Delivering inclusive and quality services in community and residential aged care settings

Parkinson, Lynne; Radford, Katrina

doi:10.1111/ajag.12683

Cited by 4 publications

(4 citation statements)

References 25 publications

(57 reference statements)

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“…20,21 The Royal Commission was announced in 2018 to assess the presence of substandard care in the Australian aged care system in response to negative media representation and widespread community views that services were not meeting quality and safety expectations. [22][23][24] The extent of substandard care found was highlighted by the Commission releasing their Interim Report titled 'Neglect'. 20 Negative representation of the sector in the media both informed and reflected community's views contributing to mistrust and perceptions that RACFs are a dangerous place to live.…”

Section: Discussionmentioning

confidence: 99%

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

Tierney¹,

Doherty²,

Elliot³

2022

AJAN

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Background:The COVID-19 pandemic has had widespread impacts on the community and has demanded a rapid response from the aged care sector. System changes for infection control have been required including the use of personal protective equipment, lockdowns, visitor restrictions and changes to activities within aged care facilities. Even prior to COVID-19, the high physical and emotional demands of aged care work were recognised.Objective: This study sought to understand aged care workers' experiences of the COVID-19 pandemic.Methods: Using a pragmatic paradigm qualitative data about work experiences during COVID-19 was collected from people employed in different aged care organisations in a range of aged care roles and settings from multiple Australian states. Data was collected using focus groups and interviews conducted online between August-October 2020. Inductive thematic analysis was used to identify key themes in the data. results: Participants included 15 people working across a range of aged care roles including clinical, care and management staff and across both residential and community settings. Five themes were identified which characterised aged care workers thoughts about their jobs during the pandemic. These included intensified procedures and emotional demands, feeling undervalued and detached from the frontline, exposure of existing system deficiencies, recognising teamwork and increased confidence in technology. conclusion: Reflecting on aged care workers' experiences of COVID-19 highlights the need to better support workers and acknowledge their important role in caring for older Australians. This includes at an organisational level by providing supportive environments and access to online resources as well as at the community and policy level by recognising aged care workers as frontline workers. The COVID-19 pandemic has also highlighted existing systemic issues in the aged care sector that need to be addressed for the provision of quality aged care in Australia during the COVID-19 pandemic and into the future. aUthOrs laUra tierNeY PhD 1

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Section: Discussionmentioning

confidence: 99%

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

Tierney¹,

Doherty²,

Elliot³

2022

AJAN

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“…and Radford [16] concluded that further and continued research is required to ensure that Australia provides control and independence in CDC.…”

Section: Literature Reviewmentioning

confidence: 99%

My Voice, My Choice: A systematic review of the literature relating to consumer-directed care in Australia

Kosiol,

Olley,

Lloyd

et al. 2024

APJHM

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Objectives and importance of study: The objective of this systematic review of the literature was to examine the evidence relating to consumer-directed care (CDC) in the aged care environment. CDC entails providing individuals with the option of choice and flexibility in their care, to empower aged care recipients with autonomous decisions over their healthcare choices. Additionally, the researchers found evidence relating to the vulnerability of users of aged care services and the lack of understanding towards a true consumer-oriented approach which was highlighted during the Royal Commission into Aged Care Safety and Quality. Study type and method: The research team used the PRISMA Method to review the available literature systematically. This qualitative review of the literature on consumer choice in the aged and social care sectors assessed sixteen high-quality research papers and identified themes that emerged to promote authentic consumer voice in aged care services. These articles provided insight into what aged care providers require to increase transparency and facilitate effective, meaningful consumer choice. Results: Six themes emerged from the literature reviewed: Informed Choice, See Me Hear Me, Funding My Choices, My Choice My Way, Policy, and Know Me, Include Me. The authors found significant challenges to authentic consumer voice in terms of reliable information, complex, inflexible service provision, and a trusted and skilled carer workforce. Conclusion: Authentic consumer choice requires collaboratively designed care plans with consumers, integrating their care-related preferences and values. Providers who have embraced CDC principles, and innovative practices have enhanced person-centred care, and consumer experience and autonomy. Cultivating inclusive, transparent, and collaborative environments to empower older Australians to shape and control their care provision and wellbeing is a key challenge for providers.

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“…Delivering inclusive and quality services in community and residential aged care settings. 4 The next action will be to bring these editorials and the breadth of evidence they represent to the Royal Commission's attention. I hope that our Australian readers are watching the Royal Commission with interest and contributing where possible.…”

Section: ; Andmentioning

confidence: 99%

AJA and the Australian Royal Commission into Aged Care Quality and Safety

Parkinson¹

2019

Australas J Ageing

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Delivering inclusive and quality services in community and residential aged care settings

Cited by 4 publications

References 25 publications

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic

My Voice, My Choice: A systematic review of the literature relating to consumer-directed care in Australia

AJA and the Australian Royal Commission into Aged Care Quality and Safety

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