Author:
O’Shaughnessy Íde,Fitzgerald Christine,Hayes Christina,Leahy Aoife,O’Connor Margaret,Ryan Damien,Shchetkovsky Denys,Steed Fiona,Carey Leonora,Quinn Colin,Shanahan Elaine,Galvin Rose,Robinson Katie
Abstract
Abstract
Background
Comprehensive geriatric assessment (CGA) is considered the gold standard approach to improving a range of outcomes for older adults living with frailty admitted to hospital. To date, research has predominantly focused on quantitative syntheses of the international evidence with limited focus on qualitative synthesis of stakeholder perspectives. This review aims to resolve this research gap by identifying and synthesising qualitative studies reporting multiple stakeholders’ experiences of inpatient CGA.
Methods
A systematic search of five electronic databases was conducted. Qualitative or mixed methods studies that included qualitative findings on the experiences of CGA in an inpatient hospital setting from the perspective of healthcare professionals (HCP), older adults, and those important to them were included. The protocol was registered on PROSPERO (Registration: CRD42021283167) and the 10-item Critical Appraisal Skills Programme checklist was used to appraise the methodological quality of included studies. Results were synthesised as a meta-ethnography.
Results
Eleven studies, which reported on the experiences of 153 HCPs, 91 older adults and 57 caregivers were included. The studies dated from 2011 to 2021 and three key themes were identified: (1) HCPs, older adults and caregivers report conflicting views on CGA as a holistic process, (2) most HCPs, but only some older adults and caregivers view CGA goalsetting and care planning as collaborative, and (3) all stakeholders value care continuity during the transition from hospital to home but often fail to achieve it.
Conclusion
While HCPs, older adults, and caregivers’ values and ambitions related to CGA broadly align, their experiences often differ. The identified themes highlight organisational and relational factors, which positively and negatively influence CGA practices and processes in an inpatient hospital setting.
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology
Reference65 articles.
1. Conroy SP, Bardsley M, Smith P, Neuburger J, Keeble E, Arora, Sandeepa et al. Comprehensive geriatric assessment for frail older people in acute hospitals: the HoW-CGA mixed-methods study. Southampton (UK): NIHR Journals Library. 2019. Available at: http://www.ncbi.nlm.nih.gov/books/NBK540056/. Accessed 04 Feb 2023.
2. Ruiz M, Bottle A, Long S, Aylin P. Multi-morbidity in hospitalized older patients: who are the complex elderly? PLoS ONE. 2015;10(12):e0145372.
3. Rockwood K, Mitnitski A. Frailty in relation to the accumulation of deficits. J Gerontol. 2007;62:722–7.
4. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013;381:752–62.
5. Hubbard RE, Peel NM, Samanta M, Gray LC, Mitnitski A, Rockwood K. Frailty status at admission to hospital predicts multiple adverse outcomes. Age Ageing. 2017;46(5):801–6.
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