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Автор: Grafiati
Опубліковано: 27 березня 2024

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Статті в журналах з теми "Aged Care Quality and Safety":

1

Elise, Brianna. "Person-centred care in Australian aged care." International Practice Development Journal 13, no. 1 (May 24, 2023): 1–4. http://dx.doi.org/10.19043/ipdj.131.011.

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This paper is derived from research I undertook as a part of my honours degree in nursing. My research produced a thesis that examined person-centred care in Australian residential aged-care settings. The idea for this came from my 15 years’ experience as an aged-care nurse and questions arising from my lived experience of person-centred care not being a reality for residents, families and staff despite being widely espoused in the aged-care sector. The sector in Australia is undergoing a system redesign, with proposals for a new Aged Care Act put forward this year by the Royal Commission into Aged Care Quality and Safety (RCACQS, 2021) after a review of the aged-care system between 2018 and 2021. The review looked into the prevalence of elder abuse and estimated that almost 40% of residents may have experienced emotional, physical or neglectful abuse (RCACQS, 2020a). Person-centred care could be an important concept to establish in Australian residential aged care in order to tackle the experience of abuse and embed high-quality, safe services.
2

Ibrahim, Joseph E. "Royal Commission into Aged Care Quality and Safety: the key clinical issues." Medical Journal of Australia 210, no. 10 (May 19, 2019): 439. http://dx.doi.org/10.5694/mja2.50168.

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3

Parkinson, Lynne. "AJA and the Australian Royal Commission into Aged Care Quality and Safety." Australasian Journal on Ageing 38, no. 2 (June 2019): 77. http://dx.doi.org/10.1111/ajag.12689.

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4

Cheluvappa, Rajkumar, and Selwyn Selvendran. "Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse." Nursing Reports 12, no. 3 (August 30, 2022): 629–36. http://dx.doi.org/10.3390/nursrep12030062.

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Healthy ageing refers to the development and maintenance of the functional ability of ageing individuals. Aged care nurses provide nursing care to elderly individuals and usually work in aged care residential facilities, nursing homes, home care services, and/or hospital departments. The registered nurse working in the aged care sector has several important roles. Key roles cover both therapeutic and preventative paradigms, as discussed in this paper. The aged care nurse is also “tasked with” holistic patient-centred care and the promotion of healthy ageing via advocacy and sociocultural roles. This paper examined, described, and analysed the multifaceted role of an aged care nurse from an Australian perspective. We conducted meticulous searches using PubMed, Google Scholar, government guidelines, authoritative body regulations, quality control guidelines, and government portals pertaining to aged care nursing in Australia. This paper relied upon the information garnered from publications, reports, and guidelines resulting from these searches and analyses. Multiple aspects of healthy ageing and holistic aged care nursing are discussed. The key roles of the aged care nurse are enumerated next, in accordance with the code of conduct from the Nursing and Midwifery Board of Australia (NMBA). The NMBA promotes evidence-based, culturally sensitive, consultative, holistic aged care clinical practice that includes input from care recipients, their decision makers, and/or their health care providers. The difficult issue of loneliness is discussed with strategies to ameliorate aspects of this. Good social networks, community interactions, meaningful friendships, and participation in personalised spiritual/religious practices improve the quality of aged care. The key topic of elder abuse and its forms are discussed apropos of aged care nursing. Healthy ageing is promoted by identifying and reporting elder abuse at the earliest. Current Australian law and recent federal legislation changes pertaining to aged care nursing are discussed next. As a result of these legislation changes, several new quality control imperatives (for aged care organisations/facilities) under the Aged Care Quality and Safety Commission (ACQSC) have been implemented. Residential and flexible aged care providers should now have robust ongoing documentation and a well-developed behaviour support plan (BSP) for each care recipient who currently requires or may require restrictive practices, which must be reported under the new serious incident reporting scheme (SIRS). Various strategies to promote healthy ageing and approaches to communicate effectively with aged care recipients are also discussed. Healthy ageing is promoted when age care recipients are empowered with making their own autonomous choices in “major and minor” aspects of life. Finally, approaches to optimise quality aged care nursing care are discussed. The Roper–Logan–Tierney model is one of the models used to assess and optimise nursing care. This is premised on the capability of an ageing individual to accomplish 12 basic activities of daily living.
5

Inacio, Maria C., Gillian Elizabeth Caughey, and Steve Wesselingh. "Registry of Senior Australians (ROSA): integrating cross-sectoral information to evaluate quality and safety of care provided to older people." BMJ Open 12, no. 11 (November 2022): e066390. http://dx.doi.org/10.1136/bmjopen-2022-066390.

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PurposeThe Registry of Senior Australians (ROSA) was established to evaluate aged care experiences in Australia. In this manuscript, we describe the ROSA framework, the two ROSA cohorts, highlights from research findings, and future plans.ParticipantsThe South AustralianROSA Prospective Cohort(August 2018–June 2020) enrolled 26 605 participants, of which 59.2% (N=15 745) are women, with a median age of 83 (interquartile range (IQR) 77–88). The NationalROSA Historical Cohort(January 2002–June 2020) includes 1 694 206 participants with an aged care eligibility assessment, of which 59.1% (N=1 001 705) are women and the median age is 78 (IQR 72–83).Findings to dateMost research using the ROSA has focused on dementia, service accessibility, quality and safety of care, falls and injuries and quality use of medicines. The ROSA has also examined the experience of individuals with highly prevalent and understudied conditions in aged care settings (eg, eye and mental health) and aspects of services (eg, built environment) and innovation (eg, mobile radiological services) that can affect older people’s health. Important learnings from the ROSA’s development include the significant resources and multidisciplinary expertise required for establishing this platform. Between 2018 and 2022, 43 academic publications, eight reports of the Australian Government Royal Commission into Aged Care Quality and Safety, and several reports to state health authorities and professional societies have used the ROSA.Future plansOur plans include to: (1) continue delivering high-quality evidence to support the improvement of ageing and aged care services; (2) influence and improve the quality of research in and for the aged care sector; (3) expand scope to facilitate examining aims in more depth; (4) include future aged care sector data collections within the ROSA; (5) inform best practices and innovate how consumer engagement occurs in research; (6) monitor and evaluate the impact of the 2021 Australian Aged Care Reforms.
6

Davis, Jenny, Amee Morgans, and Stephen Burgess. "Information management in the Australian aged care setting." Health Information Management Journal 46, no. 1 (July 26, 2016): 3–14. http://dx.doi.org/10.1177/1833358316639434.

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Background: Information management systems and processes have an impact on quality and safety of care in any setting and particularly in the complex care setting of aged care. Few studies have comprehensively examined information management in the Australian aged care setting. Objective: To (i) critically analyse and synthesize evidence related to information management in aged care, (ii) identify aged care data collection frameworks and (iii) identify factors impacting information management. Methods: An integrative review of Australian literature published between March 2008 and August 2014 and data collection frameworks concerning information management in aged care were carried out. Results: There is limited research investigating the information-rich setting of aged care in Australia. Electronic systems featured strongly in the review. Existing research focuses on residential settings with community aged care largely absent. Information systems and processes in the setting of aged care in Australia are underdeveloped and poorly integrated. Conclusions: Data quality and access are more problematic within community aged care than residential care settings. The results of this review represent an argument for a national approach to information management in aged care to address multiple stakeholder information needs and more effectively support client care.
7

Caughey, Gillian Elizabeth, Catherine E. Lang, Sarah Catherine Elizabeth Bray, Janet K. Sluggett, Craig Whitehead, Renuka Visvanathan, Keith Evans, et al. "Quality and safety indicators for home care recipients in Australia: development and cross-sectional analyses." BMJ Open 12, no. 8 (August 2022): e063152. http://dx.doi.org/10.1136/bmjopen-2022-063152.

