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Journal articles on the topic 'Residential Aged Care Facilities (RACFs)'

Author: Grafiati

Published: 27 March 2024

Last updated: 31 July 2025

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1

Ling, Rod, Andrew Searles, Jacqueline Hewitt, et al. "Cost analysis of an integrated aged care program for residential aged care facilities." Australian Health Review 43, no. 3 (2019): 261. http://dx.doi.org/10.1071/ah16297.

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Objective To compare annual costs of an intervention for acutely unwell older residents in residential age care facilities (RACFs) with usual care. The intervention, the Aged Care Emergency (ACE) program, includes telephone clinical support aimed to reduce avoidable emergency department (ED) presentations by RACF residents. Methods This costing of the ACE intervention examines the perspective of service providers: RACFs, Hunter Medicare Local, the Ambulance Service of New South Wales, and EDs in the Hunter New England Local Health District. ACE was implemented in 69 RACFs in the Hunter region

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Pachana, Nancy A., Edward Helmes, Gerard J. A. Byrne, Barry A. Edelstein, Candace A. Konnert, and Anne Margriet Pot. "Screening for mental disorders in residential aged care facilities." International Psychogeriatrics 22, no. 7 (2010): 1107–20. http://dx.doi.org/10.1017/s1041610210000128.

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ABSTRACTIntroduction: The International Psychogeriatric Association Task Force on Mental Health Services in Long-Term Care Facilities seeks to improve care of persons in residential aged care facilities (RACFs). As part of that effort the current authors have contributed an overview and discussion of the uses of brief screening instruments in RACFs.Methods: While no current guidelines on the use of screening instruments in nursing homes were found, relevant extant guidelines were consulted. The literature on measurement development, testing standards, psychometric considerations and the nursin

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Hibbert, Peter D., Louise K. Wiles, Ian D. Cameron, et al. "CareTrack Aged: the appropriateness of care delivered to Australians living in residential aged care facilities: a study protocol." BMJ Open 9, no. 6 (2019): e030988. http://dx.doi.org/10.1136/bmjopen-2019-030988.

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IntroductionThe aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, with a high prevalence of chronic conditions and complex comorbidities. Given the vulnerability of RACF residents and the demands on the system, there is a need to determine the extent that care is delivered in line with best practice (‘appropriate care’) in RACFs. There is also a recognition that systems should provide care that optimises quality of life (QoL)

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Hearn, Lydia, and Linda Slack-Smith. "Engaging dental professionals in residential aged-care facilities: staff perspectives regarding access to oral care." Australian Journal of Primary Health 22, no. 5 (2016): 445. http://dx.doi.org/10.1071/py15028.

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The limited access to oral care for older people living in residential aged care facilities (RACFs) has been noted repeatedly in the literature. The aim of this study was to explore RACF staff perspectives on how to engage dental professionals in the provision of oral care for RACF residents. Semi-structured interviews were conducted with 30 staff from six purposively selected RACFs located in high socioeconomic areas to gain understanding of the multidimensional issues that influenced the engagement of dental professionals from a carer perspective. Analysis revealed that staff perceived tensi

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Fung, Cheuk Kee Candy, Diep Hong Ha, Laurence James Walsh, and Claudia Patricia Lopez Silva. "A Pilot Study to Assess the Feasibility of Real-Time Teledentistry in Residential Aged Care Facilities." Healthcare 12, no. 22 (2024): 2216. http://dx.doi.org/10.3390/healthcare12222216.

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Background/Objectives: Unmet oral health needs of residents in residential aged care facilities (RACFs) arise due to the unique challenges of assessing oral health statuses and maintaining oral healthcare in RACFs. This pilot study assessed the feasibility of using real-time teledentistry under the guidance of a dentist to train RACF staff to undertake an oral health assessment. Methods: An oral health assessment of residents was first conducted by RACF staff at two Queensland, Australia RACFs using the Oral Health Assessment Tool, with an intra-oral camera connected to a laptop, through video

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Adebayo, Bola, Pam Nichols, Karen Heslop, and Bianca Brijnath. "Migrant Care Workers’ Perceptions of Their Working Conditions in Australian Residential Aged Care Facilities." Journal of Transcultural Nursing 34, no. 3 (2023): 229–37. http://dx.doi.org/10.1177/10436596231152204.

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Introduction: Staff shortages and retention are the major challenges in residential aged care facilities (RACFs). This study aimed to explore migrant care workers’ perceptions of job demands, their coping strategies, and employment intentions to leave or stay in the sector. Methods: Using a descriptive qualitative research design, semi-structured interviews were conducted with n = 20, RACF migrant care workers from Filipino, Indian, and Nigerian backgrounds in Perth, Western Australia, from April to December 2019. Data were thematically analyzed. Results: Motivating factors included the availa

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Goh, Anita M. Y., Samantha M. Loi, Alissa Westphal, and Nicola T. Lautenschlager. "Person-centered care and engagement via technology of residents with dementia in aged care facilities." International Psychogeriatrics 29, no. 12 (2017): 2099–103. http://dx.doi.org/10.1017/s1041610217001375.

