‘<i>I’d rather die happy</i>’: residents’ experiences with food regulations, risk and food choice in residential aged care. A qualitative study

Bailey, Andrew J.; Bailey, Sherryn Naree; Bernoth, Maree

doi:10.1080/10376178.2017.1361334

Cited by 6 publications

(9 citation statements)

References 33 publications

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“…In RACFs best practice is grounded in the evidence for PCC, which informs practice guidelines and norms that form legitimation structures [ 18 ]. The literature identified some evidence supporting the assessment of mealtime needs, interventions and strategies as a mechanism to provide individualised care, optimise nutritional outcomes, and facilitate residents to enact choice and control.…”

Section: Resultsmentioning

confidence: 99%

“…Conversely, resident factors, including personality differences, health conditions or difficulties complying with RACF routines generate negative mealtime experiences and social anxiety [ 17 ]. For example, health conditions that affect a resident’s eating or swallowing function may require texturemodified diets (TMDs) to reduce aspiration and choking risk, but these are known to negatively affect meal enjoyment, calorie intake and QoL [ 18 – 21 ]. Thus, social and physical mealtime environments influence nutrition outcomes and resident QoL [ 4 , 13 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

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How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review

2022

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Background Mealtimes are embedded routines of residents living in residential aged care facilities (RACFs) that directly impact their health and quality of life. Little is known about how mealtime experiences are informed and affected by structures such as government and organisational policies and processes. This scoping review used Giddens’ (The constitution of society: outline of the theory of structuration, 1984) Structuration Theory to investigate how governance structures related to mealtime practices inform residents’ mealtime experiences. Methods Using Arksey and O’Malley’s (Int J Soc Res Methodol 8:19–32, 2005) scoping review framework, a systematic database, grey literature and policy search was completed in May 2020 and updated in July 2021. From 2725 identified articles, 137 articles were included in data charting and deductive analysis, and 76 additional Australian government policy papers were used interpretatively. Results Data charting identified that the included studies were prominently situated in Western countries, with a progressive increase in publication rate over the past two decades. Qualitative findings captured structures that guide RACF mealtimes, how these relate to person-centred mealtime practices, and how these facilitate residents to enact choice and control. Conclusions Current policies lack specificity to inform the specific structures and practices of RACF mealtimes. Staff, residents, organisational and governance representatives possess different signification, legitimation and domination structures, and lack a shared understanding of policy, and how this influences processes and practices that comprise mealtimes.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review

2022

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“…Theme 3: Best practice. In RACFs best practice is grounded in the evidence for PCC, which informs practice guidelines and norms that form legitimation structures (Bailey, Bailey et al 2017). The literature identi ed some evidence supporting the assessment of mealtime needs, interventions and strategies.…”

Section: Domain 2: Legitimationmentioning

confidence: 99%

“…This pertains particularly to dependent residents, such as those with cognitive impairment or dysphagia, where domination structures related to care further compromise control and dignity over mealtime situations, routines and practices (Grøndahl and Local organisational policy further impacts on mealtime experience as this directs how the dining environment is physically managed (Bundgaard 2005). RACFs report di culty in balancing residents' individual needs with organisational constraints and often prioritise the organisation's needs (Bailey, Bailey et al 2017). Consequently, these organisational structures can impact how residents can access positive mealtimes.…”

Section: Domain 3: Dominationmentioning

confidence: 99%

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How Are the Mealtime Experiences of People in Residential Aged Care Facilities Informed by Policy and Best Practice Guidelines? A Scoping Review

Koh

Thirumanickam

Attrill

2021

Preprint

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Background. Mealtimes are embedded routines of residents living in residential aged care facilities (RACFs) that directly impacts their health and quality of life. Little is known about how mealtime experiences are informed and affected by structures such as government and organisational policies and processes. This scoping review used Gidden’s (1984) Structuration Theory to investigate how governance structures related to mealtime practices inform residents’ mealtime experiences. Methods. Using Arksey and O’Malley’s (2005) scoping review framework, a systematic database, grey literature and policy search was completed in May 2020 and updated in July 2021. From 2725 identified articles, 137 articles were included for in data charting and deductive analysis, and 76 additional Australian government policy papers were used interpretatively. Results. Data charting identified that the included studies were prominently situated in Western countries, with a progressive increase in publication rate over the past two decades. Qualitative findings captured structures that guide RACF mealtimes, how these relate to person-centred mealtime practices, and how these facilitate residents to enact choice and control. Conclusions. Current policies lack specificity to inform the specific structures and practices of RACF mealtimes. Staff, residents, organisational and governance representatives possess different signification, legitimation and domination structures, and lack a shared understanding of policy, and how this influences processes and practices that comprise mealtimes.

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Seeking residents' views regarding Australian residential aged care: A scoping review

Caine,

Gustafsson,

Molineux

et al. 2024

Australas J Ageing

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ObjectiveThis scoping review aimed to explore topics on which the views of residents of Australian residential aged care facilities (RACFs) have been sought.MethodsScoping review methodology as outlined by Arksey and O'Malley was used to identify, explore and report on the range of literature regarding views of RACF residents. Seven electronic databases were searched using broad search terms relevant to the RACF context. Descriptive numerical analysis was completed for publication year, journal name and target profession, research methods and participant types. Thematic analysis then focussed on the aims of the included studies.ResultsFour thousand two hundred and ninety studies were screened, and 104 publications met the inclusion criteria. A broad range of topics were explored by researchers, with the largest number of papers focused on residents' views of systems within RACFs (n = 24) and new programs and interventions (n = 21). Smaller topic areas included health conditions and health‐care services (n = 13), socialisation (n = 13), physical activity (n = 3), self‐care (n = 4), leisure (n = 4), general everyday life (n = 20) and aspects of the residential aged care environment (n = 15). There was limited exploration of meaningful activity (n = 13). The inclusion of residents with cognitive impairment was inconsistent, and the voices of other stakeholders were often privileged.ConclusionVoices of residents must be heard in order to prioritise the health and well‐being of this population. More research which focuses on what is important to residents is needed and must include residents with cognitive impairment more effectively. Identification of optimal research methods with this population would make an important contribution in this area.

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‘I’d rather die happy’: residents’ experiences with food regulations, risk and food choice in residential aged care. A qualitative study

Cited by 6 publications

References 33 publications

How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review

How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review

How Are the Mealtime Experiences of People in Residential Aged Care Facilities Informed by Policy and Best Practice Guidelines? A Scoping Review

Seeking residents' views regarding Australian residential aged care: A scoping review

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