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?

许多最近的研究，调查和询问研究了医疗保健中老年人的治疗，并确定了令人震惊的待遇证据： - 人权联合委员会（2007年）引起了人们对待遇不佳，忽视，虐待，歧视，缺乏对饮食和饮食以及营养不良和脱水和脱水的关注。 - 英国（2010年）强调，医院中缺乏对营养不良的检测和治疗为“国家耻辱”，并呼吁政府引入强制性监测营养不良的监测。 - 患者协会（2011年）详细介绍了16个有关其求助热线供您护理的医院护理不佳的说法，该求助于护理，可以缓解疼痛，帮助厕所和帮助饮食。 - 卫生服务监察员（2011）对NHS护理老年人的调查引起了人们对缺乏饮食援助的关键担忧。 - 护理质量委员会（2011a）尊严和营养检查确定了人们没有得到帮助的人，没有得到营养需求，没有得到足够的饮酒；员工不以尊重的方式对待患者；老年人还没有足够参与他们的护理。它的结论是，在许多情况下，国家没有遵守国家尊严和营养的最低标准，在某些情况下，待遇非常差，以至于侵犯了合法权利。 - 在平等与人权委员会（2011年）中发现了令人震惊的发现，以对需要或收到基于家庭的护理和支持的老年人的待遇进行调查。这项新的研究将建立一个定量的统计证据基础，以便在住宿期间对老年人的治疗产生国家统计图。我们将使用成人住院调查来分析老年人对Questiosn关于尊严和营养的反应。成人住院调查是政府用来监测NHS质量和性能的全国调查。调查的参与者是成年人，他们至少在英格兰的一家NHS医院住了一晚。询问他们是否认为他们在住院期间是否受到尊严和尊重的对待，以及他们是否在住院期间接受进食所需的帮助。新的研究涉及评估老年人对这些问题的回答。我们将分析老年人在2002 - 2011年期间住院期间对他们的治疗的评价，以及老年人是否比年轻人面临更大的风险。这项研究将重点介绍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谁处于最大风险的影响。我们还将研究老年与残疾之间的联系，以及年龄较大的年龄和区域剥夺，这是通往劣势和治疗差的途径。该研究将在住院期间提供有关老年人治疗的新证据，并将在该领域提供比以前提供的更深入的证据。它将回答重要的问题，例如： - 在2002 - 2011年期间，医院期间不接受尊严和尊重的老年人的全国比例，或者没有得到他们所需的支持，或者在2002 - 2011年期间增加或减少？ - 或多或少是老年人，或多或少地不受尊严和尊重的经验，或者不接受其他医院的支持，与其他医院的支持相比， - 还有其他因素，例如残疾，性别，种族，类型的hosptial和地区剥夺，对老年人的劣势和待遇不佳的经历有所不同？

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