Hamiduzzaman, Mohammad, Kuot, Abraham, Greenhill, Jennene, Strivens, Edward, and Isaac, Vivian (2020) Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes. PLoS ONE, 15 (5). e0233450.

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Abstract

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 follow-up 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.

Item ID:	77391
Item Type:	Article (Research - C1)
ISSN:	1932-6203
Keywords:	dementia, aged care homes, rural Australia, nursing homes, residential aged care
Copyright Information:	© 2020 Hamiduzzaman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funders:	Department of Health (DH)
Projects and Grants:	DH Dementia Research and Innovation Grant project number 4-4ZOHI8C
Date Deposited:	08 Feb 2023 23:47
FoR Codes:	42 HEALTH SCIENCES > 4203 Health services and systems > 420320 Residential client care @ 100%
SEO Codes:	20 HEALTH > 2002 Evaluation of health and support services > 200299 Evaluation of health and support services not elsewhere classified @ 25% 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200502 Health related to ageing @ 75%
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