兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Facilitators and inhibitors of transition for older people who have relocated to a long-term care facility: A systematic review

2019-05

Moving into a long-term care facility to live permanently is a significant life event for older people. Care facilities need to support older people to make a healthy transition following relocation. To help achieve this, we need to understand what facilitates and inhibits the transition process from the perspective of older people, their families, and care facility staff. Our review generated new knowledge to inform this understanding. We addressed the question: what factors facilitate and inhibit transition for older people who have relocated to a long-term care facility? Five electronic databases, PsychINFO, British Nursing Index, CINAHL, MEDLINE and Web of Science were searched for the period January 1990 to October 2017. Grey literature searches were conducted using Google Scholar, and Social Science Research Network. Data were extracted for individual studies and a narrative synthesis was conducted informed by Meleis's Theory of Transition. Thirty-four studies (25 qualitative, 7 quantitative and 2 mixed methods) met the inclusion criteria. Data synthesis identified that transition following relocation was examined using a variety of terms, timelines and study designs. Potential personal and community focused facilitators and inhibitors mapped to four themes: resilience of the older person, interpersonal connections and relationships, this is my new home, and the care facility as an organisation. These findings can inform the development of interventions for these target areas. They highlight also that further research is warranted to understand the organisational culture of long-term care facilities, how this influences transition, and how it might be shaped to create and sustain a caring culture for older people.

研究类型
系统评价
人群
老年人
主题
["医疗服务机构","医疗护理","弱势人群卫生"]
作者
Fitzpatrick JM;Tzouvara V.
国家
United Kingdom
关键词
care homes; long-term care; older people; systematic review; transition.
来源期刊
Health Soc Care Community .
发布日期
2019-05
相关网址
https://www.healthsystemsevidence.org/articles/62fe6f91ef088708d8de14dd-facilitators-and-inhibitors-of-transition-for-older-people-who-have-relocated-to-a-long-term-care-facility-a-systematic-review?source=saved_email
DOI
10.1111/hsc.12647
学科领域
SectorsLong-term care