What matters to people aged 80 and over regarding ambulatory care? A systematic review and meta-synthesis of qualitative studies.
80 and over
Aged
Ambulatory care
Patient preferences
Patient-centered care
Qualitative research
Systematic review
Journal
European journal of ageing
ISSN: 1613-9372
Titre abrégé: Eur J Ageing
Pays: Germany
ID NLM: 101233661
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
accepted:
08
06
2021
entrez:
2
9
2022
pubmed:
3
9
2022
medline:
3
9
2022
Statut:
epublish
Résumé
The growing percentage of the population aged 80 and over is challenging for healthcare systems, as frailty and other complex health issues are common in this age group. In order to provide patient-centered ambulatory healthcare, their preferences and expectations need to be explored. Therefore, the aim of this study was to systematically search for and synthesize qualitative evidence on how people aged 80 and over believe ambulatory healthcare (medical and nursing care) should be delivered to them. Medline, PsycINFO, CINAHL, Web of Science Core Collection and Google Scholar were searched for full research reports of qualitative studies focusing on the preferences, wishes, needs, expectations and experiences of people aged 80 and over regarding ambulatory medical and nursing care. The results were screened by two independent reviewers using a two-step approach. The included studies were meta-synthesized using Thomas and Harden's 'thematic synthesis' approach in order to gain a new, second-order interpretation of the findings of the primary studies. In the intermediate synthesis step, 14 aspects of healthcare structures and care relationships were identified as relevant. Based on these, three underlying wishes were found: feeling safe, feeling like a meaningful human being, and maintaining control and independence. The results of this review are in line with other research, such as reviews focusing on the preferences of the younger age group (65-80). However, the importance of aspects of care relationships as an integral part of favorable ambulatory healthcare and the wish to be strengthened as a meaningful human being are emphasized more strongly. The online version contains supplementary material available at 10.1007/s10433-021-00633-7.
Identifiants
pubmed: 36052193
doi: 10.1007/s10433-021-00633-7
pii: 633
pmc: PMC9424416
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
325-339Informations de copyright
© The Author(s) 2021.
Déclaration de conflit d'intérêts
Conflicts of interestThe authors declare that there are no conflicts of interest.
Références
J Am Geriatr Soc. 2012 Aug;60(8):1487-92
pubmed: 22881367
BMC Geriatr. 2018 Oct 1;18(1):231
pubmed: 30285641
Nurs Ethics. 2013 Nov;20(7):737-47
pubmed: 23625732
Qual Health Res. 2015 May;25(5):700-12
pubmed: 25281240
Qual Health Res. 2017 Mar;27(4):591-608
pubmed: 27670770
Nurs Ethics. 2020 Jun;27(4):991-1002
pubmed: 31986964
J Clin Nurs. 2019 Jul;28(13-14):2386-2400
pubmed: 30589972
BMC Geriatr. 2010 Nov 02;10:80
pubmed: 21044316
BMC Health Serv Res. 2014 Jan 10;14:14
pubmed: 24410755
BMC Health Serv Res. 2017 Nov 9;17(1):709
pubmed: 29121916
Healthc Q. 2008;11(4):69-75
pubmed: 18818533
BMC Med Res Methodol. 2012 Nov 27;12:181
pubmed: 23185978
Nurs Res Pract. 2013;2013:672702
pubmed: 23738062
Aging Clin Exp Res. 2021 Mar;33(3):495-504
pubmed: 32086715
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Rev Bras Enferm. 2015 May-Jun;68(3):343-9, 398-405
pubmed: 26312509
Qual Health Res. 2007 Nov;17(9):1245-55
pubmed: 17968041
Eur J Intern Med. 2016 Mar;28:43-51
pubmed: 26597341
Health Soc Care Community. 2019 Jul;27(4):1011-1018
pubmed: 30723951
PLoS One. 2015 Dec 14;10(12):e0144203
pubmed: 26658776
Int J Nurs Stud. 2010 Jan;47(1):89-107
pubmed: 19854441
J Gerontol A Biol Sci Med Sci. 2004 Mar;59(3):255-63
pubmed: 15031310
JAMA. 2002 Oct 16;288(15):1909-14
pubmed: 12377092
Geriatr Nurs. 2017 Jul - Aug;38(4):315-324
pubmed: 28057357
BMC Geriatr. 2012 Apr 30;12:19
pubmed: 22545816
J Prim Prev. 2012 Jun;33(2-3):137-52
pubmed: 22766606
BMC Health Serv Res. 2015 Jan 22;15:18
pubmed: 25608876
J Clin Nurs. 2018 Feb;27(3-4):807-818
pubmed: 29052288
PLoS One. 2015 Oct 21;10(10):e0137803
pubmed: 26489096
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
Patient Educ Couns. 2006 Oct;63(1-2):145-51
pubmed: 16406471
CMAJ. 2011 May 17;183(8):E487-94
pubmed: 21540166
BMC Public Health. 2013 Apr 23;13:378
pubmed: 23617420
Int J Older People Nurs. 2018 Sep;13(3):e12194
pubmed: 29603651
PLoS One. 2018 Jul 17;13(7):e0200614
pubmed: 30016368
Gerontologist. 2012 Jun;52(3):357-66
pubmed: 21983126
Ageing Res Rev. 2011 Sep;10(4):430-9
pubmed: 21402176
J Clin Nurs. 2014 Nov;23(21-22):3206-17
pubmed: 25453125
Nurs Inq. 2018 Apr;25(2):e12228
pubmed: 29235234
BMC Geriatr. 2012 Aug 22;12:46
pubmed: 22909093
Public Health Nurs. 1997 Aug;14(4):217-26
pubmed: 9270286
Bull World Health Organ. 2000;78(6):791-802
pubmed: 10916916
Br J Gen Pract. 2012 Aug;62(601):e554-60
pubmed: 22867679
J Am Geriatr Soc. 2007 May;55(5):780-91
pubmed: 17493201
BMJ Open. 2016 Sep 09;6(9):e012019
pubmed: 27612540
Qual Health Res. 2001 Jul;11(4):522-37
pubmed: 11521609
BMJ Open. 2019 Dec 15;9(12):e034485
pubmed: 31843855
Qual Quant. 2018;52(4):1893-1907
pubmed: 29937585
J Aging Stud. 2014 Dec;31:159-70
pubmed: 25456633
Implement Sci. 2018 Jan 25;13(Suppl 1):12
pubmed: 29384076
Nurs Forum. 2013 Apr-Jun;48(2):89-98
pubmed: 23600637
PLoS One. 2014 Sep 17;9(9):e107828
pubmed: 25229640
J Gerontol B Psychol Sci Soc Sci. 2009 Jan;64(1):105-17
pubmed: 19196695
Expert Rev Pharmacoecon Outcomes Res. 2012 Apr;12(2):167-80
pubmed: 22458618
BMC Geriatr. 2011 Sep 13;11:54
pubmed: 21914191
Australas J Ageing. 2018 Mar;37(1):43-47
pubmed: 29024346
J Family Med Prim Care. 2015 Jul-Sep;4(3):324-7
pubmed: 26288766
Int J Environ Res Public Health. 2020 Sep 21;17(18):
pubmed: 32967161