Agenda for the future: enhancing autonomy for older people in residential care

2012 ◽  
Vol 7 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Kathy Murphy ◽  
Claire Welford
2021 ◽  
pp. 002218562110022
Author(s):  
Elisa Birch ◽  
Alison Preston

This article provides a review of the Australian labour market in 2020. It outlines the monetary and fiscal responses to COVID-19 (including JobKeeper, JobSeeker and JobMaker policies), describes trends in employment, unemployment and underemployment and summarises the Fair Work Commission’s 2020 minimum wage decision. Data show that in the year to September 2020, total monthly hours worked fell by 5.9% for males and 3.8% for females. Job loss was proportionately larger amongst young people (aged 20–29) and older people. It was also disproportionately higher in female-dominated sectors such as Accommodation and Food Services. Unlike the earlier recession (1991), when more than 90% of jobs lost were previously held by males, a significant share (around 40%) of the job loss in the 2020 recession (year to August 2020) were jobs previously held by females. Notwithstanding a pick-up in employment towards year’s end, the future remains uncertain.


2021 ◽  
pp. 205715852199599
Author(s):  
Eva Ericson-Lidman ◽  
Gunilla Strandberg

Culture change in organizations may affect employees and change agents are often a forgotten resource; their perspective is often overlooked in research. The aim of the study was to illuminate experiences of being a change agent in order to improve residential care of older people. Interviews were performed with 15 change agents who participated in a large culture transformation in residential care for older people. The study followed COREQ guidelines and content analysis was used to interpret the text. The analysis revealed that the change agents felt chosen when they accepted the challenge to become a change agent, but they also felt that transferring the message to co-workers was demanding. Conflicting demands about measuring care and aggravating circumstances to implement change were described. The results indicate that change agents benefit from preparation for the role itself as they have a great responsibility on their shoulders. In making the process more successful, all co-workers should be involved in the change process from the beginning.


2021 ◽  
Vol 23 (11) ◽  
pp. 1-12
Author(s):  
Francesca Micallef ◽  
Marisa Vella ◽  
Alan Sciberras Narmaniya ◽  
Glenda Cook ◽  
Juliana Thompson

Background/aims The integral relationship between adequate hydration and good health is widely recognised. Older people with complex needs and frailty can struggle to maintain adequate hydration, with residents in care home settings being at an increased risk of dehydration. The aim of this study was to explore current hydration practices in residential care homes in Malta. Methods An exploratory qualitative approach was adopted to explore staff's views and approaches in supporting residents' hydration. Data was collected via semi-structured, individual and small group interviews with staff from two care homes from the central and southern region of Malta. A process of open coding, followed by axial coding, was used to analyse the data. Peer debriefing was performed throughout, until agreement was reached among the research team about the final themes and sub-themes. Results Three themes emerged from the data: culture of promoting fluid intake; challenges in supporting older people to achieve optimum hydration; hydration practices and approaches. Conclusions A hydration promotion culture was demonstrated through various practices adopted in the care homes. The strong focus on water intake, in response to concerns about consuming sugary beverages, has implications for the promotion of a person-centred approach to hydration care. Inconsistencies in monitoring of fluids and daily recommended targets highlights the importance of policies or guidelines to guide hydration practice. Challenges related to refusal of fluids and language barriers among non-native staff were evident and justify further research is this area.


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