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ABSTRACTTouchscreen technology (TT) is a resource that can improve the quality of life of residents with dementia, and care staff, in residential aged care facilities (RACF) through a person-centered care approach. To enable the use of TTs to engage and benefit people with dementia in RACFs, education is needed to explore how these devices may be used, what facilitates use, and how to address barriers. We sought to provide education and explore RACF staff views and barriers on using TT to engage their residents with dementia. An educational session on using TT with residents with dementia was

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Dai, Yunyun, Jia Zhao, Shenmei Li, Chaochao Zhao, Yan Gao, and Claire Elizabeth Johnson. "Caregivers’ Dementia Knowledge and Care Approach in Residential Aged Care Facilities in China." American Journal of Alzheimer's Disease & Other Dementiasr 35 (January 1, 2020): 153331752093709. http://dx.doi.org/10.1177/1533317520937096.

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Objective: To investigate the dementia knowledge and care approach used by caregivers in residential aged care facilities (RACFs) in China. Method: A cross-sectional survey of 785 caregivers from a random sample of 34 RACFs in China. Caregivers’ knowledge and care approach were assessed using the Chinese version of the Dementia Knowledge Assessment Tool 2 and Advanced Dementia Care Questionnaire. Results: The majority of caregivers showed limited knowledge of dementia and tended not to adopt a person-centered approach to care. Educational level, dementia care training, and years of work experi

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Batten, Miranda, Sam Kosari, Joanne Lewis, Mark Naunton, and Karen Strickland. "Exploration of an On-Site Pharmacist Intervention within Australian Residential Aged Care Facilities Using Normalisation Process Theory: A Mixed-Methods Study." Health & Social Care in the Community 2023 (September 19, 2023): 1–19. http://dx.doi.org/10.1155/2023/4370884.

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Residents living in residential aged care facilities (RACFs) continue to experience medication-related harm. There is ongoing interest in expanding the role of pharmacists, including on-site pharmacists (OSPs), to help improve medication management in RACFs. The objectives of this mixed-methods study were to explore the extent and ways in which on-site pharmacists (OSPs) were normalised within RACFs as part of a complex intervention seeking to improve medication management. This study consisted of semistructured interviews informed by normalisation process theory (NPT) and a quantitative surve

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Moore, Kirsten J., Keith D. Hill, Andrew L. Robinson, Terry P. Haines, Betty Haralambous, and Jennifer C. Nitz. "The state of physical environments in Australian residential aged care facilities." Australian Health Review 35, no. 4 (2011): 412. http://dx.doi.org/10.1071/ah10932.

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Objective. This paper examines the quality and safety of the physical environment in Australian residential aged care facilities (RACFs). Design. Cross-sectional study. One assessor completed environmental audits to identify areas of the physical environment that needed to be addressed to improve the wellbeing and safety of residents. Setting. Nine RACFs participating in a broader falls prevention project were audited. RACFs were located in Queensland, Tasmania or Victoria and were chosen by convenience to represent high level, low level, dementia and psychogeriatric care, regional and metropo

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Montalto, Michael, Simon Shay, and Andy Le. "Evaluation of a mobile X-ray service for elderly residents of residential aged care facilities." Australian Health Review 39, no. 5 (2015): 517. http://dx.doi.org/10.1071/ah15059.

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Objective The Royal Melbourne Hospital established a mobile X-ray service (MXS) in 2013. The goal of the MXS is to address the radiology needs of frail, elderly or demented residents of residential aged care facilities (RACFs) who would otherwise require transportation to attend for X-ray. The present study describes the activity of the MXS, and the impact of the MXS on emergency department (ED) attendances by residents of RACFs. Methods The study is a descriptive study and uses a before-and-after cohort approach. Activity for the first year of operation was collected and described. At the end

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Conway, Jane, Sophie Dilworth, Carolyn Hullick, Jacqueline Hewitt, Catherine Turner, and Isabel Higgins. "A multi-organisation aged care emergency service for acute care management of older residents in aged care facilities." Australian Health Review 39, no. 5 (2015): 514. http://dx.doi.org/10.1071/ah15049.

