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Uptake and use of a minimum data set (MDS) for older people living and dying in care homes in England: a realist review protocol

Musa, Massirfufulay Kpehe, Akdur, Gizdem, Hanratty, Barbara, Kelly, Sarah, Gordon, Adam, Peryer, Guy, Spilsbury, Karen, Killett, Anne, Burton, Jennifer, Meyer, Julienne, and others. (2020) Uptake and use of a minimum data set (MDS) for older people living and dying in care homes in England: a realist review protocol. BMJ Open, 10 . Article Number e040397. E-ISSN 2044-6055. (doi:10.1136/bmjopen-2020-040397) (KAR id:83125)

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Abstract

Introduction: Care homes provide nursing and social care for older people who can no longer live independently at home. In the UK, there is no consistent approach to how information about residents’ medical history, care needs, and preferences are collected and shared. This limits opportunities to understand the care home population, have a systematic approach to assessment and documentation of care, identify care home residents at risk of deterioration, and review care. Countries with standardised approaches to residents’ assessment, care planning and review (e.g. Minimum Data Sets (MDS)) use the data to understand the care home population, guide resource allocation, monitor services delivery and for research. The aim of this realist review is to develop a theory-driven understanding of how care homes staff implement and use MDS to plan and deliver care of individual residents. Methods and analysis: A realist review will be conducted in three research stages. Stage one will scope the literature and develop candidate programme theories of what ensures effective uptake and sustained implementation of an MDS. Stage two will test and refine these theories through further iterative searches of the evidence from the literature to establish how effective uptake of an MDS can be achieved. Stage three will consult with relevant stakeholders to test or refine the programme theory (theories) of how an MDS works at the resident level of care for different stakeholders and in what circumstances. Data synthesis will use realist logic of analysis to align data from each eligible article with possible context-mechanism-outcome (CMO) configurations, or specific elements that answer the research questions. Ethics and dissemination: The University of Hertfordshire Ethics Committee has approved this study (HSK/SF/UH/04169). Findings will be disseminated through briefings with stakeholders, conference presentations, a national consultation on the use of an MDS in UK long-term care settings, publications in peer-reviewed journals, and in print and social media publications accessible to residents, relatives, and care home staff. Review registration number: This review protocol is registered on the International Prospective Register of Systematic Reviews (PROSPERO) - CRD42020171323.

Item Type: Article
DOI/Identification number: 10.1136/bmjopen-2020-040397
Uncontrolled keywords: Care Home, minimum data set, geriatric assessment, nursing tools, older people care
Subjects: H Social Sciences
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Ann-Marie Towers
Date Deposited: 25 Sep 2020 14:17 UTC
Last Modified: 16 Feb 2021 14:15 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/83125 (The current URI for this page, for reference purposes)
Towers, Ann-Marie: https://orcid.org/0000-0003-3597-1061
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