Research: Supportive Care in Later Life (Formerly 'Older People')
This research theme is concerned with exploring the ways in which partnerships can be formed between older people, families and paid carers in order to generate knowledge that contributes both to greater theoretical understanding and enhanced service delivery.
Research summary and principal aims
Work in this area has been a consistent area of activity since the School of Nursing´s inception in 1995 and contributes to the University of Sheffield´s reputation as one of the foremost centres for the study of ageing.
By working closely with older people, family and paid carers we aim to explore the characteristics of, and factors that create `enriched environments´ of care in which the quality of life of older people and their family carers is enhanced, and the job satisfaction and morale of staff is raised.
We have close links with several other departments in the University, especially the Sheffield Institute for Studies on Ageing (SISA), and well established international links, especially with Sweden.
Visit the Sheffield Institute for Studies on Ageing (SISA) website
Several significant streams of work are being taken forward, including:
Family carers
Work with family carers has been a feature of activity for over 15 years and has involved: the development of new assessment frameworks, together with colleagues in Sweden and Canada; the creation of a user-focused research and development centre for older people, families, practitioners and policy-makers in Sweden (ÄldreVäst Sjuhärad); on-going work with the information and communication technology based ACTION project in Sweden; participation with colleagues in SISA in a number of EU funded R&D projects; work with families caring for people with severe mental illness.
Senses Framework and Relationship-Centred Care
Work across the theme in education, dementia care, care homes, and with carers has seen the further elaboration of the Senses Framework and Relationship-Centred Care as a new model underpinning practice with older people and their families and education for practitioners.
This saw the emergence of new practice tools, based on the Senses Framework, for example, the CARE (Combined Assessment of Residential Environments) profiles which have attracted international interest, and the development of innovative dissemination methods using multi-media applications. Relationship-Centred Care and the Senses Framework currently underpin Help the Aged´s major new initiative My Home Life, and are being used by the Care Commission in Scotland to inform new national standards for care homes.
National Care Home Research and Development Forum (NCRDF)
Work in care homes not only stimulated the development of the CARE profiles, but has also been instrumental in the launch of the National Care Home Research and Development Forum (NCRDF) consolidating links between academics, providers, users and practitioners in this vital area.
Adult protection and elder abuse
Adult protection and elder abuse have been a stream of the research group since 2004. A major Department of Health funded study over 3 years has concerned 'Partnerships and Regulation in Adult Protection' and there has also been a Project Management role within the UK Study of Elder Abuse and Neglect, funded by Comic Relief and the Department of Health.
Both of these studies have involved discussions with the Department of Health and the Scottish Executive and these are likely to be ongoing. The work is being taken forward through a Research into Practice for Adults (RIPFA) Change Project on Adult Protection and active international links are being established/maintained, particularly with colleagues in Europe.
Sexuality and older people
Working in close collaboration with colleagues at SISA, this stream of work focuses upon the much neglected area of sexuality and ageing. Of particular interest are sexual and reproductive health issues across the life-course. Within this context, work has addressed various psychosocial aspects of health & healthcare, including barriers to accessing (sexual) healthcare services and impact of health conditions upon psychological well-being.
End of life care
Key projects
- RIPFA, Penhale, CHANGE Project on Adult Protection, Academic co-ordinator role, 2007-2008
- Scottish Executive, Kingston and Penhale, Literature review on Interventions in Adult Protection, 2006-2007, £10,000
- Comic Relief/DoH National Study on Mistreatment and Abuse of Older People, Project management role, 2005-2007, £12,000
- European Commission AGIS programme, Walentich et al, Violence and Grave Neglect of the Elderly, 2005-2007, 250,000 Euros
- European Commission, Hagemann-White, Martinez, Schrottle, et al Co-ordinated Action on Human Rights Violations (CAHRV), 2004-2007, 650,000 Euros
- A collaborative cross-cultural study: Implementation of an assessment process for service needs of family caregivers of older adults based on a partnership approach, Funded by the Canadian Institute of Health Research, 2007-2008 (Ducharme FC, Caron CD, Hanon EJ, Levesque L, Magnusson L and Nolan MRs)
- ACTION: Living with Dementia Support Service: a model/system for education and support via ICT, Funded by The Knowledge Foundation, Sweden, Telia Sweden, ÄldreVäst Sjuhärad, Sweden, 2006-2009 (Hanson E, Magnusson M, Nolan MR et al)
- Evaluating the implementation of COAT in Swedish Municipalities, Various funding sources in Sweden, 2006-2009 (Hanson E, Magnusson L, Nolan MR, Nolan J, et al)
- Culture change, organisational performance, and quality of acute hospital care for older people, Funded by the NHS Service Delivery and Organisation National R&D Programme, 2005-2008 (Patterson M, Rick J, Nolan MR, Davies S and Musson G)
Key publications
S Nolan, M R, Hanson, E, Grant, G and Keady, J (Eds) (In press)
User Participation in Health and Social Care Research: Voices, Values and Evaluation. Open University Press.
Nolan, M R, Brown, J, Davies, S, Nolan, J and Keady, J (2006)
The Senses Framework: Improving Care for Older People Through a Relationship-Centred Approach. Getting Research into Practice (GRiP) Report No 2, University of Sheffield.
Hanson, E, Nolan, J, Magnusson, L, Sennemark, E, Johansson, L and Nolan, M R (2006)
COAT: The Carers Outcome Agreement Tool: A new approach to working with family carers. Getting Research into Practice (GRiP) Report No 1, University of Sheffield.
Nolan M R, Lundh U, Grant G and Keady J (2003) (Eds)
Partnerships in Family Care: understanding the caregiving career. Open University Press, Maidenhead.
Key achievements
- 2007 – Nolan, MR: (Keynote address) “Relationship-centred care: Enriching practice with older people”. Presented to NHS North Yorkshire Research and Development Alliance Older People’s Mental Health Conference.
- 2006 – Nolan, MR: (Keynote address) “What counts as evidence, whose evidence counts? A relationship-centred approach to generating evidence and improving practice”. Presented to Sheffield City Council Evidence-Based Conference.
- 2006 – Nolan, MR: (Keynote address) “Celebrating relationship-centred care”. Presented to 11th Sunderland Nursing Conference Identifying Relationship-Centred Care.
- 2006 – Nolan, MR: (Keynote address) “My home life or our home life? The ‘risky’ road to quality”. Presented to National Care Forum Managers Conference, Tortworth Court, South Gloucestershire.
- 2006 – Nolan, MR: (Keynote address) “Working together with family carers”. Presented to Care Alliance Ireland Annual Conference.
- 2002 - Queen’s Anniversary Prize. The University won one of the UK’s most prestigious educational awards for its pioneering work on improving quality of life for older people. The Queen's Anniversary Prizes scheme is part of the national honours system, and stands alongside the Queen's Award for Enterprise in recognising outstanding achievement.
- 2001-date – Nolan, MR: Visiting Chair at the University College of Health Sciences, Borås, West Sweden.
People
Each person´s name links through to their personal profile where available.
- Dr Merryn Gott
- Dr Sharron Hinchliff
- Dr Christine Ingleton
- Professor Mike Nolan
- David Reid
- Dr Jayne Brown (Honorary Lecturer)
- Dr Sue Davies (Honorary Reader)
- Dr Elizabeth Hanson (Honorary Reader)
Postgraduate researchers
- Samira Alsenany
- Christine Brown-Wilson
- Philip Clisset
- Sara Laker
- Gerry Marvel
- Julia Maz
- Linda Nicklin
