From right place - Wrong person, to right place - Right person: Dignified care for older people

Tadd, Win and Hillman, Alex and Calnan, Michael .W. and Calnan, Sian and Read, Simon and Bayer, Anthony (2012) From right place - Wrong person, to right place - Right person: Dignified care for older people. Journal of Health Services Research and Policy, 17 (SUPPL.). pp. 30-36. ISSN 1355-8196. (doi:https://doi.org/10.1258/jhsrp.2011.011118) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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Official URL
http://dx.doi.org/10.1258/jhsrp.2011.011118

Abstract

Objectives: To examine: older people's and their relatives' views of dignified care; health care practitioners'behaviours and practices in relation to dignified care; the occupational, organizational and cultural factors that impact on care; and develop evidence-based recommendations for dignified care. Methods: An ethnography of four acute trusts in England and Wales involving semi-structured interviews with recently discharged older people (n = 40), their relatives (n = 25), frontline staff (n = 79) and Trust managers (n = 32), complemented by 617 hours of non-participant observation in 16 wards in NHS trusts. Results: 'Right Place - Wrong Person' refers to the staffs' belief that acute wards are not the 'right place' for older people. Wards were poorly-designed, confusing and inaccessible for older people; older people were bored through lack of communal spaces and activities and they expressed concern about the close proximity of patients of the opposite sex; staff were demoralised and ill-equipped with skills and knowledge to care for older people, and organizational priorities caused patients to be frequently moved within the system. In none of the wards studied was care either totally dignified or totally undignified. Variations occurred from ward to ward, in the same ward when different staff were on-duty and at different times of the day. Conclusions: The failure to provide dignified care is often a result of systemic and organizational factors rather than a failure of individual staff and it is these that must be addressed if dignified care is to be ensured. © The Royal Society of Medicine Press Ltd 2012.

Item Type: Article
Subjects: H Social Sciences
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research
Depositing User: Mita Mondal
Date Deposited: 06 Mar 2014 10:45 UTC
Last Modified: 29 Apr 2014 11:35 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/38601 (The current URI for this page, for reference purposes)
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