programme (CASP) tool was used to evaluate the studies and the data was extracted and synthesised systematically to develop themes relating to the research question. Results: Seven qualitative primary research studies and one mixed methods study were identified. The main themes were ‘communicating with patients’ and ‘patient participation’. Results showed neither themes are parallel entities but co-dependent. Patient-centred approaches to communication by professionals encouraged active patient participation, in turn optimising patient outcomes. Conclusion: This review showed that patient participation in intermediate care requires professionals using advanced communication skills and taking time to actively listen to what is important to the patients. In addition, poor professional communication resulted in passive patient participation. Implications for future practice are discussed.

Item Type: Article
Uncontrolled Keywords: intermediate care, older adults, crisis intervention, reablement, service improvement
Subjects: H Social Sciences > H Social Sciences (General)
Faculty / Department / Research Group: Faculty of Education, Health & Human Sciences
Faculty of Education, Health & Human Sciences > Department of Adult Nursing & Paramedic Science
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing
Last Modified: 17 Feb 2020 09:10
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: None
URI: http://gala.gre.ac.uk/id/eprint/26953

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