A decade of rural ageing research in the <i>Australasian Journal on Ageing</i>

Winterton, Rachel; Bramble, Marguerite

doi:10.1111/ajag.12879

Cited by 5 publications

(12 citation statements)

References 25 publications

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“…Accessing resources and supports is important in supporting older people. Where and how a person lives can impact the resources available (Blackberry & Morris, 2023; Winterton et al, 2021; Winterton & Bramble, 2021). This can affect the options the older person has access to, especially if travelling is not an option (Blackberry et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

How is complexity measured and detected among community dwelling older people aged 65 years and over? A scoping review

Boak

Rasekaba

Baxter

et al. 2023

Journal of Advanced Nursing

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AimTo identify and explore tools that measured and detected complexity of care among community dwelling people aged 65 years and older.Data SourcesDatabases were searched for articles published up to 23 September 2022 including CINAHL, EMBASE and MEDLINE, Cochrane database for trials and grey literature.MethodsA scoping review was conducted and reported in accordance with the PRISMA guidelines. Eligible articles included those with participants aged over 65 years, living in the community and studies that included care complexity detection or assessment and how this related to care delivered. Covidence was used to screen titles, abstracts and full‐text articles.ResultsEighteen full texts were reviewed; four studies were included in the final review. All selected studies included people aged over 65 years living in the community. A high level of reliability for the items included in the interventions was found. The selected studies included tools for assessing older person's needs with nurses involved in the assessment.ConclusionThe review identified four tools for measuring complexity in community dwelling older people. Two tools have the capacity to objectively measure complexity due to the holistic nature of items included and appear easy to use to support clinical judgement decisions.ImpactThe review places a spotlight on the concept of complexity and highlights the lack of definition of care complexity. The synthesized result highlights the need to explore detection of care complexity of older people further and consider ways of supporting clinical judgement and decision making of community nurses. The use of a validated tool may enhance clinical judgement regarding care complexity and may lead to a more consistent and timely approach to care.Patient or Public ContributionDuring the development phase, the study was presented to a consumer group from the researcher's workplace.Prospero RegistrationCRD42022299336.

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Section: Discussionmentioning

confidence: 99%

How is complexity measured and detected among community dwelling older people aged 65 years and over? A scoping review

Boak

Rasekaba

Baxter

et al. 2023

Journal of Advanced Nursing

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“…The interface between healthcare and aged care continues to be a challenge in a large geographical country like Australia where there is a limited workforce to meet the care demands of an ageing population [44]. The Australian Royal Commission into Aged Care Quality and Safety which was concluded in 2021, highlighted issues of neglect and suboptimal care for older people [41].…”

Section: Discussionmentioning

confidence: 99%

“…Due to the pilot nature of the study, formal sample size calculation is not critical. Pilot studies by their nature are not aimed at establishing a definitive effect, however a rationale for sample size basis such as described above is deemed sufficient [44,45].…”

Section: Sample Sizementioning

confidence: 99%

Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial

Boak

Blackberry

Rasekaba

2021

MPs

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Background: Community-dwelling older clients are becoming increasingly complex. Detecting this complexity in clinical practice is limited, with greater reliance on community nurses’ clinical judgment and skills. The lack of a consistent approach to complexity impacts the level of care and support for older clients to remain in their homes for longer. Objective: To examine the effectiveness of the Patient Complexity Instrument (PCI) in addition to nurses’ clinical judgment to enhance detection of complexity, and subsequent older clients’ resource allocation compared to usual nursing assessment. Design: A pragmatic randomized controlled trial will be conducted within a community nursing service in regional Victoria, Australia. Clients 65 years and over referred to the service who are eligible for Commonwealth Home Support Programme (CHSP) funding will be randomized into Control group: usual nursing assessment or Intervention group: usual nursing assessment plus the PCI. Nurse participants are Registered Nurses currently employed in the community nursing service. Results: This study will explore whether introducing the PCI in a community nursing service enhances detection of complexity and client care resource allocation compared to nurses’ clinical judgment based on usual nursing assessment. Conclusion: This protocol outlines the study to enhance the detection of complexity by nurses delivering care for community-dwelling older people in the regional Australian context. The findings will inform the use of a standardized tool to detect complexity among community-dwelling older Australians.

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“…Aging within the rural context takes place in a variety of ways around the world, and increasingly the literature has pointed out that people aging in this unique setting have different epidemiological and health indicators than seniors aging in the urban context (1)…”

Section: Introductionmentioning

confidence: 99%

“…There are controversies about the elderly aging in the rural context, sometimes the challenges are pointed as independence and active participation in community life, as well as attention to safety, choice, and location of housing, loneliness, social isolation, difficulty accessing services, leisure, food, transportation, agriculture itself until retirement. On the other hand, seniors who age in rural settings may have good health, and quality of life especially in the cognitive(1) aspect, and have better access to health, services, and healthier living and eating habits although they are at constant risk of frailty (2)…”

Section: Introductionmentioning

confidence: 99%

Cognition, physical function, and life purpose in the rural elderly population: a systematic review protocol

Morais Campos,

De Leon,

de Souza

et al. 2023

Preprint

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IntroductionAging in the rural setting world from the perspective of cognition, physical function, and life purpose, essential constructs for a prosperous old age, still needs to be better discussed. Thus, this systematic review protocol highlights the prevalence of cognitive decline, physical functioning, and life purpose in older adults aging in rural community settings. Methods and analysis: We will include cross-sectional studies published until April 2022 found in 8 databases: Embase, MEDLINE, LILACS, PsycINFO, Scopus, SciELO, and Web of Science. For the first selection of studies, the Ryyan software will be used, and to check the methodological quality and the risk of bias, we will use COSMIN. For the primary analysis, the titles and abstracts available in the search engine will be analyzed by the following MeSH descriptors “Physical functioning,”; “Cognition,”; “Cognitive function,”; “Life purpose,”; Personal satisfaction; Subjective well-being; “Elderly”; “Older”; “Rural aging”; “Rural population”; “Communities, rural”; “Distribution, rural spatial”; “Medium communities”; “Rural settlement”; “Small community”. If necessary, the secondary analysis will adopt a complete reading of the selected articles by two blinded reviewers and confirmed by a third person. Publication bias will be assessed using cross-sectional analytical study quality. Sensitivity analyses will be performed by retrieving one article at a time and analyzing their endpoints with the proposal to identify the manuscripts that significantly influenced the combined prevalence of the endpoints.Strengths and limitations of this studyIt will present worldwide epidemiological data on aging in rural settings from the perspective of cognition, physical functioning, and life purpose.It is the first systematic review that involves the theme of life purpose worldwide in rural elderly.It is a cross-sectional study that although it cannot describe clinical outcomes, presents sociodemographic, cognition, physical functioning, and life purpose data that can help in public health decision-making for this population.

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A decade of rural ageing research in the Australasian Journal on Ageing

Cited by 5 publications

References 25 publications

How is complexity measured and detected among community dwelling older people aged 65 years and over? A scoping review

How is complexity measured and detected among community dwelling older people aged 65 years and over? A scoping review

Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial

Cognition, physical function, and life purpose in the rural elderly population: a systematic review protocol

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