Royal Commission into Aged Care Quality and Safety: the key clinical issues

2019 ◽  
Vol 210 (10) ◽  
pp. 439 ◽  
Author(s):  
Joseph E Ibrahim
Keyword(s):  
Aged Care ◽  
Care Quality ◽  
Royal Commission ◽  
Quality And Safety ◽  
Clinical Issues

scholarly journals Women, work and industrial relations in Australia in 2019

2020 ◽  
Vol 62 (3) ◽  
pp. 365-379 ◽  
Author(s):  
Meraiah Foley ◽  
Sue Williamson ◽  
Sarah Mosseri
Keyword(s):  
Gender Equality ◽  
Labour Force ◽  
Industrial Relations ◽  
Labour Force Participation ◽  
Aged Care ◽  
Economic Security ◽  
Care Quality ◽  
Royal Commission ◽  
Political Agenda ◽  
Annual Review

Interest in women’s labour force participation, economic security and pay equity received substantial media and public policy attention throughout 2019, largely attributable to the federal election and the Australian Labor Party platform, which included a comprehensive suite of policies aimed at advancing workplace gender equality. Following the Australian Labor Party’s unexpected loss at the polls, however, workplace gender equality largely faded from the political agenda. In this annual review, we cover key gender equality indicators in Australia, examine key election promises made by both major parties, discuss the implications of the Royal Commission into Aged Care Quality and Safety for the female-dominated aged care workforce, and provide a gendered analysis on recent debates and developments surrounding the ‘future of work’ in Australia.

Progressing Towards a Freer Market in Australian Residential Aged Care

2021 ◽  
pp. 1-25
Author(s):  
Susan F Cochrane ◽  
Alice L Holmes ◽  
Joseph E Ibrahim
Keyword(s):  
Current System ◽  
Aged Care ◽  
Care Quality ◽  
Cultural Safety ◽  
Residential Aged Care ◽  
Royal Commission ◽  
Care Providers ◽  
Fit For Purpose ◽  
Market Driven ◽  
Care System

The Royal Commission into Aged Care Quality and Safety has again focussed attention on the failings of the Australian aged care system. Residential aged care in Australia has become increasingly market-driven since the major reforms of 1997. The aims of increased marketisation include providing residents with greater choice, higher quality services, and increasing providers’ efficiency and innovation. However, marketisation is not meeting these aims, predominantly due to asymmetries of knowledge and power between residents and aged care providers. These asymmetries arise from inadequate provision of information, geographic disparities, urgency for care as needs arise acutely, and issues surrounding safety, including cultural safety. We propose a human rights framework, supported by responsive regulation, to overcome the failings of the current system and deliver an improved aged care system which is fit for purpose.

scholarly journals Human Rights and Empowerment in Aged Care: Restraint, Consent and Dying with Dignity

2021 ◽  
Vol 18 (15) ◽  
pp. 7899
Author(s):  
Tiffany Jessop ◽  
Carmelle Peisah
Keyword(s):  
Human Rights ◽  
Aged Care ◽  
Care Quality ◽  
Royal Commission ◽  
Active Player ◽  
Chemical Restraint ◽  
People With Dementia ◽  
Educational Engagement ◽  
Care System

The aged care system in Australia is in crisis and people living with dementia are especially vulnerable to breaches of human rights to autonomy, dignity, respect, and equitable access to the highest quality of health care including meeting needs on account of disability. To be powerful advocates for themselves and others, people with dementia and the wider community with vested interests in quality aged care must be informed about their rights and what should be expected from the system. Prior to the Australian Royal Commission into Aged Care Quality and Safety, the Empowered Project was established to empower and raise awareness amongst people with dementia and their families about changed behaviours, chemical restraint, consent, end of life care, and security of tenure. A primary care-embedded health media campaign and national seminar tour were undertaken to meet the project aims of awareness-raising and empowerment, based on 10 Essential Facts about changed behaviours and rights for people with dementia, established as part of the project. Knowledge translation was assessed to examine the need and potential benefit of such seminars. We demonstrated that this brief educational engagement improved community knowledge of these issues and provided attendees with the information and confidence to question the nature and quality of care provision. With the completion of the Royal Commission and corresponding recommendations with government, we believe the community is ready to be an active player in reframing Australia’s aged care system with a human rights approach.

scholarly journals Using a Complex Network Methodology to Track, Evaluate, and Transform Fundamental Care

2021 ◽  
Author(s):  
Maria A Pinero De Plaza ◽  
Tiffany Conroy ◽  
Alexandra Mudd ◽  
Alison Kitson
Keyword(s):  
Complex Adaptive Systems ◽  
Adaptive Systems ◽  
Principal Component ◽  
Aged Care ◽  
Care Quality ◽  
Royal Commission ◽  
Healthcare Decision ◽  
Multiple Dimensions ◽  
Healthcare Decision Making ◽  
Complex Adaptive

In this study, we drew on methods originating in complex adaptive systems and social network analysis to develop a novel way to quantify fundamental care. Data were obtained from a public statement from the Australian Royal Commission into Aged Care Quality and Safety. Results support the importance of using a systemic approach to assess the multiple dimensions of the fundamentals of care. Our method allows measurement of the problem within its system, providing a detailed quantification of care events and identifying excellence and improvement opportunities. We illustrate the strengths of this approach using principal component analysis and heat mapping. The application of the proposed methodology in healthcare decision-making, planning, and quality improvement is discussed.

