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Background and objectives Dissemination-implementation.org outlines 110 Theories, Models, and Frameworks (TMFs): we conducted a citation analysis on 83 TMFs, searching Web of Science and PubMed databases. Research design and methods Search terms were broad and included “aging,” “older,” “elderly” and “geriatric.” We extracted how each TMF in identified articles from inception through January 28, 2022. Included articles must have used a TMF in research or quality improvement work directly linked to older adults within the United States. Results We reviewed 2,677 articles of which 295 articles cited at least one of 56 theories, models, and frameworks (TMFs). Five TMFs represented 50% of the citations: Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) 1.0, Consolidated Framework for Implementation Research (CFIR), Greenhalgh Diffusion of Innovation in Service Organizations, Quality Enhancement Research Initiative (QUERI), Community-based Participatory Research (CBPR) and Promoting Action on Research Implementation in Health Services (PARIHS). TMF application varied and there was a steady increase in TMF citations over time, with a 2-to-3-fold increase in citations in 2020-2021. We identified that only 41% of TMF use was meaningful. Discussion and implications Our results suggest TMF utilization is increasing in aging research, but there is a need to more meaningful utilize TMFs. As the population of older adults continues to grow, there will be increasing demand for effective evidence-based practices and models of care to be quickly and effectively translated into routine care. Use of TMFs is critical to building such evidence and to identifying and evaluating methods to support this translation.

The Neuman Systems Model was developed to create a structure to depict nursing clients as complex systems, in constant energy exchange with their environments, comprised of multiple interrelated parts. It has been widely used in practice, education, research, and administration. An analysis of the theory, based upon Meleis’ methods, was conducted. The theory has high utility and a large circle of contagiousness despite its complexity, lack of teleology, and level of abstractness. Based upon this analysis, a new model entitled the Neuman Systems Model Perspective of Nurse-Led Interprofessional Collaborative Practice has been created to provide a framework for the care of community-dwelling older adults. As a first step in its development, this new model will be used to guide a mixed-methods study evaluating an interprofessional collaborative practice intervention for community-dwelling older adults.

Background: There is some evidence that healthcare professionals prefer an interprofessional approach to care and this approach is of particular importance to older people due to their complex needs and multitude of chronic conditions.Objective: This metasynthesis aimed to synthesise and unearth new understandings of the experiences of interprofessional team members that are caring for older people from a variety of qualitative studies.Design: This review is designed as a metasynthesis based on the method put forth by Noblit and Hare for synthesising qualitative research. Data sources: A search for qualitative and mixed methods articles that included healthcare professionals' experiences of caring for older people as a member of an interprofessional team was conducted via an electronic database search of CINAHL, PubMed, SCOPUS and PsycINFO. Review methods: The inclusion criteria were as follows: (a) the method of the study was qualitative or included a qualitative component, (b) an interprofessional team cared for an older person, (c) data regarding interprofessional team members' experiences were gathered, (d) published in English and (e) between the period of 2000 and 2019. Key metaphors were extracted from the data and juxtaposed until themes emerged. Results: A total of 1807 full-text articles were retrieved and screened via their titles and abstracts. Nine studies were included in this metasynthesis based upon full-text relevance and meeting the inclusion criteria. Six themes emerged describing the experience of interprofessional team members caring for older people: All for One: Unifying the Team for a Meaningful Purpose; The Cast; A Shared Vocabulary; Collaboration and Integration; A Functional-Dysfunctional Family and Appreciate the Lifeworld. Team members appreciated this model of care. Conclusions:The emergent themes suggest potential buy-in from interprofessional team members to this care model for older people. Nursing can assert their unique knowledge and practice into the role as the team leader to mitigate potential barriers and team conflicts. Implications for practice: Interprofessional team members caring for older people can improve their experience. Improved experiences for interprofessional team members can lead to better care for older people. Professionals need specialized training prior to practicing interprofessionally.

Background and Objectives As the proportion of the U.S. population over 65 and living with complex chronic conditions grows, understanding how to strengthen the implementation of age-sensitive primary care models for older adults, such as the Veterans Health Administration’s Geriatric Patient-Aligned Care Teams (GeriPACT), is critical. However, little is known about which implementation strategies can best help to mitigate barriers to adopting these models. We aimed to identify barriers to GeriPACT implementation and strategies to address these barriers using the Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change (CFIR-ERIC) Matching Tool. Research Design and Methods We conducted a content analysis of qualitative responses obtained from a web-based survey sent to GeriPACT members. Using a matrix approach, we grouped similar responses into key barrier categories. After mapping barriers to CFIR, we used the Tool to identify recommended strategies. Results Across 53 Veterans Health Administration hospitals, 32% of team members (n=197) responded to our open-ended question about barriers to GeriPACT care. Barriers identified include Available Resources; Networks & Communication; Design Quality & Packaging; Knowledge & Beliefs; Leadership Engagement; Relative Priority. The Tool recommended 12 Level 1 (e.g., conduct educational meetings) and 24 Level 2 ERIC strategies (e.g., facilitation). Several strategies (e.g., conduct local consensus discussions) cut across multiple barriers. Discussion and Implications Strategies identified by the Tool can inform ongoing development of the GeriPACT model’s effective implementation and sustainment. Incorporating cross-cutting implementation strategies that mitigate multiple barriers at once may further support these next steps.

Aims and Objectives The aim of this integrative review was to synthesise empirical reports of interprofessional collaborative practice (IPCP) for community‐dwelling older adults and uncover barriers and facilitators related to its success as a model of care for this population. Background IPCP is a model of care that has demonstrated positive outcomes for community‐dwelling older adults. However, a summary of barriers and facilitators to IPCP models has not been presented. Methods An integrative review using the method posited by Whittemore and Knafl was completed to identify barriers and facilitators to IPCP for community‐dwelling older adults. The literature search was reported following PRISMA guidelines. Results Four themes emerged as barriers to IPCP: (1) A (Potential) Logistical Nightmare, (2) All About the Money, (3) If We Can't Test It, Can We Recommend It? and (4) Challenging for the Team, Challenging for the Client. Three themes emerged as facilitators to IPCP: (1) Reducing Resource Waste, (2) The “C” in IPCP and (3) What Matters Most. Conclusions IPCP models for community‐dwelling older adults must adapt to the setting of care and client needs. Interprofessional education opportunities for team members facilitate effective IPCP. Healthcare policies and funding structures need to address IPCP for community‐dwelling older adults for this model to be successful and sustainable. Relevance to Clinical Practice Nurses participate on and lead IPCP teams caring for community‐dwelling older adults and, therefore, need to be aware of barriers and facilitators to this model of care.

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