Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles
Abstract Background Aged-care programs that are based in First Nations worldviews are believed to translate to improved quality of life for First Nations Elders. First Nations perspectives of health and well-being incorporates social and cultural determinants in addition to traditional Western biome...
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ftdoajarticles:oai:doaj.org/article:9dec37097e54462fa13c627122bc8177 2024-09-09T19:40:12+00:00 Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles Caleb Rivers Emma Haynes Dina LoGiudice Kate Smith Dawn Bessarab 2024-02-01T00:00:00Z https://doi.org/10.1186/s12877-024-04781-0 https://doaj.org/article/9dec37097e54462fa13c627122bc8177 EN eng BMC https://doi.org/10.1186/s12877-024-04781-0 https://doaj.org/toc/1471-2318 doi:10.1186/s12877-024-04781-0 1471-2318 https://doaj.org/article/9dec37097e54462fa13c627122bc8177 BMC Geriatrics, Vol 24, Iss 1, Pp 1-25 (2024) First Nations people Older Models of care Quality of life Systematic review Geriatrics RC952-954.6 article 2024 ftdoajarticles https://doi.org/10.1186/s12877-024-04781-0 2024-08-05T17:49:52Z Abstract Background Aged-care programs that are based in First Nations worldviews are believed to translate to improved quality of life for First Nations Elders. First Nations perspectives of health and well-being incorporates social and cultural determinants in addition to traditional Western biomedical approaches. This is exemplified by the Good Spirit Good Life (GSGL) framework, which comprises 12 strength-based factors determined by First Nations Elders as constituting culturally appropriate ageing. Our objective was to conduct a systematic review of existing aged care models of practice to determine the degree of alignment with the GSGL framework. Recommendations of the national Australian Royal Commission into Aged Care Quality and Safety informed this work. Methods We conducted a systematic search of academic and grey literature in the PubMed, Scopus, Ovid Embase, and Informit online databases. Inclusion criteria comprised English language, original research describing the implementation of First Nations culturally appropriate aged care models, published before August 2022. Research that was not focused on First Nations Elders’ perspectives or quality of life was excluded. We subsequently identified, systematically assessed, and thematically analyzed 16 articles. We assessed the quality of included articles using the Aboriginal and Torres Strait Islander Quality Assessment Tool (ATSIQAT), and the Joanna Briggs Institute (JBI) critical appraisal tool for qualitative research. Results Most studies were of medium to high quality, while demonstrating strong alignment with the 12 GSGL factors. Nine of the included studies detailed whole service Models of care while 7 studies described a single program or service element. Thematic analysis of included studies yielded 9 enablers and barriers to implementing models of care. Conclusions Best-practice First Nations aged care requires a decolonizing approach. Programs with strong adherence to the 12 GSGL factors are likely to improve Elders’ quality of life. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Briggs ENVELOPE(-63.017,-63.017,-64.517,-64.517) BMC Geriatrics 24 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
First Nations people Older Models of care Quality of life Systematic review Geriatrics RC952-954.6 |
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First Nations people Older Models of care Quality of life Systematic review Geriatrics RC952-954.6 Caleb Rivers Emma Haynes Dina LoGiudice Kate Smith Dawn Bessarab Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles |
topic_facet |
First Nations people Older Models of care Quality of life Systematic review Geriatrics RC952-954.6 |
description |
Abstract Background Aged-care programs that are based in First Nations worldviews are believed to translate to improved quality of life for First Nations Elders. First Nations perspectives of health and well-being incorporates social and cultural determinants in addition to traditional Western biomedical approaches. This is exemplified by the Good Spirit Good Life (GSGL) framework, which comprises 12 strength-based factors determined by First Nations Elders as constituting culturally appropriate ageing. Our objective was to conduct a systematic review of existing aged care models of practice to determine the degree of alignment with the GSGL framework. Recommendations of the national Australian Royal Commission into Aged Care Quality and Safety informed this work. Methods We conducted a systematic search of academic and grey literature in the PubMed, Scopus, Ovid Embase, and Informit online databases. Inclusion criteria comprised English language, original research describing the implementation of First Nations culturally appropriate aged care models, published before August 2022. Research that was not focused on First Nations Elders’ perspectives or quality of life was excluded. We subsequently identified, systematically assessed, and thematically analyzed 16 articles. We assessed the quality of included articles using the Aboriginal and Torres Strait Islander Quality Assessment Tool (ATSIQAT), and the Joanna Briggs Institute (JBI) critical appraisal tool for qualitative research. Results Most studies were of medium to high quality, while demonstrating strong alignment with the 12 GSGL factors. Nine of the included studies detailed whole service Models of care while 7 studies described a single program or service element. Thematic analysis of included studies yielded 9 enablers and barriers to implementing models of care. Conclusions Best-practice First Nations aged care requires a decolonizing approach. Programs with strong adherence to the 12 GSGL factors are likely to improve Elders’ quality of life. |
format |
Article in Journal/Newspaper |
author |
Caleb Rivers Emma Haynes Dina LoGiudice Kate Smith Dawn Bessarab |
author_facet |
Caleb Rivers Emma Haynes Dina LoGiudice Kate Smith Dawn Bessarab |
author_sort |
Caleb Rivers |
title |
Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles |
title_short |
Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles |
title_full |
Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles |
title_fullStr |
Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles |
title_full_unstemmed |
Best practice models of aged-care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles |
title_sort |
best practice models of aged-care implemented for first nations people: a systematic review aligned with the good spirit good life quality of life principles |
publisher |
BMC |
publishDate |
2024 |
url |
https://doi.org/10.1186/s12877-024-04781-0 https://doaj.org/article/9dec37097e54462fa13c627122bc8177 |
long_lat |
ENVELOPE(-63.017,-63.017,-64.517,-64.517) |
geographic |
Briggs |
geographic_facet |
Briggs |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Geriatrics, Vol 24, Iss 1, Pp 1-25 (2024) |
op_relation |
https://doi.org/10.1186/s12877-024-04781-0 https://doaj.org/toc/1471-2318 doi:10.1186/s12877-024-04781-0 1471-2318 https://doaj.org/article/9dec37097e54462fa13c627122bc8177 |
op_doi |
https://doi.org/10.1186/s12877-024-04781-0 |
container_title |
BMC Geriatrics |
container_volume |
24 |
container_issue |
1 |
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1809909528503779328 |