scholarly journals Factors influencing nursing time spent on administration of medication in an Australian residential aged care home

2015 ◽  
Vol 24 (3) ◽  
pp. 427-434 ◽  
Author(s):  
Siyu Qian ◽  
Ping Yu ◽  
David M. Hailey ◽  
Ning Wang
Keyword(s):  
Care Home ◽  
Aged Care ◽  
Residential Aged Care ◽  
Nursing Time ◽  
Factors Influencing

“Consideration of patients as networked units to identify opportunities and motivation to enhance capability”: A mixed methods study to explore a personalised Digital Health Hub Model of Care for hip fractures in South Australia (Preprint)

2021 ◽  
Author(s):  
Lalit Yadav ◽  
Tiffany K Gill ◽  
Anita Taylor ◽  
Jen DeYoung ◽  
Mellick J Chehade
Keyword(s):  
Hip Fractures ◽  
Digital Health ◽  
Family Members ◽  
South Australia ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Residential Aged Care ◽  
Model Of Care ◽  
Factors Influencing

UNSTRUCTURED Introduction Majority of older people with hip fractures once admitted to acute hospital care are unable to return to their pre-fracture level of independence and a significant number are either newly admitted or return to residential aged care. Patient education involves family members and/or residential aged care staff as networked units, crucial for empowerment through improving health literacy. Advancement of digital technology has led to evolving solutions around optimising health care including self-management of chronic disease conditions and telerehabilitation. The aim of this study is to understand perspectives of older patients with hip fractures, their family members and residential aged carers, to inform the development of a digitally enabled model of care using a personalised digital health hub (pDHH). Methods A mixed methods study was conducted at a public tertiary care hospital in South Australia involving patients aged 50 years and above along with their family members and residential aged carers. Quantitative data, including basic demographic characteristics, access to computers and Internet were analysed using descriptive statistics. Spearman’s Rank Order Correlation was used to examine correlations between the perceived role of a pDHH in improving health and likelihood of subsequent usage. Whereas qualitative data included series of open-ended questions and findings were interpreted using constructs of capability, opportunity and motivation to help understand the factors influencing the likelihood of potential pDHH use Results Overall, 100 people were recruited in the study, representing 55 patients, 13 family members and 32 residential aged carers. The mean age of patients was 76.4 years (SD-8.4, age range 54-88) and females represented 60% of patients. Although a moderate negative correlation existed with increasing age and likelihood of pDHH usage (ρ= -0.50, p<0.001) the perceived role of the DHH in improving health had a strong positive correlation with the likelihood of pDHH usage by self (ρ=0.71, p<0.001) and by society, including friends and family members (ρ=0.75, p<0.001). Of particular note, almost all the patients (98%) believed they had a family member or friend /carer who would be able to help them to use a digital health platform. Whereas our qualitative findings suggest emphasising on complex interplay of capability, opportunity and motivation as crucial factors while designing a pDHH enabled model of care for hip fractures at a local context level. Conclusion Findings from this study contributed to understand the dynamics around capabilities, motivation and opportunities of patients, family members and formal carers as a “patient networked unit”. Future research recommendation must involve co-creation guided by iterative processes through improving understanding of factors influencing development and successful integration of complex digital healthcare interventions in real-world scenarios.

scholarly journals Nursing staff work patterns in a residential aged care home: a time–motion study

2016 ◽  
Vol 40 (5) ◽  
pp. 544 ◽  
Author(s):  
Siyu Qian ◽  
Ping Yu ◽  
David Hailey
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Care Home ◽  
Medication Administration ◽  
Aged Care ◽  
Verbal Communication ◽  
Residential Aged Care ◽  
Work Patterns ◽  
Time Motion ◽  
Motion Study

