The importance of aged care policies in assisting older adults transition from home to permanent residential aged care: a focused ethnographic study.
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| Titel: | The importance of aged care policies in assisting older adults transition from home to permanent residential aged care: a focused ethnographic study. |
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| Autoren: | M Scott S; School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Perth, WA, 6027, Australia. s.scott@ecu.edu.au., J Raynor A; School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Perth, WA, 6027, Australia., S Dare J; School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Perth, WA, 6027, Australia., M Grieve J; School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia., N Costello L; School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Perth, WA, 6027, Australia.; Nutrition and Health Innovation Research Institute, Edith Cowan University, Perth, WA, Australia. |
| Quelle: | BMC geriatrics [BMC Geriatr] 2025 Nov 28; Vol. 25 (1), pp. 975. Date of Electronic Publication: 2025 Nov 28. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968548 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2318 (Electronic) Linking ISSN: 14712318 NLM ISO Abbreviation: BMC Geriatr Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001]- |
| MeSH-Schlagworte: | Homes for the Aged*/standards , Homes for the Aged*/trends , Nursing Homes*/standards , Home Care Services*/standards , Home Care Services*/trends, Humans ; Female ; Male ; Aged, 80 and over ; Aged ; Anthropology, Cultural/methods ; Australia |
| Abstract: | Competing Interests: Declarations. Ethics approval and consent to participate: This study was conducted in accordance with the Declaration of Helsinki, and ethics approval was granted from the Human Research Ethics Committee (HREC, Project Code: 2021–02323) at Edith Cowan University. All participants provided informed consent and were aware that they could withdraw from the study at any time. In order to ensure participant anonymity, pseudonyms were assigned to participant transcripts and field notes. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. Background: The Royal Commission into Aged Care Quality and Safety (RCAC) recommended a redesign of the Australian aged care system to ensure high quality care, respect, and dignity for residents. Responding to the RCAC recommendations, the Aged Care Quality Standards have been strengthened and continue to guide the delivery of safe, high quality care in Australia. This study investigated the experiences of new residents transitioning into an Australian residential care-facility, concentrating on how their experiences aligned with the core principles of the Aged Care Quality Standards. Methods: A focused ethnographic approach was used to address the aim of this study. The research was conducted in a residential care-facility located in a major city in Australia. New residents who had lived there for 6 months or less, along with their family members, were recruited through purposive sampling. The data collection process included a total of 19 residents and two family members, and comprised interviews, observations, and informal conversations with residents and their families. Findings: Four themes were identified relating to the value of human connection, addressing new residents' expectations, the multifunctional role of communication in transition, and the implications of the General Practitioner system for new residents. Conclusion: This study highlights the need for aged care providers to consistently follow the Aged Care Quality Standards to support new residents in overcoming challenges, improve their transition, and promote better health outcomes for those in permanent residential care-facilities. Our findings indicate that new residents and their key support person should receive a user-friendly hard copy "How To" guide prior to planned admissions, and upon admission if unplanned. Residential care-facilities should prioritise residents' sense of privacy, dignity, and respect within medical systems. Additionally, pre-admission protocols should address accessibility of rehabilitation services to prevent further deterioration of new residents' physical condition. (© 2025. The Author(s).) |
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| Grant Information: | ECU-Fresh Fields Aged Care Pty Ltd Scholarship Edith Cowan University |
| Contributed Indexing: | Keywords: Aged care quality standards; Care-facility; Older adults; Policy; Residential aged care; Transition |
| Entry Date(s): | Date Created: 20251129 Date Completed: 20251129 Latest Revision: 20251202 |
| Update Code: | 20251202 |
| PubMed Central ID: | PMC12661685 |
| DOI: | 10.1186/s12877-025-06520-5 |
| PMID: | 41316027 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declarations. Ethics approval and consent to participate: This study was conducted in accordance with the Declaration of Helsinki, and ethics approval was granted from the Human Research Ethics Committee (HREC, Project Code: 2021–02323) at Edith Cowan University. All participants provided informed consent and were aware that they could withdraw from the study at any time. In order to ensure participant anonymity, pseudonyms were assigned to participant transcripts and field notes. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.<br />Background: The Royal Commission into Aged Care Quality and Safety (RCAC) recommended a redesign of the Australian aged care system to ensure high quality care, respect, and dignity for residents. Responding to the RCAC recommendations, the Aged Care Quality Standards have been strengthened and continue to guide the delivery of safe, high quality care in Australia. This study investigated the experiences of new residents transitioning into an Australian residential care-facility, concentrating on how their experiences aligned with the core principles of the Aged Care Quality Standards.<br />Methods: A focused ethnographic approach was used to address the aim of this study. The research was conducted in a residential care-facility located in a major city in Australia. New residents who had lived there for 6 months or less, along with their family members, were recruited through purposive sampling. The data collection process included a total of 19 residents and two family members, and comprised interviews, observations, and informal conversations with residents and their families.<br />Findings: Four themes were identified relating to the value of human connection, addressing new residents' expectations, the multifunctional role of communication in transition, and the implications of the General Practitioner system for new residents.<br />Conclusion: This study highlights the need for aged care providers to consistently follow the Aged Care Quality Standards to support new residents in overcoming challenges, improve their transition, and promote better health outcomes for those in permanent residential care-facilities. Our findings indicate that new residents and their key support person should receive a user-friendly hard copy "How To" guide prior to planned admissions, and upon admission if unplanned. Residential care-facilities should prioritise residents' sense of privacy, dignity, and respect within medical systems. Additionally, pre-admission protocols should address accessibility of rehabilitation services to prevent further deterioration of new residents' physical condition.<br /> (© 2025. The Author(s).) |
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| ISSN: | 1471-2318 |
| DOI: | 10.1186/s12877-025-06520-5 |