University of Hertfordshire

From the same journal

By the same authors

Standard

Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study. / Zubair , Maria; Chadborn , Neil H; Gladman, John ; Dening , Tom ; Gordon , Adam ; Goodman, Claire.

In: BMJ Open, Vol. 7, e017270, 01.10.2017.

Research output: Contribution to journalArticlepeer-review

Harvard

APA

Vancouver

Author

Bibtex

@article{170cc459ca564443b73d8eac677cb934,
title = "Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study",
abstract = "AbstractIntroduction Care home residents are relatively highusers of healthcare resources and may have complexneeds. Comprehensive geriatric assessment (CGA) maybenefit care home residents and improve efficiency ofcare delivery. This is an approach to care in which thereis a thorough multidisciplinary assessment (physicaland mental health, functioning and physical and socialenvironments) and a care plan based on this assessment,usually delivered by a multidisciplinary team. The CGAprocess is known to improve outcomes for communitydwellingolder people and those in receipt of hospitalcare, but less is known about its efficacy in care homeresidents.Methods and analysis Realist review was selected asthe most appropriate method to explore the complexnature of the care home setting and multidisciplinarydelivery of care. The aim of the realist review is to identifyand characterise a programme theory that underpins theCGA intervention. The realist review will extract data fromresearch articles which describe the causal mechanismsthrough which the practice of CGA generates outcomes.The focus of the intervention is care homes, and theoutcomes of interest are health-related quality of life andsatisfaction with services; for both residents and staff.Further outcomes may include appropriate use of NationalHealth Service services and resources of older care homeresidents. The review will proceed through three stages:(1) identifying the candidate programme theories thatunderpin CGA through interviews of key stakeholder,systematic search of the peer-reviewed and non-peerreviewedevidence, (2) identifying the evidence relevantto CGA in UK care homes and refining the programmetheories through refining and iterating the systematicsearch, lateral searches and seeking further informationfrom study authors and (3) analysis and synthesis ofevidence, involving the testing of the programme theories.Ethics and dissemination The PEACH project wasidentified as service development following submissionto the UK Health Research Authority and subsequentreview by the University of Nottingham Research EthicsCommittee. The study protocols have been reviewedas part of good governance by the NottinghamshireHealthcare Foundation Trust. We aim to publish this realistreview in a peer-reviewed journal with internationalreadership. We will disseminate findings to public andstakeholders using knowledge mobilisation techniques.Stakeholders will include the Quality ImprovementCollaboratives within PEACH study. National networks,such as British Society of Gerontology and National CareAssociation will be approached for wider dissemination.Trial registration number The realist review has beenregistered on International Prospective Register ofSystematic Reviews (PROSPERO 2017: CRD42017062601).",
author = "Maria Zubair and Chadborn, {Neil H} and John Gladman and Tom Dening and Adam Gordon and Claire Goodman",
note = "This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/",
year = "2017",
month = oct,
day = "1",
doi = "10.1136/bmjopen-2017-017270",
language = "English",
volume = "7",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",

