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

Ostaszkiewicz, Joan, O'Connell, Beverly and Dunning, Trisha 2016, Fear and overprotection in Australian residential aged care facilities: the inadvertent impact of regulation on quality continence care, Australasian journal on ageing, vol. 35, no. 2, pp. 119-126, doi: 10.1111/ajag.12218.

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Title Fear and overprotection in Australian residential aged care facilities: the inadvertent impact of regulation on quality continence care
Author(s) Ostaszkiewicz, Joan
O'Connell, Beverly
Dunning, TrishaORCID iD for Dunning, Trisha orcid.org/0000-0002-0284-1706
Journal name Australasian journal on ageing
Volume number 35
Issue number 2
Start page 119
End page 126
Total pages 8
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2016-06
ISSN 1440-6381
1741-6612
Keyword(s) incontinence
quality of health care
regulation
residential aged care facility
Summary Aim: Most 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.

Methods: Using 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.

Results: Staffs' 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.

Conclusion: There is a need to rethink the quality of continence care and its measurement in Australian residential aged care facilities.
Language eng
DOI 10.1111/ajag.12218
Field of Research 111001 Aged Care Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, AJA
Persistent URL http://hdl.handle.net/10536/DRO/DU:30078838

Document type: Journal Article
Collection: School of Nursing and Midwifery
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