Guidance for hospital and community-based health services for older adults: The senior friendly care framework

Ryan, David P.; Zeh, W.; Rozo, Jesika Viviana Contreras; Liu, Barbara A.

doi:10.1016/j.archger.2021.104564

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…The actions taken by 78 hospitals contributed to the development of an integrated, intersectoral vision of senior friendly care; a vision that now has its own framework—the sfCare Framework 50 to guide all healthcare organizations in their pursuit of more senior friendly care.…”

Section: Discussionmentioning

confidence: 99%

Turning evidence into action using a senior friendly hospital framework and a collaborative network

Ryan

Zeh

Tsang

et al. 2022

Healthc Manage Forum

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The Senior Friendly Hospital Accelerating Change Together in Ontario program linked the Collaborative Network Model and the Senior Friendly Hospital Framework in a unique multi-hospital knowledge-to-practice initiative to improve care for hospitalized older adults. The design enabled teams from 78 Ontario hospitals to close a shared skills and knowledge gap while meeting the varied needs of their diverse contexts. Results suggest that this design meant to reduce unnecessary redundancy, while preserving requisite diversity, was successful in achieving its specific objectives: to build a collaborative network and increase the confidence, knowledge, and skills of its members sufficient to lead sustainable improvements in their unique hospital settings. Findings with special relevance to process improvement specialists, health system leaders, and hospital administrators and managers are discussed.

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Section: Discussionmentioning

confidence: 99%

Turning evidence into action using a senior friendly hospital framework and a collaborative network

Ryan

Zeh

Tsang

et al. 2022

Healthc Manage Forum

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“…Older people (aged 65+) admitted to hospital for acute illnesses or injuries are highly susceptible to functional decline and related complications [1]. Accordingly, optimising functioning for this patient population is a high priority in many jurisdictions such as the United States [2], Canada [3][4][5], Australia [6], the European Union [7,8], South America [9] and Israel [10]. With this priority in mind, a body of international literature has emphasised the importance of care-oriented towards improving physical and cognitive functional outcomes for older people during a hospital stay [11][12][13][14][15].…”

Section: Introductionmentioning

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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Age‐Friendly Healthcare: An Evolutionary Concept Analysis

Zisberg,

Rayan‐Gharra,

Danial‐Saad

et al. 2024

Journal of Clinical Nursing

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AimsAging populations require adapting healthcare systems for older adult's specific needs. Numerous initiatives to improve older‐patient care have emerged, but the field lacks a unified framework. The current study aims to provide a systematic concept analysis of ‘age‐friendly healthcare’, examining its characteristics, components and structure.DesignRodger's evolutionary concept analysis.Data SourcesSearches were conducted in ProQuest, CINAHL, PubMed and Scopus databases between November 2022 and October 2023, utilising the PRISMA 2020 reporting checklist.MethodsA literature search using specific terms relevant to age‐friendly healthcare retrieved 1407 articles. After screening for duplicates and relevance, 140 articles were examined for eligibility based on inclusion criteria for age‐friendly care, language and full‐text availability. Following full‐text screening, 65 articles were included for data extraction by multiple researchers to synthesise theoretical, methodological and design elements.ResultsOur findings highlight key attributes of age‐friendly healthcare: Respect for older adults' autonomy and needs; leadership and organisational knowledge and support; Proactive policies and processes of care; holistic care environments; and communication and follow‐up with awareness of challenges and barriers as well as prioritisation of continuity‐of‐care.ConclusionThe concept of age‐friendly healthcare is still developing, with much research focused on development and implementation rather than evaluation of real‐world patient and health‐system outcomes. Our analysis of the concept may help unify the field and clarify future research directions through identification of areas requiring further study and enable development of improved practices and policies for implementing age‐friendly healthcare in a variety of settings.No Patient or Public ContributionThis concept analysis did not include any patient or public involvement.Reporting MethodThis study utilised the PRISMA reporting checklist.

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Guidance for hospital and community-based health services for older adults: The senior friendly care framework

Cited by 4 publications

References 15 publications

Turning evidence into action using a senior friendly hospital framework and a collaborative network

Turning evidence into action using a senior friendly hospital framework and a collaborative network

‘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

Age‐Friendly Healthcare: An Evolutionary Concept Analysis

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