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ObjectivesTo develop and examine the prevalence of quality and safety indicators to monitor care of older Australians receiving home care packages (HCPs), a government-funded aged care programme to support individuals to live at home independently.DesignCross-sectional.SettingHome care recipients, Australia.Participants90 650 older individuals (aged ≥65 years old and ≥50 years old for people of Aboriginal or Torres Strait Islander descent) who received a HCP between 1 January 2016 and 31 December 2016 nationally were included.Primary and secondary outcome measuresThe Registry of Senior Australians developed 15 quality and safety indicators: antipsychotic use, high sedative load, chronic opioid use, antimicrobial use, premature mortality, home medicines reviews, chronic disease management plan, wait-time for HCP, falls, fractures, medication-related adverse events, weight loss/malnutrition, delirium/dementia-related hospitalisations, emergency department (ED) presentations and pressure injuries. Risk adjusted prevalence (%, 95% CI) and geographical area (statistical level 3) variation during 2016 were examined.ResultsIn 2016, a total of 102 590 HCP episodes were included for 90 650 individuals, with 66.9% (n=68 598) level 1–2 HCP episodes (ie, for basic care needs) and 33.1% (n=33 992) level 3–4 HCP (ie, higher care needs). The most prevalent indicators included: antibiotic use (52.4%, 95% CI 52.0 to 52.7), chronic disease management plans (38.1%, 95% CI 37.8 to 38.4), high sedative load (29.1%, 95% CI 28.8 to 29.4) and ED presentations (26.4%, 95% CI 25.9 to 26.9). HCP median wait time was 134 days (IQR 41–406). Geographical variation was highest in chronic disease management plans and ED presentations (20.7% of areas outside expected range).ConclusionA comprehensive outcome monitoring system to monitor the quality and safety of care and variation for HCP recipients was developed. It provides a pragmatic, efficient and low burden tool to support evidence-based quality and safety improvement initiatives for the aged care sector.
8

Inacio, Maria C., Catherine Lang, Gillian E. Caughey, Sarah C. E. Bray, Stephanie L. Harrison, Craig Whitehead, Renuka Visvanathan, et al. "The Registry of Senior Australians outcome monitoring system: quality and safety indicators for residential aged care." International Journal for Quality in Health Care 32, no. 8 (July 21, 2020): 502–10. http://dx.doi.org/10.1093/intqhc/mzaa078.

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Abstract Objectives To introduce the Registry of Senior Australians (ROSA) Outcome Monitoring System, which can monitor the quality and safety of care provided to individuals accessing residential aged care. Development and examination of 12 quality and safety indicators of care and their 2016 prevalence estimates are presented. Design Retrospective. Setting 2690 national and 254 South Australian (SA) aged care facilities. Participants 208 355 unique residents nationally and 18 956 in SA. Main Outcome Measures Risk-adjusted prevalence of high sedative load, antipsychotic use, chronic opioid use, antibiotic use, premature mortality, falls, fractures, medication-related adverse events, weight loss/malnutrition, delirium and/or dementia hospitalisations, emergency department presentations, and pressure injuries. Results Five indicators were estimated nationally; antibiotic use (67.5%, 95% confidence interval (CI): 67.3–67.7%) had the highest prevalence, followed by high sedative load (48.1%, 95% CI: 47.9–48.3%), chronic opioid use (26.8%, 95% CI: 26.6–26.9%), antipsychotic use (23.5%, 95% CI: 23.4–23.7%) and premature mortality (0.6%, 95% CI: 0.6–0.7%). Seven indicators were estimated in SA; emergency department presentations (19.1%, 95% CI: 18.3–20.0%) had the highest prevalence, followed by falls (10.1%, 95% CI: 9.7–10.4%), fractures (4.8%, 95% CI: 4.6–5.1%), pressure injuries (2.9%, 95% CI: 2.7–3.1%), delirium and/or dementia related hospitalisations (2.3%, 95% CI: 2.1–2.6%), weight loss/malnutrition (0.7%, 95% CI: 0.6–0.8%) and medication-related events (0.6%, 95% CI: 0.5–0.7%). Conclusions Twelve quality and safety indicators were developed to monitor aged care provided to older Australians based on the synthesis of existing literature and expert advisory input. These indicators rely on existing data within the aged care and healthcare sectors, therefore creating a pragmatic tool to examine quality and unwarranted care variation.
9

Clarke, Marilyn Alexandra, and Sally Rao Hill. "Promoting employee wellbeing and quality service outcomes: The role of HRM practices." Journal of Management & Organization 18, no. 5 (September 2012): 702–13. http://dx.doi.org/10.1017/s1833367200000626.

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AbstractAs a transformative service, aged care has the capacity to create uplifting changes and improvements to the quality of life for individuals and communities. Recent studies have, however, highlighted the pressures faced by aged care workers and the impact that these pressures have on employee wellbeing and quality of care. This paper explores the relationship between employee wellbeing and service quality. We present a model for the aged care sector which suggests that by identifying and implementing appropriate HRM strategies both employee wellbeing and service quality will be enhanced thus ensuring that this transformative service meets the needs of its many stakeholders. Essentially, we argue that employee wellbeing is directly linked to service delivery outcomes and overall business performance and that HR practices that address issues such as learning and development, employee voice and involvement and workplace health and safety play a significant role in enhancing and maintaining employee wellbeing.
10

Clarke, Marilyn Alexandra, and Sally Rao Hill. "Promoting employee wellbeing and quality service outcomes: The role of HRM practices." Journal of Management & Organization 18, no. 5 (September 2012): 702–13. http://dx.doi.org/10.5172/jmo.2012.18.5.702.

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AbstractAs a transformative service, aged care has the capacity to create uplifting changes and improvements to the quality of life for individuals and communities. Recent studies have, however, highlighted the pressures faced by aged care workers and the impact that these pressures have on employee wellbeing and quality of care. This paper explores the relationship between employee wellbeing and service quality. We present a model for the aged care sector which suggests that by identifying and implementing appropriate HRM strategies both employee wellbeing and service quality will be enhanced thus ensuring that this transformative service meets the needs of its many stakeholders. Essentially, we argue that employee wellbeing is directly linked to service delivery outcomes and overall business performance and that HR practices that address issues such as learning and development, employee voice and involvement and workplace health and safety play a significant role in enhancing and maintaining employee wellbeing.
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Статті в журналах Дисертації Книги

Дисертації з теми "Aged Care Quality and Safety":

1

Daskein, Robyn. "Nursing Documentation and Quality of Care in Residential Aged Care in Queensland." Thesis, Griffith University, 2008. http://hdl.handle.net/10072/367277.