Objective Residential aged care services are challenged by an increasing number of residents and a shortage of nursing staff. Developing strategies to overcome this challenge requires an understanding of nursing staff work patterns. The aim of the present study was to investigate the work processes followed by nursing staff and how nursing time is allocated in a residential aged care home. Methods An observational time–motion study was conducted at two aged care units for 12 morning shifts. Seven nurses were observed, one per shift. Results In all, there were 91 h of observation. The results showed that there was a common work process followed by all nurse participants. Medication administration, documentation and verbal communication were the most time-consuming activities and were conducted most frequently. No significant difference between the two units was found in any category of activities. The average duration of most activities was less than 1 min. There was no difference in time utilisation between the endorsed enrolled nurses and the personal carers in providing nursing care. Conclusion Medication administration, documentation and verbal communication were the major tasks in morning shifts in a residential aged care home. Future research can investigate how verbal communication supports nursing care. What is known about the topic? The aging population will substantially increase the demand for residential aged care services. There is a lack of research on nurses’ work patterns in residential aged care homes. What does this paper add? The present study provides a comprehensive understanding of nurses’ work patterns in a residential aged care home. There is a common work process followed by nurses in providing nursing care. Medication administration, verbal communication and documentation are the most time-consuming activities and they are frequently conducted in the same period of time. Wound care, physical review and documentation on desktop computers are arranged flexibly by the nurses. What are the implications for practitioners? When developing a task reallocation strategy to improve work efficiency, effort can be put into tasks that can be arranged more flexibly.

scholarly journals Factors Influencing Residents' Satisfaction in Residential Aged Care

2003 ◽  
Vol 43 (4) ◽  
pp. 459-472 ◽  
Author(s):  
Shu-Chiung Chou ◽  
Duncan P. Boldy ◽  
Andy H. Lee
Keyword(s):  
Aged Care ◽  
Residential Aged Care ◽  
Factors Influencing

scholarly journals Woven Narratives: A Craft Encounter with Tapestry Weaving in a Residential Aged Care Facility

2019 ◽  
Vol 4 (1) ◽  
pp. 256-286
Author(s):  
Ilona Pappne Demecs ◽  
Evonne Miller
Keyword(s):  
Care Home ◽  
Care Facility ◽  
Aged Care ◽  
Residential Aged Care ◽  
Arts Based Research ◽  
Participatory Art ◽  
Qualitative Approaches ◽  
Residential Aged Care Facility ◽  
The Impact

For six months, a tapestry artist/researcher moved her studio into an aged care home to conduct a participatory art project. Drawing on ethnographic-based qualitative approaches, narrative inquiry and researcher-generated photographs, this arts-based research textually and visually documents the impact of introducing the studio-based craft activity of participatory tapestry weaving into an aged care environment. As well as highlighting the joy of creative collaboration and of learning a new skill, this project explores how tapestry weaving facilitated the understanding of the participants’ worlds through stories and reminiscence. This paper also disseminates that craft, as a practice and method, connects materials, ideas and people through engagement, and facilitates wellbeing. Given rapid population ageing, and the fear and stigma surrounding aged care homes, this paper argues that craft practice might help demystify and connect aged care with the broader community, as well as enhancing residents’ quality of life.

Contextual factors influencing talk in Australian residential aged care

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Madalyn Anne Scerri ◽  
Rajka Presbury
Keyword(s):  
Home Environment ◽  
Care Delivery ◽  
Contextual Factors ◽  
Care Home ◽  
Strong Relationship ◽  
Aged Care ◽  
Individual Characteristics ◽  
Residential Aged Care ◽  
Case Study Methodology ◽  
Content Type

PurposeThis paper offers an exploration of contextual factors that influence carer-to-resident talk in Australian residential aged care.Design/methodology/approachA qualitative exploratory multiple case study methodology and a theoretical framework of service language were applied to explore the perspectives of 21 registered nurses, assistants in nursing, leisure and lifestyle officers, general managers and care managers at three residential aged care homes in Australia.FindingsThe findings demonstrate contextual factors related to the care home environment, the carer and the relationship between carers and residents that impede or enable carer-to-resident talk in residential aged care. Multiple factors related to the care home environment were found to impede carer-to-resident talk, including time pressures, staffing levels, team culture and the prioritisation of tasks. Factors related to carers had potential to either impede or enable talk, including carers' awareness of the importance of communication, level of experience and individual characteristics, values and attitudes. A strong relationship between a carer and resident built on knowledge of individuals was a key enabling factor.Originality/valueThe paper advances an understanding of factors that influence talk and interaction in residential aged care in Australia from carers' and care home leaders' perspectives. The findings can be used to support verbal communication management strategies aligned with a person-centred care approach, including training and development of staff, cultural change interventions and a review of care delivery procedures.