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This case study describes a multi-organisation aged care emergency (ACE) service. The service was designed to enable point-of-care assessment and management for older people in residential aged care facilities (RACFs). Design of the ACE service involved consultation and engagement of multiple key stakeholders. The ACE service was implemented in a large geographical region of a single Medicare Local (ML) in New South Wales, Australia. The service was developed over several phases. A case control pilot evaluation of one emergency department (ED) and four RACFs revealed a 16% reduction in present

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Tuckett, Anthony G. "The experience of lying in dementia care." Nursing Ethics 19, no. 1 (2011): 7–20. http://dx.doi.org/10.1177/0969733011412104.

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This analysis examines the practice of care providers in residential aged care lying to residents with dementia. Qualitative data were collected through multiple methods. Data here represents perceptions from registered and enrolled nurses, personal care assistants, and allied health professionals from five residential aged care facilities located in Queensland, Australia. Care providers in residential aged care facilities (RACFs) lie to residents with dementia. Lying is conceptualized as therapeutic whereby the care provider’s intent is to eliminate harm and also control behaviour. Care provi

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Dawson, Elizabeth, and Elise Campbell. "SG-APSIC1061: First-response infection prevention and control during COVID-19 outbreaks in residential aged-care facilities." Antimicrobial Stewardship & Healthcare Epidemiology 3, S1 (2023): s22. http://dx.doi.org/10.1017/ash.2023.66.

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Objectives: COVID-19 has highlighted the importance of the hierarchy of controls and early implementation of transmission-based precautions during outbreaks in residential aged-care facilities (RACFs). The RACF outreach team is a service provided by the Sydney Local Health District (SLHD) that provides RACFs with expert clinical care and advice, along with outbreak management and infection control and prevention education. Methods: The RACF outreach team developed 2 unique IPC management tools designed to assist RACFs during the COVID-19 pandemic: (1) the comprehensive initial review and (2) f

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Reymond, Liz, Fiona J. Israel, and Margaret A. Charles. "A residential aged care end-of-life care pathway (RAC EoLCP) for Australian aged care facilities." Australian Health Review 35, no. 3 (2011): 350. http://dx.doi.org/10.1071/ah10899.

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The objective of this study was to develop, implement and evaluate an end-of-life (terminal) care pathway and associated infrastructure suitable for Australian residential aged care facilities that improves resident and health system outcomes. The residential aged care end-of-life care pathway was developed by a multidisciplinary collaboration of government and non-government professionals and incorporated best clinical management for dying residents to guide care and increase palliative care capacity of generalist staff. Implementation included identifying and up-skilling Link Nurses to champ

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Loi, Samantha M., and Nicola T. Lautenschlager. "Investigating the current methods of assessing behavioral and psychological symptoms in residential aged care facilities in a metropolitan city." International Psychogeriatrics 29, no. 5 (2016): 855–58. http://dx.doi.org/10.1017/s104161021600226x.

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ABSTRACTUp to 90% of people with dementia living in residential aged care facilities (RACFs) display behavioral and psychological symptoms of dementia (BPSD), and these are associated with poorer quality of life and increased morbidity and mortality. In order to implement appropriate interventions, it is important to understand the symptoms in more detail. Despite the availability of BPSD assessment tools, it is unknown what the current practice of monitoring of BPSD in RACFs. We sought to investigate the current BPSD assessment tools being used in RACFs and explore different stakeholders’ vie

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Liyanage, Thilini, Geoffrey Mitchell, and Hugh Senior. "Identifying palliative care needs in residential care." Australian Journal of Primary Health 24, no. 6 (2018): 524. http://dx.doi.org/10.1071/py17168.

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The aim of this study is to determine the accuracy, feasibility and acceptability of the surprise question (SQ) in combination with a clinical prediction tool (Supportive and Palliative Care Indicator Tool (SPICT)) in identifying residents who have palliative care needs in residential aged care facilities (RACFs) in Australia. A prospective cohort study in two RACFs containing both high-level care (including dementia) and low-level care beds. Directors of Nursing screened 187 residents at risk of dying by 12 months using first the SQ, and if positive, then the SPICT. At 12-months follow-up, de

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Soofi, Hojjat. "Using Antipsychotics for Self-Defense Purposes by Care Staff in Residential Aged Care Facilities: An Ethical Analysis." Cambridge Quarterly of Healthcare Ethics 31, no. 4 (2022): 487–95. http://dx.doi.org/10.1017/s0963180122000391.

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AbstractPeople with dementia at times exhibit threatening and physically aggressive behavior toward care staff in residential aged care facilities (RACFs). Current clinical guidelines recommend judicious use of antipsychotic (AP) medications when there is an immediate risk of harm to care staff in RACFs and non-pharmacological interventions have failed to avert the threats. This article examines an account of how this recommendation can be ethically defensible: caregivers in RACFs may have a prima facie ethical justification, in certain cases, to use APs as an act of self-defense. The author e

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Kilian, Melissa, Tania Rauch Van der Merwe, and Sanetta H. J. du Toit. "Evidence-Based Practice: Implementing REIS Findings in South African Aged Care Facilities." OTJR: Occupational Therapy Journal of Research 44, no. 1 (2023): 106–16. http://dx.doi.org/10.1177/15394492231164948.

