The Relationships Between the Geriatric Practice Environment, Nursing Practice, and the Quality of Hospitalized Older Adults’ Care

Fox, Mary; McCague, Hugh; Sidani, Souraya; Butler, Jeffrey I.

doi:10.1111/jnu.12414

Cited by 2 publications

(2 citation statements)

References 26 publications

(49 reference statements)

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“…The study covers four aspects of medical services: screening and prevention, diagnosis, treatment, and follow-up. [19][20][21] ACOVE-1 was officially applied in 2000, and the latest version, ACOVE-3, was released in 2007, in which the number of medical conditions addressed rose from 22 to 26 and secondary indicators were expanded from 236 to 392. ACOVE is mainly focused on assessing the nursing service process rather than the results of nursing care, which is conducive to continuously improving the quality of nursing care services for older populations.…”

Section: Methodological Researchmentioning

confidence: 99%

Comparative analysis of long-term care quality for older adults in China and Western countries

2019

J Int Med Res

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Objective Based on theoretical and methodological research and the results of a literature review, we evaluated and comparatively analyzed the quality of long-term care for older populations in China and in Western countries. Methods We performed a literature review, using the search terms long-term care and care services for older adults, in the databases ProQuest, CNKI, and Wanfang Data. Results Our comparative analysis demonstrated that the overall quantity of articles related to long-term care for older populations was relatively large. The literature comprises advanced accumulated experiences in terms of theoretical and methodological perspectives in developed countries. The field of long-term care is relatively young in China and we could retrieve only a few related studies. Conclusions The system of long-term care for older populations in China has much room for improvement. In addition, the evaluation criteria for long-term care quality remain controversial. Relevant research focusing on the quality of long-term care services in the country lacks comprehensive, systematic, and scientific validation, comparison, and evaluation. This topic warrants further evidence-based investigation in China.

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Section: Methodological Researchmentioning

confidence: 99%

Comparative analysis of long-term care quality for older adults in China and Western countries

2019

J Int Med Res

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“…This study was part of a larger, multi-method study examining nurses' perspectives on their practice environments, interprofessional relationships and the care provided to hospitalised older people and their families in Ontario, Canada [39]. In the current study, a qualitative methodology in conjunction with a Qualitative Descriptive design [40,41] was used to produce a comprehensive summary of nurses' perspectives on IPC in care supporting older people's functioning.…”

Section: Designmentioning

confidence: 99%

‘Our Voices Aren't Being Heard’: A qualitative descriptive study of nurses' perceptions of interprofessional collaboration in care supporting older people's functioning during a hospital stay

Butler,

Fox

2024

Scandinavian Caring Sciences

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IntroductionOlder people admitted to hospital are highly susceptible to functional decline and related complications. Care supporting their functioning is complex and requires healthcare professionals working in concert, with nurses playing a central role. Yet, little is known about nurses' perceptions of interprofessional collaboration (IPC) in care supporting functioning in acutely admitted older people. To fill this knowledge gap, we elucidate the perspectives of nurses in Ontario, Canada, on IPC in care supporting older people's functioning during a hospital stay.MethodsWe employed a qualitative methodology in conjunction with a qualitative descriptive design. Thirteen focus groups were held with a purposeful, criterion‐based sample of 57 acute care nurses practising in a range of acute care settings (e.g. Emergency, General Medicine, General Surgery, Intensive Care, Coronary Care). Data were thematically analysed.ResultsWe identified two overarching themes: (1) IPC is improving, but nurses are excluded from decision‐making and (2) nurse advocacy causes friction with other professionals. The first theme captures nurses' perception that IPC in older people's care is improving, but nurses are marginalised in interprofessional decision‐making. As a result, nurses perceive that their knowledge is devalued, and their contributions to care supporting older people's functioning are undermined. The second theme underlines a tension between interprofessional team practices and patient‐ and family‐centred care, while also demonstrating nurses' increasing willingness to act as patient and family advocates.ConclusionsFindings can be used to enhance IPC in care supporting the functioning of acutely hospitalised older people. To improve IPC, clinical and administrative leaders should cultivate more egalitarian team relationships that encourage nurses to contribute to decision‐making and advocate on behalf of older patients and their families.

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The Relationships Between the Geriatric Practice Environment, Nursing Practice, and the Quality of Hospitalized Older Adults’ Care

Abstract: The results can be used as the basis for promoting practice environments that support overall quality of care and geriatric nursing practice in acute care hospitals.

Cited by 2 publications

References 26 publications

Comparative analysis of long-term care quality for older adults in China and Western countries

Comparative analysis of long-term care quality for older adults in China and Western countries

‘Our Voices Aren't Being Heard’: A qualitative descriptive study of nurses' perceptions of interprofessional collaboration in care supporting older people's functioning during a hospital stay

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