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Little is known about the relationship between registered nurses’ (RNs’) knowledge of nursing documentation, their attitudes towards this documentation, and how they perceive the importance of the forms used in the documentation process within residential aged care. The current study has several aims. This investigation sought to gain a measure of RNs’ knowledge of, and attitudes towards documentation, and assess their perception of the importance of forms used to document care. There were two phases of study. Study 1 utilised a cross-sectional, retrospective design with a large sample of RNs (n = 360) who completed Edelstein’s (1990) modified questionnaire to identify factors that influence nurses’ documentation in residential aged care in Queensland. A factor analysis was undertaken to extract influencing factors. The second study developed and tested a conceptual model of nursing practice and quality of care to determine relationships between the factors under investigation. This phase used a smaller sample of RNs (n = 46). Participating RNs were asked to provide personal characteristics (e.g. age, gender, first nursing qualification and studies in aged care) and to complete Edelstein’s (1990) modified questionnaire. A chart audit was conducted on residents’ records where the resident required interventions for challenging behaviour. Relatives of residents whose charts were audited also completed a survey to measure their perceived satisfaction with care of their family member. Finally, a model of the relationships between documentation and outcome measures was developed on the basis of prior literature and previous empirical studies. This model was labelled “The Nursing Practice and Quality of Care Model”. This model was then tested with a smaller sample of RNs, seeking to find out if it appropriately represented the relationships that exist between RN documentation and outcomes. Edelstein’s (1990) modified questionnaire was demonstrated to have acceptable reliability and validity. Results of Study 1 revealed that RNs working in aged care in Queensland have high levels of knowledge about documentation, and consider the forms they use to document care to be very important, but have mixed attitudes towards documentation. Several issues influenced the results for the knowledge and attitude scales. These included knowledge factors such as care-reporting guidelines, nurse time issues, legal issues and quality of reporting. Attitudes were influenced by charting, practice and policy issues. These findings provide important information on what variables affect RNs’ documentation. The RN participants in Study 2 were comparable to the national and state figures for RN aged care demographics (Hsu, Moyle, Creedy, & Venturato, 2005; Richardson & Martin, 2004). Overall, the findings of Edelstein’s (1990) modified questionnaire in Study 2 were consistent with Study 1, although different relationships were found between the knowledge and attitude factors. The chart audit revealed that although RNs did complete most items on the forms, no form was fully complete, and suggests that RNs are not generally fully compliant with nursing documentation requirements in residential aged care. Relatives of aged care residents were generally happy with the level of care for their family member, but felt that individual issues such as leisure and activity programs, meals, and dining services could be improved. Analysis of “The Nursing Practice and Quality of Care Model” involved structural equation modeling (SEM) to determine the relationship between experiences, knowledge and attitudes toward nursing documentation, compliance with writing nursing documentation and relatives’ satisfaction. Testing revealed that the model was generally a good fit; however, only some variables predicted to be included in the model were significant. Of greatest interest was the strong predictive relationship between care reporting guidelines and caring behaviour, which suggested that the more RNs knew about documentation, the better they were able to care for residents with challenging behaviour. Positive attitudes to policy issues by RNs, and high completion of charting review items also predicted better outcomes for residents. RNs who had studies in aged care showed a relationship with quality issues suggested that the more education RNs completed the more they knew about quality issues. However, there were some significant negative predictive relationships between variables such as quality issues and caring behaviour that were not anticipated. Overall results suggest that some RN documentation factors did significantly predict residents’ quality of care. This is an important step forward in finding ways to improve the care of residents in aged care facilities.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
Griffith Health
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2

Hutchinson, Allen. "Exploring safety, quality and resilience in health care." Thesis, University of Sheffield, 2014. http://etheses.whiterose.ac.uk/6574/.

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There still appears to be much to do to make the National Health Service in England a safer place for patients. Hospitals, in particular, are complex organisations in which staff and processes are under the twin simultaneous demands of an increasingly aged society and severe financial constraints. While much health care is well delivered, there remains a need to predict, and to explore, where and why problems occur. This thesis presents work which has refined methods and tools that can be used at health system and organisation levels to explore some key safety and quality issues in health care. The six publications presented and discussed here were published during a seven year period between 2006 and 2013. They explore three important issues relating to safer health care – safety culture and incident reporting, prospective hazard analysis, and the use of improved case note review methods to evaluate the safety and quality of care in hospitals. Two principal approaches to data access are presented in the publications. At the system and organisation level, information from large data sets was used to investigate the relationships between markers of safety and quality. At the health care provision level, data has been gathered about the work of health care professionals using mixed-methods approaches. The publications are discussed across two inter-related concepts – healthcare safety and healthcare resilience. While the study of safer healthcare has a long history the concept of healthcare resilience is still being developed. Resilience is concerned with the way in which organisations and people can adjust and maintain their functioning in the face of challenge or adversity. Although the presented publications themselves do not explicitly consider research into resilience, this theme is used to reflect on the study results and their potential value to health services.
3

Veerkamp, Celeste Goff. "Gatekeepers to healthcare quality and patient safety| Veritas Credentials." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10158999.

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The current environment of healthcare requires organizations to look at each department and each employee from an economic vantage and to consider at all viable options for cost containment. An organization’s Medical Staff Office has traditionally taken responsibility for providing the credentials and privileging function for organizations. The amount of work and time as well as seasonal fluctuations in the number of applicants proves difficult for an organization from a staffing and budgetary standpoint. For many organizations, the ability to outsource its credentialing functions to a Credentials Verification Organization may prove a cost efficient option.

Veritas Credentials seeks to remedy this difficulty for healthcare organizations by allowing the credential and privilege function to be outsourced. This business plan will show how Veritas Credentials intends to provide an array of services to ensure that healthcare organizations provide privileges to high quality providers which will ensure patient safety.

4

Parand, Anam. "The role of acute care managers in quality of care and patient safety." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/11677.

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Healthcare managers have a responsibility for the standard of their services and patient care delivered. Their work is thought to be essential in achieving and improving high quality care and patient safety. However, little is empirically known about their role in this. This thesis investigates acute care managerial work and impact in the context of quality of care and patient safety. It draws upon power and work-activity group theories and literature from other industries to guide investigation and elucidate findings. The introductory Chapters (Chapters 1-3) provide the background context of quality of care and patient safety, relevant management theory, and literature on the role of acute care managers in quality and safety. A systematic literature review in Chapter 4 illustrates a case for empirical research on this topic and suggests areas for further investigation. Chapters 5 and 6 report a case study investigation of the senior manager’s dimensions of involvement in a quality and safety improvement collaborative. These Chapters present self-reports of 17 Chief Executive Officers and 18 Medical Directors across 20 NHS hospitals on their actions and contributions to the UK Safer Patients Initiative (SPI). From this, a model of five principle dimensions of involvement emerged. Corroborating this model, Chapter 7 reports the staff perspective of their senior managements’ role in SPI, comprising interviews with 36 staff also involved in the SPI programme across the 20 hospitals. To explore the work of the acute care middle manager in quality and patient safety, 36 interviews with general managers, service and divisional managers across two NHS Trusts and two specialities reveal their relevant training/learning, demands, choices and constraints (Chapter 8). This informed two follow up surveys that further quantified the interview findings and explored theoretical power and role constructs. The first survey presents the views of 100 middle managers from 10 NHS Trusts on their quality and safety-related time, learning, activities, power and impact (Chapter 9). The second survey reports 60 clinical staff views on the same items, illustrating some divergence on critical constructs (Chapter 10). The thesis closes with a final Chapter (Chapter 11) comprising a summary of the key findings per Chapter and the overarching themes from the thesis. Methodological limitations/strengths, wider implications for managers and policy makers, and future research are considered. The Chapter ends with concluding remarks on the critical work performed by acute care managers across organisational levels for the daily preservation of quality and patient safety and its improvement.
5

O'Reilly, Maria Therese. "Clinical indicators of quality for Australian residential aged care facilities : establishing reliability, validity, and quality thresholds." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/40314/1/Maria_O%27Reilly_Thesis.pdf.

