Mixed care networks of community‐dwelling older adults with physical health impairments in the Netherlands

Groenou, M.I. Broese Van; Jacobs, M.; Zwart-Olde, I.; Deeg, Dorly J. H.

doi:10.1111/hsc.12199

Cited by 35 publications

(35 citation statements)

References 25 publications

(40 reference statements)

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“…It is known that informal care networks of older adults living independently on average are small, and the carers are usually female, dominated by family or relatives, mostly young to middle‐aged, and live in households separate from the care recipient. For many older adults, the informal care network consists of a sole female carer (Broese van Groenou, Jacobs, Zwart‐Olde, & Deeg, ; Keating et al., ).…”

Section: Introductionmentioning

confidence: 99%

Care and support for older adults in The Netherlands living independently

Verver¹,

Merten²,

Robben

et al. 2018

Health Soc Care Community

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The growth in the numbers of older adults needing long-term care has resulted in rising costs which have forced the Dutch government to change its long-term care system. Now, the local authorities have greater responsibility for supporting older adults and in prolonging independent living with increased support provided by the social network. However, it is unclear whether these older adults have such a network to rely upon. The objective of this study was to gain insight into the providers of formal and informal care to older adults, and to assess possible differences between older adults who are frail and those who are not. In addition, we investigated their care and support needs. We used data from a quantitative survey using a cross-sectional design in different regions of the Netherlands from July until September 2014 (n = 181). Frailty was measured using the Tilburg Frailty indicator. To analyse the data chi-square tests, crosstabs and odds ratios were used for dichotomous data and the Mann-Whitney U-Test for nominal data. The number of formal care providers involved was significantly higher (median = 2) for those deemed frail than for those not deemed frail (median = 1), U = 2,130, p < .005. However, more than one-third of the respondents deemed frail did not get the care or support they needed (33.7%). There was a significant positive association between being frail and having an informal care provider (χ = 18.78, df = 1, p < .005). However, more than one-third of those deemed frail did not have an informal care provider (36.8%). One-third of older adults deemed to be frail did not have their needs sufficiently addressed by their care network. For a substantial part of this group of older adults, the informal network seems to be unable to support them sufficiently. Additional attention for their needs and wishes is required to implement the policy reforms successfully.

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Section: Introductionmentioning

confidence: 99%

Care and support for older adults in The Netherlands living independently

Verver¹,

Merten²,

Robben

et al. 2018

Health Soc Care Community

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“…Today, older persons are increasingly expected to manage their own health care and life (Hengelaar et al, ). This emphasis on self‐management fits the policy trend in many western European countries to reduce institutionalised secondary care and encourage older persons to live at home for as long as possible in order to contain excessively growing healthcare costs (Broese van Groenou, Jacobs, Zwart‐Olde, & Deeg, ; Dahlberg, Demack, & Bambra, ; Kutzleben, Reuther, Dortmann, & Holle, ; Wittenberg, Kwekkeboom, Staaks, Verhoeff, & Boer, ). Self‐management can be defined variously (Barlow, Wright, Sheasby, Turner, & Hainsworth, ; van Hooft, Dwarswaard, Jedeloo, Bal, & van Staa, ).…”

Section: Introductionmentioning

confidence: 79%

Trust in older persons: A quantitative analysis of alignment in triads of older persons, informal carers and home care nurses

Doekhie

Strating

Buljac-Samardžić

et al. 2019

Health Soc Care Community

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Self‐management by older persons could be influenced by the level of trust found in triads of informal carers, formal care providers and care recipient, the older person. Little research has been done on care providers’ trust in older persons. This study aims to explore the level of trust that informal carers and home care nurses have in older persons, the extent of alignment in triads and the relationship between trust in older persons and self‐management. We conducted a cross‐sectional survey study in the Netherlands, sampling 133 older persons, 64 informal carers and 72 nurses, which resulted in 39 triads. Alignment level was analysed through Intraclass Correlation Coefficient 1 scores and absolute and mean difference scores. Correlation analysis and one‐way analysis of variance measured the relationship between trust and self‐management. The results show that triads contain both alignment and misalignment. Misalignment occurs mostly when informal carers and nurses have little trust in the older person while this person views their own behaviour towards their caregivers positively. Care providers’ trust levels relate significantly to their perception of the person's ability to self‐manage, but not to the person's self‐rated ability. This could be explained by care providers not communicating their intrinsic trust in the older person to them. Trust building could be enhanced by organising discussions of mutual expectations of trust and both formal and informal care providers could benefit from compassionate assessment training, to learn how to openly express their trust in the older person.

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“…Similar to offline care networks, online care networks can be described regarding their structural (size, composition) and functional characteristics (tasks, frequency and content of discussion about care) [2]. In general, three types of offline mixed care networks are to be found among community-dwelling older care recipients: a small partner care network with few other helpers; the larger informal care network, composed of adult children, other relatives, non-kin and formal caregivers; and the larger formal care network with few informal caregivers (mainly spouse or children) [7].…”

Section: Online Care Networkmentioning

confidence: 99%