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Article
Publication date: 8 January 2019

Emilia Pusey, Anthea Tinker and Federica Lucivero

The research question is: what are older adults’ experiences of shared decision making (SDM) in a healthcare setting? This involved exploring older adults’ experiences and…

Abstract

Purpose

The research question is: what are older adults’ experiences of shared decision making (SDM) in a healthcare setting? This involved exploring older adults’ experiences and opinions of decision making in a healthcare setting, and understanding what SDM means to older adults. The paper aims to discuss this issue.

Design/methodology/approach

A qualitative study using face-to-face, semi-structured interviews with adults over 65 years was conducted. Thematic analysis was used.

Findings

Three broad themes were identified which ascribed roles to individuals involved in decision making. This includes the way in which older adults felt they should be involved actively: by asking questions and knowing their own body. The doctors’ role was described as assistive by facilitating discussion, giving options and advice. The role of the family was also explored; older adults felt the family could impact on their decisions in both a direct and indirect way. There was some confusion about what constituted a decision.

Research limitations/implications

This was a small qualitative study in a market town in England.

Practical implications

Clinicians should facilitate the involvement of older adults in SDM and consider how they can increase awareness of this. They should also involve the family in decision making.

Originality/value

There are limited studies which look at this issue in depth.

Details

Working with Older People, vol. 23 no. 2
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 4 September 2017

Anthea Tinker, Victoria Berdugo, Michael Buckland, Lois Crabtree, Anistta Maheswaran, Andrea Ong, Jasmine Patel, Emilia Pusey and Chandini Sureshkumar

The purpose of this paper is to investigate the influence that volunteering before medical school with older people in a care home has on the perceptions of older people.

Abstract

Purpose

The purpose of this paper is to investigate the influence that volunteering before medical school with older people in a care home has on the perceptions of older people.

Design/methodology/approach

Eight medical students answered an anonymous questionnaire relating to their experiences of volunteering in a care home before medical school. This was combined with an analysis of the relevant literature.

Findings

All the students had initially volunteered to enhance their CV for medical school. After volunteering, they had a greater realisation of the variety of older people. They also gained a number of transferable skills related to communicating with older people, especially those with cognitive impairment. The greatest learning experience was around the issues to do with dementia.

Research limitations/implications

The research is based on eight students although they were from different areas.

Practical implications

It would be beneficial if care homes could be more proactive in encouraging prospective medical students to volunteer. Medical schools could also provide clearer advice or take a more active stance such as encouraging prospective students to volunteer with older people. Further research should be with a larger sample to gain insight into varying perspectives. It would also be useful to conduct research into older adults’ attitudes towards the contribution of potential medical students to their own lives and to the home.

Social implications

Volunteering before medical school should be encouraged as it will enhance the chances of getting a place as well as being an eye opening experience and equip them with lifelong skills.

Originality/value

Original.

Details

Working with Older People, vol. 21 no. 4
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 1 August 1900

In the preceding rules the individual biographical entry has been ignored, as it lends itself to more convenient treatment apart. Collective biography is, of course, in no way…

Abstract

In the preceding rules the individual biographical entry has been ignored, as it lends itself to more convenient treatment apart. Collective biography is, of course, in no way different from the ordinary book ; and the same is to be said of autobiography. Owing to the change of form in the individual biographical entry, due to the author yielding in importance to the biographee, it is usual to separate collective and individual biography in the catalogue, whether this is done on the shelves or not. Individual biography might be further separated in the catalogue into autobiographical and non‐auto‐biographical, though I cannot recall any instance where this has been carried out. In any case, it is important to distinguish in some clear way, between the subject name and the name of the author. Mere position is hardly enough ; there should be a distinction in the type. Whatever type has been employed in the other parts for author should be retained for author in the individual biograhical entry, and the subject name should be in a different type. If the author is printed in a black‐face type, as suggested in these rules, the best type for the subject name will be small capitals, as :—

Details

New Library World, vol. 3 no. 2
Type: Research Article
ISSN: 0307-4803

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