Recent evidence on the development and maintenance of constructive staff-family relationships in the care of older people--a report on a systematic review update

Int J Evid Based Healthc. 2010 Jun;8(2):45-74. doi: 10.1111/j.1744-1609.2010.00165.x.


Aim: This paper is an update to a systematic review that presents the best available evidence on the factors that are most effective in promoting constructive staff-family relationships in the care of older people in the institutional healthcare setting.

Methods: Systematic review.

Results: The updated review supports findings from the earlier review. Additional evidence points to the importance of monitoring care, family involvement in decision-making, staff upholding the uniqueness of the older person, trust, the involvement of the multidisciplinary care team and family dynamics as factors underpinning effective staff-family relationships.

Conclusion: A number of factors critical to the development and maintenance of positive staff-family relationships in the institutional setting have been identified. The delivery of quality care is predicated on staff having an understanding of these factors.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Aged
  • Attitude to Health
  • Cooperative Behavior*
  • Decision Making
  • Evidence-Based Practice
  • Family / psychology
  • Health Services for the Aged / organization & administration*
  • Humans
  • Professional-Family Relations*
  • Qualitative Research