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Social prescribing for older adults: An evolutionary concept analysis
Evans F Kyei1, Caesar M Abuga1, Mercy N Mumba1
1Center for Substance Use Research and Related Conditions, Capstone College of Nursing, The University of Alabama, 650 University Blvd East, 35401, Tuscaloosa, AL.
Social prescribing connects older adults with community resources to address health needs. This study clarifies its core elements, aiding nurses in implementing effective interventions for improved wellbeing and aging in place.
Area of Science:
- Gerontology
- Public Health
- Nursing Science
Background:
- Social prescribing links healthcare with community resources for older adults.
- Conceptual ambiguity hinders consistent implementation and evaluation in nursing practice.
- Evolving models adapt to diverse policy and health system contexts.
Purpose of the Study:
- To clarify the concept of social prescribing in older adults.
- Utilized Rodgers' evolutionary concept analysis framework.
- Examined antecedents, attributes, consequences, and nursing implications.
Main Methods:
- Systematic literature search (2018-2025) in CINAHL, PubMed, AgeLine, PsycINFO.
- Included peer-reviewed studies on social prescribing or similar interventions for adults aged 60+.
- Applied Rodgers' framework for data extraction on concept elements.
Main Results:
- Identified surrogate terms (e.g., community prescribing, social referral) and related concepts (e.g., care coordination).
- Key antecedents: social isolation, multimorbidity, policy frameworks. Core attributes: person-centered planning, community focus, link worker facilitation, referral pathways.
- Consequences: reduced isolation, improved wellbeing, enhanced social networks, potential strain on community services.
Conclusions:
- Social prescribing is a dynamic, person-centered process connecting older adults to non-medical resources via structured pathways.
- Essential attributes are transferable across systems with local adaptation.
- Clarified characteristics enhance nursing roles in assessment, coordination, and evaluation for aging in place.
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