‘Two-eyed seeing’: the integration of spiritual care in Aboriginal residential aged care in South Australia

Sivertsen, Nina; Harrington, Ann; Hamiduzzaman, Mohammad

doi:10.1080/15528030.2019.1669515

Cited by 28 publications

(56 citation statements)

References 23 publications

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“…Similar to this study findings, the staff shortage is related by Goh et al (2017) to the employee turnover and absenteeism who note that low number of staff is the major problem in meeting the personalized care needs of RwD [41]. It is also a common belief that rural aged care homes require more funding than urban facilities to recruit and retain staff and take safety measures in order to support personalized dementia care [14,27].…”

Section: Plos Onesupporting

confidence: 77%

“…The reasons for not being able to provide personalized care are: RwD fail to express their needs; and the perspectives of their family members are excluded [24,25]. The exclusion of family members' voice deters the staff in translating the personalized care on the floor [26,27]. Although the participation of family members of RwD in different programs was evident in the study, the inclusion of their voice in developing care plan and providing care was seldom seen.…”

Section: Plos Onementioning

confidence: 93%

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Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

et al. 2020

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Quality of dementia care improves with a personalized approach to aged care, and knowledge of the disease process and unique care needs of residents with dementia. A personalized model of care can have a significant impact on the overall organizational culture in aged care homes. However, the dimensions of personalized aged care relating to dementia often remain under-managed. We aim to explore the factors that shape the dimensions of personalized dementia care in rural nursing homes using qualitative data of a mixed-method 'Harmony in the Bush' dementia study. The study participants included clinical managers, registered nurses, enrolled nurses and care workers from five rural aged care homes in Queensland and South Australia. One hundred and four staff participated in 65 semi-structured interviews and 20 focus groups at three phases: post-intervention, one-month followup and three-months follow-up. A multidimensional model of nursing home care quality developed by Rantz et al. (1998) was used in data coding and analysis of the factors. Three key themes including seven dimensions emerged from the findings: resident and family [resident and family centeredness, and assessment and care planning]; staff [staff education and training, staff-resident interaction and work-life balance]; and organization [leadership and organizational culture, and physical environment and safety]. A lack of consideration of family members views by management and staff, together with poorly integrated, holistic care plan, limited resources and absence of ongoing education for staff, resulted in an ineffective implementation of personalized dementia care. Understanding the dimensions and associated factors may assist in interpreting the multidimensional aspects of personalized approach in dementia care. Staff training on person-centered approach, assessment and plan, and building relationships among and between staff and residents are essential to improve the quality of care residents receive.

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Section: Plos Onesupporting

confidence: 77%

Section: Plos Onementioning

confidence: 93%

Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

et al. 2020

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“…Consequently, the evidence from these studies makes it difficult to apply to other countries and Indigenous populations. Finally, except for the two studies by Sivertsen et al (2019aSivertsen et al ( , 2019b, none of the authors make any reference to each other's work, nor do they build upon the findings of those who have published before them. Despite the limitations noted in this review, it is evident that all studies were concerned with improving patient-centred care and the delivery of health care services for older Indigenous people in ARC.…”

Section: Discussionmentioning

confidence: 99%

“…For the scoring of quantitative studies (Amir et al, 2019;Borotkanics et al, 2017), we were unable to tell if the study samples were representative of the population under study, due to the small sample sizes of older Indigenous ARC residents. According to the MMAT, all qualitative studies (Mercer, 1996;Sivertsen et al, 2019aSivertsen et al, , 2019b) had high evaluation scores, although one study did not consider the influence of the researcher during interactions with participants (Mercer, 1996). For scores of the mixed-method studies, two had high-quality scores (Dance et al, 2004;Hocking et al, 2019), and one was assigned a low-quality score (Davis, 2005) as only two subsections from the MMAT methodological checklist criteria received a "yes."…”

Section: Quality Assessmentmentioning

confidence: 99%

Indigenous peoples’ experiences and preferences in aged residential care: a systematic review

Keelan

Pitama

Wilkinson

et al. 2021

AlterNative: An International Journal of Indigenous Peoples

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Although the demand for aged residential care increases, low use of aged residential care by Indigenous people raises questions about unrecognised barriers to health care. The objectives of this systematic literature review are to (a) examine current scientific literature that reports older Indigenous people’s experiences in aged residential care and (b) describe critical factors that shape Indigenous people’s preferences in aged residential care settings. We conducted a systematic review of studies using an online search of the literature. A total of 6,233 citations were retrieved, and 45 studies examined in full-text. Eight studies met the study inclusion criteria. Indigenous older people were found to be younger, had higher prevalence of complex health conditions, and were less likely to receive dental and mental health services on admission to aged residential care. Their preferences for care were more likely to be evident in aged residential care facilities where the Indigenous composition of staff reflected the Indigenous makeup of its residents.

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“…Western biomedical models of care provision do not support or maintain an approach to equity in care [63]. Aboriginal perspectives are often relegated to the margins of health care systems and policies, and there is a call for 'two-eyed seeing' [64], which would mean that Aboriginal and Western world views of health, illness and child wellbeing, including health care systems, need to come together and collaborate. A two-eyed way of seeing means that one learns to see from one eye the strengths of Aboriginal knowledges, and from the other eye, the strengths of Western knowledges, but most importantly to use both eyes together for the benefit of all.…”

Section: Discussionmentioning

confidence: 99%

Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000 days of life: a systematic review of the literature

Sivertsen

Anikeeva

Deverix

et al. 2020

BMC Health Serv Res

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Background: Aboriginal women and their infants experience significant disadvantage in health outcomes compared to their non-Aboriginal counterparts. Access to timely, effective and appropriate maternal and child healthcare can contribute to reducing these existing health disparities. However, accessing mainstream healthcare services often results in high levels of fear and anxiety, and low attendance at subsequent appointments among Aboriginal women, due to inefficient communication, poor service coordination and a lack of continuity of care. Methods: This integrative literature review sought to explore factors that contribute to continuity of care and consider service features that contribute to positive care experiences and satisfaction with care received by Aboriginal women and their infants. In total, 28 studies were included in the review and were thematically analysed using Braun and Clarke's six steps of thematic analysis. This was followed by a collaborative, computer-assisted qualitative analysis, which resulted in the emergence of five key themes: lack of continuity of care, impact of lack of continuity of care, continuity of care interventions, impact of continuity of care interventions, and strategies to improve continuity of care. Results: Most studies focused on health services in rural or remote Aboriginal communities and there was a lack of documented evidence of continuity of care (or lack thereof) for Aboriginal women living and birthing in regional and metropolitan areas. The majority of studies focused explicitly on continuity of care during the antenatal, birthing and immediate postnatal period, with only two studies considering continuity through to an infant's first 1000 days. Conclusion: The review highlights a lack of studies exploring continuity of care for Aboriginal families from the antenatal period through to an infants' first 1000 days of life. Included studies identified a lack of continuity in the antenatal, peri-and postnatal periods in both regional and metropolitan settings. This, along with identified strategies for enhancing continuity, have implications for communities, and healthcare services to provide appropriate and culturally safe care. It also marks an urgent need to incorporate and extend continuity of care and carer through to the first 1000 days for successful maternal and infant health outcomes for Aboriginal peoples.

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‘Two-eyed seeing’: the integration of spiritual care in Aboriginal residential aged care in South Australia

Cited by 28 publications

References 23 publications

Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

Indigenous peoples’ experiences and preferences in aged residential care: a systematic review

Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000 days of life: a systematic review of the literature

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