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Family members' prioritisation of care in residential aged care facilities: A case for individualised care

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  • Kristiana Ludlow
  • Kate Churruca
  • Louise A. Ellis
  • Virginia Mumford
  • Jeffrey Braithwaite

Abstract

Objectives To investigate family members' prioritisation of care in residential aged care facilities (RACFs). Introduction and background Family members are often involved in the care of their older relatives even after these relatives transit to a RACF. Understanding family members' priorities regarding care (i.e., what is most important to them) can provide valuable insights into how to better meet residents' needs. Design A multisite mixed‐methods study comprising qualitative methods and Q methodology. The qualitative component of the study was guided by the COREQ checklist. Methods Participants comprised 27 family members of residents living in one of five participating Australian RACFs. Participants rank‐ordered 34 cards, each representing an aspect of care, on a predefined grid from “Least important” (−4) to “Most important” (+4). Participants also engaged in a think‐aloud task, demographic questionnaire, post‐sorting interview and semi‐structured interview. Q data were analysed using inverted factor techniques to identify factors that each represent a portion of shared meaning. Factors were interpreted as viewpoints using data from the think‐aloud task and interviews. These data were further analysed using inductive content analysis to reveal influences on prioritisation decision‐making. Results Three distinct viewpoints were identified through Q methodology: prioritisation of residents' physical needs, maintaining residents' independence, and human connection. Inductive content analysis revealed four influences on prioritisation decision‐making: residents' capabilities and support requirements, unmet needs, family bridging the gaps, and family knowledge of residents. Conclusions The study indicated that to meet residents' needs and family members' priorities, individualised approaches to care are warranted. It also demonstrated the vital role family members play in residents' care when needs are not fully met. Relevance to Clinical Practice Strategies to improve individualised care in clinical practice include flexibility of routines, supporting family members' involvement in care, workforce training focused on family–staff communication, and safer staffing ratios.

Suggested Citation

  • Kristiana Ludlow & Kate Churruca & Louise A. Ellis & Virginia Mumford & Jeffrey Braithwaite, 2020. "Family members' prioritisation of care in residential aged care facilities: A case for individualised care," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3272-3285, September.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:17-18:p:3272-3285
    DOI: 10.1111/jocn.15352
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    References listed on IDEAS

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    1. Patrik Rytterström & Mitra Unosson & Maria Arman, 2011. "The significance of routines in nursing practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(23‐24), pages 3513-3522, December.
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    1. Sue-Hyang Lee & Soo-Myoung Bae & Bo-Mi Shin & Sun-Jung Shin, 2020. "Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study," IJERPH, MDPI, vol. 18(1), pages 1-16, December.
    2. Deirdre Fetherstonhaugh & Jo‐Anne Rayner & Kane Solly & Linda McAuliffe, 2021. "‘You become their advocate’: The experiences of family carers as advocates for older people with dementia living in residential aged care," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 676-686, March.

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