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Providing telecare for older adults: understanding the care navigators’ experience

Providing telecare for older adults: understanding the care navigators’ experience PurposeThe provision of telecare for older adults in England is increasingly being facilitated by care navigators in the non-statutory sector. The purpose of this paper is to explore the experiences of care navigators when assessing older adults for telecare and to understand what contextual and organisational factors impact on their practice.Design/methodology/approachA purposeful sample of care navigators and telecare installers was selected. Care navigators were recruited from five non-statutory organisations. In order to provide an insight into telecare provision by this sector, telecare installers were also recruited. Semi-structured interviews were conducted with 11 participants covering: role, training, assessment, reviews, installation, suitability, impact, aims, outcomes, and organisational structure. Interview data were analysed using the framework approach.FindingsFive main themes emerged from the analysis: responsiveness, autonomy, knowledge exchange, evolving practice, and sustaining performance.Research limitations/implicationsThis study included a small sample, and was only based in one local authority, focusing on the experience of care navigators in only one sector.Practical implicationsThe findings suggest that strategic placement of care navigators could support the demand for telecare assessment to facilitate discharges from hospital. This study highlights the perception of home assessment as a gold standard of practice for care navigators. In order to develop a more sustainable model for care navigators’ capacity to work within hospital teams and provide home assessments needs further consideration.Originality/valueThis study is one of the first to explore the role of the care navigator and their involvement in the provision of telecare for older adults. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Quality in Ageing and Older Adults Emerald Publishing

Providing telecare for older adults: understanding the care navigators’ experience

Quality in Ageing and Older Adults , Volume 19 (1): 11 – Mar 12, 2018

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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1471-7794
DOI
10.1108/QAOA-12-2017-0051
Publisher site
See Article on Publisher Site

Abstract

PurposeThe provision of telecare for older adults in England is increasingly being facilitated by care navigators in the non-statutory sector. The purpose of this paper is to explore the experiences of care navigators when assessing older adults for telecare and to understand what contextual and organisational factors impact on their practice.Design/methodology/approachA purposeful sample of care navigators and telecare installers was selected. Care navigators were recruited from five non-statutory organisations. In order to provide an insight into telecare provision by this sector, telecare installers were also recruited. Semi-structured interviews were conducted with 11 participants covering: role, training, assessment, reviews, installation, suitability, impact, aims, outcomes, and organisational structure. Interview data were analysed using the framework approach.FindingsFive main themes emerged from the analysis: responsiveness, autonomy, knowledge exchange, evolving practice, and sustaining performance.Research limitations/implicationsThis study included a small sample, and was only based in one local authority, focusing on the experience of care navigators in only one sector.Practical implicationsThe findings suggest that strategic placement of care navigators could support the demand for telecare assessment to facilitate discharges from hospital. This study highlights the perception of home assessment as a gold standard of practice for care navigators. In order to develop a more sustainable model for care navigators’ capacity to work within hospital teams and provide home assessments needs further consideration.Originality/valueThis study is one of the first to explore the role of the care navigator and their involvement in the provision of telecare for older adults.

Journal

Quality in Ageing and Older AdultsEmerald Publishing

Published: Mar 12, 2018

References