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Factors affecting residents transition from long term care facilities to the community: a scoping review

BACKGROUND: Long-term care facilities (LTCFs) are often places where persons with complex health needs that cannot be met in a community setting, reside and are cared for until death. However, not all persons experience continuous declines in health and functioning. For some residents who experience...

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Autores principales: Freeman, Shannon, Bishop, Kristen, Spirgiene, Lina, Koopmans, Erica, Bothelo, Fernanda C., Fyfe, Trina, Xiong, Beibei, Patchett, Stacey, MacLeod, Martha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628420/
https://www.ncbi.nlm.nih.gov/pubmed/28978324
http://dx.doi.org/10.1186/s12913-017-2571-y
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author Freeman, Shannon
Bishop, Kristen
Spirgiene, Lina
Koopmans, Erica
Bothelo, Fernanda C.
Fyfe, Trina
Xiong, Beibei
Patchett, Stacey
MacLeod, Martha
author_facet Freeman, Shannon
Bishop, Kristen
Spirgiene, Lina
Koopmans, Erica
Bothelo, Fernanda C.
Fyfe, Trina
Xiong, Beibei
Patchett, Stacey
MacLeod, Martha
author_sort Freeman, Shannon
collection PubMed
description BACKGROUND: Long-term care facilities (LTCFs) are often places where persons with complex health needs that cannot be met in a community setting, reside and are cared for until death. However, not all persons experience continuous declines in health and functioning. For some residents who experience improvement in personal abilities and increased independence, transition from the LTCF to the community may be an option. This scoping review aimed to synthetize the existing evidence regarding the transition process from discharge planning to intervention and evaluation of outcomes for residents transitioning from LTCFs to the community. METHODS: This review followed a five-stage scoping review framework to describe the current knowledge base related to transition from LTCFs to community based private dwellings as the location of the discharge (example: Person’s own home or shared private home with a family member, friend, or neighbour). Of the 4221 articles retrieved in the search of 6 databases, 36 articles met the criteria for inclusion in this review. RESULTS: The majority of studies focussed on an older adult population (aged 65 years or greater), were conducted in the USA, and were limited to small geographic regions. There was a lack of consistency in terminology used to describe both the facilities as well as the transition process. Literature consisted of a broad array of study designs; sample sizes ranged from less than 10 to more than 500,000. Persons who were younger, married, female, received intense therapy, and who expressed a desire to transition to a community setting were more likely to transition out of a LTCF while those who exhibited cognitive impairment were less likely to transition out of a LTCF to the community. CONCLUSIONS: Findings highlight the heterogeneity and paucity of research examining transition of persons from LTCFs to the community. Overall, it remains unclear what best practices support the discharge planning and transition process and whether or not discharge from a LTCF to the community promotes the health, wellbeing, and quality of life of the persons. More research is needed in this area before we can start to confidently answer the research questions.
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spelling pubmed-56284202017-10-13 Factors affecting residents transition from long term care facilities to the community: a scoping review Freeman, Shannon Bishop, Kristen Spirgiene, Lina Koopmans, Erica Bothelo, Fernanda C. Fyfe, Trina Xiong, Beibei Patchett, Stacey MacLeod, Martha BMC Health Serv Res Research Article BACKGROUND: Long-term care facilities (LTCFs) are often places where persons with complex health needs that cannot be met in a community setting, reside and are cared for until death. However, not all persons experience continuous declines in health and functioning. For some residents who experience improvement in personal abilities and increased independence, transition from the LTCF to the community may be an option. This scoping review aimed to synthetize the existing evidence regarding the transition process from discharge planning to intervention and evaluation of outcomes for residents transitioning from LTCFs to the community. METHODS: This review followed a five-stage scoping review framework to describe the current knowledge base related to transition from LTCFs to community based private dwellings as the location of the discharge (example: Person’s own home or shared private home with a family member, friend, or neighbour). Of the 4221 articles retrieved in the search of 6 databases, 36 articles met the criteria for inclusion in this review. RESULTS: The majority of studies focussed on an older adult population (aged 65 years or greater), were conducted in the USA, and were limited to small geographic regions. There was a lack of consistency in terminology used to describe both the facilities as well as the transition process. Literature consisted of a broad array of study designs; sample sizes ranged from less than 10 to more than 500,000. Persons who were younger, married, female, received intense therapy, and who expressed a desire to transition to a community setting were more likely to transition out of a LTCF while those who exhibited cognitive impairment were less likely to transition out of a LTCF to the community. CONCLUSIONS: Findings highlight the heterogeneity and paucity of research examining transition of persons from LTCFs to the community. Overall, it remains unclear what best practices support the discharge planning and transition process and whether or not discharge from a LTCF to the community promotes the health, wellbeing, and quality of life of the persons. More research is needed in this area before we can start to confidently answer the research questions. BioMed Central 2017-10-04 /pmc/articles/PMC5628420/ /pubmed/28978324 http://dx.doi.org/10.1186/s12913-017-2571-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Freeman, Shannon
Bishop, Kristen
Spirgiene, Lina
Koopmans, Erica
Bothelo, Fernanda C.
Fyfe, Trina
Xiong, Beibei
Patchett, Stacey
MacLeod, Martha
Factors affecting residents transition from long term care facilities to the community: a scoping review
title Factors affecting residents transition from long term care facilities to the community: a scoping review
title_full Factors affecting residents transition from long term care facilities to the community: a scoping review
title_fullStr Factors affecting residents transition from long term care facilities to the community: a scoping review
title_full_unstemmed Factors affecting residents transition from long term care facilities to the community: a scoping review
title_short Factors affecting residents transition from long term care facilities to the community: a scoping review
title_sort factors affecting residents transition from long term care facilities to the community: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628420/
https://www.ncbi.nlm.nih.gov/pubmed/28978324
http://dx.doi.org/10.1186/s12913-017-2571-y
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