Addressing the needs of diverse and marginalised groups when implementing change in aged care: A scoping review

Objective: This scoping review seeks to identify the extent and nature of the existing literature in relation to implementing change within aged care services catering for diverse and marginalised groups.Introduction: Innovating and implementing change in the aged care sector is integral to meeting future challenges. However, despite increasing diversity among the ageing population, older people accessing aged care services are often treated as a relatively homogenous group, leaving those with different needs and priorities with inappropriate or inadequate care. To implement change in the aged care sector successfully will require meeting the needs of a diverse ageing population. Understanding how change has been implemented with diverse groups of older people will help inform more inclusive and appropriate future implementation efforts in the sector. Inclusion criteria: This scoping review will include peer-reviewed primary studies, systematic and scoping reviews that focus on the implementation of best practice or innovation within aged care services that provide services for diverse and marginalised older people. Methods: This review will be conducted in accordance with JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews (PRISMA-ScR). The databases to be searched include PubMed, CINAHL, SCOPUS and PsycINFO. The search will be limited to articles published after December 31, 2012. Screening and data extraction will occur independently in duplicate. The review outcomes will be presented in tabular format and supported by a narrative summary.