The experience of entering residential aged care: The views of residents, family members and staff—an Appreciative Inquiry

Author:

Larkey Frances Anne1,Hughes Mark2ORCID,Nancarrow Susan2

Affiliation:

1. Research and Innovation: Wesley Mission Queensland Southern Cross University Bilinga Queensland Australia

2. Faculty of Health Southern Cross University Bilinga Queensland Australia

Abstract

AbstractObjectivesTo understand resident, family and staff perspectives of older people's transition to residential aged care and initiatives that support this transition.MethodsA qualitative Appreciative Inquiry was undertaken with residents, family members and staff in residential aged care. It included semistructured interviews (n = 40), three focus groups (n = 17) and an organisational summit (n = 72). Each stage sought to build on the previous one, deepening understanding of the issues experienced and identifying positive strategies for change. Data were analysed thematically using framework analysis.ResultsThe transition experience was characterised by grief and guilt felt by family members and the challenges they faced in participating in a decision to admit a relative to residential aged care. Residents found the transition challenging but stressed the need to adjust to the situation. Family members struggled with trusting others to provide appropriate care and both residents and relatives reported challenges in communicating with staff. Initiatives were recommended by the organisational summit to assist in the transition to residential aged care. These included developing a service navigator role, co‐designing new systems and resources with residents and relatives, and ensuring more consistent staffing.ConclusionsImproved communication strategies and resources are needed to support the resident's identity, build trust in the organisation and support transition to residential aged care. Staff should continue to value the contribution family members play in the life of the resident and the culture of the aged care community.

Publisher

Wiley

Subject

Geriatrics and Gerontology,Community and Home Care,General Medicine

Reference29 articles.

1. Royal Commission into Aged Care Quality and Safety.Final report. Care dignity and respect. Vol 1. Summary and recommendations.2021. Accessed February 5 2023.https://agedcare.royalcommission.gov.au/sites/default/files/2021‐03/final‐report‐volume‐1.pdf

2. Australian Institute of Health and Welfare.GEN fact sheet 2020‐2021: admissions into aged care.2021. Accessed February 5 2023.https://www.aihw.gov.au/reports/australias‐welfare/aged‐care

3. Australian Commonwealth Department of Health.2020–21 Report on the operation of the aged care act 1997.2021. Accessed February 5 2023.https://www.health.gov.au/resources/publications/2020‐21‐report‐on‐the‐operation‐of‐the‐aged‐care‐act‐1997?language=en

4. Factors contributing to the mental health outcomes of carers during the transition of their family member to residential aged care: a systematic search and narrative review

5. Strategies to support older adults’ mental health during the transition into residential aged care: a qualitative study of multiple stakeholder perspectives

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