Utilization of home- and community-based services among older adults worldwide: A systematic review and meta-analysis

Yu, Yushan; Zhang, Jun; Petrovic, Mirko; Zhang, Xudong; Zhang, Wei-Hong

doi:10.1016/j.ijnurstu.2024.104774

International Journal of Nursing Studies

2024

DOI: 10.1016/j.ijnurstu.2024.104774

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Utilization of home- and community-based services among older adults worldwide: A systematic review and meta-analysis

Yushan Yu,

Jun Zhang,

Mirko Petrovic

et al.

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Cited by 2 publications

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The perceptions and experiences of community nurses and patients towards shared decision‐making in the home setting: An integrative review

Mills,

McGeagh,

Waite

et al. 2024

Journal of Advanced Nursing

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AimTo explore patients' and community nurses' perceptions and experiences of shared decision‐making in the home.DesignIntegrative review.Data SourcesCINAHL, British Nursing Index, Psycinfo, Medline and Social Services Abstracts were searched for qualitative, quantitative and mixed methods papers published between 1 December 2001 and 31 October 2023.Review MethodsA systematic search of electronic databases was undertaken using defined inclusion criteria. The included papers were appraised for quality using the Joanna Briggs Institute critical appraisal checklist for qualitative research. Relevant data were extracted and thematically analysed.ResultsFourteen papers comprising 13 research studies were included. Patients attached great importance to their right to be involved in decision‐making and noted feeling valued as a unique individual. Communication and trust between the patient and nurse were perceived as fundamental. However, shared decision‐making does not always occur in practice. Nurses described tension in managing patients' involvement in decision‐making.ConclusionThe findings demonstrate that although patients and community nurses appreciate participating in shared decision‐making within the home, there are obstacles to achieving a collaborative process. This is especially relevant when there are fundamentally different perspectives on the decision being made. More research is needed to gain further understanding of how shared decision‐making plays out in practice and to understand the tensions that patients and nurses may experience.Implications for the Profession and/or Patient CareThis paper argues that shared decision‐making is more than the development of a relationship where the patient can express their views (though of course, this is important). Shared decision‐making requires acknowledgement that the patient has the right to full information and should be empowered to choose between options. Nurses should not assume that shared decision‐making in community nursing is easy to facilitate and should recognize the tensions that might exist when true patient choice is enabled.ImpactThis paper demonstrates how the idea of shared decision‐making needs to be explored in the light of everyday practice so that challenges and barriers can be overcome. In particular, the tensions that arise when patients and nurses do not share the same perspective. This paper speaks to the potential of a gap surrounding shared decision‐making in theory and how it plays out in practice.Reporting MethodThe reporting of this review was guided by the 2020 guidelines for the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (Page et al., 2021).Patient or Public ContributionThis review was carried out as part of a wider study for which service users have been consulted.

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The perceptions and experiences of community nurses and patients towards shared decision‐making in the home setting: An integrative review

Mills,

McGeagh,

Waite

et al. 2024

Journal of Advanced Nursing

View full text Add to dashboard Cite

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Discharge Follow-Up of Patients in Primary Care Does Not Meet Their Care Needs: Results of a Longitudinal Multicentre Study

López-Luis,

Rodríguez-Álvarez,

Arias

et al. 2024

Nursing Reports

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Adequate coordination between healthcare levels has been proven to improve clinical indicators, care costs, and user satisfaction. This is more relevant to complex or vulnerable patients, who often require increased care. This study aims to evaluate the differences between hospital discharge follow-up indicators, including number of general practitioners’ (GPs) and community nurses’ (CNs) consultations, presentiality of consultations, type of first post-discharge consultation, and time between hospital discharge and first consultation. Vulnerable and non-vulnerable patients were compared. A longitudinal retrospective study was carried out in the north of Tenerife on the post-discharge care of patients discharged from the Canary Islands University Hospital (Spanish acronym HUC) between 1 January 2018 and 31 December 2022. The results obtained show deficiencies in the care provided to patients by primary care (PC) after being discharged from the hospital, including delayed first visits, low presentiality of those visits that were less frequent even with increased patient complexity, scarce first home visits to functionally impaired patients and delays in such visits, and a lack of priority visits to patients with increased follow-up needs. Addressing these deficiencies could help those most in need of care to receive PC, thus reducing inequalities and granting equal access to healthcare services in Spain.

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Utilization of home- and community-based services among older adults worldwide: A systematic review and meta-analysis

Cited by 2 publications

References 67 publications

The perceptions and experiences of community nurses and patients towards shared decision‐making in the home setting: An integrative review

The perceptions and experiences of community nurses and patients towards shared decision‐making in the home setting: An integrative review

Discharge Follow-Up of Patients in Primary Care Does Not Meet Their Care Needs: Results of a Longitudinal Multicentre Study

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