The Participation of Older Persons in the Adoption of Age-Friendly Care Models in Hospital Settings: A Scoping Review.
Nick Anthony Millar, Kathleen F Hunter, Sherry Dahlke and 3 others
PMID 41485771WHAT IT FOUND
Across five hospital studies, older persons were asked for surveys, interviews or feedback, usually only while age-friendly care models were being introduced.
They were not partners in embedding or sustaining the changes.
Key findings
01Only five included studies described older persons taking part in adopting age-friendly hospital care models.
02Older persons participated by completing surveys, interviews and feedback, and participation was reported only during implementation, not in embedding or integration.
03No included study involved older persons in direct care, policy making, partnership or shared leadership.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only five included studies were found, so the evidence base is very small. The included studies came only from Canada and Australia, which may limit generalisability to other hospitals. The review did not include gray literature or quality improvement reports, so practice-based work may be missing. The included studies were not critically appraised, so methodological weaknesses in them are not quantified. Many included studies excluded older persons with cognitive impairment, and family proxy participation was uncommon. The timing of older persons' responses varied, which may introduce recall bias. The authors did not involve patient partners in conducting the review.
Declared interests
The authors declared no conflicts of interest and reported nothing to report for funding or ethics.
The easy way to misread this
Do not read this as evidence that age-friendly care models improve patient outcomes. It mapped older persons' participation in adoption, not the effectiveness of the models.