Abstract
BackgroundThis aim of this study was to explore the role of regulation on the quality of care of older people living with depression in LTC, which in this paper is a domestic environment providing 24-h care for people with complex health needs and increased vulnerability.MethodsWe conducted a systematic scoping review. A peer reviewed search strategy was developed in consultation with a specialist librarian. Several databases were searched to identify relevant studies including: Embase (using the OVID platform); MEDLINE (using the OVID platform); Psych info (using the OVID platform); Ageline (using the EBSCO platform); and CINHAL (using the EBSCO platform). Articles were screened by three reviewers with conflicts resolved in consultation with authors. Data charting was completed by one reviewer, with a quality check performed by a second reviewer. Key themes were then derived from the included studies.ResultsThe search yielded 778 unique articles, of which 20 were included. Articles were grouped by themes: regulatory requirements, funding issues, and organizational issues.ConclusionThe highly regulated environment of LTC poses significant challenges which can influence the quality of care of residents with depression. Despite existing evidence around prevalence and improved treatment regimens, regulation appears to have failed to capture the best practice and contemporary knowledge available. This scoping review has identified a need for further empirical research to explore these issues.
Highlights
This aim of this study was to explore the role of regulation on the quality of care of older people living with depression in long-term care (LTC), which in this paper is a domestic environment providing 24-h care for people with complex health needs and increased vulnerability
There were no restrictions placed on dates in the search strategy, and some articles are older. This explains how several articles were related to Omnibus Budget Reconciliation Act (OBRA) legislation, which was introduced in the USA in 1987, and which instituted screening for individuals placed in nursing facilities
OBRA (1987) legislation influenced the development of the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) tool, which was linked to Medicare and Medicaid reimbursement [48], and which
Summary
This aim of this study was to explore the role of regulation on the quality of care of older people living with depression in LTC, which in this paper is a domestic environment providing 24-h care for people with complex health needs and increased vulnerability. The prevalence of depression in older people living in long-term care (LTC) is high [1,2,3,4]. Recognition of depression in older people living in LTC is problematic. It has been suggested that older people are less willing to report feeling depressed [5], and second, there is a risk that professionals believe it to be a normal part of the aging process [6, 7]. Regulation in LTC has increased [21], there remains significant issues in the
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