Fran Hallam is a Clinical Researcher at Nottingham University Hospitals NHS Trust and a PhD student at the Centre for Rehabilitation and Ageing at the University of Nottingham. She holds a Masters degree in Public Health. She is a registered physiotherapist with previous experience of working in care home and falls service settings.
Fran’s PhD topic is co-production of falls management approaches in care homes. Her PhD forms part of a NIHR funded research project which aims to develop a novel model for the implementation of falls management in care home settings.
Co-production involves the public, practitioners and academics working together as equals throughout all research stages. Co-production may help to develop pragmatic, context-specific approaches to implementation which are acceptable to those living and working in care homes. This scoping review aimed to map co-production approaches used in care homes for older adults in previous research, and to identify barriers and facilitators to achieving co-production in this context.
The review was conducted following the Joanna Briggs Institute methodology for scoping reviews. Seven databases were searched for published studies using co-production approaches in a care home setting. Studies were independently screened against eligibility criteria by two reviewers and citation searching was completed. Barriers and facilitators to co-production were synthesised using a deductive thematic analysis approach guided by the NIHR INVOLVE principles of co-production.
19 studies were included. The focus and application of co-production approaches varied across the studies. 11 studies reported barriers and 13 reported facilitators affecting the co-production process. Barriers and facilitators to building relationships and achieving inclusive, equitable and reciprocal co-production were identified in alignment with the five NIHR INVOLVE principles. Practical considerations were also identified as potential barriers and facilitators.
The review has identified key factors which may influence authentic co-production in care home settings. The barriers and facilitators identified will inform the design of further research which aims to co-produce an implementation model for falls management in care homes.