Common Factors That Enhance the Quality of Life for Women Living in Their Own Homes or in Aged Care Facilities

2012 ◽  
Vol 24 (4) ◽  
pp. 269-279 ◽  
Author(s):  
Lee Chin ◽  
Susan Quine
Keyword(s):  
Quality Of Life ◽  
Common Factors ◽  
Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities

How does accreditation influence staff perceptions of quality in residential aged care?

2017 ◽  
Vol 18 (2) ◽  
pp. 131-144 ◽  
Author(s):  
Anne Hogden ◽  
David Greenfield ◽  
Mark Brandon ◽  
Deborah Debono ◽  
Virginia Mumford ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Service Quality ◽  
Aged Care ◽  
Residential Aged Care ◽  
Content Type ◽  
Consumer Expectations ◽  
Care Facilities ◽  
Accreditation Programme ◽  
Aged Care Facilities

Purpose Quality of care in the residential aged sector has changed over the past decade. The purpose of this paper is to examine these changes from the perspectives of staff to identify factors influencing quality of residential aged care, and the role and influence of an aged care accreditation programme. Design/methodology/approach Focus groups were held with 66 aged care staff from 11 Australian aged care facilities. Data from semi-structured interviews were analysed to capture categories representing participant views. Findings Participants reported two factors stimulating change: developments in the aged care regulatory and policy framework, and rising consumer expectations. Four corresponding effects on service quality were identified: increasing complexity of resident care, renewed built environments of aged care facilities, growing focus on resident-centred care and the influence of accreditation on resident quality of life. The accreditation programme was viewed as maintaining minimum standards of quality throughout regulatory and social change, yet was considered to lack capacity of itself to explicitly promote or improve resident quality of life. Research limitations/implications For an increasingly complex aged care population, regulatory and societal change has led to a shift in service provision from institutional care models to one that is becoming more responsive to consumer expectations. The capacity of long-established and relatively static accreditation standards to better accommodate changing consumer needs comes into question. Originality/value This is the first study to examine the relationship between accreditation and residential aged care service quality from the perspectives of staff, and offers a nuanced view of “quality” in this setting.

scholarly journals PSYCHOTROPIC MEDICATIONS AND QUALITY OF LIFE IN RESIDENTIAL AGED CARE FACILITIES

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 258-259
Author(s):  
S. Harrison ◽  
C. Bradley ◽  
R. Milte ◽  
E. Liu ◽  
L. Kouladjian O’Donnell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Aged Care ◽  
Psychotropic Medications ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

High vision-related quality of life indices reduce the odds of depressive symptoms in aged care facilities

2019 ◽  
Vol 24 (10) ◽  
pp. 1596-1604
Author(s):  
Gwyneth Rees ◽  
Marita McCabe ◽  
Jing Xie ◽  
Marios Constantinou ◽  
Alfred Gan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Aged Care ◽  
Care Facilities ◽  
Related Quality ◽  
Aged Care Facilities

scholarly journals BEFRIENding for Depression, Anxiety and Social support in older adults living in Australian residential aged care facilities (BEFRIENDAS): randomised controlled trial protocol

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Colleen Doyle ◽  
Sunil Bhar ◽  
Christina Bryant ◽  
Briony Dow ◽  
David Dunt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Aged Care ◽  
Trial Registration ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Randomised Controlled

