Westrate, J., Cummings, C., Boamponsem, L., & Towers, A. (2019). What factors influence compliance with health and disability service standards for aged residential care in New Zealand? Kai Tiaki Nursing Research, 10(1), 47–53.
Abstract: Compares compliance with health and disability services standards (HDSS) in aged residential care (ARC) in 2016 with previous years, and relates the findings to the increase in complaints among the public. Quantifies the degree to which 185 ARC facilities complied with HDSS, and reports their level of compliance.
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Ledesma-Libre, K. (2019). Factors influencing nurses' choice to work in mental health services for older people. Kai Tiaki Nursing Research, 10(1), 61–62.
Abstract: Explores what influences nurses to work in mental health services for older people (MHSOP)and what factors encourage those who did not choose this area of nursing, to continue in MHSOP. Includes nurses' positive and negative perceptions of MHSOP. Collects data via focus group discussions with 30 mental health nurses.
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Prentice, J. J. (2019). “Tell someone who cares” -- participatory action research of motivation and workplace engagement among caregivers in aged residential care, New Zealand. Doctoral thesis, University of Otago, Dunedin.
Abstract: Aims to understand the factors that encourage motivation and engagement of caregivers who are relatively poorly paid, with limited training, but who are required to provide personal care to an increasingly frail population. Undertakes an initial exploratory study, with participants from four rural aged-residential care (ARC) facilities, to identify three key themes that influence caregiver motivation. Subsequently develops these initial themes, within a 42-bed facility, to explore how to encourage caregiver motivation. Bases the four-step process on Lewin’s cycle: plan, act, observe, and reflect. Establishes an advisory group of caregivers who develop a nine-point action plan, accepted by management and implemented in the facility.
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Sharma, M. (2020). An exploration of the experiences of registered nurses working in aged residential care facilities regarding interRAI: A qualitative research design. Master's thesis, University of Otago, Dunedin.
Abstract: Assesses the experiences of registered nurses (RNs)working in aged residential care facilities in Christchurch, in performing interRAI assessments using interRAI MOMENTUM software. Explores the positive and negative aspects of their experiences and the factors affecting performance of interRAI-based comprehensive health assessments. Identifies the aids and barriers faced by RNs in applying and using interRAI. Conducts focus-group interviews with 7 RNs. Highlights the need for a unified standard assessment system.
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Kussmaul, J. (2020). An investigation of occupational health and safety workplaces and working conditions in comparison to nursing care quality in residential aged care facilities (RACFs) in New Zealand. Doctoral thesis, University of Auckland, Auckland.
Abstract: Identifies critical factors related to the occupational health and safety of workplaces and working conditions in residential aged-care facilities (RACF), from the perspective of nursing staff. Correlates quality indicators for occupational health and safety for workplaces and in working conditions with nursing care quality based on the InterRAI Clinical Assessment Protocols (CAP). Uses a mixed-method approach to conduct an audit of workplace health and safety and environmental conditions in 17 RACFs. Surveys 398 registered nurses (RN), enrolled nurses (EN), and Healthcare Assistants (HCA) about the mental and physical stressors in their work.
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Hales, C., Amankwaa, I., Gray, L., & Rook, H. (2020). Providing care for older adults with extreme obesity in aged residential care facilities: an environmental scan. Nursing Praxis in New Zealand, 36(3). Retrieved June 28, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2020.012
Abstract: Reports findings of an environmental scan undertaken as part of a larger study s to assess the current state of bariatric (extreme obesity) services within aged
residential care (ARC). Identifies bariatric-resident needs, and gaps in service provision to inform policy and service development.
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Foster, P. M. (2020). What undergraduate nurse education actually teaches student nurses about people named as older: A Foucauldian discourse analysis. Doctoral thesis, Auckland University of Technology, Auckland.
Abstract: Traces the origins of gerontology knowledge among student nurses while considering how people designated as older are perceived by the student nurse, and the effects of functional decline and biomedical discourses on their views of older people when on clinical placement in aged residential care (ARC) facilities. Hghlights the contested domain of gerontology knowledge to generate dialogue about how older age is actually represented in student nurse education, as the current iteration perpetuates stereotypical assumptions about older age.
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Hughes, F., Blackwell, A., Bish, T., Chalmers, C., Foulkes, K., Irvine, L., et al. (2021). The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19. Nursing Praxis in Aotearoa New Zealand, 37(3).
