TY - JOUR
T1 - Supporting Older People’s Moves Between Different Care Settings
T2 - A Scoping Review
AU - Zhang, Wenjing
AU - Greig, Julia
AU - Darton, Robin
AU - Saloniki, Eirini Christina
AU - Towers, Ann Marie
N1 - Publisher Copyright:
© 2024 The Author(s).
PY - 2024
Y1 - 2024
N2 - Context: Moves between care settings in later life present significant challenges for older people. Social care practitioners play a significant role in supporting these moves, but sometimes lack the skills, confidence and resources to meet the needs of older people and their carers. Objectives: To identify and synthesise unmet move-related needs of older people, the approaches used by social care practitioners, and ways to improve move-related practice. Methods: We searched 7 electronic databases and grey literature from 25 websites, screening 8535 records published between 2010 and 2021. Findings: Thematic synthesis of 39 documents focussed on two themes: (1) challenges and unmet needs of older people and their carers, particularly during the planning, decision-making and moving in stages; and (2) insights from good practice schemes and ways to improve move-related social care practice. These include applying a person-centred approach, involving older people and their carers in planning and decision-making, adopting proactive approaches, exploring alternatives to care homes, promoting effective communication and information sharing, and ensuring continuity of care and cross-sector coordination throughout moves. Limitations: The chosen inclusion criteria resulted in the omission of potentially interesting insights regarding short-term intermediate care and post-move long-term settlement in new settings. Implications: The review highlights the critical need for comprehensive support and guidance during older people’s moves between care settings. It emphasises the importance of practice-oriented information and evidence-based approaches to support older people, their carers, and social care practitioners throughout these transitions.
AB - Context: Moves between care settings in later life present significant challenges for older people. Social care practitioners play a significant role in supporting these moves, but sometimes lack the skills, confidence and resources to meet the needs of older people and their carers. Objectives: To identify and synthesise unmet move-related needs of older people, the approaches used by social care practitioners, and ways to improve move-related practice. Methods: We searched 7 electronic databases and grey literature from 25 websites, screening 8535 records published between 2010 and 2021. Findings: Thematic synthesis of 39 documents focussed on two themes: (1) challenges and unmet needs of older people and their carers, particularly during the planning, decision-making and moving in stages; and (2) insights from good practice schemes and ways to improve move-related social care practice. These include applying a person-centred approach, involving older people and their carers in planning and decision-making, adopting proactive approaches, exploring alternatives to care homes, promoting effective communication and information sharing, and ensuring continuity of care and cross-sector coordination throughout moves. Limitations: The chosen inclusion criteria resulted in the omission of potentially interesting insights regarding short-term intermediate care and post-move long-term settlement in new settings. Implications: The review highlights the critical need for comprehensive support and guidance during older people’s moves between care settings. It emphasises the importance of practice-oriented information and evidence-based approaches to support older people, their carers, and social care practitioners throughout these transitions.
KW - Move
KW - hospital discharge
KW - long-term care
KW - social care
KW - older people
KW - transition
UR - http://www.scopus.com/inward/record.url?scp=85213336482&partnerID=8YFLogxK
U2 - 10.31389/jltc.338
DO - 10.31389/jltc.338
M3 - Article
AN - SCOPUS:85213336482
SN - 2516-9122
VL - 2024
SP - 476
EP - 488
JO - Journal of Long-Term Care
JF - Journal of Long-Term Care
ER -