Abstract Background This protocol describes an ongoing study of the impact of befriending on depression, anxiety and loneliness in older people living in residential aged care facilities in Australia. While systematic reviews of befriending have indicated positive benefits of befriending for people in a range of ages and settings, there have been no randomised controlled trials (RCTs) of befriending for older people living in residential aged care with depression and no studies of the cost effectiveness of befriending in residential aged care facilities (RACFs) in Australia. Methods and analysis We are conducting a single blind pragmatic RCT comparing two groups of older people living in RACFs, one receiving an intervention consisting of weekly befriending for 4 months from a trained volunteer and the other receiving treatment as usual. Participants undergo eligibility screening for depression (GDS-15 ≥ 4) and cognitive impairment (GPCog ≥ 4) and assessments at three measurement time points: baseline prior to randomisation, 2 months post-baseline and 4 months post-baseline. The primary outcome measure is depression, and secondary outcome measures are anxiety, loneliness, social isolation and quality of life. The economic evaluation will take the form of a cost-utility analysis based on the outcome of quality of life. The primary and secondary outcomes will be analysed using negative binomial and logistic regressions utilizing the Generalised Estimating Equations approach. Discussion To our knowledge, this is the first RCT evaluating the effectiveness of befriending on older people with depression living in residential aged care. It is expected that the befriending intervention will reduce the severity of depression symptoms experienced by older people living in residential aged care. If the intervention proves effective it may be incorporated into volunteer training programs and adopted as a way of supporting older people’s mental health. Trial registration Trial registered with the Australian and New Zealand Clinical Trial Registry (ANZCTR) Number: ACTRN12619000676112, registered 06/05/2019 – retrospectively registered.

Care in Japanese Residential Aged Care Facilities: Residents’ and Caregivers’ Perspectives

2008 ◽  
Vol 12 (3) ◽  
pp. 57-64
Author(s):  
Edit Nagy-Tanaka, ◽  
Yoshifumi Maekawa, ◽  
Ryutaro Takahashi, ◽  
Sachiko Yasunaga,
Keyword(s):  
Quality Of Life ◽  
Aged Care ◽  
Residential Aged Care ◽  
Psychological Responses ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Caregiver Questionnaire ◽  
Questionnaire Surveys

This study examined residents’ and caregivers’ conceptualization of quality of life (QOL) and quality of care (QOC). Resident interviews and caregiver questionnaire surveys were conducted based on the facet approach. Data were analyzed by multidimensional scaling. Apart from domains of QOL and QOC identified in western sudies, a new aspect, bathing, was distinguished. Residents perceived bathing as a pleasant activity, while caregivers perceived it as nursing. Residents also distinguished between emotional, perceptual, and cognitive elements of psychological responses to care but caregivers did not. Differences in basic conceptualization might explain perception gaps and difficulties in providing suitable care for residents.

scholarly journals Quality of life measures for residents of aged care facilities: a literature review

2003 ◽  
Vol 22 (2) ◽  
pp. 58-64 ◽  
Author(s):  
Mary Courtney ◽  
Helen Edwards ◽  
Joyce Stephan ◽  
Maria O'Reilly ◽  
Cate Duggan
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Aged Care ◽  
Quality Of Life Measures ◽  
Care Facilities ◽  
Aged Care Facilities

Enhancing palliative care in rural Australia: the residential aged care setting

2011 ◽  
Vol 17 (1) ◽  
pp. 95 ◽  
Author(s):  
Geoffrey Mitchell ◽  
Caroline Nicholson ◽  
Keith McDonald ◽  
Anne Bucetti
Keyword(s):  
Palliative Care ◽  
End Of Life Care ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

The delivery of palliative care in residential aged care communities is challenging, even more so in rural areas due to workforce ageing and shortages. The objectives of the present study were to: (i) assess the needs of, and quality of palliative care delivered to residents of 16 residential aged care facilities in rural southern Australia; and (ii) identify the needs of care staff to facilitate the delivery of quality palliative care. A cross-sectional survey of all residents, assessing the degree of functional limitation, stage of palliative care, and the presence of several quality indicators was conducted. Separate focus groups of care staff and relatives of residents sought information on the quality of care delivered, perceived strengths and weaknesses of the care delivered, and education and training needs. Quality palliative care in residential aged care facilities (RACFs) is hampered by workforce shortages, with low ratios of registered nurses, limited access to general practitioners after hours, and some communication difficulties. Some staff reported low confidence in technical and psychosocial aspects of care, especially for relatives. Relatives described mostly appropriate care, while acknowledging workload constraints. Most residents whose condition was unstable, deteriorating or terminal received advance care planning, though family expectations and unwillingness to discuss end-of-life care did tend to delay planning. Unstable residents with a reasonable prognosis were more likely to be transferred to hospital than terminally ill residents. Palliative care in participating RACFs appears to be adequate. Provision of targeted education for health care providers and implementation of protocols for advance care planning and end-of life care pathways will enhance this care.

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