The rhetoric and reality of nursing in aged care: views from the inside

Davis, Jenny, Morgans, Amee, Birks, Melanie, and Browning, Colette (2016) The rhetoric and reality of nursing in aged care: views from the inside. Contemporary Nurse, 52 (2-3). pp. 191-203.

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Abstract

Background: Aged care services and nursing roles are evolving in response to policy reform and increasing consumer expectations, however the nursing workforce is declining in numbers.

Aims: To examine registered nurses' perceptions and experiences of working in aged care.

Methods: Descriptive, exploratory study involving thematic analysis of individual interviews.

Results: Key issues related to: professional role strain; workforce challenges; managing expectations, relationships and communication; balancing rights and risk in decision-making; changing models of care and impacts of policy and regulation.

Conclusion: Expectations and perceptions of aged care nursing are unclear and conflicted. Nurses face significant challenges in meeting consumer, profession, organisational, and policy expectations amidst workforce instability and resource constraints. Structural barriers and aged care policy environments represent significant threats to sustaining nursing in aged care.

Item ID: 49249
Item Type: Article (Research - C1)
ISSN: 1839-3535
Keywords: aged care, community care, Australia, nursing, residential care, roles
Funders: Department of Social Services
Date Deposited: 08 Jun 2017 00:31
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111702 Aged Health Care @ 70%
16 STUDIES IN HUMAN SOCIETY > 1605 Policy and Administration > 160508 Health Policy @ 30%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920202 Carer Health @ 100%
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