Assumptions of good practices in home care for the elderly: a systematic review

Rodrigues, Rosalina Aparecida Partezani; Bueno, Alexandre de Assis; Casemiro, Francine Golghetto; Cunha, Alan Nogueira da; Carvalho, Lucas Pelegrini Nogueira de; Almeida, Vanessa Costa; Reis, Nayara Araújo dos; Seredynskyj, Fernanda Laporti

doi:10.1590/0034-7167-2018-0445

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

REVIEW • Rev. Bras. Enferm. 72 (suppl 2) • Nov 2019 • https://doi.org/10.1590/0034-7167-2018-0445 linkcopy

Assumptions of good practices in home care for the elderly: a systematic review

Supuestos de buenas prácticas en la atención domiciliaria de las personas mayores: una revisión sistemática

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: To synthesize the knowledge produced on best nursing practices in long-term care for elderly at home, in order to promote healthy aging.

Method: A systematic review, based on the Joanna Briggs Institute’s proposal: without restriction of dates; in the English, Portuguese and Spanish languages; conducted in PubMed, CINAHL, LILACS, Embase and Scopus databases.

Results: Among 453 articles identified, 16 were included in the review: seven qualitative and nine quantitative, published between 1996 and 2015. The synthesis of the data identified as best practices identifies a premise of care centered on the elderly and the inclusion of the elderly, family and nurses as agents of this care.

Conclusion: According to evidence, good practices in gerontological and nursing home care fundamentally depend on constant planning and reorganization, so that they are indeed comprehensive and contextualized. Thus, providing care will be reasoned by and driven to the elderly, based on their specific and global needs, favoring a process of healthy and active aging.

Descriptors:
Health Services for the Aged; Home Care Services; Home Health Nursing; Geriatric Nursing; Review

Question	Yes*	Partially
1. Was there a clear statement of the aims of the research?	16	00
2. Is the methodology appropriate?	14	02
3. Was the research design appropriate to address the aims of the research?	16	00
4. Was the recruitment strategy appropriate to the aims of the research?	16	00
5. Was the data collected in a way that addressed the research issue?	16	00
6. Has the relationship between researcher and the participants been adequately considered?	16	00
7. Have ethical issues been taken into consideration?	16	00
8. Was the data analysis sufficiently rigorous?	15	01
9. Is there a clear statement of findings?	16	00
10. How valuable is the research?	16	00

Author/ Year	Periodical/country	Objective	Method/Study
Author/ Year	Periodical/country	Objective	Type	Variables	Intervention	Sample
Griffiths⁽²⁰⁾ et al., 2004	International Journal of Nursing Practice/ Australia	To analyze the effectiveness of "community nurses" in improving knowledge and self-management of medications in a group of elderly people.	Quasi- experimental study	Medication self-management	Health education	Initial: 184Final: 24
Marek⁽²¹⁾ et al., 2006	Journal of Nursing Scholarship/ USA	To determine and compare the impact of nursing care on patients in a program.	Quasi-experimental study	General cognition, medication self-administration,dyspnea, and pain	Caring program	Initial: 55Final: 30
Park, Kim⁽²²⁾, 2015	Public Health Nursing/ South Korea	To evaluate the impact of a program of home visits for hypertensive elderly Koreans.	A quasi-experimental study, with a random sample, without a control group	Knowledge about arterial hypertension, adherence to medication, and general self-confidence in treatment	Health education	Sample: 13,452
Badia⁽²³⁾ et al., 2011	Gaceta Sanitaria/ Spain	To identify the characteristics of chronic patients, to predict the nursing workload.	Cross-sectional study	Home visit (dependent) and chronic characteristic (independent)	Health education	Initial: 1068Final: 1002
Villas Boas⁽²⁴⁾ et al., 2012	Revista Brasileira de Educação Médica/ Brazil	To perform the home follow-up on the elderly in the Family health unit	Cross-sectional study, with a convenience sample	Activities of daily living and instrumental activities of daily living	Health education	Initial: 15Final: 12
Karlsson ⁽²⁵⁾ et al., 2013	Journal of Clinical Nursing/ Sweden	To explore the satisfaction of home care in relation to the place of residence, functional dependence, and health complaints among people 65 years of age or older	Cross-sectional study	Functional dependence, health complaints, and quality of life	Health education	Sample: 166
Markle-Reid⁽²⁶⁾et al., 2006	Journal of Advanced Nursing/ Canada	To evaluate the comparative effects and costs of a nursing promotion intervention conducted by nurses, together with the home care team.	Randomized, controlled, single blind trial	Cognition, depression and social support	Health education	Initial: 288Final: 288
Moraes⁽²⁷⁾ et al., 2013	Cogitare Enfermagem/Brazil	To verify the influence of the application of a nursing protocol on the prevention of pressure ulcers in the elderly in home care.	Experimental randomized trial	Pressure ulcer	Pressure Ulcer Prevention Protocol (UPP)	Initial: 520Final: 40
Cooper⁽²⁸⁾ et al., 2011	Public Health Nursing/USA	To evaluate the impact of a program on the care of individuals with chronic disease	Longitudinal study with a convenience sample	Knowledge about chronic diseases	Health education	Initial: 55Final: 55

Author/ Year	Periodic/ Country	Method			Assumptions of good practices
Author/ Year	Periodic/ Country	Referential	Data collection	Data analysis	Categories identified
Rodrigues⁽²⁹⁾ et al, 1996	Acta Paulista de Enfermagem/ Brazil	Action Research	Participant observation and semi-structured interview	Thematic content analysis	Education; Bonding
Martins⁽³⁰⁾ et al, 2009	Revista de Enfermagem da UERJ/ Brazil	Case study	Semi-structured interview based on previously formulated script	Discourse of the collective subject	Self-care; family; social support network; bonding
SilvaI⁽³¹⁾et al., 2010	Revista de Saúde Pública/ Brazil	Case study	Documental analysis and interviews	Analysis of medical records and interviews	Self-care; bonding; environment; specific needs
Ribeiro⁽³²⁾et al., 2014	Revista Enfermagem Integrada/ Brazil	Descriptive study	Interview script with recording	Readings of reports, analysis, and data categorization	Self-care; education; bonding; specific needs
Cardoso⁽³³⁾, 2011	Estudos interdisciplinares de envelhecimento/ Brazil	Experience report	Data recording and evaluation of actions	Descriptive summary	Self-care; education; health promotion
Gago⁽³⁴⁾, Lopes., 2012	Acta Paulista de Enfermagem/ Brazil	Grounded Theory	Non-participant observation and semi-structured interview	Constant comparative analysis method and use of NVivo8® Software	Home environment; bonding; health education; family; visit type
Carvalhais, Sousa⁽³⁵⁾, 2013	Saúde Sociedade de São Paulo/ Portugal	Exploratory study	Photovoice	Content analysis by three independent experts	Healthy aging; bonding; family; self-care

vertical_align_top show_chart

more_horiz close
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

[TFN1] Note: Critical Appraisal Skills Programme(19) (CASP).