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Background: Older adults living in Residential Aged Care Facilities (RACFs) in South Africa are often exposed to environments that fail to provide adequate occupational opportunities. Practitioners in developing economies are challenged to provide therapeutic services in environments that emphasize occupational deprivation. Objectives: This study investigated barriers and enablers to implementing recommendations derived from the findings generated by the Residential Environment Impact Scale (REIS). Method: A two-phased embedded mixed methodology was employed. Phase 1 was the administration of

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Guan, Gigi, Geetha Ranmuthugala, Kadison Michel, and Charlie Corke. "Factors Associated with Emergency Department Discharge After Falls in Residential Aged Care Facilities: A Rural Australian Observational Study." Journal of Clinical Medicine 14, no. 11 (2025): 3893. https://doi.org/10.3390/jcm14113893.

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Background: Falls are the leading cause of emergency department (ED) presentations among residential aged care facility (RACF) residents. This study identified the factors influencing the decision to discharge RACF residents from the ED following fall-related presentations. Methods: A single-centred, cross-sectional observational study was conducted in rural Shepparton, Victoria, Australia. The study included residents aged ≥65 in RACFs with fall-related ED presentations between 1 January and 19 November 2024. The main outcome was to determine factors that may prevent unwarranted ED transfers

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Sellars, M., W. Silvester, R. Fullam, et al. "CPR POLICY AND PRACTICE IN AUSTRALIAN RESIDENTIAL AGED CARE FACILITIES (RACFS)." BMJ Supportive & Palliative Care 3, no. 2 (2013): 268.3–269. http://dx.doi.org/10.1136/bmjspcare-2013-000491.111.

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Adebayo, Bola, Angela Durey, and Linda M. Slack-Smith. "Role of information and communication technology in promoting oral health at residential aged care facilities." Australian Journal of Primary Health 23, no. 3 (2017): 216. http://dx.doi.org/10.1071/py15168.

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Information and communication technology (ICT) can provide knowledge and clinical support to those working in residential aged care facilities (RACFs). This paper aims to: (1) review literature on ICT targeted at residents, staff and external providers in RACFs including general practitioners, dental and allied health professionals on improving residents’ oral health; (2) identify barriers and enablers to using ICT in promoting oral health at RACFs; and (3) investigate evidence of effectiveness of these approaches in promoting oral health. Findings from this narrative literature review indicat

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Petrov, Ljubica, Catherine Joyce, and Tonina Gucciardo-Masci. "Aging in Australia: country of birth and language preferences of residents in aged care facilities." Australian Health Review 43, no. 1 (2019): 78. http://dx.doi.org/10.1071/ah17032.

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Objective There is a need to better understand the use of aged care services by people from culturally and linguistically diverse backgrounds. The aim of the present study was to describe the prevalence of people living in residential aged care facilities (RACFs) who were born in non-English-speaking countries and/or have a preferred language other than English and to describe service utilisation rates. Methods The present study consisted of a secondary analysis of data from the Australian Institute of Health and Welfare National Aged Care Data Clearinghouse. Data were analysed by country of b

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Newton, Wendy, Tania Signal, and Jenni A. Judd. "Fur, Fin, and Feather: Management of Animal Interactions in Australian Residential Aged Care Facilities." Animals 12, no. 24 (2022): 3591. http://dx.doi.org/10.3390/ani12243591.

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Animal-assisted interventions (AAI) have been occurring in Australian Residential Aged Care Facilities (RACF) for more than 40 years and may relieve loneliness and improve quality of life. The presence of animals in RACF poses an inherent risk to residents and the animals involved. Little is known about the policies and guidelines for including animals in the Australian RACF. We anticipated that most RACFs would have some policies, but they may lack the detail necessary to keep humans and animals safe. Using an adapted survey, we surveyed and interviewed a small but representative sample of Au

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BENNETT, MICHELLE K., ELIZABETH C. WARD, NERINA A. SCARINCI, and MONIQUE C. WAITE. "Service providers' perceptions of working in residential aged care: a qualitative cross-sectional analysis." Ageing and Society 35, no. 9 (2014): 1989–2010. http://dx.doi.org/10.1017/s0144686x14000853.

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ABSTRACTA 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 partic

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Sawan, M., R. Fois, and T. F. Chen. "Organisational culture and psychotropic medicine use in Residential Aged Care Facilities (RACFs)." Research in Social and Administrative Pharmacy 10, no. 5 (2014): e36. http://dx.doi.org/10.1016/j.sapharm.2014.07.094.

