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University of Melbourne
1.
De Leo, Maria Ann.
Community aged care management an exploratory study.
Degree: 2015, University of Melbourne
URL: http://hdl.handle.net/11343/55640 
► This is a study of 30 community aged care managers from three employer sectors local government, health service, and non-government organisation, conducted in Victoria, Australia.…
(more)
▼ This is a study of 30 community aged care managers from three employer sectors local government, health service, and non-government organisation, conducted in Victoria, Australia.
It aims to firstly explore their demographic profile, education, employment, professional development, and networking opportunities, and secondly, to identify their key management responsibilities and experience of implementing community aged care. Data was collected via a mail-out questionnaire and face-to-face interview.
Findings indicated that their responsibilities were human resource and financial management, and strategic planning. Budget responsibility was substantial with the majority responsible for budgets ranging from 5 to 20 million. There were three pathways to management: coming up through the ranks, moving on from nursing, allied health or social work, and moving on from service coordination or program management.
Transition to management and learning to manage, were intertwined and were a significant rite of passage for each manager. Both informal and formal learning were seen to be complimentary, and necessary, and most managers had a management qualification. Learning needs reflected their three key responsibilities. Acquiring environmental knowledge, including information about government policies and funding, and the service system, was also important.
Seven case studies demonstrate how these managers used their role to actively create community aged care service system structure and capability.
Subjects/Keywords: community aged care; management; community care; aged care; aged care management
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APA (6th Edition):
De Leo, M. A. (2015). Community aged care management an exploratory study. (Doctoral Dissertation). University of Melbourne. Retrieved from http://hdl.handle.net/11343/55640
Chicago Manual of Style (16th Edition):
De Leo, Maria Ann. “Community aged care management an exploratory study.” 2015. Doctoral Dissertation, University of Melbourne. Accessed January 17, 2021.
http://hdl.handle.net/11343/55640.
MLA Handbook (7th Edition):
De Leo, Maria Ann. “Community aged care management an exploratory study.” 2015. Web. 17 Jan 2021.
Vancouver:
De Leo MA. Community aged care management an exploratory study. [Internet] [Doctoral dissertation]. University of Melbourne; 2015. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/11343/55640.
Council of Science Editors:
De Leo MA. Community aged care management an exploratory study. [Doctoral Dissertation]. University of Melbourne; 2015. Available from: http://hdl.handle.net/11343/55640
RMIT University
2.
Sukkar, K.
Prospects of adopting alternative staffing methods in residential aged care in Australia.
Degree: 2009, RMIT University
URL: http://researchbank.rmit.edu.au/view/rmit:6822
► The Residential Aged Care (RAC) industry is the fastest growing sector of the health care industry in Australia, particularly with the needs of people aging…
(more)
▼ The Residential Aged Care (RAC) industry is the fastest growing sector of the health care industry in Australia, particularly with the needs of people aging eighty five years and over consuming most health care services (Productivity Commission, 2006). This thesis examines the staffing efficiency challenge that is facing the RAC industry in Australia, from the facility managers' perspectives. Staffing efficiency is a crucial component in the success of this industry that is labour intensive, delivering complex services twenty-four hours per day and seven days per week. By achieving staffing efficiencies, facility managers would minimise labour cost expenditures; thus, ensuring sustainability and growth of their organisation in the long run. The literature reviewed revealed limited number of scholarly reviews about staffing efficiencies conducted in Australia. Nevertheless, it highlighted a number of available staffing approaches available overseas which could be of promising results if they were adopted to suit the Australian industry and its operational systems. This thesis explores the prospects of RAC facility managers adopting 'alternative' or 'new' staffing methods in their facilities as one solution for this staffing challenge. In this study, the researcher refers to alternative or new staffing methods as staffing methods that are not currently utilised in the staffing of RAC facilities in Australia. Using an Interpretivist research paradigm, 18 semi-structured interviews were conducted with the participating RAC managers in their work environment. During the interviews, a sample alternative staffing tool, developed prior to the study, was displayed. The data generated were analysed in the context of the RAC industry's environment, operational challenges, and through the theoretical implication of neo-liberalism. This theory provided a vehicle for the analysis of the data generated on staffing within the context of Australia's current economic policies. The generated data revealed little chance of such adoption reflected in a number of findings including: 1) Participants' lack of interest in adopting alternative staffing methods despite their comments on the unsuitability of current tools. 2) Overdependence of the industry on cost cutting measures and monetary performance indicators. 3) Lack of incentives for the adoption of change and 4) Lack of preparedness of RAC facility managers for such change. Thorough analysis of the findings revealed misinterpretation of free-market principles in the currently utilised staffing tools, which links demand of service to the number of individuals requiring care on one hand, and the supply of services available to the number of staff rostered to provide the care, on the other hand. The application of such a principle on the RAC industry is questionable, particularly with the inconsistency in the elderly residents' care needs and the staffing skill mix. A new staffing approach that uses the care required by the elderly…
Subjects/Keywords: Aged Care – Australia
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APA (6th Edition):
Sukkar, K. (2009). Prospects of adopting alternative staffing methods in residential aged care in Australia. (Thesis). RMIT University. Retrieved from http://researchbank.rmit.edu.au/view/rmit:6822
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Sukkar, K. “Prospects of adopting alternative staffing methods in residential aged care in Australia.” 2009. Thesis, RMIT University. Accessed January 17, 2021.
http://researchbank.rmit.edu.au/view/rmit:6822.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Sukkar, K. “Prospects of adopting alternative staffing methods in residential aged care in Australia.” 2009. Web. 17 Jan 2021.
Vancouver:
Sukkar K. Prospects of adopting alternative staffing methods in residential aged care in Australia. [Internet] [Thesis]. RMIT University; 2009. [cited 2021 Jan 17].
Available from: http://researchbank.rmit.edu.au/view/rmit:6822.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Sukkar K. Prospects of adopting alternative staffing methods in residential aged care in Australia. [Thesis]. RMIT University; 2009. Available from: http://researchbank.rmit.edu.au/view/rmit:6822
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Tasmania
3.
Crisp, EP.
In safe hands : a history of aged care in Tasmania.
Degree: 2012, University of Tasmania
URL: https://eprints.utas.edu.au/15903/1/Front.pdf
;
https://eprints.utas.edu.au/15903/2/whole-crisp-thesis-2012.pdf
► Aged care is one of the more controversial and problematic areas of healthcare in Australia in the 21st century. Whilst most people today accept that…
(more)
▼ Aged care is one of the more controversial and problematic areas of healthcare in
Australia in the 21st century. Whilst most people today accept that residential care is an
essential service for those who can no longer cope on their own in the community, few
people want to end up in a nursing home, and few nurses aspire to work there. But was
this always the case?
This diachronic study integrates archival research and oral history interviews to explore
the history of aged care in one state of Australia, Tasmania. Tasmania began its white
history as Van Diemen’s Land, a penal settlement on a remote island intended to be the
‘gaol for the entire British Empire’. The high number of convicts transported to the
colony and the resulting large emancipist population, many of whom were both
impoverished and without family to help them as they aged, meant that the colonial
administration was forced to make official arrangements for their care from almost the
first days of the state’s existence. These arrangements bore some similarities to those in
other Australian states and in the mother country, but the peculiarities of life on the edge
of civilization brought their own unique solutions in that century, and the next.
This thesis follows the development of Tasmanian aged care from the early colonial
charitable institutions, to the early 20th century period of ‘making do’, to the ennursement
of aged care in the middle of that century, and finally to developments in the 1980s that
led to today’s highly regulated and businesslike aged care sector. It illuminates the
changes and continuities in conditions and practices within homes for the aged, and the
shifting attitudes of Tasmanian society towards the elderly and those that cared for them.
Official records paint an almost uniformly positive picture of aged care. In contrast,
public opinion is almost equally negative. This study provides a more balanced story, in
the hope that an understanding of the successes and failures of the past will provide some
guidance for the future to assist our aging population in the 21st century.
Subjects/Keywords: nursing; aged care; history; Tasmania
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APA (6th Edition):
Crisp, E. (2012). In safe hands : a history of aged care in Tasmania. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/15903/1/Front.pdf ; https://eprints.utas.edu.au/15903/2/whole-crisp-thesis-2012.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Crisp, EP. “In safe hands : a history of aged care in Tasmania.” 2012. Thesis, University of Tasmania. Accessed January 17, 2021.
https://eprints.utas.edu.au/15903/1/Front.pdf ; https://eprints.utas.edu.au/15903/2/whole-crisp-thesis-2012.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Crisp, EP. “In safe hands : a history of aged care in Tasmania.” 2012. Web. 17 Jan 2021.
Vancouver:
Crisp E. In safe hands : a history of aged care in Tasmania. [Internet] [Thesis]. University of Tasmania; 2012. [cited 2021 Jan 17].
Available from: https://eprints.utas.edu.au/15903/1/Front.pdf ; https://eprints.utas.edu.au/15903/2/whole-crisp-thesis-2012.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Crisp E. In safe hands : a history of aged care in Tasmania. [Thesis]. University of Tasmania; 2012. Available from: https://eprints.utas.edu.au/15903/1/Front.pdf ; https://eprints.utas.edu.au/15903/2/whole-crisp-thesis-2012.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Victoria University of Wellington
4.
Daubé, Jacob Eric.
Planning for the future: Addressing the spatial accessibility of aged residential care facilities in New Zealand.
Degree: 2014, Victoria University of Wellington
URL: http://hdl.handle.net/10063/3668
► Evidence in New Zealand suggests that spatial access to aged residential care facilities (ARCFs) has been declining. Poor spatial access to facilities has been shown…
(more)
▼ Evidence in New Zealand suggests that spatial access to
aged residential
care facilities (ARCFs) has been declining. Poor spatial access to facilities has been shown internationally to lead to reduced frequency of visitation by family and friends, and in turn poorer mental health and wellbeing of people in
care. However, the New Zealand population is ageing and older people are increasing as a proportion of the total population. Subsequently, total demand for ARCFs is set to increase dramatically and a substantial number of facilities will likely need to be built by 2026. The intent of this thesis is to explore how geographic information science (GIS) methods can be used to identify potential locations for these ARCFs in New Zealand so that travel time for friends and family is minimised.
Providers were surveyed on the relative importance of a series of spatial attributes when deciding where to place new facilities. Maps for each spatial attribute were generated from their preferences and overlaid using weighted linear combination and areas exceeding a suitability threshold were identified as potential locations. To choose optimal locations, maximal covering location-allocation models were used based on projected populations and demand for 2026. The spatial accessibility of these locations was then compared to the spatial accessibility of facilities in 2011. The results suggest that GIS methods have the potential to improve the spatial access to ARCFs to friends and family of people in
care.
Advisors/Committee Members: Davey, Judith, de Róiste, Mairéad.
Subjects/Keywords: GIS; Aged Residential Care; Access
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APA (6th Edition):
Daubé, J. E. (2014). Planning for the future: Addressing the spatial accessibility of aged residential care facilities in New Zealand. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/3668
Chicago Manual of Style (16th Edition):
Daubé, Jacob Eric. “Planning for the future: Addressing the spatial accessibility of aged residential care facilities in New Zealand.” 2014. Masters Thesis, Victoria University of Wellington. Accessed January 17, 2021.
http://hdl.handle.net/10063/3668.
MLA Handbook (7th Edition):
Daubé, Jacob Eric. “Planning for the future: Addressing the spatial accessibility of aged residential care facilities in New Zealand.” 2014. Web. 17 Jan 2021.
Vancouver:
Daubé JE. Planning for the future: Addressing the spatial accessibility of aged residential care facilities in New Zealand. [Internet] [Masters thesis]. Victoria University of Wellington; 2014. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/10063/3668.
Council of Science Editors:
Daubé JE. Planning for the future: Addressing the spatial accessibility of aged residential care facilities in New Zealand. [Masters Thesis]. Victoria University of Wellington; 2014. Available from: http://hdl.handle.net/10063/3668
Victoria University of Wellington
5.
Kluger, Scott.
Guiding Light: The Architecture of Sleep for Dementia.
Degree: 2016, Victoria University of Wellington
URL: http://hdl.handle.net/10063/5278
► Disruptive sleeping behaviours are a key symptom of dementia that accelerates transition from the home towards full time institutional care. For thousands of families in…
(more)
▼ Disruptive sleeping behaviours are a key symptom of dementia that accelerates transition from the home towards full time institutional
care. For thousands of families in New Zealand, respite facilities offer a temporary relief from this symptom in an attempt to prolong
care at home. However the predominant use of pharmaceutical therapy coupled with unstimulating
care environments leads to sleeping behaviours deteriorating upon returning home.