}

RIS

TY - JOUR

T1 - Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study

AU - Zubair , Maria

AU - Chadborn , Neil H

AU - Gladman, John

AU - Dening , Tom

AU - Gordon , Adam

AU - Goodman, Claire

N1 - This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

PY - 2017/10/1

Y1 - 2017/10/1

N2 - AbstractIntroduction Care home residents are relatively highusers of healthcare resources and may have complexneeds. Comprehensive geriatric assessment (CGA) maybenefit care home residents and improve efficiency ofcare delivery. This is an approach to care in which thereis a thorough multidisciplinary assessment (physicaland mental health, functioning and physical and socialenvironments) and a care plan based on this assessment,usually delivered by a multidisciplinary team. The CGAprocess is known to improve outcomes for communitydwellingolder people and those in receipt of hospitalcare, but less is known about its efficacy in care homeresidents.Methods and analysis Realist review was selected asthe most appropriate method to explore the complexnature of the care home setting and multidisciplinarydelivery of care. The aim of the realist review is to identifyand characterise a programme theory that underpins theCGA intervention. The realist review will extract data fromresearch articles which describe the causal mechanismsthrough which the practice of CGA generates outcomes.The focus of the intervention is care homes, and theoutcomes of interest are health-related quality of life andsatisfaction with services; for both residents and staff.Further outcomes may include appropriate use of NationalHealth Service services and resources of older care homeresidents. The review will proceed through three stages:(1) identifying the candidate programme theories thatunderpin CGA through interviews of key stakeholder,systematic search of the peer-reviewed and non-peerreviewedevidence, (2) identifying the evidence relevantto CGA in UK care homes and refining the programmetheories through refining and iterating the systematicsearch, lateral searches and seeking further informationfrom study authors and (3) analysis and synthesis ofevidence, involving the testing of the programme theories.Ethics and dissemination The PEACH project wasidentified as service development following submissionto the UK Health Research Authority and subsequentreview by the University of Nottingham Research EthicsCommittee. The study protocols have been reviewedas part of good governance by the NottinghamshireHealthcare Foundation Trust. We aim to publish this realistreview in a peer-reviewed journal with internationalreadership. We will disseminate findings to public andstakeholders using knowledge mobilisation techniques.Stakeholders will include the Quality ImprovementCollaboratives within PEACH study. National networks,such as British Society of Gerontology and National CareAssociation will be approached for wider dissemination.Trial registration number The realist review has beenregistered on International Prospective Register ofSystematic Reviews (PROSPERO 2017: CRD42017062601).

AB - AbstractIntroduction Care home residents are relatively highusers of healthcare resources and may have complexneeds. Comprehensive geriatric assessment (CGA) maybenefit care home residents and improve efficiency ofcare delivery. This is an approach to care in which thereis a thorough multidisciplinary assessment (physicaland mental health, functioning and physical and socialenvironments) and a care plan based on this assessment,usually delivered by a multidisciplinary team. The CGAprocess is known to improve outcomes for communitydwellingolder people and those in receipt of hospitalcare, but less is known about its efficacy in care homeresidents.Methods and analysis Realist review was selected asthe most appropriate method to explore the complexnature of the care home setting and multidisciplinarydelivery of care. The aim of the realist review is to identifyand characterise a programme theory that underpins theCGA intervention. The realist review will extract data fromresearch articles which describe the causal mechanismsthrough which the practice of CGA generates outcomes.The focus of the intervention is care homes, and theoutcomes of interest are health-related quality of life andsatisfaction with services; for both residents and staff.Further outcomes may include appropriate use of NationalHealth Service services and resources of older care homeresidents. The review will proceed through three stages:(1) identifying the candidate programme theories thatunderpin CGA through interviews of key stakeholder,systematic search of the peer-reviewed and non-peerreviewedevidence, (2) identifying the evidence relevantto CGA in UK care homes and refining the programmetheories through refining and iterating the systematicsearch, lateral searches and seeking further informationfrom study authors and (3) analysis and synthesis ofevidence, involving the testing of the programme theories.Ethics and dissemination The PEACH project wasidentified as service development following submissionto the UK Health Research Authority and subsequentreview by the University of Nottingham Research EthicsCommittee. The study protocols have been reviewedas part of good governance by the NottinghamshireHealthcare Foundation Trust. We aim to publish this realistreview in a peer-reviewed journal with internationalreadership. We will disseminate findings to public andstakeholders using knowledge mobilisation techniques.Stakeholders will include the Quality ImprovementCollaboratives within PEACH study. National networks,such as British Society of Gerontology and National CareAssociation will be approached for wider dissemination.Trial registration number The realist review has beenregistered on International Prospective Register ofSystematic Reviews (PROSPERO 2017: CRD42017062601).

U2 - 10.1136/bmjopen-2017-017270

DO - 10.1136/bmjopen-2017-017270

M3 - Article

VL - 7

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

M1 - e017270

ER -