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Mitchell, Geoffrey, Caroline Nicholson, Keith McDonald, and Anne Bucetti. "Enhancing palliative care in rural Australia: the residential aged care setting." Australian Journal of Primary Health 17, no. 1 (2011): 95. http://dx.doi.org/10.1071/py10054.

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The delivery of palliative care in residential aged care communities is challenging, even more so in rural areas due to workforce ageing and shortages. The objectives of the present study were to: (i) assess the needs of, and quality of palliative care delivered to residents of 16 residential aged care facilities in rural southern Australia; and (ii) identify the needs of care staff to facilitate the delivery of quality palliative care. A cross-sectional survey of all residents, assessing the degree of functional limitation, stage of palliative care, and the presence of several quality indicat

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Pu, Dai, Yuen-Yu Choi, Karen Man-Kei Chan, and May Man-Wai Poon. "Modifying Puree Meals in Residential Aged Care Facilities: A Multi-Centre Feasibility and Acceptability Study." Geriatrics 6, no. 4 (2021): 108. http://dx.doi.org/10.3390/geriatrics6040108.

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Purees are often recommended for older adults in residential aged care facilities (RACFs) to target swallowing difficulties and nutrition. However, they lack appeal and may have negative impacts on nutritional intake. This study investigated the subjective experiences and objective swallowing function and safety of older adults in response to a modified puree. Twenty-eight residents from three RACFs whose regular diets consisted of purees were recruited. Purees were modified to improve visual appeal by adding a commercial enzyme gellant. Each participant was observed during three puree and thr

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Haider, Ibrahim, Sam Kosari, Mark Naunton, et al. "Quality Use of Medicines Indicators and Associated Factors in Residential Aged Care Facilities: Baseline Findings from the Pharmacists in RACF Study in Australia." Journal of Clinical Medicine 11, no. 17 (2022): 5189. http://dx.doi.org/10.3390/jcm11175189.

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Prescribing potentially inappropriate medications (PIMs), including antipsychotics and benzodiazepines, has been used as an indicator of the quality use of medicines in residential aged care facilities (RACFs). PIMs are associated with an increased risk of falls and hospitalisations in the elderly. The purpose of this study is to assess the extent of prescribing of PIMs in RACFs at baseline in the Pharmacists in residential aged care facilities (PiRACF) study and examine the association of resident and system factors with the number of PIMs. A cross-sectional analysis of 1368 participants from

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Cronan, Karl, and Linda Winn. "Development of an Evacuation Exercise for Residential Aged Care Facilities Using the Emergo Train System (ETS)." Prehospital and Disaster Medicine 34, s1 (2019): s1—s2. http://dx.doi.org/10.1017/s1049023x19000232.

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Introduction:Events such as the Sydney Quakers Hill Nursing Home fire highlighted the great need for robust evacuation plans for Residential Aged Care Facilities (RACFs). However, plans alone are not sufficient and routine exercises are necessary to test the capability of a facility’s emergency plan. Current methods of exercising facility evacuations, such as live drills, are limited and only test isolated elements of the evacuation process, which fall drastically short of being able to simulate the real-time resources and procedures required to perform a large scale evacuation of a RACF.Aim:T

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Omar, Marhanis-Salihah. "Knowledge, Attitude and Practice of Caregivers on Medication Management at Residential Aged Care Facilities in Malaysia." Medicine & Health 15, no. 2 (2020): 56–65. http://dx.doi.org/10.17576/mh.2020.1502.08.

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An escalating proportion of the aged group is associated with a growth in the prevalence of ill health. With the complexity of age-related diseases, a good medication management system is important to prevent medication errors. This study was aimed to develop a questionnaire to assess the knowledge, attitude and practice (KAP) of caregivers on medication management at residential aged care facilities (RACFs). A cross-sectional study was performed involving caregivers from 90 RACFs throughout Malaysia. The validated self-administered questionnaire was developed based on the extensive literature

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Sluggett, Janet K., Ria E. Hopkins, Esa YH Chen, et al. "Impact of Medication Regimen Simplification on Medication Administration Times and Health Outcomes in Residential Aged Care: 12 Month Follow Up of the SIMPLER Randomized Controlled Trial." Journal of Clinical Medicine 9, no. 4 (2020): 1053. http://dx.doi.org/10.3390/jcm9041053.

