Talking about what matters : a systematic search and review exploring barriers and facilitators for implementing outcome-focused conversations

Miller, Emma and Seddon, Diane and Toms, Gill and Hanson, Elizabeth (2023) Talking about what matters : a systematic search and review exploring barriers and facilitators for implementing outcome-focused conversations. International Journal of Care and Caring, 7 (4). pp. 619-636. ISSN 2397-883X (https://doi.org/10.1332/239788221X16890689455395)

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Abstract

Unpaid carers form the backbone of health and care systems. Caregiving can be rewarding but can also diminish carer well-being. Many policies recognise that outcome-focused assessments are the foundation of effective support. In practice, carers can struggle to access these, preventing the realisation of carer-oriented policy goals. This systematic search and review explored literature concerning adult carer outcome assessment, retrieving 21 eligible studies spanning work in five countries. A narrative synthesis highlighted the skilled nature of the practice involved, alongside long-standing implementation barriers. We make evidence-based recommendations for policy implementation, with potential to improve outcomes for carers, practitioners and organisations.

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