scholarly journals Self-efficacy of direct care workers providing care to older people in residential aged care settings: A systematic scoping review protocol

2020 ◽  
Author(s):  
Sumina Shrestha ◽  
Rayan Jafnan M Alharbi ◽  
Christine While ◽  
Julie Ellis ◽  
Muhammad Aziz Rahman ◽  
...  
Keyword(s):  
Older People ◽  
Scoping Review ◽  
Self Efficacy ◽  
Aged Care ◽  
Direct Care ◽  
Direct Care Workers ◽  
Residential Aged Care ◽  
Care Services ◽  
Factors Influencing ◽  
Care Workers

Abstract Background Self-efficacy is developed through a person’s interaction with his/her physical and social environment. Self-efficacy in caring is an essential attribute of care workers to develop a positive attitude towards their clients, improve work performance, and enhance job satisfaction. Care workers’ self-efficacy may vary according to the context in which the care is being provided. Aged care is a multidimensional and challenging setting, and characteristics of aged care services are different from those of acute care services. The objective of this review is to give an overview of the self-efficacy of residential aged care workers in caring for older people and factors influencing their self-efficacy. Methods The protocol for this review is based on the Joanna Briggs Institute Reviewer's Manual for Scoping Review. A systematic search of the literature on electronic databases MEDLINE, PsycINFO, CINAHL, AgeLine, SCOPUS, and ProQuest Dissertations and Theses Global will be carried out using predefined search terms to identify relevant studies. This review will include all primary studies irrespective of the study design. Two reviewers will independently conduct title and abstract screening, full-text screening, and data extraction. A third reviewer will resolve discrepancies, while the final decision for conflicting studies will be made by consensus within the review team. Joanna Briggs Institute critical appraisal tools will be used to assess the methodological quality of the included studies. Quantitative findings will be presented in narrative form accompanied by tabulated results and a random effects meta-analysis will be conducted to compute the pooled estimates of the impacts of various influencing factors on caring self-efficacy of the direct care workers. Qualitative research findings will be synthesised using the meta-aggregation approach. Discussion This review aims to bring together the evidence on the caring self-efficacy of aged care workers and associated factors. This will be an important source of knowledge to policymakers and aged care providers to understand the self-efficacy of aged care workers in order to support and enhance their self-efficacy and thereby improve their caring behaviours towards their clients. Scoping Review Registration Joanna Briggs Institute Systematic Review Register with the title ‘A scoping review of factors influencing caring efficacy of direct care workers providing care to older people’ ( https://joannabriggs.org/ebp/systematic_review_register )

scholarly journals Questioning Segregation of People Living with Dementia in Australia: An International Human Rights Approach to Care Homes

Laws ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. 18 ◽  
Author(s):  
Linda Steele ◽  
Kate Swaffer ◽  
Lyn Phillipson ◽  
Richard Fleming
Keyword(s):  
Human Rights ◽  
Independent Living ◽  
Care Home ◽  
Aged Care ◽  
Care Homes ◽  
Residential Aged Care ◽  
Persons With Disabilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Article 5

This article explores how care homes—and, specifically, their common features such as dementia care units and locked doors and gates—impact on the human rights of people living with dementia. We suggest that congregation, separation and confinement of people living with dementia by the care home built environment constitute ‘segregation’. In the specific context of residential aged care facilities in Australia, we draw on the United Nations Convention on the Rights of Persons with Disabilities (‘CRPD’) to frame this segregation as an injustice. We focus on the rights to non-discrimination (Article 5), liberty and security of the person (Article 14), equality before the law (Article 12), accessibility (Article 9), and independent living and community inclusion (Article 19). Our analysis shows that addressing segregation must involve structural and resource reforms that are transformative in bringing about new ways of living and relating to each other. Such reforms are directed towards providing meaningful alternatives and appropriate supports to make choices from a range of alternative residency and support options, and building communities that are free from ableism, ageism and other systems of oppression that contribute to confinement and segregation.

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