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Background: In response to the need for more comprehensive quality assessment within Australian residential aged care facilities, the Clinical Care Indicator (CCI) Tool was developed to collect outcome data as a means of making inferences about quality. A national trial of its effectiveness and a Brisbane-based trial of its use within the quality improvement context determined the CCI Tool represented a potentially valuable addition to the Australian aged care system. This document describes the next phase in the CCI Tool.s development; the aims of which were to establish validity and reliability of the CCI Tool, and to develop quality indicator thresholds (benchmarks) for use in Australia. The CCI Tool is now known as the ResCareQA (Residential Care Quality Assessment). Methods: The study aims were achieved through a combination of quantitative data analysis, and expert panel consultations using modified Delphi process. The expert panel consisted of experienced aged care clinicians, managers, and academics; they were initially consulted to determine face and content validity of the ResCareQA, and later to develop thresholds of quality. To analyse its psychometric properties, ResCareQA forms were completed for all residents (N=498) of nine aged care facilities throughout Queensland. Kappa statistics were used to assess inter-rater and test-retest reliability, and Cronbach.s alpha coefficient calculated to determine internal consistency. For concurrent validity, equivalent items on the ResCareQA and the Resident Classification Scales (RCS) were compared using Spearman.s rank order correlations, while discriminative validity was assessed using known-groups technique, comparing ResCareQA results between groups with differing care needs, as well as between male and female residents. Rank-ordered facility results for each clinical care indicator (CCI) were circulated to the panel; upper and lower thresholds for each CCI were nominated by panel members and refined through a Delphi process. These thresholds indicate excellent care at one extreme and questionable care at the other. Results: Minor modifications were made to the assessment, and it was renamed the ResCareQA. Agreement on its content was reached after two Delphi rounds; the final version contains 24 questions across four domains, enabling generation of 36 CCIs. Both test-retest and inter-rater reliability were sound with median kappa values of 0.74 (test-retest) and 0.91 (inter-rater); internal consistency was not as strong, with a Chronbach.s alpha of 0.46. Because the ResCareQA does not provide a single combined score, comparisons for concurrent validity were made with the RCS on an item by item basis, with most resultant correlations being quite low. Discriminative validity analyses, however, revealed highly significant differences in total number of CCIs between high care and low care groups (t199=10.77, p=0.000), while the differences between male and female residents were not significant (t414=0.56, p=0.58). Clinical outcomes varied both within and between facilities; agreed upper and lower thresholds were finalised after three Delphi rounds. Conclusions: The ResCareQA provides a comprehensive, easily administered means of monitoring quality in residential aged care facilities that can be reliably used on multiple occasions. The relatively modest internal consistency score was likely due to the multi-factorial nature of quality, and the absence of an aggregate result for the assessment. Measurement of concurrent validity proved difficult in the absence of a gold standard, but the sound discriminative validity results suggest that the ResCareQA has acceptable validity and could be confidently used as an indication of care quality within Australian residential aged care facilities. The thresholds, while preliminary due to small sample size, enable users to make judgements about quality within and between facilities. Thus it is recommended the ResCareQA be adopted for wider use.
6

De, Bellis Anita Marie, and anita debellis@flinders edu au. "Behind Open Doors - A Construct of Nursing Practice in an Australian Residential Aged Care Facility." Flinders University. School of Nursing & Midwifery, 2006. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20061107.122002.

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This thesis explored the relationship between the discourses of nursing care, the nursing care provision, and the perceived nursing care needs of three highly dependent residents in a residential aged care facility in Australia. Residential aged care in this country has undergone major reforms since 1987 and the nursing profession has struggled with these changes because of the documentation, validation, and accreditation requirements; the inadequate determination of dependency on nursing care for funding; the Registered Nurse (RN) being removed from the bedside to a role of scribe and delegator; the increasing acuity and complexity of the residents' needs; an increase in the turnover of residents; a rise in the nursing staff attrition rate; the delivery of care by untrained and unqualified persons; the RN being accountable and responsible for the care given by 'non-nurses' from a distance; and, the inadequate skill mix and staff to resident ratios provided in these institutions. The interest of this thesis was to research gerontological nursing practice in the context of residential aged care. Residential Aged Care Facilities (RACFs) in Australia that care for the highly dependent elderly were identified in the thesis as disciplinary institutions that used 'subjectivation' as a means to control the efficiency and effectiveness of the labour force and the 'docile' bodies of the residents, whilst at the same time the government rhetoric is that of the quality of life standards and the rights of residents in these institutions. As well as the discourse analysis, an historical overview of the aged care reforms in Australia was undertaken for the period from 1975 to 2006 that demonstrated the effects the reforms have had on the voice of nurses and nursing care in these institutions. This analysis highlighted where nurses have been silenced and found the federal government determining what is nursing care and what is not nursing care, and also who is providing this nursing care. Using a case study approach and discourse analysis each of the three residents was studied using data from five sources namely the resident or relative, a RN, a careworker (CW), the current documentation pertaining to the resident's nursing care, and the non-participant observation of the nursing care provided. These discourses on the nursing care and perceived residents' nursing care needs were analysed using the theoretical base developed from the philosophy and research interest of Michel Foucault (1926-1984), who questioned the apparatus and institutions of Western cultures and searched for discontinuities in the practices of what he termed 'disciplines'. The results of the discourse analysis found nursing care practices that were alarming around the residents' perceived nursing care needs, the documentation of the nursing care provision, and the observed 'actual' nursing care provided. A questionable standard of nursing care was evidenced even though this facility had recently been accredited. A custodial level of mechanistic care was provided to residents in an extremely noisy and public environment within a culture of haste and bustle by unknowledgeable CWs, under the distant gaze of a RN, and the direction of the government documentation requirements. This resulted in unsafe, unethical, unprofessional, and negligent practices, as well as fraudulent, illegal, and dangerously out of date documentation practices. This was ultimately affecting each resident's quality of life, nursing care, and wellbeing and was an added burden on the residents' relatives. Many discontinuities, dissonances, conflicts, and contradictions in nursing practice were uncovered for these three highly dependent residents that may be transferable and similar to other highly dependent residents in this and other institutions. Indeed it may mirror other disciplines that provide care services, such as mental health care, acute care, and disability care provision. The concerns for the nursing profession have epistemological, ethical, and political ramifications for the residents and their relatives, the nurses, the non-nurses doing nursing work, the government, and the industry. Epistemologically new nursing 'knowledges' were being developed that were not resident focussed or based on evidence. Ethically, the legislated rights of residents were not being supported, despite the accreditation, funding, and complaint mechanisms in place - and this has the potential to have punitive ramifications for the industry. Professionally and politically, CWs were identified as non-nurses doing nursing work of a poor standard. This care was not based on accepted nursing practice, but developed through the documentation requirements of the federal government department, the applied constraints, and the CWs themselves. Furthermore, the documentation requirements were found to be a pretence in regard to funding through validation and accreditation, as well as a charade in nursing practice. There is presently a substantial third level of nurses who are identified legally and political as non-nurses doing non-nursing work (known as 'personal' care); but these non-nurses are doing nursing work and are identified by the nursing profession and the public as 'nurses' doing nursing work. These non-nurses who provided nursing care are not educated, licensed, or regulated, and are not accountable professionally to nurses or legally to the public. It is proposed that CWs are in need of licensing under nurses' boards requiring at the very least a minimum of training and education. It is further proposed that documentation requirements resort back to professional nursing documentation; funding be dependent on an predetermined minimum skill mix and staff/resident ratio; and the funding of residents be based on a minimum data set and untied from nursing practice. The professional nursing practice of assessment, planning, implementation, and evaluation of nursing care needs resorting to a nursing domain of knowledge, practice, accountability, responsibility, and documentation. If an acceptable quality of life is to be realised for residents in the residential aged care system, given that highly dependent residents are reliant on quality nursing care that is fundamentally imperative to their very quantity and quality of life, then changes in the residential aged care system and the nursing profession will be necessary. This thesis will contribute to opening up such dialogue between the government, the industry, and the nursing profession in Australia, and it also highlights areas of aged care nursing practice in need of further research.
7

Grenade, Linda Elise. "Accreditation of residential aged care facilities: experiences of service providers." Thesis, Curtin University, 2003. http://hdl.handle.net/20.500.11937/1306.

