Opinion piece: Australian residential aged care and the quality of nursing care provision

Contemporary Nurse
Anita De Bellis

Abstract

The Australian government and aged care industry uphold the standard of care for persons who require high care and reside in residential aged care facilities. The residential aged care system is extremely complex and through research conducted at the micro level it is argued that the macro level of policy can be exposed for the effects on the ground. A case study methodology in the qualitative paradigm used a discourse analysis of the nursing care for three highly dependent residents in one accredited aged care facility. Detailed data were collected through interviews, non-participant observations and document analyses concerning the nursing care these residents received. A comparative analysis of the discourses revealed this facility to be functioning in an environment of neglect. Nursing care provision was rushed and untimely and the residents were at risk of unsafe practices and negligence. The documentation of nursing care was found to be fraudulent, demeaning and out of date. Environmental considerations, continence management and the social and activity needs of residents were contradictory to their quality of life. The autonomy of the residents and advocacy by relatives were misinterpreted and unethical discourses were a...Continue Reading

Citations

Apr 6, 2016·International Journal of Nursing Studies·Rebecca Feo, Alison Kitson
Nov 11, 2015·International Journal of Geriatric Psychiatry·Alexandra S CreightonDavid W Kissane
Aug 20, 2015·Collegian : Journal of the Royal College of Nursing, Australia·Yeu-Hui ChuangMegan F Liu
Apr 29, 2016·Australasian Journal on Ageing·Helen Walker, Penelope Paliadelis
May 14, 2016·Journal of Advanced Nursing·Amanda Phelan, Brendan McCormack
Sep 30, 2020·Journal of Clinical Nursing·Philip Darbyshire, Drew Dwyer

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