Abstract: Provides a commentary on the work of executive nurses within the Nursing Leadership Group of the New Zealand Aged Care Association as COVID-19 spread into some aged residential care (ARC) facilities in early 2020 and threatened the health and wellbeing of many residents and nurses. Examines how the Group influenced the agenda and implementation of policies for ARC and brought the voice of nursing and residents of aged care to the forefront at national and regional levels.
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Grinlinton, A. (2021). Management of pressure injury prevention in two New Zealand residential aged care facilities: A case study. Master's thesis, Auckland University of Technology, Auckland.
Abstract: Examines how pressure injury prevention is managed in aged residential care (ARC). Using exploratory case study methodology, collects data from Clinical Managers, Regisered Nurses and Health Care Assistants working in two ARC facilities by means of semi-structured interviews. Identifies barriers and facilitators in the prevention of pressure injuries in the context of organisational culture and structure.
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Czuba, K. J. (2021). Improving outcomes for support workers in aged care. Ph.D. thesis, Auckland University of Technology, Auckland.
Abstract: Describes a rigorous and structured approach to development of an evidence-based e-mentoring intervention for NZ aged care support workers. Establishes the conceptual and theoretical bases to define the peer-mentoring intervention protocol, and investigates its feasibility and acceptability. Considers the evidence for improving psychosocial outcomes and turnover rates for support workers in the development of the WeCare Mentoring Programme.
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Grinlinton, A. (2021). Management of pressure injury prevention in two New Zealand residential aged care facilities: A case study. Master's thesis, Auckland University of Technology, Auckland.
Abstract: Aims to explore the strategies employed for pressure-injury prevention in two residential aged care facilities in NZ. Investigates how pressure injuries are managed from the perspective of Clinical Managers (CMs), Registered Nurses (RNs) and Health Care Assistants (HCAs). Analyses facility policies and guidelines for pressure injury prevention and management and identifies barriers and facilitators of injury prevention.
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Amankwaa, I., Nelson, K., Rook, M., & Hales, C. (2022). Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: a retrospective analysis of nationwide InterRAI data. BMC Geriatrics, 22(1). Retrieved June 28, 2024, from http://dx.doi.org/https://doi.org/10.1186/s12877-021-02696-8
Abstract: Undertakes a retrospective review of nursing home residents' data obtained from the NZ International Residential Assessment Instrument national dataset, 2015-2018. Includes 198,790 aged care residents, calculating weight in kilograms divided by height in metres squared. Defines multi-morbidity as the presence of 2 or more health conditions. Measures the risk of disability by a self-performance scale. Highlights an inverse relationship between activities of daily living (ADL) and BMI.
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Chen, C., Shannon, K., Napier, S., & Neville, S. (2022). Loneliness among older adults living in aged residential care in Aotearoa New Zealand and Australia: An integrative review. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved June 28, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.02
Abstract: Synthesises available evidence on loneliness among older adults in aged residential care settings and identifies interventions that ameliorate loneliness for residents. Undertakes an extensive literature search in online databases, highlighting the main themes about loneliness interventions. Determines that interventions must foster reciprocal relationships and promote quality social engagement with others, while residents must receive personalised care to reduce loneliness.
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Grinlinton, A., Merrick, E., Napier, S., & Neville, S. (2022). Pressure injury prevention in Aotearoa New Zealand aged care facilities: A case study. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved June 28, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.03
Abstract: Identifies factors affecting pressure injury prevention in aged residential care. Interviews 10 staff from two aged care facilities, along with relevant policy and practice documents. Analyses data using triangulation and pattern matching to pinpoint three themes: staffing; leadership, teamwork, and communication; and assessment and early intervention. Finds a correlation between difficult work conditions with high-dependency patients and complex care needs, and prevalence of pressure injuries.
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Foster, P., Payne, D., & Neville, S. (2022). An exploration of how nurse education practices may influence nursing students' perception of working in aged care as a registered nurse: A Foucauldian discourse analysis. Nursing Praxis in Aotearoa New Zealand, 38(2). Retrieved June 28, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542
Abstract: Argues that undergraduate nurse education contributes to the problem of too few nurses choosing to work in aged care, by constructing working in aged care as a lower-status or less valuable area of work than other health-care areas. Examines the issue using Foucauldian discourse analysis to explore the dominant discourses being deployed in relation to clinical experience in aged care. Collects data through semi-structured interviews with 10 senior academic staff members from NZ tertiary institutions. Analyses interview data to reveal how a 'nurse education discourse' and a 'work-ready discourse' were shaping perceptions of aged care as a clinical experience in a variety of ways. Suggests that how and why aged care is utilised as a space to learn a range of nursing skills has the unintended effect of devaluing and discouraging employment in aged care settings.
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