There is a need for systematic, coordinated and multidisciplinary approaches to nutritional care for older people in residential care.

Collaborative research between educational institutions and health agencies is being increasingly used as a method of achieving joint outcomes and bringing together theory and practice. This paper reports on the experiences of collaboration that arose out of just such a project carried out in a residential aged care setting. The research team included university academics, two nurses in management positions in the aged care facility and a senior research assistant. In this paper, we explore some of the unexpected issues that emerged during implementation of the research project. The major challenges to successful collaboration arose not from within the collaborative research team, but from the responses of the broader staff who generally had little, if any, experience of research. Despite efforts to inform and involve staff, deep suspicions about the 'real' motives of the project proved difficult to shift. Trust and commitment are vital dimensions of successful collaborative research, yet gaining these from some staff proved elusive. Collaborative relationships between educational and practice settings need to be viewed as long-term endeavours driven by a common unifying goal to enhance client care. This has implications for costs and timelines which might be difficult to manage.

Abstract:Objective(s): This paper describes one facet of a study to develop and implement a "best practice model" of residential care for older people. The purpose of this facet of the larger study was to describe the current interactional context of a residential aged care facility.Method: A total of 2,848 observations of resident-staff interactions were made and coded according to Baltes' observational schedule. Coder inter-rater reliability was maintained at 90% (Cohen's Kappa).Results: Residents were alone 40% of the time they were observed. The dominant pattern of staff interaction with residents was to not engage in direct verbal or nonverbal communication or physical contact. The dominant response by staff to resident independence was to make no response. The dominant staff response to resident dependence was to support that dependence. Conclusions:Residential aged care practice continues to be focused on technology and tasks and interactions between residents and staff continue to be dependencysupporting.

Abstract