Ownership, regulation and the public interest: The case of residential care for older people

2006 ◽  
Vol 26 (4) ◽  
pp. 932-944 ◽  
Author(s):  
Mark Drakeford
Keyword(s):  
Older People ◽  
Residential Care ◽  
Public Interest ◽  
The Public ◽  
Care For Older People

scholarly journals Change agents’ experiences of implementing a new organizational culture in residential care for older people: A qualitative study

2021 ◽  
pp. 205715852199599
Author(s):  
Eva Ericson-Lidman ◽  
Gunilla Strandberg
Keyword(s):  
Content Analysis ◽  
Older People ◽  
Residential Care ◽  
Change Process ◽  
Change Agent ◽  
Change Agents ◽  
Culture Transformation ◽  
Conflicting Demands ◽  
Great Responsibility ◽  
Care For Older People

Culture change in organizations may affect employees and change agents are often a forgotten resource; their perspective is often overlooked in research. The aim of the study was to illuminate experiences of being a change agent in order to improve residential care of older people. Interviews were performed with 15 change agents who participated in a large culture transformation in residential care for older people. The study followed COREQ guidelines and content analysis was used to interpret the text. The analysis revealed that the change agents felt chosen when they accepted the challenge to become a change agent, but they also felt that transferring the message to co-workers was demanding. Conflicting demands about measuring care and aggravating circumstances to implement change were described. The results indicate that change agents benefit from preparation for the role itself as they have a great responsibility on their shoulders. In making the process more successful, all co-workers should be involved in the change process from the beginning.

Defining pastoral care for older people in residential care

2011 ◽  
Vol 37 (2) ◽  
pp. 213-221 ◽  
Author(s):  
Lesley Wilkes ◽  
Jane Cioffi ◽  
Andrew Fleming ◽  
Jenny LeMiere
Keyword(s):  
Older People ◽  
Pastoral Care ◽  
Residential Care ◽  
Care For Older People

Experiences of nursing in older care facilities in New Zealand

2010 ◽  
Vol 34 (1) ◽  
pp. 11 ◽  
Author(s):  
Jenny Carryer ◽  
Chiquita O. Hansen ◽  
Judy A. Blakey
Keyword(s):  
New Zealand ◽  
Older People ◽  
Registered Nurses ◽  
Residential Care ◽  
Nurse Practitioners ◽  
Clinical Care ◽  
Nursing Services ◽  
The Impact ◽  
Care For Older People

To examine issues related to the working life of registered nurses in residential care for older people in New Zealand, 48 registered nurses completed surveys (n = 28) or participated in discussions (n = 26) regarding their work roles, continuing education and interactions with specialist nurse services when providing care for older people living with chronic illnesses. This nursing workforce is characterised by ageing, relative isolation, reduced confidence and few opportunities for induction of new graduates. Registered nurses reported their struggle to deliver the appropriate quality of care to residents as acuity increases, general practitioner availability decreases and the opportunities for increasing their knowledge and competence remain limited. The provision of nursing services in residential care for older people is an area of growing concern to many Western countries. Nurse practitioners offer opportunities to improve the quality of residential care. What is known about the topic?The lack of registered nurses generally and the more critical shortage in residential care is well known. What does this paper add?This paper explains the impact on the current and future viability and the quality of registered nurse services in an area of service where acuity continues to rise and the demand for nursing services is increasing. What are the implications for practitioners?Nurses in older care settings often express a sense of isolation and note limited career development despite their passion for serving the frail older person. The establishment of nurse practitioner (gerontology) roles offers the potential for improved quality of clinical care for residents and clinical champions for development of nursing services.

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