International Transferability of Research Evidence in Residential Long-term Care: A Comparative Analysis of Aged Care Systems in 7 Nations

Jain, Briony; Cheong, Edward; Bugeja, Lyndal; Ibrahim, Joseph E.

doi:10.1016/j.jamda.2019.07.017

Cited by 12 publications

(10 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generalizing the clinical findings to NHs in other countries requires an understanding of the differences in the operational definitions of NHs, the resident population profile, workforce and staffing, funding, and quality and regulatory approaches 8 …”

Section: Discussionmentioning

confidence: 99%

“…The overall evidence base for practicing aged care is limited, particularly for the organizational, physical environment characteristics of NHs, and communal style of living prevalent in long‐term care. There is not a global standard definition for NHs or long‐term care 8 . Practicing aged care according to empirical research conducted and published in other countries may not easily or readily translate to Australia 8 .…”

Section: Introductionmentioning

confidence: 99%

“…There is not a global standard definition for NHs or long‐term care 8 . Practicing aged care according to empirical research conducted and published in other countries may not easily or readily translate to Australia 8 . Local research is crucial as it is more directly applicable to the unique local conditions including structural and societal influences (e.g., differing health, law and disability legislation, health service structures and relationships to NHs, training and education, funding, and so on).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review of Randomized Controlled Trials in Australian Nursing Homes from 2000 to 2018

Pham

Bugeja

Holmes

et al. 2020

J American Geriatrics Society

Self Cite

View full text Add to dashboard Cite

BACKGROUND/OBJECTIVES High‐quality research provides an evidence base for optimal practice care in clinical settings, yet, little is known about the nature and extent of randomized control trials (RCTs) conducted in Australian nursing homes (NHs). Research from other settings and other countries is not necessarily transferable to the Australian NH sector. We sought to identify and describe RCTs conducted in Australia which investigated interventions targeted at improving care for NH residents. DESIGN The design of this study comprised a systematic literature search with a narrative review. Studies were included if they were RCTs published after 2000, conducted in an Australian NH, and evaluated a health intervention which may have directly or indirectly benefitted the NH resident. SETTING Australian NHs. PARTICIPANTS Nursing home residents. MEASUREMENTS Jurisdiction (state or territory where the study was conducted), number of NHs recruited in each trial, number of residents included in each trial, intervention characteristics, comparator characteristics, and characteristics of outcome. RESULTS Only 43 articles reporting on 39 RCTs were identified. In contrast, 30 Australian musculoskeletal RCTs were published in just 2 years (2011–2012). Most of the RCTs identified were conducted in New South Wales (n = 14), Queensland (n = 10), and Victoria (n = 9). The mean number of NHs included in each trial was 22.4 (standard deviation (SD) = 27.0), with a median of 14.5 (interquartile range (IQR) = 27.8), while the mean number of residents included was 412.4 (SD = 921) with a median of 187 (IQR = 341.0). The most common interventions targeted: managing dementia (n = 20), prevention of falls (n = 7), and addressing mental health issues (n = 6). CONCLUSION This review provides evidence of the paucity of high‐quality research in the form of RCTs, in the Australian NH setting and demonstrates the need for Australia to improve its research capability in the NH sector.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review of Randomized Controlled Trials in Australian Nursing Homes from 2000 to 2018

Pham

Bugeja

Holmes

et al. 2020

J American Geriatrics Society

Self Cite

View full text Add to dashboard Cite

show abstract

“…Care of vulnerable older people requiring nursing home care is provided by a large number of disparate providers, in different settings, applying a variety of models of care, in a competitive market setting, and in some countries with limited regulatory oversight. 1,9,10 Care is predominantly provided by staff with minimal clinical qualifications (eg, personal care assistants) and the recent Royal Commission found >50% of nursing homes in Australia do not meet international benchmarks for staffing requirements. 13 These circumstances alone create difficulty in providing a coordinated, cohesive, and measured response to a disaster, such as a pandemic.…”

Section: How Care Is Provided To Nursing Homes During a Pandemicmentioning

confidence: 99%

“…A coordinated emergency management response to disaster management in nursing homes (also known as care homes, social care, long-term care, and residential aged care services) 1 is desperately needed globally. 2 During the current coronavirus disease 2019 (COVID-19) pandemic, apart from a few exemplary countries such as Hong Kong and New Zealand, most countries struggled to protect their nursing home populations.…”

mentioning

confidence: 99%

A Proactive Nursing Home Risk Stratification Model for Disaster Response: Lessons Learned from COVID-19 to Optimize Resource Allocation

Ibrahim

2021

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

A co-ordinated emergency management response to disaster management in nursing homes is desperately needed globally. During the most recent COVID-19 pandemic, aside from a few exemplary countries, most countries have struggled to protect their nursing home populations. Timely and appropriate allocation of resources to nursing homes during disaster response is a challenging yet crucial task to prevent morbidity and mortality of residents. The responsibility for the management of nursing homes during the pandemic was multifaceted and responsibilities lay at the national, jurisdictional and regional levels. Success in managing COVID-19 in nursing homes required all these levels to be aligned and supportive, ideally through management by an emergency response leadership team. However, globally there is a paucity of effective management strategies. This article uses the example of the COVID-19 pandemic to propose a risk stratification system to ensure timely and appropriate allocation of resources to nursing homes during disaster preparation and management. Nursing homes should be risk-stratified according to four domains; risk of intrusion, capability for outbreak containment, failure in organisational capability and, failure in the availability of community and health care supports. Risk stratification should also consider factors such as current levels of community transmission, if applicable, and geographic location of nursing homes and services. Early identification of nursing homes at risk for infectious disease, or disasters, and targeted allocation of resources might provide benefits to the reduce number of outbreaks, lower mortality and preserve community supports, such as acute hospital services. The next step is to debate this concept then to validate the selected variables, develop and pilot test a risk stratification tool for use.

show abstract

Nursing home care

Levy¹,

Jain²,

Cheong³

et al. 2022

Pathy's Principles and Practice of Geriatric Medicine

View full text Add to dashboard Cite

International Transferability of Research Evidence in Residential Long-term Care: A Comparative Analysis of Aged Care Systems in 7 Nations

Cited by 12 publications

References 14 publications

Systematic Review of Randomized Controlled Trials in Australian Nursing Homes from 2000 to 2018

Systematic Review of Randomized Controlled Trials in Australian Nursing Homes from 2000 to 2018

A Proactive Nursing Home Risk Stratification Model for Disaster Response: Lessons Learned from COVID-19 to Optimize Resource Allocation

Nursing home care

Contact Info

Product

Resources

About