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Service providers' perceptions of working in residential aged care: a qualitative cross-sectional analysis
- Authors:
- BENNETT Michelle K., et al
- Journal article citation:
- Ageing and Society, 35(9), 2015, pp.1989-2010.
- Publisher:
- Cambridge University Press
A number of professional disciplines employed internally and externally provide services in Residential Aged Care Facilities (RACFs). Literature has long highlighted numerous workplace issues in RACFs, yet little progress has been made in addressing these. As such there has been a call for greater understanding of shared issues among service providers. The aim of the current study is to explore and compare the perceptions of a cross-section of service providers regarding the challenges and motivators to working in RACFs. In-depth semi-structured interviews were conducted with 61 participants including: care managers, nurses, assistants in nursing, care, domestic and support staff, and speech pathologists. Analysis revealed few issues unique to any one service discipline, with four key themes identified: (a) working in RACFs is both personally rewarding and personally challenging; (b) relationships and philosophies of care directly impact service provision, staff morale and resident quality of life; (c) a perceived lack of service-specific education and professional support impacts service provision; and (d) service provision in RACFs should be seen as a specialist area. These data confirm there are key personal and professional issues common across providers. Providers must work collaboratively to address these issues and advocate for greater recognition of RACFs as a specialist service area. Acknowledging, accepting and communicating shared perceptions will reduce ongoing issues and enhance multi-disciplinary care. (Publisher abstract)
Management of pain in older people: a workbook
- Authors:
- SCHOFIELD Pat, AVEYARD Barry, BLACK Catherine
- Publisher:
- M&K
- Publication year:
- 2007
- Pagination:
- 82p.
- Place of publication:
- Keswick
A self-directed study workbook designed to provide a basic introduction to the management of pain in older people. It explores the nature of the problem, discusses the importance of communication and outlines practical assessment techniques. Approaches to pain management are also covered and include medication; snoezelen or sensory environments and non-pharmacological approaches such as physical, psychological and psychosocial interventions. The reader is encouraged to think about the issue in their own area of practice. Each section includes short exercises and a list of suggested further reading.
Communication in interdisciplinary team meetings: what are we talking about?
- Author:
- BOKHOUR Barbara G.
- Journal article citation:
- Journal of Interprofessional Care, 20(4), August 2006, pp.349-363.
- Publisher:
- Taylor and Francis
Interdisciplinary teams are central to the care of the older patient in long-term care settings. Critical to the success of caring for these patients is the communication between providers about patient care. This study examines professional communication practices in interdisciplinary team meetings, a common forum for discussing patient care. Two teams at a long-term care facility in the United States specializing in patients with Alzheimer's participated in this qualitative exploratory study. All team members participated in semi-structured interviews. In addition, seven team meetings in which 31 patients were discussed were audio and video taped. Team members discussed the importance of team meetings to help coordinate care provided to patients, while also expressing concern about the effectiveness of the meetings to reach this goal. Through detailed discourse analyses of transcripts of the meetings, we identified three different communication practices in team meetings: giving report, writing report, and collaborative discussion. Only the latter practice met the goals indicated by the team members to coordinate and make joint decisions about patient care and allowed for team members to collaboratively solve problems. The article discusses one case study to exemplify how the use of these communication practices results in the omission of information central to making decisions regarding patient care.
Rehabilitation services for older people: a bulletin for trusts and social care organisations
- Author:
- DISTRICT AUDIT
- Publisher:
- District Audit
- Publication year:
- 2002
- Pagination:
- 11p.
- Place of publication:
- London
Rehabilitation and preventative services have an essential part to play in helping older people maintain their independence and a good quality of life. Effective rehabilitation services can prevent the need for older people to be admitted to hospital, facilitate their discharge from hospital and reduce their reliance on institutional care or community services. However, rehabilitation services are failing to make the necessary impact: services are unco-ordinated, they do not engage with older people as individuals and so cannot respond to their needs.
Improving care in care homes: a qualitative evaluation of the Croydon care home support team
- Authors:
- LAWRENCE Vanessa, BANERJEE Sube
- Journal article citation:
- Aging and Mental Health, 14(4), May 2010, pp.416-424.
- Publisher:
- Taylor and Francis
The Croydon care home support team (CHST) was developed in response to reports of patient abuse within long-term care in order to improve standards of care within care homes. The CHST adopts a systemic approach that places an equal emphasis on the social, mental health and nursing needs of residents and aims to address the whole culture of care within the individual homes. This paper describes a qualitative methodology used to assess the perceived impact of the CHST among care home staff. In-depth interviews were conducted with 14 care home managers and 24 members of care home staff across 14 care homes. Grounded theory principles guided the collection and analysis of the data. The results demonstrated improved communication between staff, improved staff development and confidence, and improved quality of care, and point towards the effectiveness of the CHST model. The collaborative approach of the CHST was considered pivotal to its success and presented as an effective method of engaging care home managers and staff. The data demonstrate the potential for specialist multi-disciplinary teams to raise standards of care across long-term care settings. Increased awareness of safeguarding issues, improved staff morale and communication and ongoing opportunities for discussion and problem solving promised to sustain improvements.
Rehabilitation of the older person: a handbook for the interdisciplinary team
- Editors:
- SQUIRES Amanda, HASTINGS Margaret
- Publisher:
- Nelson Thornes
- Publication year:
- 2002
- Pagination:
- 412p.,bibliog.
- Place of publication:
- Cheltenham
- Edition:
- 3rd.
Issues concerning rehabilitation of the elderly and considered from a multi-faceted team management approach. A shift in emphasis from people to person and from multidisciplinary to interdisciplinary reflects changes in the rehabilitation of older people. The book is divided into three sections dealing with the opportunity for, and theory and practice of, rehabilitation.
Service development for older people in Shrewsbury
- Author:
- SHELTON Philip
- Journal article citation:
- Managing Community Care, 7(1), February 1999, pp.23-28.
- Publisher:
- Pavilion
This case study sets out to understand why professionals in health and social care use particular care pathways with over-75s, examining alternative uses to institutional care. The project aimed to explore the limitations and alternatives within existing service provision which might improve practice. this involved working with a number of stakeholders, including GPs, both fundholding and nonfundholding, community nurses and other NHS trust personnel, social services and voluntary agencies.