Added Value: The Complementary Role of Care Record Analysis and Key Informant Interviews in Understanding Current UK Nursing Home Care for Older Adults
Williams, Stephen Downs, Murna G.
Williams, Stephen
Downs, Murna G.
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2013
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Abstract
Reducing hospital admissions of older adults with ambulatory care sensitive conditions is a
government priority. Yet relatively little is known about current health care practice in UK
nursing homes. We studied approaches to developing understanding of current health care
practices in UK nursing homes using a methodology of data-extraction from retrospective
care home records combined with key informant interviews. Older adults with an
exacerbation of one of 4 ambulatory sensitive conditions that warranted decision making
around admission to hospital or continued primary-care led nursing home care were
178
identified and recruited for participation. Care home records were examined using a proforma
for data-extraction. These data were combined with care-plans to construct a brief
care narrative. The relevant progress notes/daily record of care-given at the time of the
decision making were used to construct a visual time-line of events. For those participants
who consented, the key multiple stake holders in care were identified: non-professional
carers, care-home workers, caring professionals and care-managers. These data were used
to generate supplementary trigger questions and topics for semi-structured interviews. This
enabled questions raised by the care record to be identified and explored. Implications of
the findings for practice and research will be discussed.
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Williams S and Downs MG (2013) Added Value: The Complementary Role of Care Record Analysis and Key Informant Interviews in Understanding Current UK Nursing Home Care for Older Adults. In: The Proceedings of the 42nd Annual Conference of British Society of Gerontology: Global Ageing: Implications for Individuals and Societies. 11-13 Sep 2013. University of Oxford.
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