Explaining the barriers to and tensions in delivering effective healthcare in UK care homes: A qualitative study

BMJ Open

Volumn 3, Issue 7, 2013, Pages

  Robbins, Isabella ^a   Gordon, Adam ^a   Dyas, Jane ^a   Logan, Philippa ^a   Gladman, John ^a  

^a UNIVERSITY OF NOTTINGHAM   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AMBIGUITY; ARTICLE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HOME CARE; HUMAN; MEDICAL ETHICS; PROFESSIONAL KNOWLEDGE; QUALITATIVE RESEARCH; SOCIAL CARE; UNITED KINGDOM;

EID: 84880620226     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2013-003178     Document Type: Article

References (22)

1. Laing and Buisson. Care of elderly people UK market survey. 22nd dn. Laing and Buisson Ltd, 2009.
2. Bowman C, Whistler J, Ellerby M. A national census of care home residents. Age Ageing 2004;33:561-6. (Pubitemid 39504287)
3. British Geriatrics Society A Quest for Quality Joint Working Party Inquiry into the Quality of Healthcare Support for Older People in Care Homes: a Call for Leadership, Partnership and Quality Improvement. 2011. http://www.bgs.org.uk/campaigns/carehomes/quest-quality-care-homes.pdf (accessed Mar. 2012).
4. Care Quality Commission Health care in care homes: a special review of the provision of health care to those in care homes. March 2012. http://www.cqc.org.uk/sites/default/files/media/documents/health-care-in-care- homes-cqc-march-2012.pdf (accessed Apr. 2012).
5. Heath H, Health and Health care Services My Home Life Quality of life in care homes: a review of the literature. 2007:96-116. http://www.scie.org.uk/ publications/guides/guide15/files/myhomelifelitreview.pdf (accessed Feb. 2012).
6. Barodawala S, Kesavan S, Young J. A survey of physiotherapy and occupational therapy provision in UK nursing homes. Clin Rehabil 2001;15:607-10. (Pubitemid 33138422)
7. Glendinning C, Jacobs S, Alborz A, et al. A survey of access to medical services in nursing and residential homes in England Br J Gen Pract 2002;52:545-8. (Pubitemid 34752203)
8. Bowman CE, Elford J, Dovey J, et al. Acute hospital admissions from nursing homes: some may be avoidable. Postgrad Med J 2001;77:40-2. (Pubitemid 32055948)
9. NHS Confederation Delivering Dignity: Securing dignity for older people in hospitals and care homes. A report for consultation. 2012. http://www.nhsconfed.org/Documents/dignity.pdf (accessed Jun. 2012).
10. Conroy S, Van Der Cammen T, Schols J, et al. Medical services for older people in nursing homes-comparing services in England and the Netherlands. J Nutr Health Ageing 2009;13:559-63.
11. Shah SM, Carey IM, Harris T, et al. Quality of chronic disease care for older people in care homes and the community in a primary care pay for performance system: retrospective study. BMJ 2011;342:912.
12. Care Quality Commission. About us care homes. 2011. http://www.cqc.org. uk/public/about-usarehomes (accessed Jan 2012).
13. Care Quality Commission Meeting the Health care needs of people in Care Homes. March 2012. http://www.cqc.org.uk/public/reportssurveys-and-reviews/ reviews-and-studies/meeting-health-careneeds-people-care-homes (accessed Apr. 2012).
14. Royal College of Physicians, Royal College of Nurses, British Geriatrics Society Health and care of older people in care homes: a comprehensive interdisciplinary approach 2000 RCP London.
15. Glaser BG, Strauss A. The discovery of grounded theory strategies for qualitative research. New York: Aldine, 1968.
16. Murphy E, Dingwall R. Qualitative methods and health policy research. New York: Aldine de Gruyter, 2000.
17. Pope C, Mays N. Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ 1995;31:1-46.
18. Gordon AL, Franklin M, Bradshaw L, et al. Health status of UK care home residents-a cohort study Age and Ageing 2013. In press.
19. Perry M, Carpenter I, Challis D, et al. Understanding the roles of registered nurses and care assistants in UK nursing homes. J Adv Nurs 2003;42:495-505.
20. Davies SL, Goodman C, Bunn F, et al. A systematic review of integrated working between care homes and health care services. BMC Health Serv Res 2011;11:320.
21. Goodman C, Davies S, Norton C, et al. Collaborating with primary care: promoting shared working between district nurses and care home staff. In: Froggat K, Davies S, Meyer J. (eds) Understanding care homes: a research and development perspective. Jessica Kingsley Publishers, 2009:201-22.
22. Seymour JE, Kumar A, Froggatt K. Do nursing homes for older people have the support they need to provide end-of-life care?A mixed methods enquiry in England. Palliat Med 2011;25:125-38.