Risk and ageing populations: practice development research through an international research network

Background.  Risk theories derive from a range of disciplines, with nursing traditionally concentrating on scientific medical perspectives. However, for older people, risk perception and management is filled with complexity and paradox, and the threat of focusing on physical safety only to the detriment of the well-being of the older person. Method.  An international collaborative research network on risk in ageing populations has been developed, with 22 members in six countries (Britain, USA, India, South Africa, Australia and Northern Ireland). The network supports several independent projects, many of which have developed as a result of the network. An annual workshop for members has provided the opportunity to share and synthesize methodological experiences and to identify a developing model of risk for older people. Findings.  The developing model highlights the importance for older people of engaging with risk in a positive way, and describes patterns of risk-philic and risk-phobic activity. The inter-relationship of the individual older person with their community, with practitioners and with society is specific to the context of different countries. Conclusion.  Socio-critical practice development research can be a vehicle for advancing an understanding of risk theory for older people. Risk underpins concepts of choice and capacity to execute decisions. It is influenced by society, policy, health and social care services, and has a profound impact on the experiences of older people.