Let’s Get Real about Person- and Family-Centred Geriatric Home Care: A Realist Synthesis
This realist synthesis has resulted in a theory that posits that team-based PFCC in geriatric home care requires the unique individual contributions of nurses, OTs, and PTs, in addition to the team-based PFCC function of communication and system level support through education.
Author: Justine L. Giosa, Paul Holyoke, Paul Stolee
Publication Date: June 27, 2019
Description: This study investigated the complex mechanisms underlying team-based delivery of person- and family-centred care (PFCC) in geriatric home care. Using a realist synthesis approach, an evaluative framework was developed and populated with 159 references from scoping the literature, consulting Canadian experts in PFCC, purposive searching in PubMed/MEDLINE® and Cumulative Index to Nursing and Allied Health Literature (CINAHL), and reviewing grey literature within Canada. References were selected using a two-person review and/or consensus approach and quality appraisal. Data were extracted and synthesized using context, mechanism, and outcome configurations into a theoretical framework of team-based PFCC in geriatric home care. The framework details the predominant discipline-specific contributions of nurses, occupational therapists, and physiotherapists, their collective contributions through communication in the context of a virtual team, and the system-level support required for comprehensive team-based PFCC delivery. Findings from this study could inform improvements to PFCC education, best practice guidelines, and more integrated delivery of PFCC in geriatric home care and other team-based care environments.
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Keywords: aging, person- and family-centred care, interdisciplinary teams, home care, geriatrics, realist synthesis
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