In order to provide an alternative approach to pharmaceutical therapy and research towards treating disruptive sleep behaviour, this thesis addresses pre-existing inter-disciplinary literature, field trips, international precedents and an iterative method of design to investigate: How can the architecture of a respite facility improve sleeping behaviours and instigate meaningful environmental research within dementia
care?
Environmental strategies involving light, movement and community were identified as key objectives towards improving sleep behaviour within the design. Introducing a shared courtyard with the public that facilitated continuous movement alongside the circadian rhythms of the sun, allowed a design that would engage with all three objectives in order to improve sleep behaviour of residents with mild symptoms of dementia. As symptoms progress, the adoption of an artificial lighting environment in a purpose built sleep lab allowed a space for scientific enquiry to the nature and treatment of sleep for those with later stages of dementia. The final design integrates both natural and artificial environments into a single respite facility, strengthening its therapeutic potential to prolong home
care for the thousands of families affected by dementia in New Zealand.
Advisors/Committee Members: McIntosh, Jacqueline.
Subjects/Keywords: Dementia; Light; Aged care
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Manager
APA (6th Edition):
Kluger, S. (2016). Guiding Light: The Architecture of Sleep for Dementia. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/5278
Chicago Manual of Style (16th Edition):
Kluger, Scott. “Guiding Light: The Architecture of Sleep for Dementia.” 2016. Masters Thesis, Victoria University of Wellington. Accessed January 17, 2021.
http://hdl.handle.net/10063/5278.
MLA Handbook (7th Edition):
Kluger, Scott. “Guiding Light: The Architecture of Sleep for Dementia.” 2016. Web. 17 Jan 2021.
Vancouver:
Kluger S. Guiding Light: The Architecture of Sleep for Dementia. [Internet] [Masters thesis]. Victoria University of Wellington; 2016. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/10063/5278.
Council of Science Editors:
Kluger S. Guiding Light: The Architecture of Sleep for Dementia. [Masters Thesis]. Victoria University of Wellington; 2016. Available from: http://hdl.handle.net/10063/5278
University of Melbourne
6.
Huang, Dolly Hsaio-Yun.
Understanding aged care use by older Chinese-speaking immigrants in Australia.
Degree: 2016, University of Melbourne
URL: http://hdl.handle.net/11343/148408
► The world’s population is ageing rapidly, so how to provide quality health and aged care to an increasing elderly population has become a critical issue…
(more)
▼ The world’s population is ageing rapidly, so how to provide quality health and aged care to an increasing elderly population has become a critical issue facing many countries. In Australia, one in four persons is born overseas. With a significant number of older people from diverse ethnic backgrounds, it is even more challenging to provide quality care that can meet their specific cultural needs. Evidence suggests that older people from culturally and linguistically diverse (CALD) backgrounds are more likely to be socially and financially disadvantaged and to under-use aged care services. However, there is a lack of detailed information on individual ethnic groups in relation to their specific care needs and service utilisation.
This thesis sought to examine the characteristics of older Chinese-speaking immigrants, particularly those who migrated at an older age, and explore the experiences of aged care service use by this population in Melbourne, Australia. The Andersen Behavioural Model was the analytic framework utilised to understand factors associated with aged care use by this population, focusing on the concepts of predisposing, enabling, and need factors. This model was applied using an intersectionality perspective, highlighting how the interaction of various differences among older Chinese-speaking immigrants created unique experiences of ageing and aged care use. An interviewer-administered survey was conducted with 120 older Chinese-speaking immigrants between December 2009 and January 2011. Participants were recruited from four metropolitan areas in Melbourne using a quota sampling method to ensure representativeness.
The study found that older Chinese-speaking participants used significantly more social support services and significantly less allied health and home care support services, compared with older Australians. The use of aged care services was best explained by predisposing and enabling factors, rather than need factors. Filial piety (a predisposing factor) and the availability of family carers (an enabling factor) were found to have negative effects on use of aged care services, while other enabling factors such as social support, adaptation of Australian culture, retention of Chinese culture, and awareness of existing services were found to be positively associated with aged care use. Having a lower score on activities of daily living (a need factor) was also found to increase the likelihood of using aged care services.
The findings suggest that older Chinese-speaking Australians who are relatively recently arrived immigrants have a greater need for social support services. To improve the uptake of aged care services, policy makers and service providers need to better understand the effects of filial piety and family resources on aged care use, as well to encourage them to strengthen links with both local Chinese communities and the wider Australian society. This study contributes to a greater understanding of the influence of culture and recency of immigration on aged care use…
Subjects/Keywords: Chinese; aged care; service use
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APA (6th Edition):
Huang, D. H. (2016). Understanding aged care use by older Chinese-speaking immigrants in Australia. (Doctoral Dissertation). University of Melbourne. Retrieved from http://hdl.handle.net/11343/148408
Chicago Manual of Style (16th Edition):
Huang, Dolly Hsaio-Yun. “Understanding aged care use by older Chinese-speaking immigrants in Australia.” 2016. Doctoral Dissertation, University of Melbourne. Accessed January 17, 2021.
http://hdl.handle.net/11343/148408.
MLA Handbook (7th Edition):
Huang, Dolly Hsaio-Yun. “Understanding aged care use by older Chinese-speaking immigrants in Australia.” 2016. Web. 17 Jan 2021.
Vancouver:
Huang DH. Understanding aged care use by older Chinese-speaking immigrants in Australia. [Internet] [Doctoral dissertation]. University of Melbourne; 2016. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/11343/148408.
Council of Science Editors:
Huang DH. Understanding aged care use by older Chinese-speaking immigrants in Australia. [Doctoral Dissertation]. University of Melbourne; 2016. Available from: http://hdl.handle.net/11343/148408
University of Wollongong
7.
Fleming, Richard.
Towards providing better care planning and environmental design for people with dementia in residential aged care.
Degree: PhD, 2013, University of Wollongong
URL: 111001
Aged
Care
Nursing,
111718
Residential
Client
Care,
120106
Interior
Design
;
https://ro.uow.edu.au/theses/3926
► Introduction There are more than 84,000 people with dementia in residential care in Australia. This number is increasing by 4% per year. They can…
(more)
▼ Introduction
There are more than 84,000 people with dementia in residential care in Australia. This number is increasing by 4% per year. They can benefit from systematic care planning and well-designed environments. The studies presented in this thesis describe and evaluate contributions to these aspects of their care.
Method
Across the six papers presented a mixed methods approach has been adopted.
Chapter 2 describes the quantitative evaluation of the metrics of a care planning tool that assists direct care staff to carry out a comprehensive assessment and prepare for a care planning meeting. Chapter 3 is a review of the literature on environmental design. Chapter 4 describes the quantitative evaluation of the metrics of a tool for assessing the quality of physical environments for people with dementia. Chapter 5 presents the results of a comparison between the theoretical and empirical factors, determined by factor analysis of data from 105 facilities, in the environmental audit tool. Chapter 6 reports the results of a linear regression analysis seeking to determine the relationship between the quality of life of people with dementia and the quality of the environment in which they live. Chapter 7 is a qualitative study using data collected from in-depth interviews to identify the obstacles to the application of the available knowledge on designing for people with dementia.
Results
The studies provide evidence for the availability of a valid and reliable care planning assessment tool, a body of knowledge on good design for people with dementia and the means by which good design can be measured. The quality of physical environments was shown to have a positive relationship with the self-reported quality of life of people with dementia living in them. The lack of awareness by facility managers of the knowledge on good design was found to be the major obstacle to the application of existing knowledge even when that knowledge was known to the architects involved in the design.
Conclusion
Tools can be developed to assist those involved in caring for people with dementia to take a systematic approach to collecting data that informs care planning and the design of the physical environment. There is still much work to be done in bringing the use of these tools, and the available knowledge, into routine use.
Subjects/Keywords: dementia; design; aged care homes; care planning
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APA (6th Edition):
Fleming, R. (2013). Towards providing better care planning and environmental design for people with dementia in residential aged care. (Doctoral Dissertation). University of Wollongong. Retrieved from 111001 Aged Care Nursing, 111718 Residential Client Care, 120106 Interior Design ; https://ro.uow.edu.au/theses/3926
Chicago Manual of Style (16th Edition):
Fleming, Richard. “Towards providing better care planning and environmental design for people with dementia in residential aged care.” 2013. Doctoral Dissertation, University of Wollongong. Accessed January 17, 2021.
111001 Aged Care Nursing, 111718 Residential Client Care, 120106 Interior Design ; https://ro.uow.edu.au/theses/3926.
MLA Handbook (7th Edition):
Fleming, Richard. “Towards providing better care planning and environmental design for people with dementia in residential aged care.” 2013. Web. 17 Jan 2021.
Vancouver:
Fleming R. Towards providing better care planning and environmental design for people with dementia in residential aged care. [Internet] [Doctoral dissertation]. University of Wollongong; 2013. [cited 2021 Jan 17].
Available from: 111001 Aged Care Nursing, 111718 Residential Client Care, 120106 Interior Design ; https://ro.uow.edu.au/theses/3926.
Council of Science Editors:
Fleming R. Towards providing better care planning and environmental design for people with dementia in residential aged care. [Doctoral Dissertation]. University of Wollongong; 2013. Available from: 111001 Aged Care Nursing, 111718 Residential Client Care, 120106 Interior Design ; https://ro.uow.edu.au/theses/3926
University of Exeter
8.
Watkins, Ross.
Eating well : understanding and shaping the mealtime experience of older adults in residential care.
Degree: PhD, 2018, University of Exeter
URL: http://hdl.handle.net/10871/33806
► Background: Many interventions aim to alleviate well-documented problems of malnutrition in residential care homes and improve residents’ health and wellbeing. Despite some positive findings, little…
(more)
▼ Background: Many interventions aim to alleviate well-documented problems of malnutrition in residential care homes and improve residents’ health and wellbeing. Despite some positive findings, little is known about how and why mealtime interventions might be effective, and in particular, what effects residents’ experiences of mealtimes have on health outcomes. Aim: The aim of this project was to gain an insight into residents’ experiences of mealtimes in order to inform the development of a mealtime intervention. By addressing the issues that impact on residents’ enjoyment of meals, interventions may target improvements in the health and wellbeing of residents more effectively. Methods: This thesis is comprised of three pieces of empirical work conducted using multiple methods. In a systematic review of stakeholder perceptions of mealtimes, five databases were searched from inception to November 2015, followed by thematic analysis of extracted data. In a second study, semi-structured interviews were conducted with eleven residents from four care homes in the South West UK. Thematic analysis was used to derive content and meaning from transcribed interviews. These studies informed the development of a staff-focussed training programme (study three) using the process of Intervention Mapping (IM) as a guide. The feasibility of this intervention was assessed using qualitative surveys and analysed using multiple methods. Fourteen staff from two care homes participated in the feasibility study, which investigated the deliverability of the training programme and the acceptability of its content. Findings: The systematic review and resident interview study revealed that the dining experience was a focal point for residents’ broader experiences of residing in a care home. Whilst meal quality and enjoyment impacted on the dining experience, the provision of care was pivotal in determining mealtime culture and resident agency within the home. This had implications for self-efficacy and social relationships, particularly in the context of transitioning from independent living to a care home community. These findings informed the development of a mealtime intervention, which was found to be deliverable and acceptable to staff. Conclusion: Mealtimes are a mainstay of life in a care home through which residents’ experiences are characterised, exemplified and magnified. Understanding how residents interact with one another, accommodating their preferences and encouraging autonomy may enhance their mealtime experiences. Evidence from the empirical work supports the development of interventions aimed at mealtime staff to improve resident self-efficacy. This thesis has established the necessary groundwork for a pilot trial and future definitive trial to assess resident (and staff) outcome measures including social (e.g., collective engagement) and psychological outcomes (e.g., wellbeing), as well as health outcomes (e.g., nutritional status).
Subjects/Keywords: residential care home; aged care; qualitative research
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APA ·
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Manager
APA (6th Edition):
Watkins, R. (2018). Eating well : understanding and shaping the mealtime experience of older adults in residential care. (Doctoral Dissertation). University of Exeter. Retrieved from http://hdl.handle.net/10871/33806
Chicago Manual of Style (16th Edition):
Watkins, Ross. “Eating well : understanding and shaping the mealtime experience of older adults in residential care.” 2018. Doctoral Dissertation, University of Exeter. Accessed January 17, 2021.
http://hdl.handle.net/10871/33806.