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In the SImplification of Medications Prescribed to Long-tErm care Residents (SIMPLER) cluster-randomized controlled trial, we evaluated the impact of structured medication regimen simplification on medication administration times, falls, hospitalization, and mortality at 8 residential aged care facilities (RACFs) at 12 month follow up. In total, 242 residents taking ≥1 medication regularly were included. Opportunities for simplification among participants at 4 RACFs were identified using the validated Medication Regimen Simplification Guide for Residential Aged CarE (MRS GRACE). Simplification

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Churruca, Kate, Jane Graham, Louise A. Ellis, et al. "Building a culture of safety in Australian residential aged care facilities: protocol for a longitudinal mixed methods research programme." BMJ Open 14, no. 9 (2024): e089293. http://dx.doi.org/10.1136/bmjopen-2024-089293.

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IntroductionThe quality and safety of care within residential aged care facilities (RACFs) have been linked to their organisational culture. However, evidence for understanding and improving culture in this setting is limited. This research programme aims to validate a survey to measure organisational culture and determine the relationship of culture with safety and quality of care, then to evaluate an organisational culture change programme in Australian RACFs.Methods and analysisThis is a longitudinal mixed methods programme of research conducted across four studies in collaboration with a n

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Engelbrecht, Romy. "P163: Closing the gap: Funded psychology in residential aged care in Australia." International Psychogeriatrics 35, S1 (2023): 182. http://dx.doi.org/10.1017/s1041610223003241.

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Objective:Historically, older adults in residential aged care facilities (RACF) in Australia had no access to government funded psychology services despite high rates of anxiety and depression. Change Futures is a registered charity that provides funded psychology to more than 220 RACFs in south-east Queensland and northern New South Wales, Australia, and since 2015 has been providing free psychology services to older adults living in aged care, using a predominately provisional psychologist workforce. This presentation will discuss the model of service that is provided, and the findings of a

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Ferris, Laura J., Kristiana Ludlow, Nicole Walker, et al. "Modified Oral Health Assessment Tool (M-OHAT) for Residential Aged Care: A Co-Design Protocol." Healthcare 12, no. 19 (2024): 1953. http://dx.doi.org/10.3390/healthcare12191953.

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Background: Older adults in residential aged care facilities (RACFs) experience disproportionate levels of poor oral health relative to other groups in the general population, affecting their physical and mental wellbeing. The Oral Health Assessment Tool (OHAT) is a validated and widely used dental assessment tool; however, recent systematic reviews have identified shortcomings with respect to its measurement properties. Objective: The objective of this protocol is to provide a detailed overview of a multidisciplinary qualitative study that aims to (a) co-design and develop a modified OHAT for

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Mitchell, Rebecca, Brian Draper, Lara Harvey, Henry Brodaty, and Jacqueline Close. "56 Examining Fall-Related HIP Fractures in Long-Term Residential Aged Care and the Community: Trends, Health Outcomes and Treatment Costs." Age and Ageing 48, Supplement_4 (2019): iv13—iv17. http://dx.doi.org/10.1093/ageing/afz164.56.

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Abstract Background Hip fracture risk is higher for older adults living in residential aged care facilities (RACF) and their health outcomes worse compared to older adults living in the community. Pre-hip fracture residential status is not well recorded within hospital records, necessitating linkage of hospital and residential aged care data to better ascertain residential location pre-fracture. Aim To examine temporal trends, characteristics and health outcomes following a fall-related hip fracture hospitalisation of people living in RACFs to those living in the community. Method A retrospect

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Dugré, Nicolas, J. Simon Bell, Ria E. Hopkins, et al. "Impact of Medication Regimen Simplification on Medication Incidents in Residential Aged Care: SIMPLER Randomized Controlled Trial." Journal of Clinical Medicine 10, no. 5 (2021): 1104. http://dx.doi.org/10.3390/jcm10051104.

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In the SImplification of Medications Prescribed to Long-tErm care Residents (SIMPLER) cluster-randomized controlled trial, we investigated the impact of a structured medication regimen simplification intervention on medication incidents in residential aged care facilities (RACFs) over a 12-month follow-up. A clinical pharmacist applied the validated 5-step Medication Regimen Simplification Guide for Residential Aged CarE (MRS GRACE) for 96 of the 99 participating residents in the four intervention RACFs. The 143 participating residents in the comparison RACFs received usual care. Over 12 month

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Battams, Samantha, and Angelita Martini. "The Impact of the COVID-19 Pandemic on People With Cognitive Impairment Residing in Aged Care Facilities: An Integrative Review." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (January 2023): 004695802311608. http://dx.doi.org/10.1177/00469580231160898.

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This review explored the impact of the COVID-19 pandemic on people with cognitive impairment living in aged care facilities. It also considered policy and organizational responses to COVID-19, and makes recommendations to ameliorate the impact of the pandemic on residents with cognitive impairment in aged care facilities. ProQuest, PubMed, CINAHL, Google Scholar, and Cochrane Central were searched April-May 2022 for peer reviewed articles, and an integrative review of reviews was conducted. Nineteen reviews were identified which referred to people with cognitive impairment living in residentia

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Ludlow, Kristiana, Kate Churruca, Louise A. Ellis, Virginia Mumford, and Jeffrey Braithwaite. "Understanding the priorities of residents, family members and care staff in residential aged care using Q methodology: a study protocol." BMJ Open 9, no. 3 (2019): e027479. http://dx.doi.org/10.1136/bmjopen-2018-027479.

