Culturally and linguistically diverse (<scp>CALD</scp>) carers' perceptions of oral care in residential aged care settings in Perth, Western Australia

Adebayo, Bola; Durey, Angela; Slack‐Smith, Linda

doi:10.1111/ger.12219

Cited by 9 publications

(8 citation statements)

References 41 publications

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“…Authoritative leadership style discourages the care workers to implement personalized care and to be innovative in PLOS ONE dementia care [33]. As found in this study, Adebayo, Durey and Slack-Smith (2017) explain how cultural and linguistic differences among the staff contributed to the absence of a comprehensive oral care for RwD in aged care homes [34]. In addition, our study found the generation gap among staff affected translation of personalized care.…”

Section: Plos Onementioning

confidence: 50%

“…The interaction of staff with RwD is an essential dimension. There is less interaction with people who are not well-expressed in aged care homes [21,34,35]. The need of RwD's social and intellectual interaction is poorly recognized, and staff principally focus on the residents' clinical needs because of time restrictions and task-oriented attitude [30].…”

Section: Plos Onementioning

confidence: 99%

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Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

et al. 2020

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Quality of dementia care improves with a personalized approach to aged care, and knowledge of the disease process and unique care needs of residents with dementia. A personalized model of care can have a significant impact on the overall organizational culture in aged care homes. However, the dimensions of personalized aged care relating to dementia often remain under-managed. We aim to explore the factors that shape the dimensions of personalized dementia care in rural nursing homes using qualitative data of a mixed-method 'Harmony in the Bush' dementia study. The study participants included clinical managers, registered nurses, enrolled nurses and care workers from five rural aged care homes in Queensland and South Australia. One hundred and four staff participated in 65 semi-structured interviews and 20 focus groups at three phases: post-intervention, one-month followup and three-months follow-up. A multidimensional model of nursing home care quality developed by Rantz et al. (1998) was used in data coding and analysis of the factors. Three key themes including seven dimensions emerged from the findings: resident and family [resident and family centeredness, and assessment and care planning]; staff [staff education and training, staff-resident interaction and work-life balance]; and organization [leadership and organizational culture, and physical environment and safety]. A lack of consideration of family members views by management and staff, together with poorly integrated, holistic care plan, limited resources and absence of ongoing education for staff, resulted in an ineffective implementation of personalized dementia care. Understanding the dimensions and associated factors may assist in interpreting the multidimensional aspects of personalized approach in dementia care. Staff training on person-centered approach, assessment and plan, and building relationships among and between staff and residents are essential to improve the quality of care residents receive.

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Section: Plos Onementioning

confidence: 50%

Section: Plos Onementioning

confidence: 99%

Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

et al. 2020

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“…Adebayo, Durey and Slack-Smith (2017) note how a cultural and linguistic diversity among carers in Western Australia contributed to the absence of culture in general care [37]. One great risk when a cultural divide is an abyss with no bridge on where to meet in the middle, is breakdown in communication.…”

Section: Discussionmentioning

confidence: 99%

Exploring Aboriginal aged care residents’ cultural and spiritual needs in South Australia

Sivertsen

Harrington

Hamiduzzaman

2019

BMC Health Serv Res

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Background Attention to culture and its impact on health care can improve the quality of care given, add to our understanding of health care among culturally diverse populations, and encourage a more holistic approach to health care within general care. Connection to culture is important to Aboriginal peoples, and integrating Aboriginal culture into general care in residential aged care facilities may contribute to improving care delivery and outcomes for residents. The literature to date revealed a lack of understanding of the capacity of residential aged care and the health practices of carers in relation to providing cultural care for Aboriginal people. This study aimed to explore how cultural care needs are maintained for Aboriginal residents from their own and their carers’ perspectives. Methods Applying an Aboriginal centered research method, an Interpretive Descriptive Approach was used as a theoretical framework to explore data in this study. Semi structured audio-recorded interviews were conducted. An additional file provides a complete description of the interview questions used as a guide for the study [see Additional file 1 ]. Three Residential Aged Care Centres, in South Australia were used i.e., two rural from centres and one urban metropolitan centre. Seven Aboriginal residents and 19 carers participated in interviews. Data was transcribed and an interpretive analysis was employed to code the transcribed data for themes and sub-themes. The study was guided by an Aboriginal community advisory group with an aim to work under the principle of reciprocity; giving back to the communities, participants and those where the research results may have been relevant. Results Three themes emerged from the views of the residents and carers: (i) lack of resources and funding; (ii) care practice; and (iii) marginalisation of Aboriginal culture within aged care facilities. Conclusion The findings suggest that carers and residents believe cultural inclusion in general care practices may enrich Aboriginal residents’ daily life, health and well-being in residential aged care facilities. This study may provide carers, aged care centre managers and policy makers with information on the need of resources, funding, organised care plan and management, and cultural competency of carers to be considered to improve Aboriginal aged care protocols for integrating cultural care into practice. Electronic supplementary material The online version of this article (10.1186/s12913-019-4322-8) contains supplementary material, which is available to authorized users.

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“…Community support workers can play an essential role in this process by promoting oral health to those in need. Yet, at a structural level, they are often under-resourced in terms of education and training in appropriate knowledge and skills about oral health and linkages with the dental profession (Frenkel et al 2002;Catteau et al 2016;Adebayo et al 2017). Findings from our study suggest that providing information (including referral pathways) and resources for health and social service workers in a community-based women's health centre and fostering collaboration with dental professionals can improve practice by increasing awareness about the importance of oral health and its associated behaviours.…”

Section: Discussionmentioning

confidence: 88%

Building oral health capacity in a women's health service

Durey

Lee²,

Adebayo

et al. 2018

Aust. J. Prim. Health

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Adult women in Australia are more likely than men to have no teeth, more missing teeth or have a dental hospital admission. Experiences of war, family and domestic violence, mental health or alcohol and other drug use problems may also negatively affect women's oral health. Yet, oral health is often excluded from primary healthcare. Little is known about what helps or inhibits primary healthcare service workers to promote oral health to women in need. Identifying the perceptions and experiences of such workers is a step towards a strategy to develop resources to support them in raising oral health issues with disadvantaged clients. This paper presents findings from a qualitative study conducted at a community-based women's health service, which used focus groups to investigate workers' perceptions of promoting oral health and accessing services for their clients. Findings indicated how structural issues informed oral healthcare, where workers generally did not consider oral health their responsibility, were reluctant to raise the issue with clients and had limited oral health knowledge and resources. To overcome these barriers, workers identified the need for oral health resources and better linkages to the dental system to help support their clients.

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Culturally and linguistically diverse (CALD) carers' perceptions of oral care in residential aged care settings in Perth, Western Australia

Abstract: Our findings suggest that, to ensure residents receive high quality oral health care, ongoing professional development is required, not only for CALD carers in oral health but also for non-CALD staff in care that is respectful of cultural differences.

Cited by 9 publications

References 41 publications

Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

Exploring Aboriginal aged care residents’ cultural and spiritual needs in South Australia

Building oral health capacity in a women's health service

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