Undertaking a Collaborative Rapid Realist Review to Investigate What Works in the Successful Implementation of a Frail Older Person's Pathway.
AuthorsShé, Éidín Ní
Cooney, Marie Therese
MetadataShow full item record
CitationUndertaking a Collaborative Rapid Realist Review to Investigate What Works in the Successful Implementation of a Frail Older Person's Pathway. 2018, 15 (2) Int J Environ Res Public Health
JournalInternational journal of environmental research and public health
AbstractWe addressed the research question "what factors enable the successful development and implementation of a frail older person's pathway within the acute setting". A rapid realist review (RRR) was conducted by adopting the RAMESES standards. We began with a sample of 232 articles via database searches supplemented with 94 additional records including inputs from a twitter chat and a hospital site visit. Our final sample consisted of 18 documents. Following review and consensus by an expert panel we identified a conceptual model of context-mechanism-(resources)-outcomes. There was overall agreement frailty should be identified at the front door of the acute hospital. Significant challenges identified related to organisational boundaries both within the acute setting and externally, the need to shift outcomes to patient orientated ones, to support staff to sustain the pathway by providing ongoing education and by providing role clarity. RRRs can support research such as the systematic approach to improving care for frail older adults (SAFE) study by producing accounts of what works based on a wide range of sources and innovative engagement with stakeholders. It is evident from our provisional model that numerous factors need to combine and interact to enable and sustain a successful frail older person's pathway.
- The systematic approach to improving care for Frail Older Patients (SAFE) study: A protocol for co-designing a frail older person's pathway.
- Authors: Ní Shé É, McCarthy M, O'Donnell D, Collins O, Hughes G, Salter N, Cogan L, O'Donoghue C, McGrath E, O'Donovan J, Patton A, McAuliffe E, O'Shea D, Cooney MT
- Issue date: 2018
- Enabling public, patient and practitioner involvement in co-designing frailty pathways in the acute care setting.
- Authors: O'Donnell D, Ní Shé É, McCarthy M, Thornton S, Doran T, Smith F, O'Brien B, Milton J, Savin B, Donnellan A, Callan E, McAuliffe E, Gray S, Carey T, Boyle N, O'Brien M, Patton A, Bailey J, O'Shea D, Cooney Marie T
- Issue date: 2019 Nov 5
- Developing a model of short-term integrated palliative and supportive care for frail older people in community settings: perspectives of older people, carers and other key stakeholders.
- Authors: Bone AE, Morgan M, Maddocks M, Sleeman KE, Wright J, Taherzadeh S, Ellis-Smith C, Higginson IJ, Evans CJ
- Issue date: 2016 Nov
- Exploring conceptual and theoretical frameworks for nurse practitioner education: a scoping review protocol.
- Authors: Wilson R, Godfrey CM, Sears K, Medves J, Ross-White A, Lambert N
- Issue date: 2015 Oct