An integrative review of the factors related to building age‐friendly rural communities

Neville, Stephen; Napier, Sara; Adams, John S.; Wham, Carol; Jackson, Debra

doi:10.1111/jocn.13299

Cited by 34 publications

(30 citation statements)

References 30 publications

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“…Migration to continuum care communities is presenting a new challenge for care providers to prevent infection within the communities (Neville et al, 2016;Hertz, 2015. ) To ensure high-quality care, a focus on appropriate use of antibiotics will prevent negative healthcare outcomes in the new healthcare communities (Neville et al, 2016;Hertz, 2015;Van de Berg et al, 2015).…”

Section: Impact On Qualitymentioning

confidence: 99%

Interventions to Decrease Inappropriate Antibiotic Use for Non-acute Respiratory Illness in Long-Term Care Settings

Barnes¹,

Bradshaw²

2019

IJSN

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Background: The life-saving power of antibiotics could be lost forever if leaders fail to implement effective antibiotic stewardship programs at all healthcare levels. Grahams’ Knowledge to Action theory guided the development of an antibiotic stewardship program in a long-term care facility that had received a citation for having no active antibiotic stewardship program as required by federal regulations. Purpose: The purpose of this project was to develop and implement an evidence-based antibiotic stewardship program into one long-term care facility. Methods and Materials: This quality improvement project was a population-based systems charter development. The implementation intervention was designed to change the way health care professionals treat non-acute episodes of upper respiratory infections in a long-term care setting. This project utilized the suspected lower respiratory infection (LRI) Situation, Background, Assessment, Recommendation (SBAR) form to reduce the number of antibiotics given during the early part of cold and influenza season of 2018. An antibiotic stewardship policy was developed by multidisciplinary team members and then implemented into the facilities daily practice. Results: The point-prevalence rate of antibiotics within this facility dropped from 24% in 2017 to 6% in 2018 after implementation of the antibiotic stewardship program. Conclusion: This project demonstrates how long-term care facilities can successfully implement an antibiotic stewardship program and potentially improve overall healthcare outcomes for the residents.

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Section: Impact On Qualitymentioning

confidence: 99%

Interventions to Decrease Inappropriate Antibiotic Use for Non-acute Respiratory Illness in Long-Term Care Settings

Barnes¹,

Bradshaw²

2019

IJSN

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“…Age-friendly environmental factors that may have some influence in health results: Several factors that may hinder health care of the elderly have been found related to physical difficulties in accessing to the health centers, in their structure and in the transmission of information. [9][10][11][12] However, the available scientific evidence, which is very limited, does not allow generating reasonably firm conclusions. There are some elements that a health center that seeks to be agefriendly has to consider.…”

Section: Principal Topicsmentioning

confidence: 99%

“…These include accessibility from the patient's home to the health center, distance, means of transport, state of the roads and sidewalks and architectural barriers (stairs, ramps, curbs, etc.). [9][10][11][12] In many cases, these elements do not depend directly on the primary health care center but in local administrations. The association found between improvement in health and decrease in mortality in the cities with the largest number of green areas 10 is striking.…”

Section: Principal Topicsmentioning

confidence: 99%

Age-friendly primary care health centers why are they necessary?

Rodríguez-Fernández

Cortés

et al. 2018

IJFCM

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Introduction:Health care humanization is a relevant line of work in recent times. Within it, the creation of age-friendly environments is relevant due to population aging. The aim is to review the characteristics of age-friendly environments in primary care and its possible impact on health. Materials and methods:A review of the literature was made through a search in Medline Database. Studies about the characteristics health of age-friendly environments and health results derived from them were evaluated. Principal topics on the subject were extracted and summarized.Results: Five studies were selected. Evidence on the subject is scarce. Some of the principal topics included physical barriers, communication issues, signaling and clinical procedures and protocols. Social factors might have greater influence on health rather than urban factor. Conclusion:Physical barriers, clinical assistance, patient information, prevention and health promotion, social and community activities are the principal factors implicated in age-friendly Primary care Centers development. Further research must be made in order to describe the influence on physical and psychological health of age-friendly environments.Citation: Acosta-Benito MA, Rodríguez-Fernández V, Barrio-Cortes J, et al. Age-friendly primary care health centers why are they necessary?. Int J Fam Commun Med.

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“…The demographic characteristics of rural populations are changing, and as a result rural populations, particularly those in the western world, are typically older in comparison with urban areas (Neville, Napier, Adams, Wham, & Jackson, 2016). This can be partially explained by an exodus of younger people to cities in search of employment and an associated inward migration of older people to rural areas owing to their affordability, as well as for lifestyle choices and the desire to reconnect with rural roots (Stockdale, 2011; Vuin, Carson, Carson, & Garrett, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…By doing so social participation is fostered and supported (Neville, Napier, et al, 2016). Research has shown that rural communities with high walkability are associated with independence and increased social interactions (Bacsu et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“Engaging in my rural community”: perceptions of people aged 85 years and over

Neville

Adams

Napier

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: Globally, numbers of people aged 85 years and over are increasing. Many older people, including those 85 years and over, are ageing in rural areas. For successful ageing in place, physical and social environments must be appropriate. The aim of this study is to understand the influence the physical and social environments have on enabling those aged 85 years and over to remain engaged in a rural community. Method: Utilizing an environmental gerontological approach, semi-structured interviews were undertaken with 15 people who lived independently in a rural community. Following transcription data were analyzed and themes identified. Results: Two themes were identified; “Negotiating the physical environment: ‘Getting there and back’” and “Maintaining social networks: ‘Places to go, people to see’”. The findings provide insight into the importance of driving, parking close to amenities and negotiating the local environment to this group of older people and their ability to engage with their community. All participants agreed social engagement with friends, family or neighbors was important to them. Conclusion: These findings highlight the interconnection between physical and social environments. An enabling physical environment is essential to support social participation of people aged 85 years and over.

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An integrative review of the factors related to building age‐friendly rural communities

Cited by 34 publications

References 30 publications

Interventions to Decrease Inappropriate Antibiotic Use for Non-acute Respiratory Illness in Long-Term Care Settings

Interventions to Decrease Inappropriate Antibiotic Use for Non-acute Respiratory Illness in Long-Term Care Settings

Age-friendly primary care health centers why are they necessary?

“Engaging in my rural community”: perceptions of people aged 85 years and over

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