MLA Handbook (7th Edition):
Watkins, Ross. “Eating well : understanding and shaping the mealtime experience of older adults in residential care.” 2018. Web. 17 Jan 2021.
Vancouver:
Watkins R. Eating well : understanding and shaping the mealtime experience of older adults in residential care. [Internet] [Doctoral dissertation]. University of Exeter; 2018. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/10871/33806.
Council of Science Editors:
Watkins R. Eating well : understanding and shaping the mealtime experience of older adults in residential care. [Doctoral Dissertation]. University of Exeter; 2018. Available from: http://hdl.handle.net/10871/33806
Central Queensland University
9.
Andriamora, Lovasoa N.
Identifying strategies to alleviate aged-care worker burnout: A study from two aged-care facilities in Sydney.
Degree: 2014, Central Queensland University
URL: http://hdl.cqu.edu.au/10018/1026422
► This thesis identifies strategies that will help alleviate the burnout experienced among aged-care workers in Sydney. Specifically, the study investigates the factors contributing to burnout…
(more)
▼ This thesis identifies strategies that will help alleviate the burnout experienced among aged-care workers in Sydney. Specifically, the study investigates the factors contributing to burnout in the human services sector with particular application to two aged-care facilities.Burnout among carers has been a major concern for many years in health care fields. Previous studies of the issue have generally focused on examining
the causes of burnout and the associated consequences. However, there seems a lack of studies which suggest interventions for the alleviation of burnout. The literature in this field has identified ten factors pre-disposing carers to burnout in the aged-care industry. In this study the factors are categorised into three major groups: fixed, moderate and non-fixed factors. To gather data to achieve the research goals, a qualitative interview approach was employed. Data was elicited from twenty-five survey participants grouped as follows:
ten assistant nurses, eight nurses, three facility managers and four relatives of those in care. Participants were selected from the Canterbury Domain Principal Aged Care facility and the Frank Vickery Lodge of the Wesley Mission at Sylvania. A version of the Copenhagen Burnout Inventory was adapted and used as a verification tool for interviews completed by those participating in the study. Major factors identified as influencing burnout among aged-care workers included:
problems with facility staffing, the lack of ethics (or otherwise described as a breach of duty of care), and the unrealistic expectations of relatives. Recommendations arising from the study findings include: a review of training for aged-care workers, promotion of the professionalism of the aged-care profession, regulation with regard to the staff-resident ratio, and synergistic collaboration between relatives and staff. There are significant challenges to the development and maintenance of a healthy aged-care workforce in Australia. Although the data in this study is generated by
small cohorts from only two sites, the strategies identified might be applied to those sites and have wider application potential for the well-being of aged-care workers in other aged-care facilities.
Subjects/Keywords: Burnout; Aged-care workers; Sydney, NSW; Health care fields; 111001 Aged Care Nursing
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APA (6th Edition):
Andriamora, L. N. (2014). Identifying strategies to alleviate aged-care worker burnout: A study from two aged-care facilities in Sydney. (Thesis). Central Queensland University. Retrieved from http://hdl.cqu.edu.au/10018/1026422
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Andriamora, Lovasoa N. “Identifying strategies to alleviate aged-care worker burnout: A study from two aged-care facilities in Sydney.” 2014. Thesis, Central Queensland University. Accessed January 17, 2021.
http://hdl.cqu.edu.au/10018/1026422.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Andriamora, Lovasoa N. “Identifying strategies to alleviate aged-care worker burnout: A study from two aged-care facilities in Sydney.” 2014. Web. 17 Jan 2021.
Vancouver:
Andriamora LN. Identifying strategies to alleviate aged-care worker burnout: A study from two aged-care facilities in Sydney. [Internet] [Thesis]. Central Queensland University; 2014. [cited 2021 Jan 17].
Available from: http://hdl.cqu.edu.au/10018/1026422.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Andriamora LN. Identifying strategies to alleviate aged-care worker burnout: A study from two aged-care facilities in Sydney. [Thesis]. Central Queensland University; 2014. Available from: http://hdl.cqu.edu.au/10018/1026422
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Boston University
10.
Krishnamoorthi, Prithviraj.
Gender differences in oral health of seniors.
Degree: MSin Dental Public Health, Health Policy and Health Services Research, 2010, Boston University
URL: http://hdl.handle.net/2144/37815
► Objectives: To describe the oral health of Rhode Island Seniors and to evaluate gender differences in oral health. Methods: This is a cross-sectional study of…
(more)
▼ Objectives: To describe the oral health of Rhode Island Seniors and to evaluate gender differences in oral health.
Methods: This is a cross-sectional study of individuals who underwent oral screening at the HeathLink Wellness Health Fair, RI, in June, 2008. Data was collected using a self-administered questionnaire on self-reported general and oral health, and a dental examination for those who attended the HealthLink Wellness Progran’s health fair. Data was coded and entered into Epi-Info version 3.4.1, then analyzed using SAS version 9.1. The clinical oral health outcome variables studied were: number of teeth, edentulousness, root tips, untreated caries, dentures, and DMFT. The self-perceived oral health outcome variables were: difficulty relaxing, avoided going out or feeling nervous or self-conscious, felt pain or distress due to teeth, gums or denture, and overall poor self-perceived oral health. The main predictor variable was gender. Other predictor variables included age, self-reported chronic diseases (diabetes, hypertension, heart disease, and dry mouth), smoking history and current smoking status, self-perceived oral health, number of teeth, dentures, and DMFT. Descriptive statistics, bivariate analyses, and multivariate logistic and linear regression analyses were performed.
Results: The study sample consisted of 166 subjects with a mean age of 72.3[plus or minus]7.8 years (range=42-89 years). Descriptive analyses of the study sample’s oral health showed that the subjects had overall good oral health, with 47% having good oral hygiene, 19% had untreated caries, 8% had root tips, 46% had at least one denture (upper or lower, complete or partial), and 12% were completely edentulous. On average, study subjects retained at least half of their natural dentition (mean=16.8[plus or minus]0.8 teeth). The mean DMFT score was 18.5[plus or minus]0.5 teeth. The mean number of teeth with untreated caries was 0.4[plus or minus]0.1 teeth. Multiple logistic regression models and linear regression models were performed after controlling for potential confounders and statistically significant associations were found between the main predictor, gender; and the outcome variables, self-perceived oral health, and clinical oral health. Females were 3.3 times more likely to feel difficulty relaxing due to their teeth, gums or denture (95% CI=1.5-7.6, p=0.002), were 10 times more likely to avoid going out or felt nervous or self-conscious due to their teeth, gums or denture (95%CI=2.1- 48.2, p=0.004), were 5.9 times more likely to have felt pain or distress due to their teeth, gums or denture (95% CI=1.8-19.8, p=0.005), and were 3.2 times more likely to avoid eating some foods due to their teeth gums or denture (95% CI=1.0-10.1, p=0.03). When a new variable was constructed, that reflected an overall score for self-perceived oral health, a multiple linear regression model showed that females had overall poorer self-perceived oral health (p=[less than]0.0001) than males. When clinical oral health outcome variables and gender was…
Subjects/Keywords: Oral health; Male; Female; Adult; Aged; Dental care for aged
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APA (6th Edition):
Krishnamoorthi, P. (2010). Gender differences in oral health of seniors. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/37815
Chicago Manual of Style (16th Edition):
Krishnamoorthi, Prithviraj. “Gender differences in oral health of seniors.” 2010. Masters Thesis, Boston University. Accessed January 17, 2021.
http://hdl.handle.net/2144/37815.
MLA Handbook (7th Edition):
Krishnamoorthi, Prithviraj. “Gender differences in oral health of seniors.” 2010. Web. 17 Jan 2021.
Vancouver:
Krishnamoorthi P. Gender differences in oral health of seniors. [Internet] [Masters thesis]. Boston University; 2010. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/2144/37815.
Council of Science Editors:
Krishnamoorthi P. Gender differences in oral health of seniors. [Masters Thesis]. Boston University; 2010. Available from: http://hdl.handle.net/2144/37815
Oregon State University
11.
Kwon, Oh-Jung.
Physical aspects of specialized units for Alzheimer patients in long term care facilities.
Degree: MS, Family Resource Management, 1988, Oregon State University
URL: http://hdl.handle.net/1957/41100
► This exploratory study described the protected living environments of segregated Alzheimer/Dementia Units (ADUs) and compared them to selected physical aspects of the larger institutions in…
(more)
▼ This exploratory study described the protected living environments of segregated Alzheimer/Dementia Units (ADUs) and compared them to selected physical aspects of the larger institutions in which they were housed. A nonrandom, purposive sample used in this study included 99 nursing homes with ADUs in 34 states. Data were collected using a mail questionnaire developed to obtain data about ADUs and the long term
care facilities in which they were located. A 78 percent response rate was achieved. The data were analyzed using frequency distributions, descriptive statistics, and the nonparametric McNemar test. Four null hypotheses with sub-parts were tested. Recommendations reached on the basis of the data analysis and literature reviewed were: 1) To provide a living environment that permits freedom of movement with complete safety and security for dementia patients (and their personal possessions), further research should investigate the provision of the following safety and security features in ADUs: a simple, uncluttered environment with all hazards removed
or secured, and outdoor exits that are simultaneously
secured (locked or alarmed) and "fire safe";
2) Furnishings of ADU patients' rooms need not differ
significantly from other nursing home residents' rooms in
terms of personal furnishings and possessions and privacy
arrangements – both should provide a homelike, personalized
living environment;
3) To help Alzheimer patients to find their way in an ADU,
a personal marker or resident's photo posted near the
door of their room is recommended;
4) To provide a quiet, calm atmosphere in an ADU, soundabsorbent
ceiling and wall surfaces, and modified public
address systems are suggested;
5) Further research should test the effects of the
following variables (for which frequencies were
significantly different but relatively low in the ADUs)
under controlled conditions: lockable storage features in
residents' rooms; environmental cueing devices such as
landmarks, color-coding, pictograph symbols, or wall
hangings; and noise reduction via removal of television
sets or radios; and
6) Safe and secure outdoor facilities may be an essential
and unique physical feature of the ADU living environment.
Advisors/Committee Members: White, Betty Jo (advisor), Evans, Pamela K. (committee member).
Subjects/Keywords: Aged – Institutional care
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APA (6th Edition):
Kwon, O. (1988). Physical aspects of specialized units for Alzheimer patients in long term care facilities. (Masters Thesis). Oregon State University. Retrieved from http://hdl.handle.net/1957/41100
Chicago Manual of Style (16th Edition):
Kwon, Oh-Jung. “Physical aspects of specialized units for Alzheimer patients in long term care facilities.” 1988. Masters Thesis, Oregon State University. Accessed January 17, 2021.
http://hdl.handle.net/1957/41100.
MLA Handbook (7th Edition):
Kwon, Oh-Jung. “Physical aspects of specialized units for Alzheimer patients in long term care facilities.” 1988. Web. 17 Jan 2021.
Vancouver:
Kwon O. Physical aspects of specialized units for Alzheimer patients in long term care facilities. [Internet] [Masters thesis]. Oregon State University; 1988. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/1957/41100.
Council of Science Editors:
Kwon O. Physical aspects of specialized units for Alzheimer patients in long term care facilities. [Masters Thesis]. Oregon State University; 1988. Available from: http://hdl.handle.net/1957/41100
University of Tasmania
12.
Andrews-Hall, S.
"Behind the blue door" : developing the practices of aged care staff around a palliative approach in a dementia special care unit.
Degree: 2010, University of Tasmania
URL: https://eprints.utas.edu.au/22544/1/Whole_%20Andrews_Sharon_Thesis_2010_final.pdf
;
https://eprints.utas.edu.au/22544/2/Andrews_Sharon_Appendicies.pdf
► The adoption of a palliative approach to the care within Australian Residential Aged Care Facilities (RACFs) has been supported by a range of policy and…
(more)
▼ The adoption of a palliative approach to the care within Australian Residential Aged
Care Facilities (RACFs) has been supported by a range of policy and best-practice
initiatives. There is a considerable body of evidence demonstrating that most people
who live in RACFs are highly dependent, are likely to have dementia and will die in
these locations. Dementia is recognised to be a terminal condition, further
underscoring the need for appropriate and timely care. However, issues of equity and
quality of palliative care for people with dementia have raised concerns about the
capacity of RACFs to deliver a palliative approach to care. Therefore, this research
located within a RACF in Tasmania, Australia, sought to address the question: what
are the possibilities for aged care staff to develop their practices around a palliative
approach to care for people with dementia and their family caregivers?
