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JS_RN01_RN16_06: European Health Policy and Ageing Societies: Challenges and Opportunities
2:00pm - 3:30pm
Session Chair: Edward Tolhurst, Staffordshire University Session Chair: Angela Genova, Urbino Carlo Bo
Location:BS.3.27 Manchester Metropolitan University
Building: Business School, Third Floor, North Atrium
The potential challenges confronting ageing societies are well documented. For example, how will nation states manage economically and socially as the proportion of people of working-age reduces in relation to those who have retired? It is vital, however, to resist an excessively negative portrayal of ageing societies. The changing nature of ageing could lead to new opportunities. For example, how can the contributions of older people be best utilised to support the provision of healthcare?
Making Buildings for Social Care in Later Life: the Absent Presence of Building Users in Architectural Work
Sarah Nettleton1, Christina Buse2, Daryl Martin3
1University of York, United Kingdom; 2University of York, United Kingdom; 3University of York, United Kingdom
This presentation explores findings from the sociological project, ‘Buildings in the Making,’ which examined the work of architects who design buildings for later life care in the UK. Despite claims that architectural design can enhance the quality of life of older people, combined with a growing body of evidence on age friendly design, there is little sociological insight into how designs for later life are operationalised throughout the design and construction process. The study opened the ‘black box’ between the initial commissioning of buildings through to their delivery, in order to understand how ideas about good practice in design for anticipated building users are sourced, deployed and translated. Interviews were conducted with 26 architectural professionals, observational research was carried out with work of nine architectural practices, and a sample of three design and construction projects were closely followed over a period of 10-18 months. In this presentation we focus on how building users, especially older people and care workers, are imagined and/or consulted by architects and other members of the design and construction team. It also discusses how good practice in design for later life can come into tension with different regulatory requirements, financial constraints, tensions between promoting independence and concerns for safety and the competing requirements of different stakeholders. These in turn are explored in light of the varying models of commissioning and routes of procurement that can enable or constrain the translation of design aspirations in to delivered projects. Despite aspirations on the part of some architects, clients and other stakeholders, eventual users often disappeared from the focus of building projects and constituted an absent presence at the heart of design.
Older Patients Discharged from Hospital to Community Care. Hospital Nurses and Community Nurses’ Experiences of the Quality of Transition
Heidi Gautun1, Jenny Billings2, Christopher Bratt3
1OsloMet Oslo Metropolitan University, Norway; 2University of Kent UK; 3University of Kent UK
Older patients’ transitions from hospitals to community care need to be improved. This paper investigates hospital-based nurses’ and community-based nurses’ experiences with the quality of older patients’ transition from hospitals to community care. We use data from recent nationwide Norwegian surveys with nurses working in inpatient wards in acute hospitals (N = 2, 431) and nurses working in nursing homes and home nursing (N = 5,816) to test two hypotheses. First, we test whether nurses working in community care report lower quality of transfer than do nurses in hospitals. We also test whether nurses working in community and nurses in hospitals differ in their reports on information provided about patients, with nurses in community care being less satisfied with the information provided. Analyses with structural equation modelling support both hypotheses. We conclude our paper by discussing how transfer of older patients from hospitals to community care can be improved. Specifically, we suggest not to rely mainly electronic communication, but to increase the direct contact (face to face and by telephone) between hospital nurses and community nurses, especially between the hospital nurses and the home nurses.