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

BMC Geriatrics

Sarah Kelly¹  Julienne Meyer²  Ann-Marie Towers³  Massirfufulay Kpehe Musa⁴  Lisa Irvine⁴  Gizdem Akdur⁴  Claire Goodman⁵  Anne Killett⁶  Guy Peryer⁶  Jennifer Kirsty Burton⁷  Liz Jones⁸  Sarah Brand⁹  Barbara Hanratty^1,10  Karen Spilsbury^1,11  Adam Lee Gordon^1,12 

[1] Cambridge Public Health, University of Cambridge, Cambridge, UK;Care for Older People, School of Health Sciences, Division of Nursing, City, University of London, London, UK;Centre for Health Services Studies, University of Kent, Canterbury, UK;NIHR Applied Research Collaboration, Surrey and Sussex, Kent, UK;Centre for Research in Public health and Community Care (CRIPACC), School of Health and Social Work, University of Hertfordshire, Hatfield, UK;Centre for Research in Public health and Community Care (CRIPACC), School of Health and Social Work, University of Hertfordshire, Hatfield, UK;NIHR Applied Research Collaboration East of England, Cambridge, UK;Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK;Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK;National Care Forum, Friars House, Manor House Drive, Coventry, UK;National Institute for Health Research Applied Research Collaboration South West Peninsula (PenARC), University of Exeter Medical School, St Luke’s Campus, Heavitree Road, Exeter, UK;Population Health Sciences Institute, Campus for Ageing and Vitality, Newcastle University, Newcastle upon Tyne, UK;NIHR Applied Research Collaboration, North East and North Cumbria, Newcastle, UK;School of Healthcare, University of Leeds, Leeds, UK;NIHR Applied Research Collaboration, Yorkshire and Humber, Leeds, UK;School of Medicine, University of Nottingham, Nottingham, UK;NIHR Applied Research Collaboration, East Midlands (ARC-EM), Leicester, UK;

关键词: Older people care;    long-term care;    care home;    standardised care;    minimum-data-set;   

DOI  :  10.1186/s12877-021-02705-w

来源: Springer

【 摘 要 】

BackgroundCare homes provide long term care for older people. Countries with standardised approaches to residents’ assessment, care planning and review (known as minimum data sets (MDS)) use the aggregate data to guide resource allocation, monitor quality, and for research. Less is known about how an MDS affects how staff assess, provide and review residents’ everyday care. The review aimed to develop a theory-driven understanding of how care home staff can effectively implement and use MDS to plan and deliver care for residents.MethodsThe realist review was organised according to RAMESES (Realist And Meta-narrative Evidence Synthesis: and Evolving Standards) guidelines. There were three overlapping stages: 1) defining the scope of the review and theory development on the use of minimum data set 2) testing and refining candidate programme theories through iterative literature searches and stakeholders’ consultations as well as discussion among the research team; and 3) data synthesis from stages 1 and 2. The following databases were used MEDLINE via OVID, Embase, CINAHL (Cumulative Index to Nursing and Allied Health Literature), ASSIA [Applied Social Sciences Citation Index and Abstracts]) and sources of grey literature.ResultsFifty-one papers informed the development of three key interlinked theoretical propositions: motivation (mandates and incentives for Minimum Data Set completion); frontline staff monitoring (when Minimum Data Set completion is built into the working practices of the care home); and embedded recording systems (Minimum Data Set recording system is integral to collecting residents’ data). By valuing the contributions of staff and building on existing ways of working, the uptake and use of an MDS could enable all staff to learn with and from each other about what is important for residents’ careConclusionsMinimum Data Sets provides commissioners service providers and researchers with standardised information useful for commissioning planning and analysis. For it to be equally useful for care home staff it requires key activities that address the staff experiences of care, their work with others and the use of digital technology.RegistrationPROSPERO registration number CRD42020171323.

【 授权许可】

CC BY