Person-centered care for older adults at nursing homes in the Iberian Peninsula: A Systematic Review
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Abstract
Portugal and Spain are neighboring countries, and both have aged populations. The aging of a population leads to a higher need for gerontological care. Person-centered care for older adults (PCCOA) offers a higher standard of quality at nursing homes. This systematic review aimed to: synthesize Portuguese and Spanish studies on PCCOA; describe the process of implementation of PCCOA; explore the impact of interventions based on PCCOA and determine the measurement tools used to evaluate PCCOA. This review was conducted in accordance with the PRISMA guidelines. Eleven electronic databases were used. All of the included studies examined PCCOA at Portuguese and/or Spanish nursing homes. Thirty-one of the included studies were conducted in Spain, and six were conducted in Portugal. Studies involved the development of models/recommendations, the promotion of resident participation in care processes and education/training. Their results indicated that PCCOA has positive outcomes for staff members and residents. Six measurement tools were used in the studies conducted in Spain. This review highlights the importance of PCCOA and the need for scientific advances, especially in Portugal. The current knowledge emerging from this systematic review will guide care planning and interventions to improve care quality and has the potential to create networking opportunities.
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Abbott, K., Heid, A., Road, L., & Haitsma, K. (2016). “We can’t provide season tickets to the opera”: Staff perceptions of providing preference-based person centered care. Clinical Gerontologist, 39(3), 190–209. https://doi.org/10.1080/07317115.2016.1151968
Google Scholar CrossrefBarbosa, A., Marques, A., Sousa, L., Nolan, M., & Figueiredo, D. (2015). Effects of a psycho-educational intervention on direct care workers’ communicative behaviors with residents with dementia. Health Communication. https://doi.org/10.1080/10410236.2014.965382
Google Scholar CrossrefBarbosa, A., Nolan, M., Sousa, L., & Figueiredo, D. (2015a). Person-centredness in direct care workers caring for residents with dementia: Effects of a psycho-educational intervention. Dementia, 0(0), 1–12. https://doi.org/10.1177/1471301215585667
Google Scholar CrossrefBarbosa, A., Nolan, M., Sousa, L., & Figueiredo, D. (2015b). Supporting direct care workers in dementia care: Effects of a psychoeducational intervention. American Journal of Alzheimer’s Disease and Other Dementias, 30(2), 130–138. https://doi.org/10.1177/1533317514550331
Google Scholar CrossrefBarbosa, A., Nolan, M., Sousa, L., & Figueiredo, D. (2017). Implementing a psycho-educational intervention for care assistants working with people with dementia in aged-care facilities: facilitators and barriers. Scandinavian Journal of Caring Sciences, 31, 222–231. https://doi.org/10.1111/scs.12333
Google Scholar CrossrefBarbosa, A., Nolan, M., Sousa, L., Marques, A., & Figueiredo, D. (2016). Effects of a psychoeducational intervention for direct care workers caring for people with dementia: Results From a 6-Month Follow-Up Study. American Journal of Alzheimer’s Disease and Other Dementias, 31(2), 144–155. https://doi.org/10.1177/1533317515603500
Google Scholar CrossrefBarbosa, A., Sousa, L., Nolan, M., & Figueiredo, D. (2015). Effects of person-centered care approaches to dementia care on staff: a systematic review.
Google Scholar CrossrefAmerican Journal of Alzheimer’s Disease & Other Dementias, 30(8), 713–722. https://doi.org/10.1177/1533317513520213%0A
Google Scholar CrossrefBarbosa, M., Dias, I., Afonso, R., Nwaru, G., Yanguas, J., & Paul, C. (2020). Person-Centered Care in long-term care facilities for older people in Iberian Peninsula: protocol for a systematic review [CRD42020166325]. PROSPERO https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=16632
Google Scholar CrossrefCASP-UK (2019). CASP Checklists. https://casp-uk.net/casp-tools-checklists/
Google Scholar CrossrefDelgado, P. (2019). El modelo de atención centrada en la persona en las residencias de mayores. (Thesis). Universidad de Valladolid.
