Older people's and relatives’ experiences in acute care settings: Systematic review and synthesis of qualitative studies

Abstract

These findings highlight the perspectives of older people and their relatives on the delivery of personalized and dignified care in acute settings. They lend support to previous calls for relationship-centred approaches to care and provide a useful experience-based framework for practice for those involved in care for older people.

Can Health-care Assistant Training improve the relational care of older people? (CHAT) A development and feasibility study of a complex intervention

“…Making connections at a personal level with staff transforms care for older people, allowing them to feel less like 'patients'. Although this finding is not new, 6,13,15,19 findings from our telephone survey would suggest that it does not currently explicitly inform the way HCA staff are trained to perform their role.…”

“…11 As most health-care interactions involve both transactional and relational elements, it follows that attempts to improve the quality of care have to go beyond methods that address only the transactional aspects of care and examine 'how staff relate to patients, their mind sets, attitudes and feelings'. 12 In a synthesis of qualitative evidence of older patients' and relatives' experiences of hospital care, 13 it was the relational aspects of care that affected whether care experiences were perceived as good or bad. Three themes that underscored older people's understanding of relational care were identified: older people's need for reciprocity ('connect with me'), maintaining their identity ('see who I am') and sharing decision-making ('include me').…”

“…The first was a review and synthesis of qualitative evidence of older people's and relatives' experience of acute hospital care. 13 The second was a realist synthesis and review of the evidence for workforce development interventions to improve the skills and care standards of support workers in older people's health and social care services. 51 As with the design of phase 1 of our own study, by using these two complementary reviews we were able to use evidence from two perspectives: (1) older patients and their relatives and (2) members of the clinical support workforce.…”

“…Bridges et al 13 synthesised findings from 42 original studies and a systematic review that examined older people's experience of acute care. The authors argued that, while technical aspects of care are often taken for granted, there are three aspects of relational care that, when adequately addressed, are associated with positive experiences of acute hospital care.…”

Is Individual-Centered Approach Possible in Elderly Emergency Care?

“…Ayrıca yaşlılar medikasyona karşı daha fazla ağrı ve olumsuz reaksiyon verebilmektedirler. Yaşlı bireylerde ameliyat sonrası komplikasyonlar, akut konfüzyon atakları, anksiyete, halüsinasyonlar, hezeyanlar, saldırganlık, ajitasyon, huzursuzluk ve diğer sosyal sapma davranışlarının artmış olduğu belirtilmektedir (Bridges, Flatley, Meyer 2010;Courtney, Tong, Walsh 2000;Edvardsson ve Nay 2010;McElhaney ve ark. 2011;Sturdy 2010).…”