Older people's experiences of dignity and nutrition during hospital stays: Secondary data analysis using the Adult Inpatient Survey

老年人住院期间的尊严和营养体验：使用成人住院调查进行的二次数据分析

• 批准号: ES/K004018/1
• 负责人: Polly Vizard
• 金额: $ 8.28万
• 依托单位: London School of Economics and Political Science
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2013
• 资助国家: 英国
• 起止时间: 2013 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FK004018%2F1
• 关键词: Older; people; experiences; dignity; nutrition

A number of recent studies, investigations and inquires have examine the treatment of older people in healthcare and have identified shocking evidence of poor treatment: -The Joint Committee on Human Rights (2007) raised concerns about poor treatment, neglect, abuse, discrimination, lack of support for eating and drinking, and malnutrition and dehydration. -Age UK (2010) highlighted lack of detection and treatment of malnutrition in hospital as a 'national disgrace' and called on the Government to introduce compulsory monitoring of malnutrition. -Patients Association (2011) details sixteen accounts of poor hospital care heard by its Helpline focusing on care-communication, access to pain relief, assistance with toileting, and help with eating and drinking. -The Health Service Ombudsman (2011) investigation into NHS care of older people raised key concerns about lack of assistance with eating and drinking. -The Care Quality Commission (2011a) dignity and nutrition inspection identified evidence of people not being given assistance to eat, not having their nutritional needs monitored and not being given enough to drink; staff not treating patients in a respectful way; and older people not being sufficiently involved in their care. It concluded that national minimum standards of dignity and nutrition were not being complied with in many casesn and in some cases treatment was so poor that it amounted to a violation of legal rights. -Further shocking findings were identified in the Equality and Human Rights Commission (2011) inquiry into the treatment of older people requiring or recieving home-based care and support. The new research will build up a quantitative statistical evidence base in order to produce a national statistical picture on older people's treatment during hosptial stays. We will analyse older people's responses to questiosn about dignity and nutrition using the Adult Inpatient Survey. The Adult Inpatient Survey is a national survey that the Government uses to monitor quality and performance in the NHS. Participants in the survey are adults who have stayed at least one night in an NHS hospital in England. They are asked whether they feel that they were treated with dignity and respect during their hospital stay, and whether they received the help that they need with eating during their hospital stays. The new research involves evaluating older people's responses to these questions. We will be analysing what older people have said about their treatment during hospital stays over the period 2002-2011 and whether older people are at any greater risk than younger people. The research will focus on trends in how many older people are affected by lack of dignity in treatment and inadequate nutritional support, and on who is at greatest risk. We will also be examining the links between older age and disability, and older age and area deprivation, as pathways to disadvantage and poor treatment. The research will provide new evidence on older people's treatment during hospital stays and will provide more in-depth evidence in this area than has previously been provided. It will answer important questions such as: -Has the national proportion of older people reporting not being treated with dignity and respect, or not receiving the support they need with eating, during hospital stays increased or decreased over the period 2002-2011?-Are older people more or less likely to experience not being treated with dignity and respect, or not receiving the support they need with eating, during hospital stays, compared with other population sub-groups? -Do other factors such as disability, sex, ethnicity, type of hosptial and area deprivation make a difference to older people's experiences of disadvantage and poor treatment?

最近的一些研究、调查和调查审查了老年人在医疗保健中的待遇，并发现了令人震惊的不良待遇证据：-人权问题联合委员会（2007年）对不良待遇、忽视、虐待、歧视、缺乏对饮食的支持以及营养不良和脱水表示关切。-英国老年协会（2010年）强调，医院缺乏对营养不良的检测和治疗是一种“国家耻辱”，并呼吁政府对营养不良实行强制性监测。-患者协会（2011年）详细介绍了其帮助热线听到的16个关于医院护理不良的报告，重点是护理沟通、获得疼痛缓解、协助如厕和帮助饮食。-卫生服务监察员（2011年）对NHS老年人护理的调查提出了缺乏饮食帮助的关键问题。-护理质量委员会（2011a）尊严和营养检查发现，有证据表明，人们没有得到饮食援助，没有监测他们的营养需求，也没有得到足够的饮水；工作人员不尊重病人；老年人没有充分参与他们的护理。委员会的结论是，在许多情况下，国家尊严和营养的最低标准没有得到遵守，在某些情况下，待遇非常差，相当于侵犯了合法权利。-平等与人权委员会（2011年）对需要或接受家庭护理和支持的老年人的待遇进行了调查，发现了进一步令人震惊的结果。这项新的研究将建立一个定量的统计证据基础，以便对老年人住院期间的治疗情况进行全国统计。我们将利用成人住院病人调查分析老年人对尊严和营养问题的回答。成人住院病人调查是政府用来监测国民保健服务质量和绩效的一项全国性调查。参与调查的都是在英国国民保健服务医院住过至少一晚的成年人。他们被问及是否觉得自己在住院期间得到了尊严和尊重，以及在住院期间是否在饮食方面得到了所需的帮助。这项新研究包括评估老年人对这些问题的回答。我们将分析2002-2011年期间老年人关于住院治疗的说法，以及老年人是否比年轻人面临更大的风险。这项研究将重点关注有多少老年人受到治疗缺乏尊严和营养支持不足的影响，以及哪些人面临的风险最大。我们还将研究老年与残疾之间的联系，以及老年与地区剥夺之间的联系，这些联系是导致不利地位和不良待遇的途径。这项研究将为老年人住院期间的治疗提供新的证据，并将在这一领域提供比以前提供的更深入的证据。它将回答以下重要问题：- 2002-2011年期间，报告在住院期间没有得到有尊严和尊重的待遇，或在饮食方面没有得到所需支持的全国老年人比例是增加还是减少？-与其他人口亚群体相比，老年人在住院期间是否更有可能没有得到尊严和尊重的对待，或者在饮食方面得不到所需的支持？残疾、性别、种族、医院类型和地区匮乏等其他因素是否会对老年人的不利处境和不良待遇产生影响？

项目成果

Older people's experiences of dignity and support with eating during hospital stays: analytical framework, policies and outcomes

老年人在住院期间的尊严和饮食支持体验：分析框架、政策和结果

• DOI: 10.1017/s0144686x21000568
• 发表时间: 2021
• 期刊: Ageing and Society
• 影响因子: 2.5
• 作者: Vizard P

Older people's experiences of dignity and nutrition during hospital stays: Secondary data analysis using the Adult Inpatient Survey, CASEBrief 34

老年人住院期间的尊严和营养体验：使用成人住院患者调查进行的二次数据分析，CASEBrief 34

• 发表时间: 2015
• 作者: Burchardt, T

Older people's experiences of dignity and nutrition during hospital stays: Secondary data analysis using the Adult Inpatient Survey

老年人住院期间的尊严和营养体验：使用成人住院调查进行的二次数据分析

• 发表时间: 2015
• 作者: Vizard, P