Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults’ adaptation to dependency

Abad‐Corpa, Eva; González-Gil, Teresa; Martínez-Hernández, Antonio; Barderas-Manchado, Ana M; Benjumea, Carmen de la Cuesta; Monistrol-Ruano, Olga; Mahtani-Chugani, Vinita

doi:10.1111/j.1365-2702.2012.04207.x

Cited by 24 publications

(28 citation statements)

References 48 publications

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“…After agreeing the seven inclusion criteria, a further 48 qualitative reviews were then identified from DARE and assessed. At this stage, 15 [ 20 – 34 ] were excluded as they failed one or more of the criteria, leaving us with 33 reviews [ 11 , 35 – 47 , 48 – 66 ] eligible for data extraction. We later combined these results with those from the ten reviews initially used in the feasibility study so that we had a total of 43 reviews for analysis as shown in Fig.…”

Section: Methodsmentioning

confidence: 99%

What value is the CINAHL database when searching for systematic reviews of qualitative studies?

2015

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BackgroundThe Cumulative Index to Nursing and Allied Health Literature (CINAHL) is generally thought to be a good source to search when conducting a review of qualitative evidence. Case studies have suggested that using CINAHL could be essential for reviews of qualitative studies covering topics in the nursing field, but it is unclear whether this can be extended more generally to reviews of qualitative studies in other topic areas.MethodsWe carried out a retrospective analysis of a sample of systematic reviews of qualitative studies to investigate CINAHL’s potential contribution to identifying the evidence. In particular, we planned to identify the percentage of included studies available in CINAHL and the percentage of the included studies unique to the CINAHL database. After screening 58 qualitative systematic reviews identified from the Database of Abstracts of Reviews of Effects (DARE), we created a sample set of 43 reviews covering a range of topics including patient experience of both illnesses and interventions.ResultsFor all 43 reviews (21 %) in our sample, we found that some of the included studies were available in CINAHL. For nine of these reviews, all the studies that had been included in the final synthesis were available in the CINAHL database, so it could have been possible to identify all the included studies using just this one database, while for an additional 21 reviews (49 %), 80 % or more of the included studies were available in CINAHL. Consequently, for a total of 30 reviews, or 70 % of our sample, 80 % or more of the studies could be identified using CINAHL alone. 11 reviews, where we were able to recheck all the databases used by the original review authors, had included a study that was uniquely identified from the CINAHL database. The median % of unique studies was 9.09 %; while the range had a lowest value of 5.0 % to the highest value of 33.0 %.ConclusionsAssuming a rigorous search strategy was used and the records sought were accurately indexed, we could expect CINAHL to be a good source of primary studies for qualitative evidence syntheses. While we found some indication that CINAHL had the potential to provide unique studies for systematic reviews, we could only fully test this on a limited number of reviews, so we are less confident about this finding.Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-015-0069-4) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

What value is the CINAHL database when searching for systematic reviews of qualitative studies?

2015

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“…Psychosocial adaptation has been explicitly or implicitly described as: ‘a process of change’ (Abad‐Corpa et al . , p. 3165, Brands et al . , p. 843).…”

Section: Resultsmentioning

confidence: 99%

Psychosocial adaptation: an evolutionary concept analysis exploring a common multidisciplinary language

Londono

McMillan

2015

Journal of Advanced Nursing

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The attributes characterizing psychosocial adaptation are: change, process, continuity, interaction and influence. In psychosocial adaptation, new life conditions serve as antecedents, while consequences are good or bad outcomes. Important features of the evolution of this concept include its broad appropriation across the reviewed disciplines. The attributes of psychosocial adaptation, have some similarities to those of general adaptation. Both concepts include an aspect of change, but unlike adaptation, psychosocial adaptation has branched away from biological descriptors, such as homeostasis and tends to focus on relational characteristics, such as interaction and influences.

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“…The dynamic interplay between psychological processes of ‘gains’ and ‘losses’ has been highlighted in studies of older people's adaptation to dependency (Abad‐Corpa et al . ) or ‘healthy’ transitions in the lives of older people more broadly (Schumacher et al . ).…”

Section: Discussionmentioning

confidence: 99%

How older people cope with frailty within the context of transition care in Australia: implications for improving service delivery

Walker

Johns

Halliday

2014

Health Soc Care Community

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Transition care is increasingly common for older people, yet little is known about the subjective experience of the transition care 'journey' from the perspective of clients themselves. This study examines how older people cope with frailty within the context of a dedicated transition care programme and discusses implications for improving service delivery. Qualitative in-depth interviews were carried out during 2011 in the homes of 20 older people who had recently been discharged from a transition care programme operating in Adelaide, South Australia (average age 80 years, 65% female). Thematic analysis identified three key themes: 'a new definition of recovery', 'complexities of control' and 'the disempowering system'. Despite describing many positive aspects of the programme, including meeting personal milestones and a renewed sense of independence, participants recognised that they were unlikely to regain their previous level of functioning. For some, this was exacerbated by lacking control over the transition care process while adapting to their new level of frailty. Overall, this research highlighted that benefits associated with transition care can be undermined by fragmentation in service delivery, loss of control and uncertainties around future support.

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Caring to achieve the maximum independence possible: a synthesis of qualitative evidence on older adults’ adaptation to dependency

Cited by 24 publications

References 48 publications

What value is the CINAHL database when searching for systematic reviews of qualitative studies?

What value is the CINAHL database when searching for systematic reviews of qualitative studies?

Psychosocial adaptation: an evolutionary concept analysis exploring a common multidisciplinary language

How older people cope with frailty within the context of transition care in Australia: implications for improving service delivery

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