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IntroductionResidential aged care facilities (RACFs) are under increasing pressure to provide high-quality, round the clock care to consumers. However, they are often understaffed and without adequate skill mix and resources. As a result, staff must prioritise care by level of importance, potentially leading to care that is missed, delayed or omitted. To date, the literature on prioritisation and missed care has been dominated by studies involving nursing staff, thereby failing to take into account the complex networks of diverse stakeholders that RACFs comprise. This study aims to investigate

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Lehnbom, E., K. Oliver, A. Georgiou, et al. "Design Challenges for Electronic Medication Administration Record Systems in Residential Aged Care Facilities." Applied Clinical Informatics 05, no. 04 (2014): 971–87. http://dx.doi.org/10.4338/aci-2014-08-ra-0062.

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SummaryIntroduction: Electronic medication administration record (eMAR) systems are promoted as a potential intervention to enhance medication safety in residential aged care facilities (RACFs). The purpose of this study was to conduct an in-practice evaluation of an eMAR being piloted in one Australian RACF before its roll out, and to provide recommendations for system improvements.Methods: A multidisciplinary team conducted direct observations of workflow (n=34 hours) in the RACF site and the community pharmacy. Semi-structured interviews (n=5) with RACF staff and the community pharmacist we

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Thottiyil Sultanmuhammed Abdul Khadar, Bismi, Jenny Sim, Vanessa M. McDonald, Julee McDonagh, Matthew Clapham, and Brett G. Mitchell. "Air Purifiers and Acute Respiratory Infections in Residential Aged Care." JAMA Network Open 7, no. 11 (2024): e2443769. http://dx.doi.org/10.1001/jamanetworkopen.2024.43769.

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ImportanceThe effectiveness of in-room air purification for the reduction of acute respiratory infections (ARIs) in residential aged-care facilities (RACFs) is unknown.ObjectiveTo investigate the effectiveness of in-room air purifiers with high-efficiency particulate air (HEPA)–14 filters in reducing the incidence of ARIs among residents of RACFs.Design, Setting, and ParticipantsThis randomized clinical trial used a multicenter, double-blind, 2-period, 2-treatment crossover design for 6 months from April 7 to October 26, 2023, in 3 RACFs with a bed capacity of 50 to 100 in New South Wales, Aus

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Sawan, M., R. Fois, and T. F. Chen. "Organisational climate and use of medicines: Patients’ perspective of Residential Aged Care Facilities (RACFs)." Research in Social and Administrative Pharmacy 10, no. 5 (2014): e35-e36. http://dx.doi.org/10.1016/j.sapharm.2014.07.093.

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Detering, Karen M., Kimberly Buck, Rasa Ruseckaite, et al. "Prevalence and correlates of advance care directives among older Australians accessing health and residential aged care services: multicentre audit study." BMJ Open 9, no. 1 (2019): e025255. http://dx.doi.org/10.1136/bmjopen-2018-025255.

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ObjectivesIt is important that the outcomes of advance care planning (ACP) conversations are documented and available at the point of care. Advance care directives (ACDs) are a subset of ACP documentation and refer to structured documents that are completed and signed by competent adults. Other ACP documentation includes informal documentation by the person or on behalf of the person by someone else (eg, clinician, family). The primary objectives were to describe the prevalence and correlates of ACDs among Australians aged 65 and over accessing health and residential aged care services. The se

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Chua, Tzy Harn, Jessica Ru-Jia Foong, Ryan Renxin Tan, Princess Natsai Rukasha, and Carolyn Hullick. "Assessment of advance care planning documentation for residents of residential aged care facilities presenting to the emergency department." Australian Health Review 44, no. 6 (2020): 847. http://dx.doi.org/10.1071/ah19238.

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ObjectiveThis study assessed the availability and quality of advance care planning (ACP) documentation among older residential aged care facility (RACF) residents who presented to the emergency department (ED). MethodsA prospective review of the medical records of RACF residents aged ≥75 years who presented to the ED from May to June 2018 was conducted. Availability of ACP was determined based on the presence of an ACP document inclusive of an advance care directive (ACD) in the medical record. The quality of ACP documentation was determined based on the presence of nine key components. Result

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Jokanovic, Natali, Terry Haines, Allen C. Cheng, et al. "Multicentre stepped-wedge cluster randomised controlled trial of an antimicrobial stewardship programme in residential aged care: protocol for the START trial." BMJ Open 11, no. 3 (2021): e046142. http://dx.doi.org/10.1136/bmjopen-2020-046142.