Conceptualising trust in aged care

2020 ◽  
pp. 1-19 ◽  
Author(s):  
Andrew Simon Gilbert
Keyword(s):  
Social Vulnerability ◽  
Aged Care ◽  
Care Quality ◽  
Media Representations ◽  
Care Staff ◽  
Royal Commission ◽  
Policy Reforms ◽  
Perceived Trust ◽  
Care Systems ◽  
Individual Service

Abstract This article calls for a sociological understanding of the importance of trust to aged care. It connects existing theories of trust to empirical evidence from gerontology and nursing research. Trust is defined as a response to and management of social vulnerability. It is argued this makes trust a fundamental concept for understanding human service and social care institutions, including aged care. In light of Australia's Royal Commission into Aged Care Quality and Safety, as well as generational shifts in consumer expectations and care ethics, the article highlights four distinct yet interrelated forms of trust: interpersonal, institutional, organisational and public trust. All of these forms are shown to be critical in conceptualising and evaluating the perceived trust deficit facing contemporary aged-care systems, and existing evidence shows how these forms of trust can reinforce, conflict and misalign with each other. Efforts to rebuild trust in aged care at an organisational and institutional level should ensure mechanisms facilitate rather than hinder the formation of interpersonal trust relations between individual service users, their families and aged care staff. Broader social policy reforms must also consider and address the way cultural understandings of ageing, and media representations of aged care, have diminished the public's trust in the sector, and how the cycle of scandals, reviews and piecemeal reforms contributes to this.

scholarly journals BUILDING CAPACITY TO CARE FOR OLDER PEOPLE! HOW IS CARE OF THE OLDER PERSON TAUGHT IN AUSTRALIAN SCHOOLS OF NURSING?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S3-S3
Author(s):  
Deirdre M Fetherstonhaugh ◽  
Jo-anne Rayner ◽  
Elizabeth Beattie ◽  
Ann Harrington ◽  
Yun-Hee Jeon ◽  
...  
Keyword(s):  
Older People ◽  
Health Sector ◽  
Undergraduate Curriculum ◽  
Aged Care ◽  
Care Quality ◽  
Residential Aged Care ◽  
Royal Commission ◽  
Older Person ◽  
Clinical Placements ◽  
Schools Of Nursing

Abstract As the Australian population ages the demand for nursing care which focuses on responding to the needs of the older person will increase. Few newly graduated Registered Nurses (RNs) currently enter the aged care workforce and few select a career in caring for older people; yet older people are the largest patient group in most health care environments. This research, conducted by the Australian Hartford Consortium of Gerontological Nursing Excellence (Aus-HCGNE), explored how care of the older person is currently taught in Australian schools of nursing (SoN). The interview guide included questions about: whether care of the older person is taught in separate subjects or integrated across the curriculum; academics’ qualifications; subject content; and aged care clinical placements. The head of each of the 33 Australian schools of nursing was contacted, invited to participate and asked to nominate the appropriate academics (undergraduate/curriculum co-ordinators) who would be the most appropriate person to participate in the interview. These academics were then contacted, written informed consent was obtained, interviews were scheduled and completed. This research is timely given the current Royal Commission into Aged Care Quality and Safety in Australia, one focus of which is nurses in residential aged care in respect to numbers, education and competence. This research will be completed by mid-2019. The results will be fed back to SoN to inform the development of their curricula and the preparation of future RNs who will undoubtably need to be expert in the care of older people across the health sector.

Person-centred Australian residential aged care services: how well do actions match the claims?

2021 ◽  
pp. 1-26
Author(s):  
Sylvia Sing Lynn Seah ◽  
Lynn Chenoweth ◽  
Henry Brodaty
Keyword(s):  
Family Members ◽  
Quality Standards ◽  
Aged Care ◽  
Care Quality ◽  
Care Homes ◽  
Residential Aged Care ◽  
Royal Commission ◽  
Personal Perspective ◽  
Convenience Sample ◽  
Care Services

Abstract Recent inquiries into residential aged care services, including the 2018–2019 Australian Royal Commission into Aged Care Quality and Safety, have informed revisions to the 2019 Australian Aged Care Quality Standards. Reforms to the Standards include a greater focus on person-centred services, consumer-directed care and authentic participation in decision-making on service provision by residents and their family members. In respect of person-centred services, the revised Standards reflect the four elements of the ‘Valuing, Individualised Care, Personal Perspective, Social Environment’ (or VIPS) framework for quality aged (social) care services in the United Kingdom. This qualitative study investigated whether the quality of services in a convenience sample of seven Australian aged care homes, which claimed to be person-centred, aligned with the four elements and 24 indicators of the VIPS framework. Data were obtained via semi-structured interviews with a volunteer sample of people associated with these seven aged care homes: 12 residents, 15 family members and 18 staff members in various roles. Data were analysed deductively with a priori reference to the 24 VIPS framework indicators, achieving data saturation for four common themes which indicated more person-centredness and ten common themes indicating less person-centredness. Only two of seven homes adhered to the four elements and 24 indicators of the VIPS framework across most service offerings. The remaining five homes offered some aspects of a person-centred service. The study findings provide insight to the factors which support and hamper the implementation of the VIPS-informed indicators of a person-centred aged care service and, therefore, what is needed to help meet person-centred requirements as outlined in the 2019 Australian Aged Care Quality Standards.

The Use of Simulation Training in Teaching Health Care Quality and Safety: An Annotated Bibliography

2011 ◽  
Vol 26 (3) ◽  
pp. 229-238 ◽  
Author(s):  
Justin Abraham ◽  
Dina M. Wade ◽  
Katherine A. O'Connell ◽  
Susan Desharnais ◽  
Richard Jacoby
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Simulation Training ◽  
Care Quality ◽  
Annotated Bibliography ◽  
Quality And Safety
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