Integrating social support into interventions among the elderly in nursing homes: a scoping review protocol

Behrendt, Daniel; Schirmer, Marielle; Wendschuh, Vanessa; Sumngern, Chommanard

doi:10.1136/bmjopen-2021-055692

Cited by 2 publications

(5 citation statements)

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“…According to palliative care, chronic diseases are at the focus of care for nursing home residents [24,25]. They need support from health professionals to decrease their physical and mental health problems for maintaining their functions and human diginity until their end-of-life [2].…”

Section: Discussionmentioning

confidence: 99%

An Initiative of a Nursing Home Outreach Counseling to Improving Palliative Care in Eastern of Saxony-Anhalt, Germany

Behrendt

2023

J Geriatr Palliat Care

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Geriatrics and Palliative Caremanagement in the individual context of the elderly among care teams and networks for dignified living is one of practical-theoreticaland ethical challenges for residential care facilities.Palliative care was defined by World Health Organization (WHO) as an approach improving the quality of life of individuals and their families who are facing problems associated with life-threatening illness, whether physical, psychological, social, or spiritual [4]. Furthermore, essential attributes of ageing-based palliative care models identified by policy were communication and coordination between providers, skill enhancement, and capacity to respond rapidly to individuals' changing needs and preferences over time [5]. Nursing home deaths and Advance Care Planning (ACP) provided advance directive care have been concerned especially during Covid-19 and beyond to promote an appropriate death with meaningful as possible for both the elderly and the family members [6].ACP has been confirmed as a crucial intervention in improving communication, and care satisfaction as well as reduced staff distress through decision-making proceses [7,8]. Certainly, ACP strengthens the iterative process of discussion, decision-making, and documentation related to end-of-life [9]. Thus, ACP has been confirmed for improving quality of end-of-life care and patient and family satisfaction, and reduces stress, anxiety, and depression in surviving relatives [10]. Besides, Case Management (CM) was the element consistently reported in palliative care models for studies provided evidence for effectiveness on health outcomes [5,11]. CM has been shown the benefits on providing counseling and palliative care [12,13]. Integrating CM into palliative care is a logical, feasible, and effective strategy to improve the care of seriously ill patients [14]. Regarding literature, case managers under CM concept, as patient advocates, are perfectly positioned to facilitate the necessary palliative care or end-of-life care conversation, including advance care planning, and securing the essential legal documents that clearly note the patient and support system wishes and care goals [13].Counseling is one of the most common components providing

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Section: Discussionmentioning

confidence: 99%

An Initiative of a Nursing Home Outreach Counseling to Improving Palliative Care in Eastern of Saxony-Anhalt, Germany

Behrendt

2023

J Geriatr Palliat Care

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“…Details of our methodology regarding the study protocol were published previously. 41 Briefly, the current study was performed following the five stages of scoping review described by Arksey and O’Malley. These include (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting the data, and (5) collating, summarising and reporting the results.…”

Section: Methodsmentioning

confidence: 99%

“…A standardised data extraction form was used. 41 Primarily, two reviewers independently extracted data of the studies. Then, extracted data reports were discussed by all authors.…”

Section: Methodsmentioning

confidence: 99%

“…Details of our methodology regarding the study protocol were published previously 41. Briefly, the current study was performed following the five stages of scoping review described by Arksey and O’Malley.…”

Section: Methodsmentioning

confidence: 99%

“…A standardised data extraction form was used 41. Primarily, two reviewers independently extracted data of the studies.…”

Section: Methodsmentioning

confidence: 99%

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Integrating social support into interventions among the elderly in nursing homes: a scoping review

et al. 2023

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ObjectivesThis study aimed to understand the evidence related to integration of social support into interventions, to identify literature gaps related to social support interventions, and to clarify dimensions of supportive functions, outcomes, and providers among the elderly in nursing homes.DesignThis scoping review followed the approach by Arksey and O’Malley. The Mixed Methods Appraisal Tool V.2018 was used for quality assessment of the studies.Data sourcesSearches were conducted of the PubMed, ScienceDirect, Public Library of Science, SocioHub, Wiley Online Library and PsycINFO databases for publications from 2010 to 2021.Eligibility criteria for selecting studiesWe searched for primary studies and heterogeneous study designs published in English. Eligible studies took place in nursing and care homes and had study populations of elderly adults (older adults, geriatrics, ageing, seniors, older people and those aged 60 years and older).Data extraction and synthesisA data extraction form based on Joanna Briggs Institute’s recommendations for scoping reviews was used. Two reviewers independently extracted data and performed quality assessment of the studies. Then, extracted data and quality assessment reports were discussed by all authors.ResultsThirty-one eligible studies were included in this review. 54.8% of the studies provided interventions for cognitively impaired residents. The top-three outcomes were neuropsychiatric symptoms, physical function and quality of life, respectively. The interventions were performed by nursing home staff (83.9%), other persons with specific qualifications (58.1%) and health volunteers (6.5%). Most studies (90.3%) depicted the integration of emotional and instrumental supportive functions into interventions.ConclusionThe appropriate dimensions of supportive function, mainly emotional and instrumental support, are important to integrate into the social care of elderly people living in nursing homes.

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Integrating social support into interventions among the elderly in nursing homes: a scoping review protocol

Cited by 2 publications

References 47 publications

An Initiative of a Nursing Home Outreach Counseling to Improving Palliative Care in Eastern of Saxony-Anhalt, Germany

An Initiative of a Nursing Home Outreach Counseling to Improving Palliative Care in Eastern of Saxony-Anhalt, Germany

Integrating social support into interventions among the elderly in nursing homes: a scoping review

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