Google Scholar CrossrefDíaz-Veiga, P., Sancho, M., García, Á., Rivas, E., Abad, E., Suárez, N., Mondragón, G., Buiza, C., Orbegozo, A., & Yanguas, J. (2014). Efectos del Modelo de Atención Centrado en la Persona en la calidad de vida de personas con deterioro cognitivo de centros gerontológicos. Revista Española de Geriatría y Gerontología, 49(6), 266–271.
Google Scholar CrossrefDíaz-Veiga, P., Uriarte, A., Yanguas, J., Cerdó, M., Sancho, M., & Orbegozo, A. (2016). ¿Estamos mejorando la atención? Efectos de intervenciones relativas al Modelo de Atención Centrado en la Persona en un grupo residencial. Zerbitzuan: Revista de Servicios Sociales, 61(June), 53–63. https://doi.org/10.5569/1134-7147.61.04
Google Scholar CrossrefEdvardsson, D., Sjögren, K., Lood, Q., Bergland, Å., Kirkevold, M., & Sandman, P. (2017). A person-centred and thriving-promoting intervention in nursing homes - Study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial. BMC Geriatrics, 17(1), 1–9. https://doi.org/10.1186/s12877-016-0404-1
Google Scholar CrossrefFazio, S., Pace, D., Flinner, J., & Kallmyer, B. (2018). The fundamentals of person-centered care for individuals with dementia. The Gerontologist, 58(1), S10–S19. https://doi.org/10.1093/geront/gnx122
Google Scholar CrossrefFernández-Ballesteros, R., Sánchez-Izquierdo, M., Olmos, R., Huici, C., Caprara, M. G., Santacreu, M., Casado, J. M. R., & Cruz-Jentoft, A. (2019). Development and validation of a paternalism and autonomist care assessment. Journal of Advanced Nursing, 75(11), 3166–3178. https://doi.org/10.1111/jan.14154
Google Scholar CrossrefFernández, N. (2015). Quality of life in nursing homes. (Thesis). Universidad de Valladolid. https://doi.org/10.1300/j185v04n03_03
Google Scholar CrossrefGarcía-Soler, Á., Díaz-veiga, P., Eulate, N., Mondragón, G., & Sancho, M. (2017). Estudio de la implicación en un grupo de personas con demencia con atención tradicional y un grupo con atención centrada en la persona. Revista Española de Geriatría y Gerontología, 52(2), 65–70.
Google Scholar CrossrefGarre-Olmo, J., Lopez-Pousa, S., Turon-Estrada, A., Juvinya, D., Ballester, D., & Vilalta-Franch, J. (2012). Environmental determinants of quality of life in nursing home residents with severe dementia. Journal of the American Geriatrics Society, 60(7), 1230–1236. https://dx.doi.org/10.1111/j.1532-5415.2012.04040.x
Google Scholar CrossrefGarro, M. (2016). El enfoque de atencion centrada en la persona. Plan formativo de sensibilizacion para los profesionales de referencia. (Thesis). Universidad de Navarra, España.
Google Scholar CrossrefGrupo de calidad de la Sociedad Española de Geriatría y Gerontología. (2014). 50 Recomendaciones básicas de aplicación práctica del modelo de planificación y atención gerontológica centrada en la persona. Sociedad Española de Geriatría e Gerontología.
Google Scholar CrossrefJBI (2019). Critical Appraisal Tools. https://jbi.global/critical-appraisal-tools
Google Scholar CrossrefKinsella, K., & Phillips, D. R. (2005). Global Aging: The challenge of success. Population Bulletin, Vol. 60.
Google Scholar CrossrefKoren, M. J. (2010). Person-Centered Care for Nursing Home Residents: The Culture-Change Movement. Health Affairs, 29(2), 1–6. https://doi.org/10.1377/hlthaff.2009.0966
Google Scholar CrossrefLantarón, H. G. (2015). Modelos de alojamiento para personas mayores: orígenes, evolución y tendencias. Fundación Caser.
Google Scholar CrossrefLove, K., & Kelly, A. (2011). Person-Centered Care: Changing with the Times. Geriatric Nursing, 32(2), 125–129. https://doi.org/10.1016/j.gerinurse.2011.01.005
Google Scholar CrossrefMartínez, T. (2013). La Atención Centrada en la Persona. Algunas claves para avanzar en los servicios gerontológicos. Actas de La Dependencia, 8(25–47), 1–23.