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The need to address the issue of quality in aged care service provision in Australia has received increasing emphasis in recent decades. Particularly since the 1980s, the federal government has played a key role in ensuring that this is the case through the implementation of various reforms and regulatory strategies. In 1998, the national standards monitoring system which had been in place since the mid 1980s was replaced with a new system based on an accreditation model. In contrast to the former system which was wholly controlled by government and involved one-off inspections by government standards monitors, responsibility for managing the new system has been devolved to an independent body, the Aged Care Standards and Accreditation Agency. One of the Agency's primary functions is to assess compliance with the accreditation standards. A key component of the new system is its emphasis on continuous improvement which has been incorporated into the accreditation standards. As a consequence, the new system requires a much greater level of involvement and commitment by providers than previously. In order to continue receiving government funding all facilities had to be accredited by January 1st 2001. This study represents an evaluation of the accreditation system based on the views and experiences of service providers in Western Australia. It explored a number of issues relating to the basic philosophy and principles underlying the new system, the implementation process, the accreditation standards that are used as a basis for assessing service quality and the overall impact of the system on providers. It also sought providers' views about the strengths and limitations of the system and any areas in need of change or improvement. A descriptive design, using in-depth interviews as the method of data collection, was adopted for the study.Participants from three levels of service provision, namely, facilities, organisations and peak bodies were selected on a stratified purposive basis. A total of 45 informants were interviewed. The findings indicated that, overall, as a regulatory approach the accreditation system was generally supported by providers and was regarded as having a number of positive features, particularly in comparison to the previous system. At the same time a number of concerns were identified. These related in particular to the assessment process, specifically the lack of consistency amongst assessors and the self assessment tool, and to the extent of information and guidance provided by the Agency. Concerns regarding the latter's role in relation to, and extent of independence from, the federal government were also identified. The study also found that the introduction of the system had impacted on providers in a variety of ways, both positive and negative, but particularly in terms of the demands on staff and financial resources. A number of 'broader' level factors, such as funding, nursing shortages and other often competing demands (e.g. assessing residents according to the Resident Classification Scale) were also felt to be impacting on providers' capacity to meet the requirements of the system. These concerns, along with concerns about the way in which the system would develop in the future, appear to have created a degree of uncertainty and in some cases apprehension amongst many providers. Although this study has focused on the experiences of Western Australian service providers, evidence from other reviews of the accreditation system where providers' views have been sought has indicated a widespread similarity in perceptions. This suggests, therefore, that there is a need for further review and refinement of certain aspects of the system as it moves into the second round.
8

Crawley, Leah R. "Gender differences in quality of life of residents living in aged care complexes /." Title page, contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09ARPS/09arpsc911.pdf.

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9

Glasson, Janet, University of Western Sydney, College of Social and Health Sciences, and of Nursing Family and Community Health School. "Improving aspects of quality of nursing care for older acutely ill hospitalised medical patients through an action research process." THESIS_CSHS_NFC_Glasson_J.xml, 2004. http://handle.uws.edu.au:8081/1959.7/481.

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The current literature suggests one of the challenges of nursing today is to meet the health care needs of the growing older population, people over the age of 65. Quality of nursing is important for acutely ill older people who are the largest group of patients in terms of hospital admissions. The ageing population is a major focus for social and economic planners and policy makers. There is an increasing need for health systems to change their focus to more closely assess strategies used to manage the acutely ill older hospital population. The main aim of this study was to improve the quality of nursing care for older, acutely ill, hospitalised medical patients. The study used a mixed method triangulated approach that utilised quantitative and qualitative methods to survey perceived needs of older patients, their family members/carers and the nursing staff, in the process of developing, implementing and evaluating a new model of care using a participatory action research (PAR) process. There were three specific objectives. The first was to evaluate which aspects of nursing care were considered most important for older patients during acute hospitalisation from the perspective of older patients, their family members/carers and their nurses. The second was to develop and implement a model of care that addressed the identified nursing care needs and priorities of older patients through the PAR process. The third was to determine whether employing a PAR process, the chosen model of care addressed the identified nursing care needs and priorities and resulted in increased patient satisfaction and improved health care for older patients. This study demonstrated the implementation of a PAR process to motivate nursing staff, utilising an evidence-based model of care approach, resulted in changes to clinical nursing practice that impacted positively on older patients’ and nursing staff’s satisfaction with care provided, patient knowledge and final health outcomes. It is recommended that the findings of this study be applied to develop guidelines for acutely hospitalised medical patients, particularly for issues relating to educational sessions to increase the patient’s functional activities and knowledge levels of their medication regimes prior to discharge.
Master of Health Science (Hons)
10

Morrow, Martha Sue. "Quality and Safety of Intermittent Intravenous Infusions." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=casednp15283136058872.

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Книги з теми "Aged Care Quality and Safety":

1

Organisation for Economic Co-operation and Development. and OECD Futures Project on Risk Management Policies., eds. Sweden: The safety of older people. Paris, France: Organisation for Economic Co-operation and Development, 2006.

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2

American College of Obstetricians and Gynecologists. Women's Health Care Physicians. Quality and safety in women's health care. 2nd ed. Washington, DC: American College of Obstetricians and Gynecologists, 2010.

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3

American College of Obstetricians and Gynecologists. Committee on Patient Safety and Quality Improvement., ed. Quality and safety in women's health care. 2nd ed. Washington, DC: American College of Obstetricians and Gynecologists, 2010.

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4

Pawliski, Todd. Quality and safety in radiotherapy. Boca Raton: CRC Press/Taylor & Francis, 2010.

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5

Healy, Judith. Improving health care safety and quality: Reluctant regulators. Surrey, UK E: Ashgate, 2010.

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6

Savage, Grant T., and Eric W. Ford. Patient safety and health care management. Bingley: JAI Press, 2008.

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7

Chaff, Linda F. Total health and safety for health care facilitites: Catalyzing improvements in employee safety, patient care and the bottom line. Chicago: Health Forum, 2006.

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8

Inc, Joint Commission Resources, and Joint Commission on Accreditation of Healthcare Organizations., eds. Patient safety: Essentials for health care. 4th ed. Oakbrook Terrace, Ill: Joint Commission on Accreditation of Healthcare Organizations, 2006.

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9

Inc, Joint Commission Resources. Patient safety: Essentials for health care. 5th ed. Oakbrook Terrace, Ill: Joint Commission Resources, 2009.

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10

Bruno, Michael A., and Hani H. Abujudeh. Quality and safety in radiology. New York: Oxford University Press, 2012.

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Частини книг з теми "Aged Care Quality and Safety":

1

Ingram, David. "7. Health Care and Information Technology." In Health Care in the Information Society, 63–222. Cambridge, UK: Open Book Publishers, 2023. http://dx.doi.org/10.11647/obp.0384.02.

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This chapter tells a story of seventy-five years of coevolution that has connected the practice of health care with the science and technology of information. It moves from experience of health care in the remote village life of my childhood to that in global village life today. It explores decades of transition onto a new landscape of disciplines, professions and services, played out within rapidly changing social, economic and political contexts. This transition has been described as turning the world of health care upside down, from an Industrial Age to an Information Age—the former grouped around service providers and the latter with a more patient-centred focus. Changing means and opportunities for preventing and combating disease have succeeded in saving lives and extending lifespans, albeit with increased years of ageing life often spent living with chronic and incurable conditions. The contributions of good nutrition, clean environment, shelter, sense of community and security to longer lifespan and healthier lifestyle, understood now in greater detail, give pause for thought about the balance, continuity and governance of health care services. Three contrasting commentaries on this era of change are introduced—from industry, science and social commentators of the times. With the arrival of new measurement and computational methods, spanning from genome to physiome science and to population level informatics and now machine intelligence, the Information Age has pressured health services with continually changing challenges, characterized by what has been described as ‘wicked problems’, the nature of which is discussed. Wholly new industries, providing products and services for diagnosis and treatment, many of these increasingly offered directly to citizens, have grown in scope and scale. In an era when powerful new treatments have come with increased risk of harm to patients, ethical and legal aspects of care services and their governance frameworks have come under increasing public and regulatory scrutiny. The changing scenes of education, assessment of competence to practice, accountability for care services, clinical risk, patient safety and research, are introduced, all dependent on the quality of relevant sources of information. This kaleidoscopic image of change sets the scene for discussion of the increasingly centre stage focus on information policy.
2

Albolino, Sara, Tommaso Bellandi, Noemi Gargiani, Francesco Ranzani, Ismaele Fusco, Arianna Maggiali, Stefano Guidi, and Giulia Dagliana. "Safety and Quality of Maternal and Neonatal Pathway: Implementing the Modified WHO Safe Childbirth Checklist in Two Hospitals of Italy Through a Human Factor Approach." In Health and Social Care Systems of the Future: Demographic Changes, Digital Age and Human Factors, 171–79. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-24067-7_20.

