Understanding registered nurse decision‐making, communication and care delivery between emergency departments and residential aged care facilities: A research protocol

2019 ◽  
Vol 39 (3) ◽  
pp. 277-282
Author(s):  
Apil Gurung ◽  
Marc Broadbent ◽  
Shannon Bakon ◽  
Julia Hocking ◽  
Amanda Glenwright ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Departments ◽  
Registered Nurse ◽  
Care Delivery ◽  
Aged Care ◽  
Residential Aged Care ◽  
Research Protocol ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Challenges faced by residential aged care staff in decision-making for residents with dementia

Dementia ◽  
2020 ◽  
pp. 147130122092915
Author(s):  
Nadine Cameron ◽  
Deirdre Fetherstonhaugh ◽  
Michael Bauer
Keyword(s):  
Decision Making ◽  
Aged Care ◽  
Self Determination ◽  
Care Staff ◽  
Residential Aged Care ◽  
Organisational Support ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
National Framework

Care staff in residential aged care facilities (nursing homes) in Australia are obligated, under the Australian National Framework for Action on Dementia 2015–2019, to support residents to exercise choice and make decisions. Research indicates, however, that care staff are often given little guidance regarding which residents’ decisions should be supported or how to make decisions on their behalf. This lack of guidance can result in a denial of residents’ rights and inconsistent treatment by staff, placing residents’ wellbeing at risk. Through providing an analysis of the responses of staff at RACFs in Victoria and Queensland to two case scenarios, this study seeks to provide some understanding of the difficulties staff face in supporting residents’ self-determination and their own need for greater organisational support.

How do care staff in residential aged care facilities conceptualise their non-verbal interactions with residents with dementia and what relevance has this for how residents’ preferences and capacity for decision-making are understood?

Dementia ◽  
2018 ◽  
Vol 19 (5) ◽  
pp. 1364-1380 ◽  
Author(s):  
Nadine Cameron ◽  
Deirdre Fetherstonhaugh ◽  
Michael Bauer ◽  
Laura Tarzia
Keyword(s):  
Decision Making ◽  
Aged Care ◽  
Verbal Communication ◽  
Care Staff ◽  
Residential Aged Care ◽  
Verbal Interactions ◽  
Staff Members ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

This paper considers the significance of how staff in residential aged care facilities interpret the non-verbal communication and behaviour of residents vis-a-vis their assessments of residents’ preferences and ability to participate in decision-making. It highlights the risks associated with staff members’ failure to interpret residents’ non-verbal communication and behaviour with reference to residents’ backgrounds and prior experiences. It also considers how non-verbal communication implemented by staff may impact residents’ emotional state and, as a consequence, decision-making abilities. Drawing on interview data with aged care staff from Queensland and Victoria, it demonstrates that care staff in residential facilities appear to rely heavily on non-verbal signals in assessing the decision-making capacity and preferences of residents with dementia. It also indicates that many staff fail to consider residents’ non-verbal communication and behaviour with due consideration of residents’ individual histories.

How Residential Care Staff Conceptualize the Identities of Residents With Dementia and Its Relevance for Decision Making

2020 ◽  
pp. 073346482095173
Author(s):  
Nadine Cameron ◽  
Deirdre Fetherstonhaugh ◽  
Michael Bauer ◽  
Laura Tarzia
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Sources Of Knowledge ◽  
People With Dementia ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

The ways in which residential aged care staff conceptualize the identities of residents with dementia has significance for how they support them to make decisions and make decisions on their behalf. This article aims to further understand how staff in residential aged care facilities comprehend who residents “are.” Methods: This qualitative study draws on individual and group interview data with aged care staff from two Australian states concerning decision making for individuals with dementia. It identifies themes relevant to how staff refer to identity in relation to such residents. Results: Staff possess disparate ideas about what things comprise residents’ identities and, accordingly, which sources of knowledge are most relevant to learning about residents. Discussion: This article argues for the application of a multidimensional and temporally inclusive understanding of identity by those who provide care to people with dementia.

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