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PUBLICATIONS | Residential LTC services

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10 Feb 2024

Journal article

Scotland (UK)

English

Analysis of the impact of COVID-19 on Scotland’s care-homes from March 2020 to October 2021: national linked data cohort analysis

Jennifer Kirsty Burton, Megan McMinn, James E Vaughan, Glenna Nightingale, Jacques Fleuriot, Bruce Guthrie, Analysis of the impact of COVID-19 on Scotland’s care-homes from March 2020 to October 2021: national linked data cohort analysis, Age and Ageing, Volume 53, Issue 2, February 2024, afae015, https://doi.org/10.1093/ageing/afae015

Our member Jenni Burton, with colleagues from the University of Glasgow, Advanced Care Research Centre and the University of Edinburgh has published new research in Age and Ageing describing the patterns of COVID-19 outbreaks in Scotland’s care homes, beyond the first wave of infections. The paper, available open access from: https://doi.org/10.1093/ageing/afae015, includes analysis on a total of 1,313 outbreaks involving residents from March 2020 to October 2021.

The COVID-19 mortality rate per 1,000 beds fell from 45.8 in March to August 2020 (wave 1) to 29.3 in September 2020 to May 2021 (wave 2). After roll-out of vaccination, outbreaks involve a much smaller number of people and are shorter in duration, with the COVID-19 mortality rate falling to 3.5 per 1,000 beds in June to October 2021.

The analysis shows the consistently elevated risks associated with living in larger care homes, although the risk reduces as the pandemic progresses and epidemiology of the virus evolves. Similarly, the community prevalence of COVID-19 infections in the local authority area where the care home was located was associated with increased risk of outbreak.

Future pandemic planning has to take better account of the care sector and involve residents, families and carers. A critical gap remains that data about people living in care homes is limited, making them relatively invisible to policy. As well as clinical interventions like infection control, we need to better understand how building design and ventilation influences infection risk, and how to balance infection risk against creating a homely environment for residents to live in.

This research required time-consuming data management to link disparate health and social care datasets. Despite recognising the potential value of such data, the researchers point out this continues to be significantly challenging across all UK countries, and the topic of data featured heavily in the Scottish evidence sessions to the UK COVID-19 Inquiry. In particular, the data gaps around understanding the population living in care homes and the impact this had on the initial pandemic response remain of concern. There is a need for a unified approach to improving national data about people living in care homes across the UK, with benefits to be realised in the everyday organisation of health and care services to support them.

 

Journal article

09 Jan 2024

Journal article

UK

English

Environmental data monitoring and infection risks in UK care-homes in the context of COVID-19

Kishwer Abdul Khaliq, Sara Mohamad, Alexander J. Edwards, Catherine Noakes, Andrew H. Kemp, Carl Thompson, Grainne McGill, Tim Sharpe. Environmental data monitoring and infection risks in UK care-homes in the context of COVID-19, Building and Environment, 2024, 111174, ISSN 0360-1323,
https://doi.org/10.1016/j.buildenv.2024.111174.

Journal article

08 Dec 2023

Journal article

Finland

English

Effectiveness of an educational intervention to increase professional nurses’ person-centred care competence in long-term care of older people—Quasi-experimental study

Pakkonen, M., Stolt, M., Edvardsson, D., Charalambous, A., Pasanen, M., & Suhonen, R. (2023). Effectiveness of an educational intervention to increase professional nurses’ person-centred care competence in long-term care of older people-Quasi-experimental study. Scandinavian journal of caring sciences. https://doi.org/10.1111/scs.13230

Journal article

26 Oct 2023

Journal article

Australia

English

Investigating community-based care service factors delaying residential care home admission of community dwelling older adults and cost consequence

Jeon, Y. H., Simpson, J. M., Comans, T., Shin, M., Fethney, J., McKenzie, H., Crawford, T., Lang, C., & Inacio, M. (2023). Investigating community-based care service factors delaying residential care home admission of community dwelling older adults and cost consequence. Age and ageing, 52(10), afad195. https://doi.org/10.1093/ageing/afad195

Journal article

24 Oct 2023

Journal article

Europe

English

The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: a retrospective descriptive study (Eurodata study)

Guisado-Clavero, M., Ares-Blanco, S., Serafini, A., Del Rio, L., Larrondo, I., Fitzgerald, L., . . . Gómez Bravo, R. (2023). The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: A retrospective descriptive study (Eurodata study). Primary Health Care Research & Development, 24, E60. doi:10.1017/S1463423623000312

Journal article

07 Sep 2023

Journal article

Scotland (UK)

Listening and learning: a qualitative study of Scottish care home staff experiences of managing COVID-19 between March 2020-August 2022