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3

Gillam, Stephen, A. Niroshan Siriwardena, Martin Roland, and Jennifer Dixon. "Systems, safety and spread." In Quality Improvement in Primary Care, 89–96. London: CRC Press, 2022. http://dx.doi.org/10.1201/9780429084041-11.

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4

Bonsu, Janice M., Anna Farrell, and Carmen Quatman. "Telehealth and Quality Care." In Quality Improvement and Patient Safety in Orthopaedic Surgery, 301–13. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-07105-8_30.

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Joshi, Maulik, and Aaron George. "Key Quality, Safety, and Efficiency Measures." In Leading Health Care Transformation, 74–97. 2nd ed. New York: Productivity Press, 2023. http://dx.doi.org/10.4324/9781003402831-5.

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Joshi, Maulik, and Aaron George. "Effectively Implementing Quality and Safety Improvement." In Leading Health Care Transformation, 25–44. 2nd ed. New York: Productivity Press, 2023. http://dx.doi.org/10.4324/9781003402831-2.

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Hannick, Jessica H., and Martin A. Koyle. "Quality and Safety in Transitional Urologic Care." In Transitioning Medical Care, 99–118. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-030-05895-1_10.

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Scott, Jason. "Patient Experiences of Safety in Care Transitions." In Researching Quality in Care Transitions, 71–86. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-62346-7_4.

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Halverson, Amy L., and Julie K. Johnson. "Surgical Quality and Patient Safety in Rural Settings." In Surgical Patient Care, 827–36. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44010-1_49.

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Ente, Christopher, and Michael Ukpe. "Safety Management." In Essentials for Quality and Safety Improvement in Health Care, 99–136. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-92482-9_5.

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Тези доповідей конференцій з теми "Aged Care Quality and Safety":

1

Jeannin, Antoine, Rodrigo Vieira Camara de Castro, Jonathan Peter, and Sebastien de Tessieres. "Enhanced Use of Digital Solutions to Enable New Health Care Services on Calm Buoys." In Offshore Technology Conference. OTC, 2021. http://dx.doi.org/10.4043/31126-ms.

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Summary Offshore fields present a growing need to guarantee safety and productivity while minimizing operational costs and increasing remote assistance. Brownfields are more exposed to risks due to the presence of aged assets requiring in depth inspections to assess potential life extensions. This challenge was tackled with a comprehensive approach to asset integrity management based on the enhanced use of digital solutions to enable new health care services on offshore assets, like CALM Buoys. In line with the recent Oil & Gas industry trends, new digital technologies have been recently developed and deployed on board our fleet of CALM (Catenary Anchor Leg Mooring) Buoys, such as the 3C Telemetry system, Inspection Tablets, the IDEA Web Portal and the Marine Drone. All these new digital solutions will be presented in the proposed paper concerning their technical capabilities and the overall integrity performance improvements achieved with their enhanced use on offshore assets. The 3C Telemetry system converts and upgrades CALM Buoys into smart, internet-friendly offloading terminals, connecting the system to Cloud services and ensuring secured data transmission, treatment, storage, and privacy, while delivering reliable accurate information to operators anywhere in the world. Inspection tablets are used to optimize health check campaigns on Buoys with a real-time and remote back office engineering support. These systems can also be connected to the IDEA (Imodco Digital Experience Access) Web Portal to allow online data visualization and analysis of the mooring systems performance. "The Marine Drone is an unmanned survey vehicle to perform diverless UWILD (Underwater Inspection in Lieu of Dry-docking). The system can perform in depth visual inspections with its ROV (Remotely Operated Vehicle) and high-resolution subsea layout mapping of CALM buoys’ structures with its 3D bathymetry system, all providing high quality digital data post processed by advanced analytical tools for integrity analysis and preventive maintenance planning" (Castro, R., et al. 2020). Data management has become the most valuable asset for companies seeking to have a better understanding and to continuously improve operations. This paper will demonstrate how Buoys and passive (process wise) equipment, like Turrets, can be operated in new ways: 1. Connected Asset (IoT): 3C Telemetry, Tablets, and the Marine Drone. 2. Platform to share/connect data to algorithms/users: IDEA System. 3. New operating business models enabled by health care approach.
2

Dawson, Rik, Jenni Suen, Cathie Sherrington, Ian Cameron, Juliana Oliveira, and Sue Dyer. "404 Intervention component analysis of fall prevention exercise in residential aged care." In 14th World Conference on Injury Prevention and Safety Promotion (Safety 2022) abstracts. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/injuryprev-2022-safety2022.184.

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3

Dawson, Rik, Cathie Sherrington, Juliana Oliveira, and Marina Pinheiro. "405 Physiotherapy telehealth to reduce falls in aged care (TOP UP): trial protocol." In 14th World Conference on Injury Prevention and Safety Promotion (Safety 2022) abstracts. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/injuryprev-2022-safety2022.185.

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4

Sjeničić, Marta. "Patients’ Safety as Parameter of Health Care Quality." In 26th Conference Medicine, Law & Society. University of Maribor Press, 2017. http://dx.doi.org/10.18690/978-961-286-021-9.18.

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Birungi, Diana, Justin Bukenya, and Agnes Nyabigambo. "PW 0559 Utilization of postpartum care services among women living with disabilities aged (15–49) years in gulu district northern uganda." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.713.

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6

Li, Xiaoqin, and Jing Wang. "Fuzzy Comprehensive Evaluation of Aged Community Home-Care Service Quality Based on AHP." In 2016 International Conference on Advances in Management, Arts and Humanities Science (AMAHS 2016). Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/amahs-16.2016.24.

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7

Weixia, Liu. "Research On Quality Of Life Of The Aged Population In Home-Care Centres." In 13th Asian Academy of Management International Conference 2019. European Publisher, 2020. http://dx.doi.org/10.15405/epsbs.2020.10.93.

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8

Calim, Gozde, and Morgan Belsher. "Social Outcomes and Needs Study for Housing Development." In The 2nd International Conference on Civil Infrastructure and Construction. Qatar University Press, 2023. http://dx.doi.org/10.29117/cic.2023.0119.

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Mott MacDonald are providing advisory services for an accommodation project located in the Kingdom of Saudi Arabia (KSA). The project plan is to deliver more than 2000 housing and community facilities to teaching staff for a University in KSA. Currently subsidiaries are paid to faculty members who arrange accommodation with private proprietors. The current provision by private landlords offers limited choice with inconsistent availability of basic needs such as; security and safety, first point to healthcare, family’ leisure activities, children’s care, education needs, domestic cleaning and travel provision to campus, etc. The Project aims to provide high quality living conditions to education professionals via quality housing options, and to foster team and community spirit among the teaching staff. Mott MacDonald have prepared a Social Outcomes Study as this project has an opportunity to provide services to a range of end users from different ages, marital status and different backgrounds. Mott MacDonald understands that social objectives can be achieved fully by developing an equitable living environment. Believing that simple changes can make a big impact on individuals’ lives, we help our clients to achieve accessible, safe and connected environments. We believe in the power of sustainable and equitable urban designs, in which people are at the core of activities. We have collected best practice approaches from across the globe and conducted surveys with end users to create a transparent process and choice of preferred living opportunities. More than 5 goals of the United Nations (UN) and Social Development Goals (SDG) are integrated within the project’s social objectives. It is planned to have sustainable and nature protected solutions.
9

Indarwati, Retno, Ferry Efendi, Rita Fauiningtyas, and Neisya Sudarsiwi. "Resident Safety Culture and Quality of Care in Nursing Homes." In The Bali Biennial International Conference on Health Sciences. SCITEPRESS - Science and Technology Publications, 2022. http://dx.doi.org/10.5220/0012016300003576.

