Socio-Healthcare for Older People in the Mediterranean Basin: An Integrative Review and Quality Appraisal.
Ana María Porcel-Gálvez, Regina Allande-Cussó, Isotta Mac Fadden and 3 others
PMID 39404454WHAT IT FOUND
19 home and community care practices for dependent or socially excluded older people shared person-centered, interdisciplinary, ethical, and cultural themes.
The review did not test whether these practices improved outcomes, so they are care frameworks, not proven treatments.
Key findings
0119 studies were ultimately included after screening 9481 documents from official databases and 833 documents from other sources or grey literature.
02Among the 19 practices, 16 obtained a VB quality level; only Sustain and KAPI obtained IIIB, and Care Well obtained IIA.
03The review did not evaluate specific outcomes; it examined alignment with care paradigms.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review set no exclusion criteria, so the authors did not specify what was screened out. Many included documents were not research articles: seven were organization statutes and four were annual activity reports. 16 of the 19 practices received a VB quality level, and only Sustain and KAPI received IIIB, while Care Well received IIA. The analysis examined alignment with care paradigms, not specific outcomes, so the paper does not show whether these practices helped patients. The authors note that including only published practices may miss effective practices that lack scientific support.
Declared interests
The authors report no conflicts of interest and nothing to declare.
The easy way to misread this
Do not read the 19 practices as proven treatments. The review did not evaluate specific outcomes, and 16 of the 19 practices received a VB quality level.