Evaluation of an aged care nurse practitioner service: quality of care within a residential aged care facility hospital avoidance service

Dwyer, Trudy; Craswell, Alison; Rossi, Dolene; Holzberger, Darren

doi:10.1186/s12913-017-1977-x

Cited by 33 publications

(50 citation statements)

References 49 publications

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“…Audits do not facilitate nursing's contribution to healthcare knowledge (Twycross & Shorten, 2014). Contributing to healthcare knowledge, service audits are emerging in the literature by NPs, measuring how well a service is achieving its intended aims (Dwyer, Craswell, Rossi, & Holzberger, 2017;Kelly et al, 2010;Parker, Desborough, & Forrest, 2012;Thompson & Meskell, 2012;Twycross & Shorten, 2014;Wand, D'Abrew, Barnett, Acret, & White, 2015). Generating new knowledge through a systematic defensible process of enquiry by NPs is evident but scarce (Adams, Gardner, & Yates, 2017;Jennings, McKeown, O'Reilly, & Gardner, 2013;O'Connell, Gardner, & Coyer, 2014;Scanlon, Murphy, Tori, & Poghosyan, 2018;Twycross & Shorten, 2014).…”

Section: Discussionmentioning

confidence: 99%

An inductive qualitative approach to explore Nurse Practitioners views on leadership and research: An international perspective

Ryder

Jacob

Hendricks

2019

Journal of Clinical Nursing

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Aims and objectives To explore the ways in which Irish and Australian Nurse Practitioners (NPs) implement leadership and research in their roles and whether there is a difference in how leadership and research are demonstrated between NPs in Ireland and Australia. Background The original concept of the NP role was to expand nursing practice in order to provide high‐quality, accessible health care to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes to healthcare knowledge from the nursing profession. Design In the qualitative phase of a mixed methods study, an interpretative descriptive approach was used to draw on participant experiences. Methods Thirty‐eight respondents agreed to be interviewed following an online survey. Ten interviews were recorded and transcribed verbatim. Data were analysed using Braun and Clarke thematic analysis method. The research complied with the consolidated criteria for reporting qualitative research, COREQ. Results Ten participants, five NPs from Ireland and five from Australia were interviewed. Four themes emerged from the analysis: (a) Innovative leadership, which included the categories of leadership activities, the work of NPs and trailblazers; (b) Optimism, incorporating pride in achievements, the future outlook for the role and continued innovation of NPs over time; (c) Research, which included the NP research role, research challenges, support and research leadership; and (d) Resilience, which included overcoming resistance, isolation and seeking positive support systems. Conclusion Nurse Practitioners are clinical leaders focused on improving healthcare delivery for patient populations. There is a lack of understanding of the NP role. Nurse Practitioners lack confidence to be independently research active. Research by NPs requires support from nurses in academia. There is no difference in the role in Ireland and Australia. Relevance to clinical practice Nurse Practitioners are engaged in healthcare transformation. Nurse Practitioners require support from research experts in academia to make a significant contribution to nursing knowledge in healthcare delivery.

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Section: Discussionmentioning

confidence: 99%

An inductive qualitative approach to explore Nurse Practitioners views on leadership and research: An international perspective

Ryder

Jacob

Hendricks

2019

Journal of Clinical Nursing

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“…This study illustrates three factors related to personalized care assessment and plan including current care practice, personalized dementia care challenges and staff assumptions. The rural aged care homes have been attempting to integrate personalized care plan into their practice following the suggestions of Aged Care Quality Standards [28,29]. This study findings indicate that this personalized care practice is yet to be realized because of the challenges associated with shifting from generalized to personalized care.…”

Section: Plos Onementioning

confidence: 96%

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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“…It is predicted that by 2050, upwards of 3.5 million Australians will be accessing nursing and residential aged care services annually. This growth will occur alongside a forecasted health workforce shortage and a decreasing number of primary care and specialist health providers visiting facilities [ 34 , 35 ]. In an effort to meet this increased demand, different healthcare service delivery models are needed.…”

Section: Discussionmentioning

confidence: 99%

Improving eye care in residential aged care facilities using the Residential Ocular Care (ROC) model: study protocol for a multicentered, prospective, customized, and cluster randomized controlled trial in Australia

Holloway

Constantinou

Xie

et al. 2018

Trials

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BackgroundOlder adults in residential aged care facilities have unnecessarily high levels of vision impairment (VI) which are largely treatable or correctable. However, no current comprehensive eye health service model exists in this setting in Australia. We aimed to determine the clinical, person-centered, and economic effectiveness of a novel eye care model, the Residential Ocular Care (ROC).Methods/designThis protocol describes a multicentered, prospective, randomized controlled trial. A total of 395 participants with distance vision < 6/12 (0.30 LogMAR) and/or near vision N8 (1.00 M) or worse will be recruited from 38 urban and rural aged care facilities across Victoria, Australia. Aged care facilities will be randomized (1:1) to one of two parallel groups. Participants in the ROC group will receive a comprehensive and tailored eye care pathway that includes, as necessary, refraction and spectacle provision, cataract surgery, low vision rehabilitation, and/or a referral to an ophthalmologist for funded treatment. Usual care participants will be referred for an evaluation to the eye care service associated with the facility or an eye care provider of their choice. The primary outcome will be presenting near and distance vision assessed at the two- and six-month follow-up visits, post baseline. Secondary outcomes will include vision-specific quality of life, mobility, falls, depression, and eye care utilization at two and six months. An incremental cost-effectiveness analysis will also be undertaken.DiscussionThe ROC study is the first multicentered, prospective, customized, and cluster randomized controlled trial in Australia to determine the effectiveness of a comprehensive and tailored eye care model for people residing in aged care facilities. Results from this trial will assist health and social care planners in implementing similar innovative models of care for this growing segment of the population in Australia and elsewhere.Trial registrationAustralian and New Zealand Clinical Trials Registry, ACTRN12615000587505. Registered on 4 June 2015 – retrospectively registered.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-3025-5) contains supplementary material, which is available to authorized users.

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Evaluation of an aged care nurse practitioner service: quality of care within a residential aged care facility hospital avoidance service

Cited by 33 publications

References 49 publications

An inductive qualitative approach to explore Nurse Practitioners views on leadership and research: An international perspective

An inductive qualitative approach to explore Nurse Practitioners views on leadership and research: An international perspective

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

Improving eye care in residential aged care facilities using the Residential Ocular Care (ROC) model: study protocol for a multicentered, prospective, customized, and cluster randomized controlled trial in Australia

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