Best practice interventions to improve the management of older people in acute care settings: A literature review

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Show simple item record Hickman, L Newton, P Halcomb, EJ Chang, E Davidson, P 2012-02-02T10:59:56Z 2007-10
dc.identifier.citation Journal of Advanced Nursing, 2007, 60 (2), pp. 113 - 126
dc.identifier.issn 0309-2402
dc.identifier.other C1UNSUBMIT en_US
dc.description.abstract Aim. This paper is a report of a literature review of experimental evidence describing interventions to manage the older adult in the acute care hospital setting. Background. Older people are increasingly being cared for in a system largely geared towards acute care. This approach is often inadequate to meet the needs of older patients with chronic and complex conditions. In response to these challenges, evidence-based interventions are required to improve health outcomes. Method. The MEDLINE and CINAHL databases and the Internet were searched using the keywords elderly, older, geriatric and aged care. Studies published between 1985 and 2006 were included if they reported, in English, a controlled trial of an intervention designed to improve the management of older adults in the acute care setting. The findings were synthesized using the method of a modified integrative literature review. Findings. Only 26 controlled trials met the inclusion criteria. The following elements of interventions appear critical in providing optimal health outcomes for older people admitted to acute care: (1) a team approach to care delivery either directly in a designated unit for older patients or indirectly using gerontological expertise in a consultancy model; (2) targeted assessment techniques to prevent complications; (3) an increased emphasis on discharge planning and (4) enhanced communication between care providers across the care continuum. Conclusion. A multidisciplinary team approach, using gerontological expertise, in acute care settings is recommended to improve the care of older patients. Care delivery should occur in a specially designed unit, with communication strategies that emphasize discharge planning. © 2007 Blackwell Publishing Ltd.
dc.language eng
dc.relation.isbasedon 10.1111/j.1365-2648.2007.04417.x
dc.title Best practice interventions to improve the management of older people in acute care settings: A literature review
dc.type Journal Article
dc.parent Journal of Advanced Nursing
dc.journal.volume 2
dc.journal.volume 60
dc.journal.number 2 en_US
dc.publocation Oxford, UK en_US
dc.identifier.startpage 113 en_US
dc.identifier.endpage 126 en_US FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 111808
dc.personcode 110950
dc.personcode 115296
dc.percentage 100 en_US Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity ISI:000249488100001 en_US
dc.description.keywords Acute care
dc.description.keywords Best practice
dc.description.keywords Communication
dc.description.keywords Discharge planning
dc.description.keywords Gerontology
dc.description.keywords Literature review
dc.description.keywords Older people
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Closed (ID: 3)

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