Hospital admissions and place of death of residents of care homes receiving specialist healthcare services: A systematic review without meta‐analysis

Buck, Deborah; Tucker, Susan; Roe, Brenda; Hughes, Jane; Challis, David

doi:10.1111/jan.15043

Cited by 4 publications

(4 citation statements)

References 123 publications

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“…There were 190 394 deaths in Australia in 2022, 1 with the majority requiring healthcare in the last 12 months of life, and health care professionals (HCPs) working across acute, community and aged care services all having a role in managing anticipated deaths. Most of this last year is spent at home with an average of 2.6 admissions to hospital, 2 potentially frequent visits to a hospital emergency department, 3 to a general practitioner (GP) or other health-related appointments. The complexity of providing end-of-life (EOL) care across various settings is compounded by the multidisciplinary workforce, different funding models, 4 and reliance on caregiver support amidst the deterioration of the patient.…”

Section: Introductionmentioning

confidence: 99%

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Rawlings,

Damarell,

Tait

et al. 2023

Aust. Health Rev.

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Recognition of the importance of end-of-life care will enable improvements in the quality of care delivered to patients and their families. Australia is experiencing an increasing number of deaths, (many expected), with an aging population who are living longer, often with multimorbidity. This makes end of life care a priority. The last year of someone’s life takes place in a complex healthcare system, with increasing pressures on care delivery, placing the spotlight on health service providers to ensure that teams and individuals are supported and enabled to provide such care. Two rapid literature reviews identified best practice principles and processes for delivering safe and high-quality end-of-life care in acute care, aged care and community settings. The reviews identified that end-of-life care is experienced within the whole health and social care system, including hospital admissions interspersed with care in the community, outpatient and emergency department visits and potentially admission to a hospice. Much of this last year of life is spent at home, which may be a personal residence, an aged care facility, prison, supported accommodation or even on the streets. Transitions across settings requires seamless care, as well as organisational readiness to deliver safe and culturally appropriate care. This is more important now with end-of-life care subject to quality assurance mechanisms within the National Safety and Quality Health Service Standards (2nd edn): Comprehensive care. This requires all sectors to work collaboratively when caring for someone at the end of their life in order to see positive changes in care outcomes.

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Section: Introductionmentioning

confidence: 99%

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Rawlings,

Damarell,

Tait

et al. 2023

Aust. Health Rev.

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“…5 With a growing demand to meet the healthcare needs of older residents, it has become crucial to support effective collaboration between healthcare services and home care staff. 6,7 Visiting nurses in residential facilities play significantly meets the older residents' healthcare needs in Japan. There are various types of residential facilities for older adults in Japan.…”

Section: Introductionmentioning

confidence: 99%

“…Latent class analysis has recently been used to suggest new classification schemes regarding specialist healthcare support services for older residents. 7,14 It is a statistical method used to identify unobserved groups based on categorical data, 15 which can help increase understanding of common characteristics of a target population and provide individualistic approaches. 16 Moreover, it has been used in a home-based healthcare study to explore service usage patterns.…”

Section: Introductionmentioning

confidence: 99%

“…According to a survey report of assisted‐living residents, older adults' needs for residential facilities change over time and there is a requirement for service provision and dedicated nurses to meet these changing needs 5 . With a growing demand to meet the healthcare needs of older residents, it has become crucial to support effective collaboration between healthcare services and home care staff 6,7 …”

Section: Introductionmentioning

confidence: 99%

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Patterns of visiting nurse services for older adults in Japanese residential facilities: A latent class analysis

Mashida

Fukahori

Ikezaki

et al. 2023

Geriatrics Gerontology Int

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Aim To examine the patterns of the visiting nurse services provided to older adults in a type of residential facility in Japan and to identify associated factors. Methods This secondary analysis used past survey data from visiting nurse service agencies providing services to older adults in residential facilities with few nurses, known as non‐specified facilities in Japan. Approximately 515 cases were used to determine the patterns of visiting nurse services using latent class analysis. Multinomial logistic regression analysis examined the relationships between identified classes, residents' characteristics, facilities, and services provided by visiting nurses. Results Three service patterns were identified as follows: Class 1, observational and follow‐up care (37.1%); Class 2, chronic disease care (35.7%); and Class 3, end‐of‐life care (27.2%). Class 1 comprised fewer nursing services than the other classes and primarily involved the observation of medical conditions, whereas Classes 2 and 3 involved higher care‐need levels and provided diverse nursing care support. Specifically, Class 3 was associated with the inclusion of family (odds ratio: 2.42) and a visiting nurse at the attached facility (odds ratio: 4.88). Conclusions The three identified classes describe the older residents' healthcare needs. Additionally, the factors associated with the end‐of‐life care class suggest that older residents with these factors may have difficulty accessing end‐of‐life care by visiting nurses. Geriatr Gerontol Int 2023; 23: 326–333.

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Palliative Care und Total Pain – Bezugspunkte für ethisch begründete Entscheidungen in der stationären Langzeitpflege

Riedel

Lehmeyer

2022

Springer Reference Pflege – Therapie – Gesundheit

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Hospital admissions and place of death of residents of care homes receiving specialist healthcare services: A systematic review without meta‐analysis

Cited by 4 publications

References 123 publications

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Patterns of visiting nurse services for older adults in Japanese residential facilities: A latent class analysis

Palliative Care und Total Pain – Bezugspunkte für ethisch begründete Entscheidungen in der stationären Langzeitpflege

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