Burton, J.K., Drummond, M., Gallacher, K.I. et al. Listening and learning: a qualitative study of Scottish care home staff experiences of managing COVID-19 between March 2020-August 2022. BMC Geriatr 23, 544 (2023). https://doi.org/10.1186/s12877-023-04251-z 

Journal article

18 Jul 2023

Book

Canada
Germany
Norway
Sweden
UK
United States

English

Unpaid Work In Nursing Homes: Flexible Boundaries (open access book)

Armstrong, P. (editor) (2023) Unpaid work in nursing homes: Flexible boundaries. S.l.: POLICY PRESS. https://policy.bristoluniversitypress.co.uk/unpaid-work-in-nursing-homes

Book

01 Jul 2023

Journal article

Netherlands

English

How Stories Can Contribute Toward Quality Improvement in Long-Term Care

Katya Y J Sion, Marjolijn Heerings, Marije Blok, Aukelien Scheffelaar, Johanna M Huijg, Gerben Westerhof, Anne Margriet Pot, Katrien Luijkx, Jan P H Hamers, How Stories Can Contribute Toward Quality Improvement in Long-Term Care, The Gerontologist, Volume 64, Issue 4, April 2024, gnad084, https://doi.org/10.1093/geront/gnad084

Journal article

16 May 2023

Journal article

International

English

Outcome measures from international older adult care home intervention research: a scoping review

Sarah Kelly, Andy Cowan, Gizdem Akdur, Lisa Irvine, Guy Peryer, Silje Welsh, Stacey Rand, Iain A Lang, Ann-Marie Towers, Karen Spilsbury, Anne Killett, Adam Lee Gordon, Barbara Hanratty, Liz Jones, Julienne Meyer, Claire Goodman, Jennifer Kirsty Burton, Outcome measures from international older adult care home intervention research: a scoping review, Age and Ageing, Volume 52, Issue 5, May 2023, afad069, https://doi.org/10.1093/ageing/afad069

Journal article

19 Apr 2023

Journal article

England (UK)
UK

English

Registered care home managers’ experiences of responding to the national care home visiting guidance in England during the Covid-19 pandemic; a multi-method qualitative study

Dixon, J., Lorenz-Dant, K., Stubbs, E. et al. Registered care home managers’ experiences of responding to the national care home visiting guidance in England during the Covid-19 pandemic; a multi-method qualitative study. BMC Geriatr 23, 236 (2023). https://doi.org/10.1186/s12877-023-03935-w

Journal article

25 Mar 2023

Journal article

England (UK)

English

The Impact of Wages on Care Home Quality in England

Allan, S., & Vadean, F. (2023). The Impact of Wages on Care Home Quality in England. The Gerontologist, 63(9), 1428–1436. https://doi.org/10.1093/geront/gnad032

Journal article

26 Jan 2022

Journal article

England (UK)

English

The interface between primary care and care homes: General Practitioner experiences of working in care homes for older people

White, C., & Alton, E. (2022). The interface between primary care and care homes: General Practitioner experiences of working in care homes for older peopleHealth & Social Care in the Community30e2896e2904https://doi.org/10.1111/hsc.13734

Journal article

01 Oct 2021

Report

UK

English

Caring from a distance: What can we learn from carers’ experiences of using new and familiar ways to stay in touch with family and friends in care homes during Covid-19?

White C., Wray J., Whitfield C., Wolverson E. (2021)   Caring from a distance: What can we learn from carers’ experiences of using new and familiar ways to stay in touch with family and friends in care homes during Covid-19? University of Hull https://www.hull.ac.uk/work-with-us/research/groups/docs/caring-from-a-distance-report.pdf 

Report

06 Jul 2020

Journal article

Netherlands

English

Better off at home? Effects of nursing home eligibility on costs, hospitalizations and survival

Bakx, P., Wouterse, B., van Doorslaer, E., & Wong, A. (2020). Better off at home? Effects of nursing home eligibility on costs, hospitalizations and survival. Journal of health economics, 73, 102354. https://doi.org/10.1016/j.jhealeco.2020.102354

Journal article

14 Dec 2018

Journal article

Europe
International

English

Economic evaluations in community aged care: a systematic review

Bulamu, N. B., Kaambwa, B., & Ratcliffe, J. (2018). Economic evaluations in community aged care: a systematic review. BMC health services research, 18(1), 967. https://doi.org/10.1186/s12913-018-3785-3

Journal article

No pub date set

Journal article

England (UK)

English

Shaping care home COVID-19 testing policy: a protocol for a pragmatic cluster randomised controlled trial of asymptomatic testing compared with standard care in care home staff (VIVALDI-CT)

Adams NStirrup OBlackstone J, et al. Shaping care home COVID-19 testing policy: a protocol for a pragmatic cluster randomised controlled trial of asymptomatic testing compared with standard care in care home staff (VIVALDI-CT)

Journal article