Culture Change in Aged-Care Facilities: A Café's Contribution to Transforming the Physical and Social Environment

Andrew, Alexa; Ritchie, Lorraine

doi:10.1080/02763893.2016.1268557

Cited by 8 publications

(8 citation statements)

References 21 publications

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“…Finally, our findings illustrate how physical and social spaces as well as central locations can promote relational care practices and family participation (see also Andrew & Ritchie, 2017). We suggest that future planning prioritize not just physical design to provide families with the space to interact and socialize within the care home, but also consider location and community integration so that families can easily go out with residents and/or combine their visits with other activities.…”

Section: Spaces and Locationsmentioning

confidence: 56%

“…We suggest that future planning prioritize not just physical design to provide families with the space to interact and socialize within the care home, but also consider location and community integration so that families can easily go out with residents and/or combine their visits with other activities. Existing care homes might consider renovating to implement physical features that make family involvement more comfortable and convenient, such as on-site playgrounds for young relatives and comfortable, accessible indoor and outdoor spaces (Lowndes, Struthers, Chivers, & Tufford, 2016), as well as dining areas like cafés where residents and their families can share food and drink (Andrew & Ritchie, 2017). Furthermore, urban sites that are within walking distance of shops and restaurants provide opportunities for residents and families to share time outside of the care home (Struthers, 2016).…”

Section: Spaces and Locationsmentioning

confidence: 99%

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Supporting Family Involvement in Long-Term Residential Care: Promising Practices for Relational Care

Barken

Lowndes

2017

Qual Health Res

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Family members and friends provide significant support for older relatives in long-term residential care (LTRC). Yet, they occupy ambiguous positions in these settings, and their relationships with LTRC staff can involve conflicts and challenges. Based on an ethnographic project carried out in North America and Europe, this article identifies practices that promote meaningful family participation in care home life. We consider instances of rewarding family involvement upon admission to LTRC, throughout the time a relative is living in a care home, and during the final stages of life. Furthermore, we identify working conditions needed to support the well-being of family/friend carers as well as residents and staff. These include greater appreciation of relational care work, time for effective communication, teamwork, and appropriate, inclusive physical spaces. Findings make visible the importance of relational care and have implications for improving living and working conditions in LTRC.

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Section: Spaces and Locationsmentioning

confidence: 56%

Section: Spaces and Locationsmentioning

confidence: 99%

Supporting Family Involvement in Long-Term Residential Care: Promising Practices for Relational Care

Barken

Lowndes

2017

Qual Health Res

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“…Collaboration between residents, relatives, neighbors, and healthcare personnel opened up the institutions and the possibilities for residents to participate in the community as they had before they moved into nursing homes. This collaboration between residents and the community was also shown to be positive in Andrew and Ritchie’s research ( Andrew and Ritchie, 2017 ).…”

Section: Discussionmentioning

confidence: 81%

“…In the literature, some cultural changes in aged-care facilities have been found to be crucial. These include changes, such as more individualized care, the facilitation of more meaningful relationships, better opportunities for participation in life roles more generally, and the possibilities for the residents to experience a new sense of belonging ( Andrew and Ritchie, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

2021

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Background: The literature shows that innovation, which includes culture change, may be important to create a meaningful everyday life for nursing home residents. However, there is a gap in how social innovation practices may contribute to this. The theoretical discourse for the study is person-centered care.Aim: The main aim was to explore phenomena within social innovation that can contribute to improving nursing home residents’ everyday lives.Design and Method: This study uses an ethnographic design with observations and interviews in two nursing homes in Southern Norway.Findings: The main theme was that social innovation within working practices in nursing homes includes phenomena that contribute to a meaningful everyday life for the residents. This main theme includes five subthemes: (1) opening the nursing home to the surroundings; (2) expanding and strengthening the community of practice; (3) facilitating customized activities; (4) ensuring sufficient nutrition and facilitating enjoyable mealtimes; and (5) preventing unrest and disturbing behavior.Conclusion: The study reveals that innovation practices grounded in person-centered care in nursing homes may contribute to opening the nursing home to the community and establishing a common community practice for all members of the nursing home. This enables residents to experience meaningful everyday life through customized activities, sufficient nutrition, and a pleasant milieu during mealtimes. Disturbing behavior is also prevented, making it possible to promote meaningful lives in nursing homes.

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“…Deaths amongst residents are common; so too are complexities with caring relatives, which require high‐level interpersonal skills at all levels—particularly from senior levels (Productivity Commission, 2011). Residential aged care is also subjected to extensive regulations and laws (Productivity Commission, 2011; Smith & Royal Commission, 2019), yet at the same time is expected to provide a ‘home‐like’ environment for vulnerable residents (Andrew & Ritchie, 2017). Each of these factors makes this not only a unique industry to lead and manage, but also one of the most complexes from a leadership and management perspective (Productivity Commission, 2011).…”

Section: Introductionmentioning

confidence: 99%

Residential aged care leadership in Australia—Time for a compassionate approach: A qualitative analysis of key leader skills and attributes

2021

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Aims To examine the perceptions of leadership by leaders within residential aged care and to identify the crucial requirements for successful leadership in this complex industry. Background As an industry capitalizing on the concept of ‘care’, one of the critical attributes this research has found to be absent in many aged care leadership approaches is compassion. Methods A qualitative methodology using thematic analysis was used to explore the construction of leadership attributes needed within residential aged care, as perceived by leaders in these organisations. Results Senior staff in the aged care industry believe that compassion is both a key component and a gap in the skill set of aged care leadership and leaders. While most studies define good leadership and care in relation to clinical ‘safety’ and ‘efficiency’, this research demonstrates that compassionate caring is central to high‐quality care in residential aged care. Conclusions The aged care industry needs to enhance and encourage compassionate leadership as a cornerstone of humane and dignified care. Implications for Nursing When developing theoretical explanations for the role of leadership in aged care, researchers should contemplate compassion as a key attribute required in residential aged care leaders. Education and training in this industry must incorporate the attributes associated with compassion, including emotional intelligence and person‐centred leadership.

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Culture Change in Aged-Care Facilities: A Café's Contribution to Transforming the Physical and Social Environment

Cited by 8 publications

References 21 publications

Supporting Family Involvement in Long-Term Residential Care: Promising Practices for Relational Care

Supporting Family Involvement in Long-Term Residential Care: Promising Practices for Relational Care

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

Residential aged care leadership in Australia—Time for a compassionate approach: A qualitative analysis of key leader skills and attributes

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