<i>AJA</i> and the Australian Royal Commission into Aged Care Quality and Safety

Parkinson, Lynne

doi:10.1111/ajag.12689

Cited by 8 publications

(11 citation statements)

References 3 publications

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“…The findings from this study warrant careful consideration in light of recent recommendations from the Royal Commission into Aged Care Quality and Safety 27 and the recently passed Aged Care and other Legislation Amendment 28 where use of psychotropics to manage behaviour is considered a restrictive practice requiring consent from a restrictive practices substitute decision maker. This study identified that even in the setting of well‐implemented multi‐disciplinary behavioural support plans, the lowest possible dose medications for BPSD were still required to mitigate distress and risk of harm to self and others.…”

Section: Discussionmentioning

confidence: 74%

A retrospective study of the behavioural and psychological symptoms of dementia in patients admitted to a Specialist Dementia Care Unit

et al. 2022

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Objectives: To explore the nature and severity of behavioural and psychological symptoms of dementia (BPSD) and outcomes for patients admitted to a specialist dementia care unit (SDCU) at a tertiary Australian hospital. Methods:This single-centre retrospective study categorised patients into a recognised seven-tiered model of severity of BPSD using a novel tool developed for this study. Descriptive characteristics, pharmacological management, and range and severity of BPSD were examined.Results: There were 125 patients admitted over a two-year period reviewed, with 62% being males and a mean age of 82.4 years. Those with high severity BPSD (n = 61, 49%) had a longer length of stay (p = 0.049), were on a greater number of psychotropic medications on admission (p < 0.001) and were more likely to be trialled on a new psychotropic medication (p = 0.001). At least five behaviours on admission were demonstrated in 84% of patients. Behaviours were ameliorated with reduction in tier severity at discharge (p < 0.005). The mean number of psychotropic medications on admission was not significantly different to discharge (p = 0.14). Sixty-seven per cent of patients living independently at admission were discharged to residential care, and 44% in residential care were discharged to a new facility. Conclusions:Multi-disciplinary management led to optimisation of behaviours and overall reduction in BPSD severity. This was achieved without a significant increase in the use of psychotropic medications, highlighting the importance of an individualised approach by a team skilled in the behavioural management of BPSD. The study confirms the high risk of transition to residential care for patients with BPSD.

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Section: Discussionmentioning

confidence: 74%

A retrospective study of the behavioural and psychological symptoms of dementia in patients admitted to a Specialist Dementia Care Unit

et al. 2022

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“…Additionally, the Australian National Quality Standards expect organizations to provide residential healthcare so that consumers have a quality experience (Aged Care Quality and Safety Commission, 2021). Recent findings by the Australian Royal Commission into Aged Care Quality and Safety additionally strongly advocated for urgent statute changes to the current leadership structures of the providers of the aged care sector, to maximize the quality and transparency of residential aged care based on the extensive feedback it had received about the lack of effective residential care leadership and the poor care quality given to their residents (Pagone & Briggs, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…The data in this model have shown that variations in the patterns of integration of care are unequivocally linked to the resources allocated for that care and remain an essential reason why care variations exist. Such feedback to nursing leadership demonstrates their accountability in reforming the current practice, particularly if there is an inadequate mix of staff skills to meet care requirements (Pagone & Briggs, 2021).…”

Section: Discussionmentioning

confidence: 99%

An empirical analysis of the constructs of Fundamentals of Care Framework using structural equation modelling

Blackman

Mudd

2022

Journal of Advanced Nursing

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Aim First, to identify which aspects of missed care accurately define the integration of care and context of care dimensions of the Fundamentals of Care Framework. Second, to test the Framework for validity and reliability and lastly, to explore how leadership influences care integration. Design A non‐experimental research design using self‐audit data collected information about variations in nursing care as exemplars for dimensions of the Framework. Methods A multi‐variate approach using path analysis was used to apply the consensus scores of 3079 Australian residential care nurses and carers to define the dimensions of the Framework. Results/Findings In the Australian residential care setting, the factors that define both the contexts of care and the integration of care dimensions constructs are now empirically established. The most direct predictor for the integration of care dimension arises from both the leadership and resource allocation variables, while the remaining context of care factors have indirect but significant effects. The integration of psychosocial care in the residential care sector is not influenced by any of the Framework's context‐based factors. Conclusion The component variables of the Framework show both good reliability and convergent validity. These findings confirm a predictive relationship exists between the elements of the context of care and the different types of nursing activities that form the integration of the care dimension, including organizational leadership.

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“… 19 Community models of care that have been developed, implemented and evaluated for this population are few, yet it is evident that principles of genuine collaboration, culturally secure and community‐based services, workforce capacity building, the flexibility of service provision and ongoing advocacy are essential. 20 , 21 , 22 , 23 A ‘one size fits all’ approach is not appropriate, and considerations of diversity in language, culture and geography are required. 24 Older Aboriginal and Torres Strait Islander peoples have described the factors that contribute to their well‐being through interrelated elements that strengthen the inner spirit.…”

Section: Discussionmentioning

confidence: 99%

Demographic drivers of the growth of the number of Aboriginal and Torres Strait Islander people living with dementia, 2016–2051

et al. 2022

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

Cited by 8 publications

References 3 publications

A retrospective study of the behavioural and psychological symptoms of dementia in patients admitted to a Specialist Dementia Care Unit

A retrospective study of the behavioural and psychological symptoms of dementia in patients admitted to a Specialist Dementia Care Unit

An empirical analysis of the constructs of Fundamentals of Care Framework using structural equation modelling

Demographic drivers of the growth of the number of Aboriginal and Torres Strait Islander people living with dementia, 2016–2051

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