The study employed a critical action research method wherein, nursing and care staff
members (n=5) from a dementia special care unit (SCU) formed an action research
group (ARG). With a desire to explore and improve their palliative care practices, the
ARG members engaged in a critical change agenda over an 18 month period. In
Stage One of the study, a preliminary investigation collected baseline from ARG
meetings (n=11), staff questionnaires (n=37), interviews with family caregivers of
residents from the SCU (n=10), stakeholders dialogues (n=6); and an audit of
resident files (n=21). Through their critical reflection on the baseline findings, the
ARG members identified three areas of practice in need of improvement these being,
i) staff knowledge of a palliative approach, (ii) family caregivers’ access to
information and, (iii) evidence-based strategies for pain management and palliative
care planning. During Stage Two, the ARG members continued to meet (n=7) as co-researchers
and developed four action plans to address these concerns. During this
process they shared an emerging sense of empowerment as they imagined
possibilities for change. In Stage Three, the group members implemented their action
plans through five successive action cycles and met (n=9) to critically reflect on the
outcomes. This study illustrates that a complexity of competing economic, sociopolitical
and cultural interests shape the possibilities for aged care staff to
reconfigure their practices to support a palliative approach to care. It is imperative to
provide opportunities for staff to engage in critical, collaborative dialogue as a means
to exposing the taken-for-granted understandings that constrain innovation.
Subjects/Keywords: Palliative approach; dementia; aged care; action research
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APA (6th Edition):
Andrews-Hall, S. (2010). "Behind the blue door" : developing the practices of aged care staff around a palliative approach in a dementia special care unit. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/22544/1/Whole_%20Andrews_Sharon_Thesis_2010_final.pdf ; https://eprints.utas.edu.au/22544/2/Andrews_Sharon_Appendicies.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Andrews-Hall, S. “"Behind the blue door" : developing the practices of aged care staff around a palliative approach in a dementia special care unit.” 2010. Thesis, University of Tasmania. Accessed January 17, 2021.
https://eprints.utas.edu.au/22544/1/Whole_%20Andrews_Sharon_Thesis_2010_final.pdf ; https://eprints.utas.edu.au/22544/2/Andrews_Sharon_Appendicies.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Andrews-Hall, S. “"Behind the blue door" : developing the practices of aged care staff around a palliative approach in a dementia special care unit.” 2010. Web. 17 Jan 2021.
Vancouver:
Andrews-Hall S. "Behind the blue door" : developing the practices of aged care staff around a palliative approach in a dementia special care unit. [Internet] [Thesis]. University of Tasmania; 2010. [cited 2021 Jan 17].
Available from: https://eprints.utas.edu.au/22544/1/Whole_%20Andrews_Sharon_Thesis_2010_final.pdf ; https://eprints.utas.edu.au/22544/2/Andrews_Sharon_Appendicies.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Andrews-Hall S. "Behind the blue door" : developing the practices of aged care staff around a palliative approach in a dementia special care unit. [Thesis]. University of Tasmania; 2010. Available from: https://eprints.utas.edu.au/22544/1/Whole_%20Andrews_Sharon_Thesis_2010_final.pdf ; https://eprints.utas.edu.au/22544/2/Andrews_Sharon_Appendicies.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Tasmania
13.
Webb, JM.
“I only look forward to Mondays” : facilitating creative writing groups : ageism, action and empowerment.
Degree: 2016, University of Tasmania
URL: https://eprints.utas.edu.au/23080/1/Webb_whole_thesis.pdf
► This study examines the changes, which occur when introducing residents in aged care facilities (RACFs) to creative experiences, specifically poetry and short prose. This is…
(more)
▼ This study examines the changes, which occur when introducing residents in aged care
facilities (RACFs) to creative experiences, specifically poetry and short prose. This is explored
qualitatively by working with groups of residents in two Tasmanian RACFs. The theoretical
background, research and methodology of this project examine how participatory creative
activities, which produce both individual and communal writing, is beneficial to the wellbeing of
residents in aged care facilities in Tasmania.
This study uses Action Research as a methodology. Its flexibility enabled the project to
grow, broaden intellectual concepts and deepen my understanding of arising issues. As a
relationship developed between residents, and between residents and myself, we changed with
each newly shared experience. Action Research is responsive to change and the cyclical process
assists in reflecting on what has occurred; this enables critical planning to improve the creative
process. The cycle of ‘plan, act, observe and reflect’ encouraged me to work collaboratively with
members of the two groups; demonstrating two or more minds are better than one. Our
developing communal reflection led us to the next cyclical challenge.
This study encompasses the role of creativity in Australian RACFs and there is critical
examination of the broader setting of Government policy and planning, in relation to the
wellbeing of residents in RACFs. The focus of the study enlarged to the international field for
examples of creative expression in other countries that perceive the value of creative expression,
and are using this as a method that aims to benefit the frail aged in institutions.
It is widely held there is an important relationship between the physical brain and human
expressions of creativity. My investigations and experience with my two creative writing groups
concurred: factors that reduce creativity are lack of confidence, negative feedback and
domination of existing dogma. Using data from the creative writing groups, and research beyond
these experiences, factors were identified that affect outcomes from writing groups. Action
Research underpinned the project beyond the confines of the room in an aged care facility, to
the capacity for growth in the frail aged, where environmental, social and political circumstances
permit.
Subjects/Keywords: Aged care; creativity; action research; ageism; empowerment
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APA (6th Edition):
Webb, J. (2016). “I only look forward to Mondays” : facilitating creative writing groups : ageism, action and empowerment. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/23080/1/Webb_whole_thesis.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Webb, JM. ““I only look forward to Mondays” : facilitating creative writing groups : ageism, action and empowerment.” 2016. Thesis, University of Tasmania. Accessed January 17, 2021.
https://eprints.utas.edu.au/23080/1/Webb_whole_thesis.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Webb, JM. ““I only look forward to Mondays” : facilitating creative writing groups : ageism, action and empowerment.” 2016. Web. 17 Jan 2021.
Vancouver:
Webb J. “I only look forward to Mondays” : facilitating creative writing groups : ageism, action and empowerment. [Internet] [Thesis]. University of Tasmania; 2016. [cited 2021 Jan 17].
Available from: https://eprints.utas.edu.au/23080/1/Webb_whole_thesis.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Webb J. “I only look forward to Mondays” : facilitating creative writing groups : ageism, action and empowerment. [Thesis]. University of Tasmania; 2016. Available from: https://eprints.utas.edu.au/23080/1/Webb_whole_thesis.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Newcastle
14.
Poulton, Erin.
Disclosure and reporting by providers of residential aged care in Australia: accountability to stakeholders.
Degree: PhD, 2017, University of Newcastle
URL: http://hdl.handle.net/1959.13/1354646
► Research Doctorate - Doctor of Philosophy (PhD)
The Residential Aged Care (RAC) Sector in Australia is significant in terms of the ageing population (consistent with…
(more)
▼ Research Doctorate - Doctor of Philosophy (PhD)
The Residential Aged Care (RAC) Sector in Australia is significant in terms of the ageing population (consistent with most developed countries), and the fact that it will affect the majority of the population in terms of the need for RAC at some stage in their lives. Having access to information for stakeholders to make informed and timely decisions regarding the comparison of RAC providers is often difficult due to there being higher demand than supply, small timeframe to make decisions with a high emotional content and the difficulty in changing providers. This research will enable RAC providers and their stakeholders to consider the current level of disclosure required and the level of voluntary disclosures providers in the sector choose to disclose, and whether this level of disclosure is adequate for stakeholders to make informed decisions. Information was gathered from the RAC provider's website, reports (annual, financial and social) and other publicly available information, to determine their level of non-financial, financial and social (governance and sustainability) disclosure, over a three year period. It was found that the RAC providers should not just be limited to their legal reporting requirements (mandatory), but instead should also endeavour to disclose additional voluntary information, in order for their stakeholders to make informed decisions. In addressing the Australian RAC Sector's stakeholder information needs, frameworks (RAC Sector Disclosure NFS Framework, Non-Financial RAC Disclosure Value Framework, RAC GPFR Framework, RAC Sector Governance Framework, RAC Sector Governance Principles, the RAC Sector Sustainability Reporting Disclosure, and the RAC Sector Sustainability Elements) were developed for this sector to improve disclosure. In addition, the CARED Scoring System was developed and proposed as a means for the Australian RAC Sector Providers to calculate their level of annual reporting (non-financial, financial and social) disclosed to their stakeholders. This research provides new insights and a basis for further research to determine whether the Australian RAC Sector have improved their consistency and adequacy of their disclosures (non-financial, financial and social) through the use of the proposed CARED Framework and associated frameworks.
Advisors/Committee Members: University of Newcastle. Faculty of Business & Law, Newcastle Business School.
Subjects/Keywords: aged care; governance; social responsibility; stakeholder theory
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Manager
APA (6th Edition):
Poulton, E. (2017). Disclosure and reporting by providers of residential aged care in Australia: accountability to stakeholders. (Doctoral Dissertation). University of Newcastle. Retrieved from http://hdl.handle.net/1959.13/1354646
Chicago Manual of Style (16th Edition):
Poulton, Erin. “Disclosure and reporting by providers of residential aged care in Australia: accountability to stakeholders.” 2017. Doctoral Dissertation, University of Newcastle. Accessed January 17, 2021.
http://hdl.handle.net/1959.13/1354646.
MLA Handbook (7th Edition):
Poulton, Erin. “Disclosure and reporting by providers of residential aged care in Australia: accountability to stakeholders.” 2017. Web. 17 Jan 2021.
Vancouver:
Poulton E. Disclosure and reporting by providers of residential aged care in Australia: accountability to stakeholders. [Internet] [Doctoral dissertation]. University of Newcastle; 2017. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/1959.13/1354646.
Council of Science Editors:
Poulton E. Disclosure and reporting by providers of residential aged care in Australia: accountability to stakeholders. [Doctoral Dissertation]. University of Newcastle; 2017. Available from: http://hdl.handle.net/1959.13/1354646
University of Adelaide
15.
Lim, Che Kiong.
The changing needs of older Malaysians : a Selangor case study.
Degree: 2012, University of Adelaide
URL: http://hdl.handle.net/2440/80111
► Malaysia’s older population will increase by 4.7 percent per annum over the next twenty years (2010-2030). Increases in life expectancy and decline in fertility have…
(more)
▼ Malaysia’s older population will increase by 4.7 percent per annum over the next twenty years (2010-2030). Increases in life expectancy and decline in fertility have resulted in an increase in the elderly dependency ratio. This thesis seeks to understand current
aged care provision (both formal and informal) in Malaysia, and the extent to which it is meeting the expectations and needs of contemporary and future older populations. The study is based on a survey of 510 people
aged 50 years and over in the State of Selangor, Malaysia. It adopts a multi-dimensional approach encompassing four key elements, demography, dependency, availability and accessibility. A needs assessment is based on data collected from face-to-face interviews with older people, complemented by secondary data. The findings demonstrate that the need for services among older Malaysians vary with ethnicity and socio-economic and health status. It was found that older persons with lower socio-economic status, poorer health status, living in small households and in advanced old age, required greater access to
aged care services. Family members, particularly the spouses and children, remain the most important source of support for older Malaysians. However, these supports were often insufficient to cater for the needs of older persons, both financially and physically. In terms of financial well-being, 40 percent of older people perceived that they do not have sufficient financial resources to meet their future needs. Dependency on physical support was associated with the number of chronic illnesses and disability levels of the
aged. Although most physically needy people were able to receive a certain extent of assistance from informal sources, such provision was found to be unequally distributed among older groups. Unfulfilled needs not only highlight a lack of formal
aged care services available, but also indicate that informal support is limited. In fact the latter may already have reached its maximum levels and been found inadequate to meet perceived needs. While informal support remains significant in supporting these
aged people, a substantial shift in policy and planning for formal
aged care is necessary not only to complement gradually eroded informal support, but more importantly to enhance the overall well-being of the older people. This is especially important for the future older population (currently
aged 50-59) who have greater expectations regarding access to
aged care resources and services than the current oldest Malaysians. Although they are more independent, better educated, have better old age financial coverage and are more aware of personal health status, they also have greater expectations. In conclusion, understanding the needs for
aged care services from people of different ethnicities, socio-economic groups, health statuses and spatial locations, has important implications for achieving a balance between the formal and informal provision in future
aged care planning.