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Piotrowski, Caroline, Julie-Anne McCarthy, and Lynne Warda. "P4.008 Beyond supervision: linking sibling relationship quality and school-aged child injuries." In Virtual Pre-Conference Global Injury Prevention Showcase 2021 – Abstract Book. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/injuryprev-2021-safety.211.

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Звіти організацій з теми "Aged Care Quality and Safety":

1

Bankole, Akinrinola, Lisa Remez, Onikepe Owolabi, Jesse Philbin, and Patrice Williams. From Unsafe to Safe Abortion in Sub-Saharan Africa: Slow but Steady Progress. Guttmacher Institute, December 2020. http://dx.doi.org/10.1363/2020.32446.

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This report represents the first comprehensive compilation of information about abortion in Sub-Saharan Africa and its four subregions. It offers a panorama of this hard-to-measure practice by assembling data on the incidence and safety of abortion, the extent to which the region’s laws restrict abortion, and how these laws have changed between 2000 and 2019. Many countries in this region have incrementally broadened the legal grounds for abortion, improved the safety of abortions, and increased the quality and reach of postabortion care. There is still much progress to be made, however, including enabling the region’s women to avoid unintended pregnancies and unsafe abortions. The report concludes with recommendations for a broad range of actors to improve the sexual and reproductive health and autonomy of the region’s 255 million women of reproductive age.
2

Del Boca, Daniela. Child Care Arrangements and Labor Supply. Inter-American Development Bank, February 2015. http://dx.doi.org/10.18235/0011675.

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This paper discusses several approaches to examining the relationship between child care and mothers' labor supply. The focus is on child care for children aged 0-3, because this is a critical period for working mothers and their children and because most European and American households with children aged 3-5 already use child care centers. The paper provides data concerning availability of, government spending on, and quantity and quality standards for child care in different countries, then compares different approaches to the determinants of child care demand and labor supply. The paper subsequently reviews and compares empirical results regarding the impact of child care costs, availability and quality. Finally, the paper discusses different impacts across different groups and provides concluding remarks.
3

Jauny, Ray, and John Parsons. Delirium Assessment and Management: A qualitative study on aged-care nurses’ experiences. Unitec ePress, November 2017. http://dx.doi.org/10.34074/ocds.72017.

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Aged residential care (ARC) residents with morbid health conditions frequently experience delirium. This condition is associated with diminished quality of life, preventable morbidity and untimely death. It is challenging and costly to manage delirium because of the complex interplay of physical and psychiatric symptoms associated with this condition in both primary and secondary services. With awareness of risk factors and knowledge about delirium, ARC nurses can play a vital role in early identification, assessment and treatment, but most importantly in preventing delirium in aged-care residents as well as improving health outcomes. Focus groups were carried out with ARC nurses to ascertain their opinions on how they assess and manage delirium in ARC facilities in South Auckland, New Zealand. Findings identified that there were strengths and weaknesses, as well as gaps in assessment and management of delirium. Nurses would benefit from delirium education, appropriate tools and adequate resources to help them manage delirium. Issues with diagnosing delirium, anxiety about challenging behaviours, family dynamics, lack of training and absence of IV treatment were noticeable features in this study.
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Cations, Monica, Bethany Wilton-Harding, Brian Draper, Kate Laver, Henry Brodaty, and Lee-Fay Low. Psychiatric service delivery for older people with mental disorders and dementia in hospitals and residential aged care. The Sax Institute, December 2021. http://dx.doi.org/10.57022/piul1022.

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This Evidence Check aimed to summarise the evidence on effective models of psychiatry service delivery for older people in four types of hospital and residential / long-stay care services. The review found that hospital mental health wards for older people were effective in improving neuropsychiatric symptoms, mood, anxiety and quality of life. Specialist consultations and liaison services enhanced the quality of hospital care and the adoption of best practice approaches by clinicians. They also reduced hospital stay and carer stress, and increased patient satisfaction with care. The authors compared outcomes for older people being treated in dedicated mental health services with mainstream (or ‘ageless’) mental health services and identified a gap in evidence. The review found the need for more research on psychiatric services in residential and long-stay care settings, and effective care models in particular populations, such as Aboriginal and Torres Strait Islander peoples.
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OLUWASANYA, Grace, Ayodetimi OMONIYI, Duminda PERERA, Manzoor QADIR, and Kaveh MADANI. Unmasking the Unseen: The Gendered Impacts of Water Quality, Sanitation and Hygiene. United Nations University Institute for Water, Environment and Health (UNU INWEH), March 2024. http://dx.doi.org/10.53328/inr24gar011.

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This report investigated the interplay between water quality, sanitation, hygiene and gender by examining distinct variables of water quality and their varying impacts on gender like reported water-related illnesses of males and females, and the consequences of water quality, sanitation, and hygiene on menstrual hygiene practices, particularly focusing on a low- and middle-income country- LMICs. This report presents the key findings, outlining a framework and guidance for examining gender-specific impacts stemming from poor water quality and WASH practices through a piloted case study in Abeokuta City, Nigeria, to serve as a preliminary guide for conducting comprehensive, site-specific assessments. The piloted Differential Impacts Assessment, DIA framework is a 5-step approach, guiding the evaluation of gendered impacts from method design to the field activities, which include water sampling and laboratory analysis, public survey, and health data collection, to the data and gender analysis. The focus on low- and middle-income countries underscores the importance of DIA in such regions for better health and socioeconomic outcomes, promoting inclusive development. The study results reveal unsettling, largely unseen gender disparities in exposure to health-related risks associated with non-utility water sources and highlight pronounced differences in water source preferences and utilization, the burden of water sourcing and collection, and health- and hygiene-related practices. Specifically, this preliminary assessment indicates an alarming inadequacy in accessing WASH services within the pilot study area, raising considerable doubts about achieving SDG 6 by 2030. While this finding is worrying, this report also discusses the lack of a standardized protocol for monitoring water-related impacts utilizing sex-disaggregated data, shedding light on the unseen global-scale gendered impacts. The report warns about the water safety of non-utility water sources. Without point-of-use treatment and water safety protocols, the water sources are unsuitable for potable uses, potentially posing compounded health risks associated with microbial contaminations and high calcium content, particularly affecting boys. Girls are likely the most affected by the repercussions of water collection, including time constraints, health implications, and safety concerns. Men and boys face a higher risk related to poor hygiene, while women may be more susceptible to health effects stemming from toilet cleaning responsibilities and shared sanitation facilities. Despite the preference for disposable sanitary pads among most women and girls, women maintain better menstrual hygiene practices than girls. This age-specific disparity highlights potential substantial health risks for girls in the near and distant future. Enhancing women's economic status could improve access to superior healthcare services and significantly elevate household well-being. The report calls for targeted actions, including urgent planning and implementation of robust water safety protocols for non-utility self-supply systems and mainstreaming gender concerns and needs as the “6th” accelerator for SDG 6. The piloted methodology is scalable and serves as an introductory guide that can be further refined to explore and track site-specific differential health and socioeconomic effects of inadequate water quality, especially in locales similar to the study area. The report targets policymakers and donor organizations advocating for sustainable water resource development, public health, human rights, and those promoting gender equality globally
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Almulihi, Qasem, and Asaad Shujaa. Does Departmental Simulation and Team Training Program Reduce Medical Error and Improve Quality of Patient Care? A Systemic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0006.

