scholarly journals Practice Environment, Work Characteristics and Levels of Burnout as Predictors of Nurse Reported Job Outcomes, Quality of Care and Patient Adverse Events: A Study across Residential Aged Care Services

2014 ◽  
Vol 04 (05) ◽  
pp. 343-355 ◽  
Author(s):  
Peter Van Bogaert ◽  
Tinne Dilles ◽  
Kristien Wouters ◽  
Bart Van Rompaey
Keyword(s):  
Quality Of Care ◽  
Adverse Events ◽  
Aged Care ◽  
Residential Aged Care ◽  
Practice Environment ◽  
Work Characteristics ◽  
Job Outcomes ◽  
Care Services

scholarly journals Diagnosis of dementia in residential aged care settings in Australia: An opportunity for improvements in quality of care?

2018 ◽  
Vol 37 (4) ◽  
pp. E155-E158 ◽  
Author(s):  
Suzanne M Dyer ◽  
Emmanuel S Gnanamanickam ◽  
Enwu Liu ◽  
Craig Whitehead ◽  
Maria Crotty
Keyword(s):  
Quality Of Care ◽  
Aged Care ◽  
Residential Aged Care ◽  
Diagnosis Of Dementia

scholarly journals Benchmarking clinical indicators of quality for Australian residential aged care facilities

2010 ◽  
Vol 34 (1) ◽  
pp. 93 ◽  
Author(s):  
Mary Courtney ◽  
Maria T. O'Reilly ◽  
Helen Edwards ◽  
Stacey Hassall
Keyword(s):  
Quality Of Care ◽  
Clinical Outcomes ◽  
Clinical Care ◽  
Aged Care ◽  
Minimum Data Set ◽  
Residential Aged Care ◽  
Data Set ◽  
Clinical Indicators ◽  
Minimum Data

To undertake exploratory benchmarking of a set of clinical indicators of quality care in residential care in Australia, data were collected from 107 residents within four medium-sized facilities (40–80 beds) in Brisbane, Australia. The proportion of residents in each sample facility with a particular clinical problem was compared with US Minimum Data Set quality indicator thresholds. Results demonstrated variability within and between clinical indicators, suggesting breadth of assessment using various clinical indicators of quality is an important factor when monitoring quality of care. More comprehensive and objective measures of quality of care would be of great assistance in determining and monitoring the effectiveness of residential aged care provision in Australia, particularly as demands for accountability by consumers and their families increase. What is known about the topic?The key to quality improvement is effective quality assessment, and one means of evaluating quality of care is through clinical outcomes. The Minimum Data Set quality indicators have been credited with improving quality in United States nursing homes. What does this paper add?The Clinical Care Indicators Tool was used to collect data on clinical outcomes, enabling comparison of data from a small Australian sample with American quality benchmarks to illustrate the utility of providing guidelines for interpretation. What are the implications for practitioners?Collecting and comparing clinical outcome data would enable practitioners to better understand the quality of care being provided and whether practices required review. The Clinical Care Indicator Tool could provide a comprehensive and systematic means of doing this, thus filling a gap in quality monitoring within Australian residential aged care.

scholarly journals Re-thinking reablement strategies for older adults in residential aged care: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lucy K. Lewis ◽  
Tim Henwood ◽  
Jo Boylan ◽  
Sarah Hunter ◽  
Belinda Lange ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Older Adults ◽  
Cost Effectiveness ◽  
Adverse Events ◽  
Physical Function ◽  
Aged Care ◽  
Residential Aged Care ◽  
Controlled Trials

Abstract Background The number of older adults in residential aged care is increasing. Aged care residents have been shown to spend most of the day sedentary and have many co-morbidities. This review aimed to systematically explore the effectiveness of reablement strategies in residential aged care for older adults’ physical function, quality of life and mental health, the features of effective interventions and feasibility (compliance, acceptability, adverse events and cost effectiveness). Method This scoping review was undertaken according to PRISMA guidelines (extension for scoping reviews). Five e-databases (Medline, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and CINAHL) were searched from 2010 onwards. Randomised controlled trials investigating reablement strategies addressing physical deconditioning for older adults (mean age ≥ 65 yrs) in residential aged care on physical function, quality of life or mental health were included. Feasibility of the interventions (compliance, acceptability, satisfaction, adverse events and cost effectiveness) was explored. Results Five thousand six hundred thirty-one citations were retrieved, and 63 studies included. Sample sizes ranged from 15 to 322 and intervention duration from one to 12 months. Exercise sessions were most often conducted two to three times per week (44 studies) and physiotherapist-led (27 studies). Interventions were predominately multi-component (28 studies, combinations of strength, balance, aerobic, functional exercises). Five interventions used technology. 60% of studies measuring physical function reported significant improvement in the intervention versus control, 40% of studies measuring quality of life reported significant improvements in favour of the intervention, and 26% of studies measuring mental health reported significant intervention benefits. Over half of the studies measured compliance and adverse events, four measured acceptability and none reported cost effectiveness. Conclusions There has been a research surge investigating reablement strategies in residential aged care with wide variability in the types and features of strategies and outcome measures. Few studies have measured acceptability, or cost effectiveness. Exploration of core outcomes, mapping stakeholders and co-designing a scalable intervention is warranted. Trial registration Prospectively registered review protocol (Open Science Framework: DOI 10.17605/OSF.IO/7NX9M).

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