Advisors/Committee Members: Hugo, Graeme John (advisor), Rudd, Dianne M. (advisor), School of Social Sciences (school).
Subjects/Keywords: older people; needs; aged care services; Malaysia
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Manager
APA (6th Edition):
Lim, C. K. (2012). The changing needs of older Malaysians : a Selangor case study. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/80111
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Lim, Che Kiong. “The changing needs of older Malaysians : a Selangor case study.” 2012. Thesis, University of Adelaide. Accessed January 17, 2021.
http://hdl.handle.net/2440/80111.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Lim, Che Kiong. “The changing needs of older Malaysians : a Selangor case study.” 2012. Web. 17 Jan 2021.
Vancouver:
Lim CK. The changing needs of older Malaysians : a Selangor case study. [Internet] [Thesis]. University of Adelaide; 2012. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/2440/80111.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Lim CK. The changing needs of older Malaysians : a Selangor case study. [Thesis]. University of Adelaide; 2012. Available from: http://hdl.handle.net/2440/80111
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Ghana
16.
Kwabena – Adade, J.
Home Away from Home: The Emerging Forms of Aged Care in the Urban Centres of the Greater Accra Region of Ghana
.
Degree: 2018, University of Ghana
URL: http://ugspace.ug.edu.gh/handle/123456789/26154
► Globally, population ageing is occurring at a period when the extended family support system which has been a safe haven for the Ghanaian aged is…
(more)
▼ Globally, population ageing is occurring at a period when the extended family support system which has been a safe haven for the Ghanaian aged is fast eroding as a result of the impact of social change. The increasingly failing domiciliary eldercare is making way for residential non-domiciliary eldercare in the urban centres of Accra. This study is a contribution to the growing literature on aged care in Ghana with a focus on the activities of residential aged care facilities and how the phenomenon is being rationalized by families patronising them.
The objectives for this study were as follows: first, to identify the different types of systems of care currently available in the urban centres established to meet the care needs of the elderly people; second, to explore the kinds of activities of care provided by the residential aged care facilities to the elderly who access them; third, to describe the circumstances under which the aged are admitted into the residential aged care facilities; fourth, to find out how the elderly accessing these facilities make sense of the decisions made to delegate their care to residential aged care facilities; and finally, to examine how the family members of the elderly accessing the non-domiciliary systems of care evaluate the decision they have made to delegate the care of their aged persons to a formal institution.
This study adopted a qualitative mixed methods approach. Fifteen elderly persons at two residential aged care facilities comprising of twelve females and three males were purposively selected and interviewed. Other key informants were six family members of the residents, two administrators, two facility operators, and six caregivers making a total of thirty-one interviews. In addition, observational notes were made of 57 field visits. The data was analysed using thematic network approach.
Two types of care are available to the elderly in urban Accra. They are care within their usual dwelling places and care out of home. Eldercare out of home consist of non-residential nd residential aged care facilities. The residential aged care facilities are owned by individuals who have lived and worked abroad. The residential aged care facilities employ not more than six caregivers at any given time with majority of them being females. There are two types of caregivers at the facilities; trained caregivers who deliver direct acts of caring and untrained caregivers who act as support staff. The facilities operate a 24-hour service, seven days a week for the residents. They also operate an 8-hour routine five days a week for elderly persons accessing the facilities for recreational purposes. Between two to four elderly people share a room depending on the size. The daily activities of care mostly performed for the elderly are intimate and non-intimate technical, medical, and emotional care. The bulk of activities of care for the elderly is performed in the morning. Material care is provided by the family members of the elderly to ensure their continued support at the facility.…
Subjects/Keywords: Aged Care;
Urban Centres;
Greater Accra;
Ghana
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APA (6th Edition):
Kwabena – Adade, J. (2018). Home Away from Home: The Emerging Forms of Aged Care in the Urban Centres of the Greater Accra Region of Ghana
. (Doctoral Dissertation). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/26154
Chicago Manual of Style (16th Edition):
Kwabena – Adade, J. “Home Away from Home: The Emerging Forms of Aged Care in the Urban Centres of the Greater Accra Region of Ghana
.” 2018. Doctoral Dissertation, University of Ghana. Accessed January 17, 2021.
http://ugspace.ug.edu.gh/handle/123456789/26154.
MLA Handbook (7th Edition):
Kwabena – Adade, J. “Home Away from Home: The Emerging Forms of Aged Care in the Urban Centres of the Greater Accra Region of Ghana
.” 2018. Web. 17 Jan 2021.
Vancouver:
Kwabena – Adade J. Home Away from Home: The Emerging Forms of Aged Care in the Urban Centres of the Greater Accra Region of Ghana
. [Internet] [Doctoral dissertation]. University of Ghana; 2018. [cited 2021 Jan 17].
Available from: http://ugspace.ug.edu.gh/handle/123456789/26154.
Council of Science Editors:
Kwabena – Adade J. Home Away from Home: The Emerging Forms of Aged Care in the Urban Centres of the Greater Accra Region of Ghana
. [Doctoral Dissertation]. University of Ghana; 2018. Available from: http://ugspace.ug.edu.gh/handle/123456789/26154
Victoria University of Wellington
17.
Jansen, Colette.
How did I use music therapy to foster connections between residents, and between residents and others in a rest home and hospital environment.
Degree: 2020, Victoria University of Wellington
URL: http://hdl.handle.net/10063/9300
► Abstract This study is submitted in part fulfilment of a Master of Music Therapy degree through Victoria University of Wellington (VUW). Group and individual music…
(more)
▼ Abstract
This study is submitted in part fulfilment of a Master of Music Therapy degree through Victoria University of Wellington (VUW). Group and individual music therapy sessions were undertaken within a rest home and hospital environment in response to the rest home managers request to bring residents out of isolation and increase socialisation. Facility notes, plans and observations, meeting notes, and reflective and reflexive journaling were written during a six-month period from February to July 2019. This clinical data was then used, with informed consent, to investigate how music therapy was used to foster connections between residents, and between residents and others within the rest home and hospital environment. Findings from Secondary Analysis of the data showed the overarching category of rapport led to the interplay of four main themes: interdisciplinary collaboration and teamwork, therapeutic approaches, physical and musical resources, and environmental conditions. The Community Music Therapy (CoMT) ethos supported the flexible work within the context to achieve the manager’s goals resulting in increased connection between residents, and residents and others. The use of reflexivity enabled the development of richer therapeutic relationships and helped align the researcher’s community musician skills to those of a community music therapist. Further studies which focus on rapport, connection and relationships, in music therapy with older people, are needed.
Advisors/Committee Members: Rickson, Daphne.
Subjects/Keywords: connection; trust; rapport; relationships; aged care
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APA (6th Edition):
Jansen, C. (2020). How did I use music therapy to foster connections between residents, and between residents and others in a rest home and hospital environment. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/9300
Chicago Manual of Style (16th Edition):
Jansen, Colette. “How did I use music therapy to foster connections between residents, and between residents and others in a rest home and hospital environment.” 2020. Masters Thesis, Victoria University of Wellington. Accessed January 17, 2021.
http://hdl.handle.net/10063/9300.
MLA Handbook (7th Edition):
Jansen, Colette. “How did I use music therapy to foster connections between residents, and between residents and others in a rest home and hospital environment.” 2020. Web. 17 Jan 2021.
Vancouver:
Jansen C. How did I use music therapy to foster connections between residents, and between residents and others in a rest home and hospital environment. [Internet] [Masters thesis]. Victoria University of Wellington; 2020. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/10063/9300.
Council of Science Editors:
Jansen C. How did I use music therapy to foster connections between residents, and between residents and others in a rest home and hospital environment. [Masters Thesis]. Victoria University of Wellington; 2020. Available from: http://hdl.handle.net/10063/9300
University of Sydney
18.
Devery, Michael John.
The Experience of Family Caregiving Following Residential Aged Care Placement: An Exploratory Study
.
Degree: 2018, University of Sydney
URL: http://hdl.handle.net/2123/18989
► This thesis presents the findings of a study of 20 family caregivers of frail elderly residents of an Australian aged care facility. The participants were…
(more)
▼ This thesis presents the findings of a study of 20 family caregivers of frail elderly residents of an Australian aged care facility. The participants were partners, adult children and nieces of the residents. The study used Interpretive Phenomenological methodology to explore the question, What is the experience of caregiving following placement? Semi-structured interviews with participants were used to gather data, which were analysed using Thematic Network analysis (Attride-Sterling, 2001). The participants were confronted by changes in their relationships with their relatives due to their relatives’ illnesses, frailty and placements in residential care. The participants adjusted their caregiving in the new setting by reconstructing their caregiving relationships. They used caregiving tasks and caregiving rituals to maintain a connection with their relatives which preserved their relatives’ well-being. When reconstructing their caregiving relationships, the participants aspired also to preserve their own health and well-being. The participants’ synthesis of preservative caregiving and self-preservation in a reconstructed caregiving relationship is interpreted in this thesis as caregiver intimacy. The participants experienced caregiver intimacy as a familial relation. They reconstructed their caregiving as reconstructed family caregiving following placement; when coordinating their own caregiving with care provided by residential care staff they reconstructed their caregiving as extended-family caregiving following placement. Reconstructed family caregiving and extended family caregiving are adaptations of the caregiving relationship which preserve caregiver intimacy following placement. The finding that most of the participants felt that they had preserved their relatives’ well-being whilst minimising the burdens of caregiving following placement represents a new contribution to the understanding of caregiving. Since caregiving following placement is expected to become increasingly prevalent as populations age worldwide, understanding the experience of caregiving following placement as an experience of intimacy has potential to transform our understanding of caregiving in an ageing society.
Subjects/Keywords: family;
caregiving;
residential;
aged;
care;
placement
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Manager
APA (6th Edition):
Devery, M. J. (2018). The Experience of Family Caregiving Following Residential Aged Care Placement: An Exploratory Study
. (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/18989
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Devery, Michael John. “The Experience of Family Caregiving Following Residential Aged Care Placement: An Exploratory Study
.” 2018. Thesis, University of Sydney. Accessed January 17, 2021.
http://hdl.handle.net/2123/18989.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Devery, Michael John. “The Experience of Family Caregiving Following Residential Aged Care Placement: An Exploratory Study
.” 2018. Web. 17 Jan 2021.
Vancouver:
Devery MJ. The Experience of Family Caregiving Following Residential Aged Care Placement: An Exploratory Study
. [Internet] [Thesis]. University of Sydney; 2018. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/2123/18989.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Devery MJ. The Experience of Family Caregiving Following Residential Aged Care Placement: An Exploratory Study
. [Thesis]. University of Sydney; 2018. Available from: http://hdl.handle.net/2123/18989
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of New South Wales
19.
Davidson, Robert Tony.
Contestability in human services and its impact on service providers: A case study of community aged care in New South Wales.
Degree: Social Policy Research Centre, 2015, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/55392
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37450/SOURCE02?view=true
► A major reason for the substantial marketisation of human services over the last quarter century has been a belief thatgreater contestability has a positive impact…
(more)
▼ A major reason for the substantial marketisation of human services over the last quarter century has been a belief thatgreater contestability has a positive impact on service providers, by enabling new and innovative providers to enterand giving all incumbents more incentive to improve services. Critics dispute this, claiming that the effects are oftennegative, allowing the entry of profit-maximisers and generating incentives for all providers to cut costs at theexpense of good services. This thesis examines these conflicting claims, both theoretically in relation to humanservices in general, and through an empirical study of one service in one location.The first part of the thesis considers the theoretical implications for the concept of contestability when the product isa human service, and the resulting effects on the structure and operatipn of markets, the type of providers, and theincentives facing providers. A key aim is to assess marketisation on its own terms as far as possible and examinehuman services industries in the same way as other industries. An analytical framework grounded in conventionaleconomic theory, but adapted to the reality of human services, is developed to examine con testability in specificmarkets. This framework is then used for the empirical study of the community
aged care industry in New SouthWales (NSW). This was a mixed-method study, with data obtained primarily from interviews, document analysis,and analysis of funding data.Both parts of the research show that there is substantial, intrinsic market failure in human services. This creates muchscope for poor practice by providers, and requires limits on contestability to maximise the outcomes of services.Notwithstanding this, if implemented in a limited and strategic way, with a small number of providers competing onthe basis of quality, then contestability can have positive effects on the capacity of providers to deliver good services.Even though there are tight limits on contestability in the NSW community
aged care industry, there has beencontinuing new entry, vigorous competition, stability in the supply of services, and strong incentives for providers toimprove the quality, responsiveness and efficiency of their services.
