Instituto de Estudios Sociales Avanzados (IESA-CSIC), Consejo Superior de Investigaciones Cientificas, Córdoba, Spain
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba (UCO), Hospital Universitario Reina Sofía (HURS), Cordoba, Spain.
BMJ Open. 2020 Mar 23;10(3):e036551. doi: 10.1136/bmjopen-2019-036551.
To understand who are the participants in the decision-making process about the location of care of the elderly.
Systematic review of qualitative studies.
The following databases were consulted: Web of Science, MEDLINE, Scopus, CINAHL, PsycINFO and SciELO (from the beginning until 29 November 2017). The bibliographical references in the studies that were finally included in the review were also searched.
The studies had to deal with the decision-making process (already experienced by the participants) on the location of care of the elderly (adults who are 65 or older), had to use a qualitative methodology and had to be written in English or Spanish.
A data extraction tool was used. Data analysis was conducted through the constant comparative method from Glaser and Strauss' grounded theory.
46 studies were included in this review. Most of them were carried out in the USA, and in 21 of them the study population focused exclusively on the elderly. This review has found that there are many participants, with different roles and degrees of involvement, who may act jointly, separately or sequentially. These participants may be: the elders, family members, professionals and other relevant.
The main result of this review has been the variability found on how this decision is made, even varying the way of acting/perceiving the situation of the involved persons on certain occasions, simply due to the influence of some of the other groups of participants studied. Besides, this review has focused its results on the main participant in this process, the elders and how their family members interact with them when it comes to making this decision. This has allowed relevant results to be obtained about roles and degrees of involvement.
CRD42018084826.
了解参与老年人护理地点决策过程的人员。
对定性研究进行系统回顾。
检索了以下数据库：Web of Science、MEDLINE、Scopus、CINAHL、PsycINFO 和 SciELO（从开始到 2017 年 11 月 29 日）。还查阅了最终纳入综述的研究的参考文献。
研究必须涉及老年人护理地点（65 岁或以上的成年人）的决策过程（参与者已经经历过），必须使用定性方法，并且必须用英语或西班牙语书写。
使用了数据提取工具。数据分析通过 Glaser 和 Strauss 的扎根理论的恒定性比较方法进行。
本综述共纳入 46 项研究。其中大部分在美国进行，21 项研究的研究人群仅关注老年人。本综述发现，有许多参与者，具有不同的角色和参与程度，可能共同、单独或依次行动。这些参与者可能是：老年人、家庭成员、专业人员和其他相关人员。
本综述的主要结果是发现决策的方式存在很大差异，即使在某些情况下，由于所研究的其他一些群体参与者的影响，参与人员的行为/感知情况也会有所不同。此外，本综述将重点放在了这一过程中的主要参与者，即老年人，以及他们的家庭成员在做出这一决策时如何与他们互动。这使得关于角色和参与程度的相关结果得以获得。
CRD42018084826。