Google Scholar CrossrefMartínez, T. (2015a). La Atención Centrada en la Persona. Sus aportaciones al cuidado de las personas con Alzheimer. Serie Documento Acpgerontologia, (1).
Google Scholar CrossrefMartínez, T. (2015b). La Atención Centrada en la Persona en los servicios gerontológicos: modelos de atención y evaluación. (Tesis doctoral). Universidad de Oviedo, España.
Google Scholar CrossrefMartínez, T., Díaz-Veiga, P., Rodríguez, P., & Castiello, M. (2015). Modelo de atención centrada en la persona. Presentación de los Cuadernos prácticos. Madrid: Informes Envejecimiento en red, no 12.
Google Scholar CrossrefMartínez, T., Martínez-Loredo, V., Cuesta, M., & Muñiz, J. (2019). (Article in press). Assessment of Person-Centered Care in Gerontology Services: A new tool for healthcare professionals. International Journal of Clinical and Health Psychology. https://doi.org/10.1016/j.ijchp.2019.07.003
Google Scholar CrossrefMartínez, T., Suárez-Álvarez, J., & Yanguas, J. (2016). Instrumentos para evaluar la Atención Centrada en la Persona en los servicios gerontológicos. Psicothema, 28(2), 114–121. https://doi.org/10.7334/psicothema2015.263
Google Scholar CrossrefMartínez, T., Suárez-Álvarez, J., Yanguas, J., & Muñiz, J. (2015). Spanish validation of the Person-centered Care Assessment Tool (P-CAT). Aging & Mental Health, 20(5), 550–558. https://doi.org/10.1080/13607863.2015.1023768
Google Scholar CrossrefMartínez, T., Suárez-Álvarez, J., Yanguas, J., & Muñiz, J. (2016). (Article in press). The Person Centered approach in Gerontology: New validity evidence of the Staff Assessment Person-directed Care Questionnaire. International Journal of Clinical and Health Psychology. https://doi.org/10.1016/j.ijchp.2015.12.001
Google Scholar CrossrefMTSSS. (2017). Relatório de Portugal Comissão Económica Das Nações Unidas para a Europa (UNECE) Terceiro Ciclo de Revisão e Avaliação da Estratégia de Implementação Regional (RIS) do Plano Internacional de Ação de Madrid Sobre o Envelhecimento (MIPAA). https://unece.org/DAM/pau/age/country_rpts/2017/POR_report_POR.pdf
Google Scholar CrossrefMoher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(7): e1000097. https://doi.org/10.1371/journal.pmed1000097
Google Scholar CrossrefMuñiz, R., Gómez, S., Curto, D., Hernández, R., Marco, B., García, P., Tomás, J. F., & Olazarán, J. (2016). Reducing Physical Restraints in Nursing Homes: A Report From Maria Wolff and Sanitas. Journal of the American Medical Directors Association, 17(7), 633–639. https://doi.org/10.1016/j.jamda.2016.03.011
Google Scholar CrossrefOECD (2017). Relatório Económico da OCDE – Portugal. Retrieved from: http://www.oecd.org/economy/surveys/Portugal-2017-OECD-economic-survey-overview-portuguese.pdf
Google Scholar CrossrefPagán, C. (2018). Modelo asistencial atención centrada en la persona en centros residenciales. Revisión bibliográfica y experiencia prática. (Thesis). Universidad de Valladolid.
Google Scholar CrossrefPérez-Rojo, G., Noriega, C., Velasco, C., & López, J. (2018). Development and assessment of the content validity of the professional good practices scale in nursing homes. International Psychogeriatrics, 1–5. https://doi.org/10.1017/S1041610218002077
Google Scholar CrossrefPORDATA (2018). Índice de envelhecimento. Retrieved from: https://www.pordata.pt/Europa/%c3%8dndice+de+envelhecimento-1609
Google Scholar CrossrefRebollo, S. (2017). La Soledad en Personas Mayores y el Modelo de Atención Integral Centrado en la Persona. (Thesis). Universidad de Valladolid.