Advisors/Committee Members: Saunders , Peter, Social Policy Research Centre, Faculty of Arts & Social Sciences, UNSW, Brennan, Deborah, Social Policy Research Centre, Faculty of Arts & Social Sciences, UNSW.
Subjects/Keywords: Community aged care; Contestability; Human services
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APA (6th Edition):
Davidson, R. T. (2015). Contestability in human services and its impact on service providers: A case study of community aged care in New South Wales. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/55392 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37450/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Davidson, Robert Tony. “Contestability in human services and its impact on service providers: A case study of community aged care in New South Wales.” 2015. Doctoral Dissertation, University of New South Wales. Accessed January 17, 2021.
http://handle.unsw.edu.au/1959.4/55392 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37450/SOURCE02?view=true.
MLA Handbook (7th Edition):
Davidson, Robert Tony. “Contestability in human services and its impact on service providers: A case study of community aged care in New South Wales.” 2015. Web. 17 Jan 2021.
Vancouver:
Davidson RT. Contestability in human services and its impact on service providers: A case study of community aged care in New South Wales. [Internet] [Doctoral dissertation]. University of New South Wales; 2015. [cited 2021 Jan 17].
Available from: http://handle.unsw.edu.au/1959.4/55392 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37450/SOURCE02?view=true.
Council of Science Editors:
Davidson RT. Contestability in human services and its impact on service providers: A case study of community aged care in New South Wales. [Doctoral Dissertation]. University of New South Wales; 2015. Available from: http://handle.unsw.edu.au/1959.4/55392 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:37450/SOURCE02?view=true
Central Queensland University
20.
O'Neill, Barbara.
Aged care nursing staff management of the deteriorating resident and hospital avoidance: A theory of planned behaviour study.
Degree: 2017, Central Queensland University
URL: http://hdl.cqu.edu.au/10018/1236717
► O'Neill, B ORCiD: 0000-0002-4098-1910
An ageing population challenges healthcare systems and resources. Efforts are underway in Australia and around the world to find alternatives to…
(more)
▼ O'Neill, B ORCiD: 0000-0002-4098-1910
An ageing population challenges healthcare systems and resources. Efforts are underway in Australia and around the world to find alternatives to hospitalisation for older persons, particularly those transferred from residential aged care facilities (RACFs), where emergency transfers are frequent, costly, stressful for residents, and often considered unnecessary or preventable. RACF nursing staff play a pivotal role in managing residents with deteriorating health and hospital avoidance efforts; therefore, information on their intentions and perceptions regarding this area of their work is needed to underpin programs that aim to enhance nursing skills and confidence.
The overarching aim of the study presented in this thesis is to understand and identify factors that influence RACF nursing staff management of residents with deteriorating health.
Associated Grant:Australian Postgraduate Research Award; $5000 bursary from PresCare
Subjects/Keywords: Theory of Planned Behaviour; Residential aged care; Nursing staff; 111001 Aged Care Nursing
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Manager
APA (6th Edition):
O'Neill, B. (2017). Aged care nursing staff management of the deteriorating resident and hospital avoidance: A theory of planned behaviour study. (Thesis). Central Queensland University. Retrieved from http://hdl.cqu.edu.au/10018/1236717
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
O'Neill, Barbara. “Aged care nursing staff management of the deteriorating resident and hospital avoidance: A theory of planned behaviour study.” 2017. Thesis, Central Queensland University. Accessed January 17, 2021.
http://hdl.cqu.edu.au/10018/1236717.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
O'Neill, Barbara. “Aged care nursing staff management of the deteriorating resident and hospital avoidance: A theory of planned behaviour study.” 2017. Web. 17 Jan 2021.
Vancouver:
O'Neill B. Aged care nursing staff management of the deteriorating resident and hospital avoidance: A theory of planned behaviour study. [Internet] [Thesis]. Central Queensland University; 2017. [cited 2021 Jan 17].
Available from: http://hdl.cqu.edu.au/10018/1236717.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
O'Neill B. Aged care nursing staff management of the deteriorating resident and hospital avoidance: A theory of planned behaviour study. [Thesis]. Central Queensland University; 2017. Available from: http://hdl.cqu.edu.au/10018/1236717
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Newcastle
21.
Cho, Gwilae.
Development of care standards for South Korean residential aged care facilities.
Degree: PhD, 2014, University of Newcastle
URL: http://hdl.handle.net/1959.13/1057609
► Research Doctorate - Doctor of Philosophy (PhD)
The world’s ageing population means that many older people in developed countries now live out the latter parts…
(more)
▼ Research Doctorate - Doctor of Philosophy (PhD)
The world’s ageing population means that many older people in developed countries now live out the latter parts of their lives in Long-Term Care (LTC) settings such as Residential Aged Care Facilities (RACFs). The majority of the older people in LTC settings have problems with cognition and a range of debilitating chronic conditions associated with frailty which means they are dependent on others for the needs of everyday living. South Korea has one of the world’s fastest growing ageing populations. The catalyst for this study was the instigation of a national government LTC insurance system in South Korea in 2008 and issues and concerns about the Quality of Care (QOC) in RACFs. The introduction of the LTC system highlighted the absence of care standards for care provision in RACFs in South Korea. The research study reported in this thesis used modified Delphi methodology for the development of care standards for RACFs in South Korea. Methods included; 1) Document analysis of international care standards from Australia, the United Kingdom and the United States, 2) qualitative descriptive analysis of the transcriptions of focus group meetings held with residents, their families and older people within the community, and 3) Analysis of the assessment data relating to the health and functional status of Korean residents. A pilot study was conducted of the Delphi method which was followed by three rounds of Delphi to complete the data collection, analysis and development of standards. Donabedian’s framework was used to inform the quality care elements of the care standards. A suite of standards for care in RACFs, underpinned by international principles of care for older people, comprising 15 statements of standards and 155 criteria, were developed. International, cultural, social and individual requirements for care are reflected in the standards. Of importance is that the care standards may assist the South Korean Government’s National Health Insurance Service (NHIS) policy makers to ensure the provision of culturally appropriate care in RACFs. In addition, they may guide Quality Assurance (QA) activities for private and public service providers. Finally, the findings from this research provide nurses with an opportunity to play a central role in the emergence of the gerontological nursing specialty in South Korea. It also serves as a reference point for nurses from other countries in the Asia Pacific that are also facing rapidly ageing populations.
Advisors/Committee Members: University of Newcastle. Faculty of Health & Medicine, School of Nursing and Midwifery.
Subjects/Keywords: quality of care; residential aged care facilities; care standards; long-term care; South Korea
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APA ·
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Manager
APA (6th Edition):
Cho, G. (2014). Development of care standards for South Korean residential aged care facilities. (Doctoral Dissertation). University of Newcastle. Retrieved from http://hdl.handle.net/1959.13/1057609
Chicago Manual of Style (16th Edition):
Cho, Gwilae. “Development of care standards for South Korean residential aged care facilities.” 2014. Doctoral Dissertation, University of Newcastle. Accessed January 17, 2021.
http://hdl.handle.net/1959.13/1057609.
MLA Handbook (7th Edition):
Cho, Gwilae. “Development of care standards for South Korean residential aged care facilities.” 2014. Web. 17 Jan 2021.
Vancouver:
Cho G. Development of care standards for South Korean residential aged care facilities. [Internet] [Doctoral dissertation]. University of Newcastle; 2014. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/1959.13/1057609.
Council of Science Editors:
Cho G. Development of care standards for South Korean residential aged care facilities. [Doctoral Dissertation]. University of Newcastle; 2014. Available from: http://hdl.handle.net/1959.13/1057609
University of Melbourne
22.
Moore, Kirsten Jane.
Informal carers’ experiences of Extended Aged Care at Home Dementia packages: Issues of access, quantity and quality of care.
Degree: 2012, University of Melbourne
URL: http://hdl.handle.net/11343/37136
► Caring for a relative in the advanced stages of dementia can place incredible strain on family members. Despite this, many families remain committed to providing…
(more)
▼ Caring for a relative in the advanced stages of dementia can place incredible strain on family members. Despite this, many families remain committed to providing care at home. In the moderate to advanced stages, behavioural and psychological symptoms of dementia (BPSD) are common and have been associated with increased carer burden and residential aged care placement. With global projections indicating rapid growth in dementia prevalence in coming decades, the need for programs to adequately support people with dementia and their carers will increase. In 2006, Extended Aged Care at Home Dementia (EACHD) packages were introduced in Australia to provide a home-based, high care option for people with dementia and BPSD. This qualitative study aimed to explore carers’ expectations and experiences of EACHD packages, with the goal of informing policy makers and services providers of how these services can better meet the needs of carers and those to whom they provide care. Whilst this study is primarily an evaluation of the EACHD program from the carer’s perspective, it also explores the carer’s experience of looking after someone in the advanced stages of dementia and their interaction with the broader service system.
Participating carers reported that the person they cared for experienced high levels of BPSD, indicating that clients were meeting EACHD eligibility requirements. Carers reported a broad range of psychosocial strategies for managing symptoms but most reported using a small number of strategies. A third of participants who had accessed an EACHD package acquired more knowledge about BPSD management through the package. EACHD packages provided access to a more comprehensive range and amount of services than accessed prior to the package. Many carers, however, felt that the amount of service was insufficient to support them in a full time caring role. Whilst carers were committed to maintaining care at home, many had to place their relative in residential aged care and others felt it would eventually be inevitable. Transitioning to residential aged care was an emotionally distressing event for carers but few received emotional support from their EACHD case manager.
I argue that three factors impede the capacity of EACHD packages and the broader aged care system to optimise the wellbeing of people with high level dementia care needs and their carers:
• Lack of timely access to services; • Insufficient services to meet the needs of those requiring high level dementia care at home; and• I nsufficient attention paid by EACHD case managers’ to the goals, emotional needs and expertise of family carers. Nolan, Grant and Keady’s (1996) model for understanding informal care is drawn upon as a model for better meeting the needs of people with dementia and their carers.
EACHD packages provide an opportunity for promoting the wellbeing of people…
Subjects/Keywords: dementia care; community aged care; behavioural and psychological symptoms of dementia; Extended Aged Care at Home Dementia packages
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APA ·
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Manager
APA (6th Edition):
Moore, K. J. (2012). Informal carers’ experiences of Extended Aged Care at Home Dementia packages: Issues of access, quantity and quality of care. (Doctoral Dissertation). University of Melbourne. Retrieved from http://hdl.handle.net/11343/37136
Chicago Manual of Style (16th Edition):
Moore, Kirsten Jane. “Informal carers’ experiences of Extended Aged Care at Home Dementia packages: Issues of access, quantity and quality of care.” 2012. Doctoral Dissertation, University of Melbourne. Accessed January 17, 2021.
http://hdl.handle.net/11343/37136.
MLA Handbook (7th Edition):
Moore, Kirsten Jane. “Informal carers’ experiences of Extended Aged Care at Home Dementia packages: Issues of access, quantity and quality of care.” 2012. Web. 17 Jan 2021.
Vancouver:
Moore KJ. Informal carers’ experiences of Extended Aged Care at Home Dementia packages: Issues of access, quantity and quality of care. [Internet] [Doctoral dissertation]. University of Melbourne; 2012. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/11343/37136.
Council of Science Editors:
Moore KJ. Informal carers’ experiences of Extended Aged Care at Home Dementia packages: Issues of access, quantity and quality of care. [Doctoral Dissertation]. University of Melbourne; 2012. Available from: http://hdl.handle.net/11343/37136
Queensland University of Technology
23.
Sinasac, Patricia A.
Residential aged care health workers' knowledge, attitudes and confidence in providing care to a person with a stoma : a needs analysis for education.
Degree: 2017, Queensland University of Technology
URL: https://eprints.qut.edu.au/104436/
► This study of residential aged care health workers’ knowledge, attitudes and confidence in providing care to an older person with a stoma was conducted to…
(more)
▼ This study of residential aged care health workers’ knowledge, attitudes and confidence in providing care to an older person with a stoma was conducted to identify characteristics of the learners and educational needs to effectively provide stoma care. The findings will be valuable to inform development of an educational program aimed at aged care health workers’ to give appropriate and confident stoma care to residents.
