Evidence map›Paper›PMID 38475717›Full record

ArticleBMC geriatrics2024

Specialised residential care for older people subject to homelessness: experiences of residents and staff of a new aged care home in Australia.

Costanza Preti, Christopher J Poulos, Roslyn G Poulos, Najwa L Reynolds, Allison C Rowlands, Kyall Flakelar, Angela Raguz, Peter Valpiani, Steven G Faux, Claire Mc O'Connor

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 4 countries.

Costanza PretiCentre for Positive Ageing, HammondCare, Sydney, Australia.
Christopher J PoulosCentre for Positive Ageing, HammondCare, Sydney, Australia.
Roslyn G PoulosCentre for Positive Ageing, HammondCare, Sydney, Australia.
Najwa L ReynoldsCentre for Positive Ageing, HammondCare, Sydney, Australia.
Allison C RowlandsCentre for Positive Ageing, HammondCare, Sydney, Australia.
Kyall FlakelarSchool of Population Health, UNSW, Sydney, Australia.
Angela RaguzCentre for Positive Ageing, HammondCare, Sydney, Australia.
Peter ValpianiHaymarket Foundation, Sydney, Australia.
Steven G FauxDepartments of Rehabilitation Medicine and Pain Medicine, St Vincent's Hospital, Sydney, Australia.
Claire Mc O'ConnorCentre for Positive Ageing, HammondCare, Sydney, Australia. claire.oconnor@unsw.edu.au.ORCID 0000-0002-3541-708X
UNSW Sydney · AUCampbell Collaboration · NOInstitute Unic · RUSt Vincent's Hospital Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of older people experiencing homelessness in Australia is rising, yet there is a lack of specialised residential care for older people subject to homelessness with high care and palliative needs. To address this significant gap, a purpose-built care home was recently opened in Sydney, Australia.

methodsThis qualitative study explores the experiences of both residents and staff who were living and working in the home over the first twelve months since its opening. Residents were interviewed at baseline (n = 32) and after six months (n = 22), while staff (n = 13) were interviewed after twelve months. Interviews were analysed using a reflexive thematic analysis approach informed by grounded theory.

resultsThree main themes emerged: (1) Challenges in providing care for older people subject to homelessness with high care needs; (2) Defining a residential care service that supports older people subject to homelessness with high care needs, and (3) Perception of the impact of living and working in a purpose-built care home after six months (residents) and twelve months (staff) since its opening. A key finding was that of the complex interplay between resident dependency and behaviours, referral pathways and stakeholder engagement, government funding models and requirements, staff training and wellbeing, and the need to meet operational viability.

conclusionThis study provides novel insights into how the lives of older people subject to homelessness with high care needs are affected by living in a specifically designed care home, and on some of the challenges faced and solved by staff working in the care home. A significant gap in the healthcare system remains when it comes to the effective provision of high care for older people subject to homelessness.

Indexed as

Ill-Housed PersonsNursing HomesAgedAustraliaDelivery of Health CareHomes for the AgedHumansAgeingHomelessnessLong-term carePalliative careQualitativeTrauma-informed care

Identifiers

PMID38475717
PMCPMC10936091
OpenAlexW4392693994

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.