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IntroductionAntimicrobial resistance is a growing global health threat, driven by increasing inappropriate use of antimicrobials. High prevalence of unnecessary use of antimicrobials in residential aged care facilities (RACFs) has driven demand for the development and implementation of antimicrobial stewardship (AMS) programmes. The Stepped-wedge Trial to increase antibiotic Appropriateness in Residential aged care facilities and model Transmission of antimicrobial resistance (START) will implement and evaluate the impact of a nurse-led AMS programme on antimicrobial use in 12 RACFs.Methods an

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Khatri, Dipti, Nazanin Falconer, Sonali Coulter, Leonard C. Gray, David L. Paterson, and Christopher Freeman. "Antibiogram development for Australian residential aged care facilities." Infection Control & Hospital Epidemiology, September 26, 2024, 1–7. http://dx.doi.org/10.1017/ice.2024.120.

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Abstract Objective: Knowledge of local antibiotic resistance data, provided by antibiograms (a cumulative summary of in vitro-antimicrobial-susceptibility-test results), can aid prescribing of appropriate empirical antibiotics. This study aimed to explore the feasibility of antibiogram development for residential aged care facilities (RACFs). Design: Retrospective observational study of culture and sensitivity data. Setting: Nine RACFs in Queensland, Australia. Method: Available antimicrobial susceptibility results were collected retrospectively for all residents of recruited RACFs from Januar

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Trankle, Steven A., and Jennifer Reath. "Afterhours telehealth in Australian residential aged care facilities: a mixed methods evaluation." BMC Health Services Research 23, no. 1 (2023). http://dx.doi.org/10.1186/s12913-023-10257-5.

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Abstract Background The aged care system in Australia is under pressure. Residential aged care facilities (RACFs) and general practitioners (GPs) have difficulty providing the care needed by their residents, particularly after hours. Many residents are given ambulance support and transferred to hospital emergency departments (EDs) for care that could be provided at RACFs. The MyEmergencyDoctor (MED) service was commissioned in a 12-month program (February 2020-February 2021) using ED physicians to provide afterhours telehealth care in six RACFs. Methods Using the NASSS framework, we synthesise

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McAndrew, Fenella, Rachel Sacks-Davis, Romesh G. Abeysuriya, et al. "COVID-19 outbreaks in residential aged care facilities: an agent-based modeling study." Frontiers in Public Health 12 (May 21, 2024). http://dx.doi.org/10.3389/fpubh.2024.1344916.

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IntroductionA disproportionate number of COVID-19 deaths occur in Residential Aged Care Facilities (RACFs), where better evidence is needed to target COVID-19 interventions to prevent mortality. This study used an agent-based model to assess the role of community prevalence, vaccination strategies, and non-pharmaceutical interventions (NPIs) on COVID-19 outcomes in RACFs in Victoria, Australia.MethodsThe model simulated outbreaks in RACFs over time, and was calibrated to distributions for outbreak size, outbreak duration, and case fatality rate in Victorian RACFs over 2022. The number of incur

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Latta, Rachel, Peter Massey, Tony Merritt, Keith Eastwood, Fakhrul Islam, and David Durrheim. "Outbreak management in residential aged care facilities–prevention and response strategies in regional Australia." Australian Journal of Advanced Nursing 35, no. 3 (2018). http://dx.doi.org/10.37464/2018.353.1444.

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Objective: To identify the outbreak prevention and response preparedness of residential aged care facilities (RACFs) in the Hunter New England area of New South Wales (NSW). Design: A cross-sectional telephone survey. Setting: RACFs who provide full-time nursing care in regional NSW. Subjects: Twenty randomly selected RACFs including nine metropolitan and 11 rural facilities within the regional Hunter New England (HNE) district of NSW. Main outcome measures: Percentage of staff and residents vaccinated against influenza in 2013; availability and use of a surveillance system to detect outbreaks

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Ludlow, Kristiana, Kate Churruca, Virginia Mumford, et al. "Unfinished Care in Residential Aged Care Facilities: An Integrative Review." Gerontologist, November 27, 2019. http://dx.doi.org/10.1093/geront/gnz145.

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Abstract Background and Objectives When workload demands are greater than available time and resources, staff members must prioritize care by degree of importance and urgency. Care tasks assigned a lower priority may be missed, rationed, or delayed; collectively referred to as “unfinished care.” Residential aged care facilities (RACFs) are susceptible to unfinished care due to consumers’ complex needs, workforce composition, and constraints placed on resource availability. The objectives of this integrative review were to investigate the current state of knowledge of unfinished care in RACFs a

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