Subjects/Keywords: Aged care; aged care workers; attitudes; Confidence; knowledge; ostomy; promoting action on research in health services; residential aged care facilities; stoma care
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APA ·
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Manager
APA (6th Edition):
Sinasac, P. A. (2017). Residential aged care health workers' knowledge, attitudes and confidence in providing care to a person with a stoma : a needs analysis for education. (Thesis). Queensland University of Technology. Retrieved from https://eprints.qut.edu.au/104436/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Sinasac, Patricia A. “Residential aged care health workers' knowledge, attitudes and confidence in providing care to a person with a stoma : a needs analysis for education.” 2017. Thesis, Queensland University of Technology. Accessed January 17, 2021.
https://eprints.qut.edu.au/104436/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Sinasac, Patricia A. “Residential aged care health workers' knowledge, attitudes and confidence in providing care to a person with a stoma : a needs analysis for education.” 2017. Web. 17 Jan 2021.
Vancouver:
Sinasac PA. Residential aged care health workers' knowledge, attitudes and confidence in providing care to a person with a stoma : a needs analysis for education. [Internet] [Thesis]. Queensland University of Technology; 2017. [cited 2021 Jan 17].
Available from: https://eprints.qut.edu.au/104436/.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Sinasac PA. Residential aged care health workers' knowledge, attitudes and confidence in providing care to a person with a stoma : a needs analysis for education. [Thesis]. Queensland University of Technology; 2017. Available from: https://eprints.qut.edu.au/104436/
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universiteit Utrecht
24.
Hoorn, N.T.C. van der.
LONG-TERM CARE UTILIZATION AND MORTALITY AFTER HOSPITALIZATION IN OLDER PEOPLE WITH HIGH-VOLUME DIAGNOSES: A RETROSPECTIVE LONGITUDINAL COHORT STUDY.
Degree: 2015, Universiteit Utrecht
URL: http://dspace.library.uu.nl:8080/handle/1874/321284
► Background: Hospitalization in older people is associated with disability, mortality and entry to long-term care (LTC, care in care institutions or home care). Aim and…
(more)
▼ Background: Hospitalization in older people is associated with disability, mortality and entry to long-term
care (LTC,
care in
care institutions or home
care).
Aim and research question(s): To describe (predictors of) LTC and mortality in six months post-hospitalization in older patients with stroke, pneumonia, myocardial infarction (MI), hip fracture, chronic obstructive pulmonary disease (COPD) and chronic heart failure. 1) What percentage of patients use LTC or die in the six months post-hospitalization? 2) What percentage of patients discharged to LTC still require LTC at three and six months? 3) Which variables predict LTC and mortality?
Methods: Quantitative retrospective longitudinal observational cohort study with data from 3,154 patients >65, hospitalized because of one of six diagnoses. Dependent variables: LTC and mortality. Independent variables: age, gender, ethnicity, urbanization and diagnosis. Percentages of LTC use and mortality were calculated and multinomial logistic regression was performed.
Results: Institutionalization at one month was highest in hip fracture (31.1%) and lowest in MI (3.1%). Home
care use was highest in COPD (over 12%). Between 16.7% and 26.6% died. At three months >48% discharged to a
care institution were institutionalized, at six months >60% were still institutionalized. More than 55% discharged with home
care still required this at three months, and 45%-72% at six months. High age and living in strongly urbanized areas predicted LTC and mortality. Pneumonia, stroke and hip fracture predicted institutionalization and COPD both home
care and institutionalization. Pneumonia and stroke predicted mortality.
Conclusion: LTC utilization and mortality are high after hospitalization in older people and vary between diagnosis groups. LTC is often required for a long duration. Age, urbanization and diagnosis predict LTC and mortality.
Recommendations: Health
care workers should distinguish patients with poor prognosis from those who benefit from rehabilitation. Home rehabilitation should be further explored to prevent long-term institutionalization.
Advisors/Committee Members: Man, J.M. de, Buurman, B.M..
Subjects/Keywords: Hospitalization; aged; long-term care; institutionalization; home care services.
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APA (6th Edition):
Hoorn, N. T. C. v. d. (2015). LONG-TERM CARE UTILIZATION AND MORTALITY AFTER HOSPITALIZATION IN OLDER PEOPLE WITH HIGH-VOLUME DIAGNOSES: A RETROSPECTIVE LONGITUDINAL COHORT STUDY. (Masters Thesis). Universiteit Utrecht. Retrieved from http://dspace.library.uu.nl:8080/handle/1874/321284
Chicago Manual of Style (16th Edition):
Hoorn, N T C van der. “LONG-TERM CARE UTILIZATION AND MORTALITY AFTER HOSPITALIZATION IN OLDER PEOPLE WITH HIGH-VOLUME DIAGNOSES: A RETROSPECTIVE LONGITUDINAL COHORT STUDY.” 2015. Masters Thesis, Universiteit Utrecht. Accessed January 17, 2021.
http://dspace.library.uu.nl:8080/handle/1874/321284.
MLA Handbook (7th Edition):
Hoorn, N T C van der. “LONG-TERM CARE UTILIZATION AND MORTALITY AFTER HOSPITALIZATION IN OLDER PEOPLE WITH HIGH-VOLUME DIAGNOSES: A RETROSPECTIVE LONGITUDINAL COHORT STUDY.” 2015. Web. 17 Jan 2021.
Vancouver:
Hoorn NTCvd. LONG-TERM CARE UTILIZATION AND MORTALITY AFTER HOSPITALIZATION IN OLDER PEOPLE WITH HIGH-VOLUME DIAGNOSES: A RETROSPECTIVE LONGITUDINAL COHORT STUDY. [Internet] [Masters thesis]. Universiteit Utrecht; 2015. [cited 2021 Jan 17].
Available from: http://dspace.library.uu.nl:8080/handle/1874/321284.
Council of Science Editors:
Hoorn NTCvd. LONG-TERM CARE UTILIZATION AND MORTALITY AFTER HOSPITALIZATION IN OLDER PEOPLE WITH HIGH-VOLUME DIAGNOSES: A RETROSPECTIVE LONGITUDINAL COHORT STUDY. [Masters Thesis]. Universiteit Utrecht; 2015. Available from: http://dspace.library.uu.nl:8080/handle/1874/321284
University of Wollongong
25.
Coyle, Miriam Anne.
Exploring how registered nurses assess and identify delirium in older persons in the hospital setting.
Degree: M. Phil., 2015, University of Wollongong
URL: 1110
NURSING
;
https://ro.uow.edu.au/theses/4544
► Aim The aim of this study was to explore how Registered Nurses assess and identify delirium to inform education and improved delirium care practices…
(more)
▼ Aim The aim of this study was to explore how Registered Nurses assess and identify delirium to inform education and improved delirium care practices in the healthcare environment of the researcher.
Background Delirium is a common event for older people during a hospital admission (50 per cent). An episode of delirium may cause a range of adverse outcomes for older people: new dementia, worsening dementia, re-location into residential accommodation, and death. The prevention, recognition and management of delirium in hospitals are inadequate and demonstrated to be challenging for nurses. Multi-component interventions including education are recommended as strategies to address these issues. Clinical practice and research provide evidence of the under-recognition of delirium in hospital by medical and nursing clinicians. Although Registered Nurses are key to the provision of delirium care there was scant literature exploring how they assess and identify delirium in older people.
Methods This was a qualitative descriptive study. The setting was a regional referring hospital in New South Wales, Australia, and the participants were Registered Nurses with experience of delirium care. Data collection consisted of in-depth, face-to-face group interviews (n=8). Transcribed and deidentified data underwent thematic analysis concurrent with the data collection.
Findings Registered Nurses (n=24) who worked on surgical, medical, renal, aged care, rehabilitation and emergency units participated in the interviews. A total of three themes were identified to explain how Registered Nurses assess and identify delirium: (1) It’s not my job; (2) It is my job; and (3) It’s complex.
Conclusion and implications for practice The findings demonstrated that hospital delirium care education needs to target Registered Nurses across unit specialties to build mastery in delirium assessment and identification, and reinforce nurses’ integral role in recognising delirium in older persons.
Subjects/Keywords: Delirium; confusion; recognition; clinical; hospital; aged care; elder care; nursing
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APA ·
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Manager
APA (6th Edition):
Coyle, M. A. (2015). Exploring how registered nurses assess and identify delirium in older persons in the hospital setting. (Masters Thesis). University of Wollongong. Retrieved from 1110 NURSING ; https://ro.uow.edu.au/theses/4544
Chicago Manual of Style (16th Edition):
Coyle, Miriam Anne. “Exploring how registered nurses assess and identify delirium in older persons in the hospital setting.” 2015. Masters Thesis, University of Wollongong. Accessed January 17, 2021.
1110 NURSING ; https://ro.uow.edu.au/theses/4544.
MLA Handbook (7th Edition):
Coyle, Miriam Anne. “Exploring how registered nurses assess and identify delirium in older persons in the hospital setting.” 2015. Web. 17 Jan 2021.
Vancouver:
Coyle MA. Exploring how registered nurses assess and identify delirium in older persons in the hospital setting. [Internet] [Masters thesis]. University of Wollongong; 2015. [cited 2021 Jan 17].
Available from: 1110 NURSING ; https://ro.uow.edu.au/theses/4544.
Council of Science Editors:
Coyle MA. Exploring how registered nurses assess and identify delirium in older persons in the hospital setting. [Masters Thesis]. University of Wollongong; 2015. Available from: 1110 NURSING ; https://ro.uow.edu.au/theses/4544
Deakin University
26.
Ostaszkiewicz, Joan.
Providing continence care in residential aged care facilities: a grounded theory study.
Degree: School of Nursing and Midwifery, 2013, Deakin University
URL: http://hdl.handle.net/10536/DRO/DU:30058000
► This thesis resulted in a grounded theory that described and explained how Australian residential aged care residents’ continence care needs were determined, delivered, and communicated.…
(more)
▼ This thesis resulted in a grounded theory that described and explained how Australian residential
aged care residents’ continence
care needs were determined, delivered, and communicated. The researcher identified a basic social problem that influenced overall
care, and a basic social process staff used to deal with the problem.
Advisors/Committee Members: O'Connell, Beverly, Dunning, Trisha.
Subjects/Keywords: Incontinence; Residential aged care; Grounded theory; Quality of care
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APA ·
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CSE |
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Manager
APA (6th Edition):
Ostaszkiewicz, J. (2013). Providing continence care in residential aged care facilities: a grounded theory study. (Thesis). Deakin University. Retrieved from http://hdl.handle.net/10536/DRO/DU:30058000
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ostaszkiewicz, Joan. “Providing continence care in residential aged care facilities: a grounded theory study.” 2013. Thesis, Deakin University. Accessed January 17, 2021.
http://hdl.handle.net/10536/DRO/DU:30058000.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ostaszkiewicz, Joan. “Providing continence care in residential aged care facilities: a grounded theory study.” 2013. Web. 17 Jan 2021.
Vancouver:
Ostaszkiewicz J. Providing continence care in residential aged care facilities: a grounded theory study. [Internet] [Thesis]. Deakin University; 2013. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/10536/DRO/DU:30058000.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ostaszkiewicz J. Providing continence care in residential aged care facilities: a grounded theory study. [Thesis]. Deakin University; 2013. Available from: http://hdl.handle.net/10536/DRO/DU:30058000
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Technology, Sydney
27.
Dickson, LL.
An action research study to improve resident-centred continence care in a multi-purpose service.
Degree: 2014, University of Technology, Sydney
URL: http://hdl.handle.net/10453/29233
► Background: This study aimed to improve continence assessment, treatment and management in the residential aged care section of a Multi-Purpose Service (MPS) in rural Australia.…
(more)
▼ Background: This study aimed to improve continence assessment, treatment and management in the residential aged care section of a Multi-Purpose Service (MPS) in rural Australia. Given the 70.9% prevalence rates of incontinence occurring in Australian aged care residents, nurses and care staff consider incontinence to be inevitable in older age and fail to consider its significance for the resident. The use of containment devices and regular toileting rounds are therefore, commonplace, and increases resident dependency and cost of care.
Method: Action research was used with nurses and care staff to address continence care practices for older people living in the aged care section of one multi-purpose service (MPS) in rural New South Wales. Following a staff survey to identify the staff’s baseline continence attitudes, knowledge and management for older people, the manager and senior staff of the MPS chose to improve continence care practices for their aged care residents. The data generated by the action group over the two year action research study included meeting minutes, memos, staff surveys, staff and manager interviews, resident continence care plans and researcher field notes.
Results: Nurses and care staff became more aware and proactive in developing, implementing and evaluating individualised continence care for their residents. Staff were highly satisfied with helping residents to regain and/or maintain continence. They enthusiastically engaged with further learning on best-practice continence care and supporting each other in maintaining this level of care.