Google Scholar CrossrefRodríguez-Martín, B., Martínez-Andrés, M., Cervera-Monteagudo, B., Notario-Pacheco, B., & Martínez-Vizcaíno, V. (2013). Perception of quality of care among residents of public nursing-homes in Spain: A grounded theory study. BMC Geriatrics, 13(1), 1–9. https://doi.org/10.1186/1471-2318-13-65
Google Scholar CrossrefRodríguez-Martín, B., Martínez-Andrés, M., Notario-Pacheco, B., & Martínez-Vizcaíno, V. (2016). Conceptualizaciones sobre la atención a personas con demencia en residencias de mayores. Cadernos de Saúde Pública, 32(3), 1–12. https://doi.org/10.1590/0102-311x00163914
Google Scholar CrossrefRodríguez, P. R. (2010). La atención integral centrada en la persona. Principios y criterios que fundamentan un modelo de intervención de discapacidad envejecimiento y dependencia. Madrid: Informes Portal Mayores.
Google Scholar CrossrefRojano, M., & Reñones, C. R. (2015). Evolución del modelo de atención residencial, una propuesta de centro de mayores. Gerokomos, 26(4), 132–136.
Google Scholar CrossrefSánchez-Izquierdo, M., Santacreu, M., Olmos, R., & Fernández-Ballesteros, R. (2019). A training intervention to reduce paternalistic care and promote autonomy: A preliminary study. Clinical Interventions in Aging, 14, 1515–1525. https://doi.org/10.2147/CIA.S213644
Google Scholar CrossrefVillar, F., Celdrán, M., Serrat, R., Fabà, J., & Martínez, T. (2018). Staff’s reactions towards partnered sexual expressions involving people with dementia living in long-term care facilities. Journal of Advanced Nursing, 74, 1189–1198. https://doi.org/10.1111/jan.13518
Google Scholar CrossrefVillar, F., Celdrán, M., Serrat, R., Fabà, J., & Martínez, T. (2019). Expresión sexual y regulación de la sexualidad en residencias de personas mayores. Revista Espanola de Geriatria y Gerontologia, 54(1), 12–18. https://doi.org/10.1016/j.regg.2018.09.001
Google Scholar CrossrefVillar, F., Celdrán, M., Vila-Miravent, J., & Serrat, R. (2018). Involving institutionalised people with dementia in their care-planning meetings: lessons learnt by the staff. Scandinavian Journal of Caring Sciences, 32(2), 567–574. https://doi.org/10.1111/scs.12480
Google Scholar CrossrefVillar, F., & Serrat, R. (2016). (Article in press). Hable con ellos: cuidados narrativos en el marco de una atención centrada en la persona. Revista Espanola de Geriatria y Gerontologia. https://doi.org/10.1016/j.regg.2016.06.004
Google Scholar CrossrefVillar, F., Vila-Miravent, J., Celdrán, M., & Fernández, E. (2013). La participación de personas con demencia en las reuniones del plan de atención individualizada: impacto en el bienestar y la calidad del cuidado. Revista Española de Geriatría y Gerontología, 48(6), 259–264.
Google Scholar CrossrefVillar, F., Vila-Miravent, J., Celdrán, M., & Fernández, E. (2015). La evaluación del bienestar en pacientes con demencia: validez y fiabilidad de la versión española del Dementia Care Mapping (DCM). Estudios de Psicologia, 36(2), 389–412. https://doi.org/10.1080/02109395.2015.1026124
Google Scholar CrossrefWHO. (2015). World report on ageing and health. https://doi.org/https://apps.who.int/iris/handle/10665/186463
Google Scholar CrossrefYevchak, A. M., Fick, D. M., Kolanowski, A. M., Monroe, T., Leviere, A., & Mion, L. (2019). Implementing nurse-facilitated person-centered care approaches for patients with delirium superimposed on dementia in the acute care setting. Journal of Gerontological Nursing, 43(12), 21–28. https://doi.org/10.3928/00989134-20170623-01
Google Scholar CrossrefZubritsky, C., Abbott, K., Hirschman, K., Bowles, K., Foust, J., & Naylor, M. (2013). Health-related quality of life: Expanding a conceptual framework to include older adults who receive long-term services and supports. The Gerontologist, 53(2), 205–210. https://doi.org/10.1093/geront/gns093
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