Who is being heard? Implementing change with people from diverse and marginalized groups in aged care: a scoping review.
Introduction: Many older people belong to diverse and marginalized groups, with care needs and preferences outside of normative aged care services. Increasing the representation and contributions of these older people is central to an equity-sensitive implementation approach where adaptation to the...
| Publicado en: | JBI Evidence Implementation Vol. 23; no. 2; pp. 231 - 246 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184529988&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184529988 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Apr2025 vid: 23 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 184529988 184529988 184529988 10.1097/XEB.0000000000000491 184529988 ppf: 231 ppct: 15 formats: tig: atl: Who is being heard? Implementing change with people from diverse and marginalized groups in aged care: a scoping review. aug: au: Marshall, Amy Windle, Alice Harvey, Gill Davy, Carol affil: College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia sug: subj: Gerontologic Care Cultural Diversity In Old Age Minority Groups In Old Age Implementation Science Program Implementation Human Systematic Review Scoping Review Diversity, Equity, Inclusion PubMed CINAHL Database Psycinfo Descriptive Statistics Aged Aged, 80 and Over Aged: 65+ years Aged, 80 & over ab: Introduction: Many older people belong to diverse and marginalized groups, with care needs and preferences outside of normative aged care services. Increasing the representation and contributions of these older people is central to an equity-sensitive implementation approach where adaptation to the context is critical. Objective: This review assessed the extent and nature of the literature on implementing change in aged care contexts serving older people who belong to diverse and marginalized groups. Methods: This scoping review searched for literature examining the implementation of change in any aged care context where older people from diverse and marginalized groups access care. The search was conducted in the PubMed, CINAHL, Scopus, and PsycINFO databases, and limited to papers published from 2013 onward. Of the 2,021 papers identified, 35 were included. Results: The majority (70%) of studies were in a residential aged care context, and only 25% used an implementation framework. Less than half (40%) engaged with diverse and marginalized older people or their representatives to understand their needs and preferences. The majority engaged instead with staff or other stakeholders, and most engagement (64%) was limited to lower-level consultation such as seeking feedback rather than involving, collaborating, or empowering stakeholders to ensure their perspectives improved the implementation process. Conclusions: There is little in the literature about ensuring changes in aged care identify and meet the needs and priorities of diverse and marginalized older people. This suggests a pressing need for implementation science to pay greater attention to equity and inclusion in the aged care context. http://links.lww.com/IJEBH/A314 pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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