The University of Southampton
University of Southampton Institutional Repository

Nurse-led implementation of the single assessment process in primary care: a descriptive feasibility study

Roberts, Helen C., Hemsley, Zoe M., Thomas, Gwen, Meakins, Philip, Powell, Jackie, Robison, Judy, Gove, Ian, Turner, Gill and Sayer, Avan Aihie (2006) Nurse-led implementation of the single assessment process in primary care: a descriptive feasibility study Age and Ageing, 35, (4), pp. 394-398. (doi:10.1093/ageing/afl008).

Record type: Article

Abstract

Objective: to determine the resources required to carry out the single assessment process in primary care.
Design: prospective descriptive study.
Setting: one urban primary care practice, Southampton.
Participants: nine hundred and forty-four people aged 70+ years, registered with the practice, not living in a residential/nursing home, or terminally ill.
Intervention: participants were sent the six-item Sherbrooke questionnaire (case-finding tool). Non-responders were re-mailed after 4 weeks. All those scoring 4, 5 or 6 and a randomly selected half of those scoring 2 or 3 were offered overview assessment and comprehensive assessment as indicated by the Minimum Data Set for Home Care protocol. The nurse assessor identified unmet needs and agreed an action plan with participants. Another researcher conducted semi-structured interviews with a purposive sample of 26 participants to elicit their views of the process.
Main outcome measures: response rates/scores of Sherbrooke questionnaire; numbers/characteristics of people requiring overview and comprehensive assessments; nature of resulting recommendations/referrals and impact on other agencies; resources required; views of service users.
Results: eight hundred and sixty-three (91%) participants replied. Five hundred and seven (54%) scored 2+, triggering an overview assessment, which was offered to 307. One hundred and twenty-four participants (40%) accepted; 64 (52%) had unmet needs (median 8 each, range 2–18), resulting in 34 referrals within the practice including four case conferences, and 21 to community/secondary health services. Few participants with a Sherbrooke score of 2 required comprehensive assessment. Users perceived the process as acceptable and useful, but not always relevant to their current needs.
Conclusion: targeting those scoring 3+ on the Sherbrooke questionnaire (28% of sample) may improve the identification of patients who would benefit from further assessment. A contact approach rather than a case-finding one may improve the relevance of this process to older people.

Full text not available from this repository.

More information

Published date: 1 July 2006
Keywords: assessment, function, older people, screening, elderly, health services, aged, health

Identifiers

Local EPrints ID: 45430
URI: http://eprints.soton.ac.uk/id/eprint/45430
ISSN: 0002-0729
PURE UUID: 1c72c757-5168-46ba-9395-271d25caf80d

Catalogue record

Date deposited: 30 Mar 2007
Last modified: 17 Jul 2017 15:12

Export record

Altmetrics

Contributors

Author: Zoe M. Hemsley
Author: Gwen Thomas
Author: Philip Meakins
Author: Jackie Powell
Author: Judy Robison
Author: Ian Gove
Author: Gill Turner
Author: Avan Aihie Sayer

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×