Fear and overprotection in Australian residential aged-care facilities: The inadvertent impact of regulation on quality continence care

被引：19
|
作者：
Ostaszkiewicz, Joan [1 ]
O'Connell, Beverly [2 ]
Dunning, Trisha [3 ]
机构：
[1] Deakin Univ, Ctr Qual & Patient Safety Res, Sch Nursing & Midwifery, Melbourne, Vic, Australia
[2] Univ Manitoba, Fac Nursing, Winnipeg, MB, Canada
[3] Deakin Univ, Sch Nursing & Midwifery, Ctr Qual & Patient Safety Res, Geelong, Vic, Australia
来源：
AUSTRALASIAN JOURNAL ON AGEING | 2016年 / 35卷 / 02期
关键词：
incontinence; quality of health care; regulation; residential aged-care facility; NURSING-HOME RESIDENTS; LONG-TERM-CARE; URINARY-INCONTINENCE; FECAL INCONTINENCE; RISK-FACTORS; NURSES KNOWLEDGE; OLDER-PEOPLE; PREVALENCE; MANAGEMENT; TRIAL;
D O I：
10.1111/ajag.12218
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
AimMost residents in residential aged-care facilities are incontinent. This study explored how continence care was provided in residential aged-care facilities, and describes a subset of data about staffs' beliefs and experiences of the quality framework and the funding model on residents' continence care. MethodsUsing grounded theory methodology, 18 residential aged-care staff members were interviewed and 88 hours of field observations conducted in two facilities. Data were analysed using a combination of inductive and deductive analytic procedures. ResultsStaffs' beliefs and experiences about the requirements of the quality framework and the funding model fostered a climate of fear and risk adversity that had multiple unintended effects on residents' continence care, incentivising dependence on continence management, and equating effective continence care with effective pad use. ConclusionThere is a need to rethink the quality of continence care and its measurement in Australian residential aged-care facilities.
引用
收藏
页码：119 / 126
页数：8
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