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https://hdl.handle.net/1/2579
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DC Field | Value | Language |
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dc.contributor.author | Sturmberg, Joachim P | - |
dc.contributor.author | Gainsford, Len | - |
dc.contributor.author | Pond, Dimity | - |
dc.contributor.author | Goodwin, Nicholas | - |
dc.date.accessioned | 2024-04-24T00:33:08Z | - |
dc.date.available | 2024-04-24T00:33:08Z | - |
dc.date.issued | 2024-04 | - |
dc.identifier.citation | 30(3):511-520 | en |
dc.identifier.uri | https://hdl.handle.net/1/2579 | - |
dc.description.abstract | Nursing homes struggle to meet the needs of their residents as they become older and frailer, live with more complex co-morbidity, and are impacted by memory impairment and dementia. Moreover, the nursing home system is overwhelmed with significantly constraining organisational and regulatory demands that stand in the way of achieving resident-focused outcomes. These issues are compounded by the perceptions of poor working environments, poor remuneration, and poor satisfaction amongst staff. The system is beyond the state of 'reform' and requires a fundamental redesign based on first organisational systems understandings: a clearly defined purpose and goal, shared values, and system-wide agreed "simple (or operating) rules". A 'fit-for-purpose' future requires a complex adaptive nursing home system characterised by seamless 'bottom-up and top-down' information flows to ensure that the necessary 'work that needs to be done' is done, and a governance structure that focuses on quality improvement and holds the system accountable for the quality of care that is provided. | en |
dc.description.sponsorship | Central Coast Research Institute for Integrated Care | en |
dc.subject | Integrated Care | en |
dc.title | Fit-for-purpose-The bottom-up redesign of the nursing home system: The Australian Aged Care System | en |
dc.type | Journal Article | en |
dc.identifier.doi | 10.1111/jep.13987 | en |
dc.description.pubmeduri | https://pubmed.ncbi.nlm.nih.gov/38606518 | en |
dc.description.affiliates | Central Coast Local Health District | en |
dc.description.affiliates | Gosford Hospital | en |
dc.description.affiliates | The University of Newcastle | en |
dc.identifier.journaltitle | Journal of Evaluation in Clinical Practice | en |
dc.type.content | Text | en |
item.cerifentitytype | Publications | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.openairetype | Journal Article | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
Appears in Collections: | Integrated Care |
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