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Review question / Objective: This systematic review aimed to assess whether human simulations or machine stimulations programs would help to prevent medical errors and improve patient safety. Information sources: The search terms “Medical Simulation” [Mesh], “Medication Errors” [Mesh], “Patient safety” [Mesh] were implemented, to be as specific and selective as possible. We searched for all the publications in the Medline database, Web of Science, and Google Scholar from 2000 (when the idea of simulation in healthcare to prevent ME was employed for the first time by the Institute of Medicine (IOM)) to Feb 2022 with only English language-based literature Electronic databases.
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Cantor, Amy G., Rebecca M. Jungbauer, Andrea C. Skelly, Erica L. Hart, Katherine Jorda, Cynthia Davis-O'Reilly, Aaron B. Caughey, and Ellen L. Tilden. Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable Maternal Healthcare Delivery and Outcomes. Agency for Healthcare Research and Quality (AHRQ), January 2024. http://dx.doi.org/10.23970/ahrqepccer269.

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Objective. To summarize current research defining and measuring respectful maternity care (RMC) and evaluate the effectiveness of RMC and implementation strategies to improve health outcomes, particularly for populations at risk for health disparities. Data sources. Ovid MEDLINE®, Embase®, and Cochrane CENTRAL from inception to November 2022 and SocINDEX to July 2023; manual review of reference lists and responses to a Federal Register Notice. Review methods. Dual review of eligible abstracts and full-text articles using predefined criteria. Data abstraction and quality assessment dual reviewed using established methods. Systematic evaluation of psychometric studies of RMC tools using adapted criteria. Meta-analysis not conducted due to heterogeneity of studies and limited data. Results. Searches identified 4,043 unique records. Thirty-seven studies were included across all questions, including the Contextual Question (CQ). Twenty-four validation studies (3 observational studies, 21 cross-sectional studies) evaluated 12 tools for measuring RMC. One randomized controlled trial (RCT) evaluated RMC effectiveness. There were no effectiveness trials from settings relevant to clinical practice in the United States and no studies evaluating effectiveness of RMC implementation. For the CQ, 12 studies defined 12 RMC frameworks. Two types of frameworks defined RMC: (1) Disrespect and Abuse (D&A) and (2) Rights-Based. Components of D&A frameworks served as indicators for recognizing mistreatment during childbirth, while Rights-Based frameworks incorporated aspects of reproductive justice, human rights, and anti-racism. Overlapping themes from RMC frameworks included: freedom from abuse, consent, privacy, dignity, communication, safety, and justice. Tools that measured RMC performed well based on psychometric measures, but no single tool stood out as the best measure of RMC. The intrapartum version of the Mother’s Autonomy in Decision-Making (MADM), Mothers On Respect index (MORi), and the Childbirth Options, Information, and Person-Centered Explanation (CHOICES) index for measuring RMC demonstrated good overall validity based on analysis of psychometric properties and were applicable to U.S. populations. The Revised Childbirth Experience Questionnaire (CEQ-2) demonstrated good overall validity for measuring childbirth experiences and included RMC components. One fair-quality RCT from Iran demonstrated lower rates of postpartum depression at 6-8 weeks for those who received RMC compared with controls (20% [11/55] vs. 50% [27/54], p=0.001), measured by the Edinburgh Postpartum Depression Scale. No studies evaluated any other health outcomes or measured the effectiveness of RMC implementation strategies. Conclusions. RMC frameworks with overlapping components, themes, and definitions were well described in the literature, but consensus around one operational definition is needed. Validated tools to measure RMC performed well based on psychometric measures but have been subject to limited evaluation. A reliable metric informed by a standard definition could lead to further evaluation and implementation in U.S. settings. Evidence is currently lacking on the effectiveness of strategies to implement RMC to improve any maternal or infant health outcome.
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Meghir, Costas, Orazio P. Attanasio, Natalia Varela, Sally Grantham-McGregor, and Marta Rubio-Codina. The Socio-Economic Gradient of Child Development: Cross-Sectional Evidence from Children 6-42 Months In Bogota. Inter-American Development Bank, January 2013. http://dx.doi.org/10.18235/0011641.

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We study the socio-economic gradient of child development on a representative sample of low- and middle-income children aged 6-42 months in Bogota, using the Bayley Scales of Infant Development, a high quality test based on direct observation of the child's abilities. We find a statistically significant difference between children in the 90th and 10th percentile of the wealth distribution in our sample of 0.33 standard deviations (SD) in cognition, 0.29 SD in receptive language and 0.38 SD in expressive language at 14 months. The socio-economic gap increases substantially with age to 1 SD (cognition), 0.80 SD (receptive language) and 0.69 SD (expressivelanguage) by 42 months. While the gap persists after controlling for mediating factors such as parental and biomedical characteristics, the level of stimulation in the home, and the quality of the institutional care setting; its size is significantly reduced by variables related to the home environment i.e. parental investments in care quantity and quality. These findings have important implications for the design of well-targeted, effective and timely interventions that promote early childhood development.
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Hossain, Sharif M. I., Shongkour Roy, Sigma Ainul, Abdullah Al Mahmud Shohag, A. T. M. Rezaul Karim, and Ubaidur Rob. Assessing effectiveness of a person-centered group ANC-PNC model among first-time young mothers and their partners for improving quality and use of MNCH-FP services. Population Council, 2022. http://dx.doi.org/10.31899/sbsr2022.1041.

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This baseline report is part of an operations research project “Healthy Women, Healthy Families (HWHF): Shustha Ma, Shustha Poribar” led by Management Sciences for Health (MSH) in partnership with BRAC, SCOPE, and the Population Council. The project aims to improve quality and increase utilization of maternal, newborn, and child health (MNCH) and family planning (FP) services and information for young mothers-to-be, first-time mothers (FTMs) aged 15-24, and their partners in the urban municipality of Tongi, Gazipur District, Bangladesh, through a group antenatal care ANC-PNC approach. The objectives of this study are to establish baseline values of selected HWHF project result indicators against which the impacts of the project’s intervention can be measured. The target group is young, first-time parents and the study examines the current status of knowledge on MNCH-FP and access to services among FTMs. This quasi-experimental pre-post control group design study employs both quantitative and qualitative data-collection methods. A simple random sampling procedure was employed to select respondents from BRAC FTM lists, while qualitative informants were selected purposively.
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Li, Ting, Shudan Ge, Wei Zheng, Chao Luan, Xingtong Liu, Zongxiu Luo, Qi Zhao, and Lulu Xie. Effectiveness and safety of panretinal photocoagulation combined with intravitreous ranibizumab for patients with type 2 proliferative diabetic retinopathy：A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0048.

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Review question / Objective: Our study aims to synthesise results from randomised controlled trials to assess the effectiveness and safety of PRP combined with intravitreous ranibizumab for T2PDR. Condition being studied: Diabetic retinopathy (DR) is the most common complication of diabetes mellitus, which will seriously affect the quality of life of patients and bring great burden to patients’ families and society. DR is one of the most important diseases of blindness in people aged 20 to 60 years worldwide. Nearly 15% of diabetic patients with a disease duration of more than 5 years were combined with DR.The prevalence of vision threatening diabetic retinopathy in the United States is 4.4 percent. Worldwide, the prevalence is estimated at 10.2%.At present, the treatment methods for type 2 proliferative diabetic retinopathy (T2PDR), at home and abroad mainly include retinal laser photocoagulation and intravitreal injection of vascular endothelial growth factor (VEGF) inhibitors.

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