Background Emotional support is key to improve older adults’ subjective health, and psychological... more Background Emotional support is key to improve older adults’ subjective health, and psychological, social and emotional well-being. However, many older adults living in the community lack emotional support, increasing the risk for loneliness, depression, anxiety, potentially avoidable healthcare use and costs, and premature death. Multiple intersecting factors may influence emotional support of older adults in the community, but these are poorly understood. Studies have focused on specific populations (e.g., older adults with depression, cancer). Although relevant, these studies may not capture modifiable factors for the wider and more diverse population of older adults living in the community. Our scoping review will address these important gaps. We will identify and synthesize the evidence on factors that influence emotional support of older adults in the community. Methods We will use the Johanna Briggs Institute updated methodological guidance for the conduct of scoping reviews ...
The paper aims to conduct a critical appraisal of the literature focused on non-pharmacological a... more The paper aims to conduct a critical appraisal of the literature focused on non-pharmacological approaches used by older people in chronic pain management. Chronic pain is a common health problem amongst older people, accounting for prevalence rate twice that of their younger counterparts. Despite this, there has been surprisingly little attention paid, on a global level, to the issue of pain management in older people and even less on non-pharmacological approaches to chronic pain management. A total of 69 studies published in English between 2000 to 2010 were obtained from various electronic databases, hand searched journals, research reports, and references obtained from the bibliographies of retrieved articles. After assessing the title, abstract and full text, quality assessment was performed by two independent assessors and ultimately nine papers were included. Of the total nine papers included, five were quantitative, three were qualitative and two were of a mixed method design. The findings revealed that older people tend to use cost effective, readily available and convenient non-pharmacological approaches for managing pain such as exercise, rest, heat/cold application, massage, distraction, relaxation, support groups and bracing/splinting/bandaging – for managing pain.
The association of organizational context with quality of care in nursing homes is not well under... more The association of organizational context with quality of care in nursing homes is not well understood at the clinical microsystem (care unit) level. This cross-sectional study examined the associations of unit-level context with 10 unit-level quality indicators derived from the Minimum Data Set 2.0. Study settings comprised 262 care units within 91 Canadian nursing homes. We assessed context using unit-aggregated care-aide-reported scores on the 10 scales of the Alberta Context Tool. Mixed-effects regression analysis showed that structural resources were negatively associated with antipsychotics use (B = −.06; p = .001) and worsened late-loss activities of daily living (B = −.03, p = .04). Organizational slack in time was negatively associated with worsened pain (B = −.04, p = .01). Social capital was positively associated with delirium symptoms (B = .12, p = .02) and worsened depressive symptoms (B = .10, p = .01). The findings suggested that targeting interventions to modifiable ...
Background Emotional support is key to improve older adults’ subjective health, and psychological... more Background Emotional support is key to improve older adults’ subjective health, and psychological, social and emotional well-being. However, many older adults living in the community lack emotional support, increasing the risk for loneliness, depression, anxiety, potentially avoidable healthcare use and costs, and premature death. Multiple intersecting factors may influence emotional support of older adults in the community, but these are poorly understood. Studies have focused on specific populations (e.g., older adults with depression, cancer). Although relevant, these studies may not capture modifiable factors for the wider and more diverse population of older adults living in the community. Our scoping review will address these important gaps. We will identify and synthesize the evidence on factors that influence emotional support of older adults in the community. Methods We will use the Johanna Briggs Institute updated methodological guidance for the conduct of scoping reviews ...
The paper aims to conduct a critical appraisal of the literature focused on non-pharmacological a... more The paper aims to conduct a critical appraisal of the literature focused on non-pharmacological approaches used by older people in chronic pain management. Chronic pain is a common health problem amongst older people, accounting for prevalence rate twice that of their younger counterparts. Despite this, there has been surprisingly little attention paid, on a global level, to the issue of pain management in older people and even less on non-pharmacological approaches to chronic pain management. A total of 69 studies published in English between 2000 to 2010 were obtained from various electronic databases, hand searched journals, research reports, and references obtained from the bibliographies of retrieved articles. After assessing the title, abstract and full text, quality assessment was performed by two independent assessors and ultimately nine papers were included. Of the total nine papers included, five were quantitative, three were qualitative and two were of a mixed method design. The findings revealed that older people tend to use cost effective, readily available and convenient non-pharmacological approaches for managing pain such as exercise, rest, heat/cold application, massage, distraction, relaxation, support groups and bracing/splinting/bandaging – for managing pain.
The association of organizational context with quality of care in nursing homes is not well under... more The association of organizational context with quality of care in nursing homes is not well understood at the clinical microsystem (care unit) level. This cross-sectional study examined the associations of unit-level context with 10 unit-level quality indicators derived from the Minimum Data Set 2.0. Study settings comprised 262 care units within 91 Canadian nursing homes. We assessed context using unit-aggregated care-aide-reported scores on the 10 scales of the Alberta Context Tool. Mixed-effects regression analysis showed that structural resources were negatively associated with antipsychotics use (B = −.06; p = .001) and worsened late-loss activities of daily living (B = −.03, p = .04). Organizational slack in time was negatively associated with worsened pain (B = −.04, p = .01). Social capital was positively associated with delirium symptoms (B = .12, p = .02) and worsened depressive symptoms (B = .10, p = .01). The findings suggested that targeting interventions to modifiable ...
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