Discussion: Action research enables nurses and care staff to collaborate in practice change, so long as they have the committed support and the encouragement of their managers and sufficient time for the change process. Helping aged care residents to regain, or maintain, continence is achievable when these staff are willing to collaborate to achieve this goal. Individualising continence care for aged care residents can assist with improving their quality of life.
Conclusion: When nurses, care staff and care managers collaborate through action research they are able to produce quality care practices and positive outcomes for older people. In this study the benefits achieved through action research were individualised continence care regimens for aged care residents living in a MPS, and improved resident continence and quality of life, confirming previous research. Health and aged care services can also benefit by instituting targeted education, policies and practice guidelines which teach nurses and care staff how to individualise continence care for older people. Nursing and care staff educators need to encourage continence care improvement for older people through their promotion of non-ageist assumptions of continence ability in older age.
Subjects/Keywords: Continence.; Aged care.; Urinary incontinence.; Old age homes.; Residential care.; Australia.
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APA ·
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CSE |
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Manager
APA (6th Edition):
Dickson, L. (2014). An action research study to improve resident-centred continence care in a multi-purpose service. (Thesis). University of Technology, Sydney. Retrieved from http://hdl.handle.net/10453/29233
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Dickson, LL. “An action research study to improve resident-centred continence care in a multi-purpose service.” 2014. Thesis, University of Technology, Sydney. Accessed January 17, 2021.
http://hdl.handle.net/10453/29233.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Dickson, LL. “An action research study to improve resident-centred continence care in a multi-purpose service.” 2014. Web. 17 Jan 2021.
Vancouver:
Dickson L. An action research study to improve resident-centred continence care in a multi-purpose service. [Internet] [Thesis]. University of Technology, Sydney; 2014. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/10453/29233.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Dickson L. An action research study to improve resident-centred continence care in a multi-purpose service. [Thesis]. University of Technology, Sydney; 2014. Available from: http://hdl.handle.net/10453/29233
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Melbourne
28.
Jukic, Marijan.
Modelling residential aged care in Australia: entry and exit.
Degree: 2017, University of Melbourne
URL: http://hdl.handle.net/11343/210541
► Ageing of the Australian population affects the residential aged care system, yet the structure and dynamics of the system remain uncertain. A comprehensive model of…
(more)
▼ Ageing of the Australian population affects the residential aged care system, yet the structure and dynamics of the system remain uncertain. A comprehensive model of residential care based on the individual perspective of residential aged care events is missing. Thus, older Australians, government and care providers have only a limited model of aged care actions. This study uses big administrative unit record data on aged care assessments (ACAP), aged care appraisals (ACFI) and unit record survey data (SDAC) to identify factors associated with aged care events in older persons’ trajectories towards and through residential care. To achieve this goal and broaden understanding of Australian residential care, this study uses the following steps: (1) modelling of the probability of entry to and exit from residential care, with a multi-state model of transitions between levels of care needs; (2) modelling the applications for aged care and approvals for entry to residential care; (3) derivation of transition and mortality assumptions for individual care needs that can be used in a projection model; (4) estimation of life expectancy in residential care based on needs for assistance; and (5) assessing the quality of Australian data on aged care for statistical modelling and projections of residential care demand. The results show that health factors, above all needs for assistance, determine the speed and direction of a person’s progression towards institutional care. Probabilities of aged care events, transition rates and life expectancy estimates, derived in this study, provide a comprehensive picture of Australian residential aged care. These findings are expected to have important implications for residential aged care policies in Australia in terms of having better understanding and more accurate predictive power for the future of aged care.
Subjects/Keywords: ageing; aged care; residential care; assistance needs; ACAP; ACFI; SDAC
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APA ·
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MLA ·
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CSE |
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Manager
APA (6th Edition):
Jukic, M. (2017). Modelling residential aged care in Australia: entry and exit. (Doctoral Dissertation). University of Melbourne. Retrieved from http://hdl.handle.net/11343/210541
Chicago Manual of Style (16th Edition):
Jukic, Marijan. “Modelling residential aged care in Australia: entry and exit.” 2017. Doctoral Dissertation, University of Melbourne. Accessed January 17, 2021.
http://hdl.handle.net/11343/210541.
MLA Handbook (7th Edition):
Jukic, Marijan. “Modelling residential aged care in Australia: entry and exit.” 2017. Web. 17 Jan 2021.
Vancouver:
Jukic M. Modelling residential aged care in Australia: entry and exit. [Internet] [Doctoral dissertation]. University of Melbourne; 2017. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/11343/210541.
Council of Science Editors:
Jukic M. Modelling residential aged care in Australia: entry and exit. [Doctoral Dissertation]. University of Melbourne; 2017. Available from: http://hdl.handle.net/11343/210541
University of New South Wales
29.
Wijesurendra, Anjalika.
Towards a model for community integrated residential aged care: Evidence from four case studies in New South Wales, Australia.
Degree: City Futures Research Centre, 2020, University of New South Wales
URL: http://handle.unsw.edu.au/1959.4/69707
;
https://unsworks.unsw.edu.au/fapi/datastream/unsworks:71174/SOURCE02?view=true
► Gerontological theory and ageing policy have long emphasised the importance of older people’s participation in the communities around them for active and healthy ageing. How…
(more)
▼ Gerontological theory and ageing policy have long emphasised the importance of older people’s participation in the communities around them for active and healthy ageing. How this can be achieved for clientele with higher
care needs in residential
aged care facilities is a critical question. This thesis sets out to investigate the relevance of supporting higher
care needs residents to remain socially engaged with the community, within emerging models of what is termed community integrated residential
aged care. It does this through the lens of salutogenic theory and its application in Psychosocial Supportive Design.In doing so, it addresses three key research questions: 1. How have residential
aged care delivery models in NSW incorporated the principles of community integration? 2. How do
care receivers perceive the value of community integration? and 3. How well are the needs of high
care residents accommodated in the practice of community integration principles? In the investigation of these three research questions, the views of stakeholders and residents are examined in four illustrative case studies of residential
aged care in New South Wales via qualitative in-depth interviews. The findings of the research are used to better understand the nature and implementation of community integration by the development of a conceptual model of community integrated residential
aged care (CI-RAC) model. This model is developed through a review of theory, research and international exemplars in the
aged care sector. The CI-RAC model proposes three components of community integration focusing on a supportive operational environment, a supportive social environment and a supportive built environment of a
care facility. The model demonstrates how these three components work together to deliver community integrated residential
aged care settings. Secondly, the research proposes a four-tier conceptualisation of what constitutes ‘community’ for
care receivers and providers, arrived at through the empirical findings of this study. In the light of the findings, the model is extended with a refinement which presents an integrating schema of three cross-cutting dimensions - referred to as permeability, porosity, and propinquity - that seeks to integrate the components of
care provision defined by the model.
Advisors/Committee Members: Judd, Bruce, City Futures Research Centre, Faculty of Built Environment, UNSW, Randolph, William, City Futures Research Centre, Faculty of Built Environment, UNSW.
Subjects/Keywords: Residential Aged Care; Aged Care; Community Integration; Wellbeing; Planning, policy, design; Aged care, Practice, Policy, Planning; Socialising; Planning and Design; Social engagement
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APA ·
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MLA ·
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CSE |
Export
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Manager
APA (6th Edition):
Wijesurendra, A. (2020). Towards a model for community integrated residential aged care: Evidence from four case studies in New South Wales, Australia. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/69707 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:71174/SOURCE02?view=true
Chicago Manual of Style (16th Edition):
Wijesurendra, Anjalika. “Towards a model for community integrated residential aged care: Evidence from four case studies in New South Wales, Australia.” 2020. Doctoral Dissertation, University of New South Wales. Accessed January 17, 2021.
http://handle.unsw.edu.au/1959.4/69707 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:71174/SOURCE02?view=true.
MLA Handbook (7th Edition):
Wijesurendra, Anjalika. “Towards a model for community integrated residential aged care: Evidence from four case studies in New South Wales, Australia.” 2020. Web. 17 Jan 2021.
Vancouver:
Wijesurendra A. Towards a model for community integrated residential aged care: Evidence from four case studies in New South Wales, Australia. [Internet] [Doctoral dissertation]. University of New South Wales; 2020. [cited 2021 Jan 17].
Available from: http://handle.unsw.edu.au/1959.4/69707 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:71174/SOURCE02?view=true.
Council of Science Editors:
Wijesurendra A. Towards a model for community integrated residential aged care: Evidence from four case studies in New South Wales, Australia. [Doctoral Dissertation]. University of New South Wales; 2020. Available from: http://handle.unsw.edu.au/1959.4/69707 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:71174/SOURCE02?view=true
University of Sydney
30.
McVey, Peta Kirsten.
A Palliative Approach for People with Declining Health Living in Hostel Accommodation: The State of Play.
Degree: 2011, University of Sydney
URL: http://hdl.handle.net/2123/8141
► In Australia, residential aged care facilities are increasingly becoming the place of care and site of death for older people with complex chronic illnesses. Consequently,…
(more)
▼ In Australia, residential aged care facilities are increasingly becoming the place of care and site of death for older people with complex chronic illnesses. Consequently, it is becoming ever more relevant for these facilities to provide appropriate ongoing care as well as end of life care for this growing group of people. Since most related research to date has focused on end-of-life care in high-level care nursing home settings, little is currently known about the use of a palliative approach in caring for older people with complex needs living in hostel settings in Australia. This study aimed to: (i) map high-level care residents in residential low-level care settings (hostels) in relation to demographic information, medical illnesses, co-morbidities, physical function and individual symptoms, (ii) explore resident perceptions of their situation and how they would like their care to be managed into the future, (iii) explore aged care staff understandings of what constitutes a palliative approach, and their perspectives on how this approach is being incorporated into the care of their high-level residents in hostel settings, and (iv) review related organisational and managerial data such as policies, procedures and staffing. A concurrent mixed methods design incorporating both quantitative and qualitative approaches to data collection was conducted in two residential aged care facilities in NSW. Data collection was conducted over a eight month period. Descriptive statistics were used to summarise the characteristics of the 93 high-level care residents participating or participating by proxy (that is through the involvement of a person responsible acting on behalf of the resident), the prevalence of symptoms and the number of symptoms per resident, associations between symptoms and diagnosis, and the functional status and psychosocial well-being of participating residents. Three validated tools were used to describe the residents’ health status, wellbeing, and functional ability and assess current symptoms. A medical record audit tool was developed to collect demographic data, and organizational and managerial data tools were developed to collect information about polices, education and staffing levels. Of the 412 residents in the eight hostel facilities, 58% were categorised as requiring ‘high-level’ care. In addition, unstructured interviews were conducted with 72 high-level care residents and 21 persons responsible and semi-structured interviews were conducted with 30 aged care staff. The findings show that, although hostel staff are familiar with the concept of a palliative approach, the discourse of this approach to care is not widely adopted or operationalised within hostel settings. The study also demonstrates that staff, high-level care residents and their families all struggle with the difficulties and complexities of the transition towards the end of life within hostels, and particularly with the constraints that, in most cases, preclude the possibility of ‘dying in place’. This thesis presents a new…
Subjects/Keywords: Palliative approach;
high-level care residents;
residential aged care;
end of life care
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APA ·
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Manager
APA (6th Edition):
McVey, P. K. (2011). A Palliative Approach for People with Declining Health Living in Hostel Accommodation: The State of Play.
(Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/8141
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
McVey, Peta Kirsten. “A Palliative Approach for People with Declining Health Living in Hostel Accommodation: The State of Play.
” 2011. Thesis, University of Sydney. Accessed January 17, 2021.
http://hdl.handle.net/2123/8141.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
McVey, Peta Kirsten. “A Palliative Approach for People with Declining Health Living in Hostel Accommodation: The State of Play.
” 2011. Web. 17 Jan 2021.
Vancouver:
McVey PK. A Palliative Approach for People with Declining Health Living in Hostel Accommodation: The State of Play.
[Internet] [Thesis]. University of Sydney; 2011. [cited 2021 Jan 17].
Available from: http://hdl.handle.net/2123/8141.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
McVey PK. A Palliative Approach for People with Declining Health Living in Hostel Accommodation: The State of Play.
[Thesis]. University of Sydney; 2011. Available from: http://hdl.handle.net/2123/8141
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
◁ [1] [2] [3] [4] [5] … [12] ▶
. 
Open Access Theses and Dissertations