Please use this identifier to cite or link to this item: https://hdl.handle.net/1/2579
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dc.contributor.authorSturmberg, Joachim P-
dc.contributor.authorGainsford, Len-
dc.contributor.authorPond, Dimity-
dc.contributor.authorGoodwin, Nicholas-
dc.date.accessioned2024-04-24T00:33:08Z-
dc.date.available2024-04-24T00:33:08Z-
dc.date.issued2024-04-
dc.identifier.citation30(3):511-520en
dc.identifier.urihttps://hdl.handle.net/1/2579-
dc.description.abstractNursing 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.sponsorshipCentral Coast Research Institute for Integrated Careen
dc.subjectIntegrated Careen
dc.titleFit-for-purpose-The bottom-up redesign of the nursing home system: The Australian Aged Care Systemen
dc.typeJournal Articleen
dc.identifier.doi10.1111/jep.13987en
dc.description.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/38606518en
dc.description.affiliatesCentral Coast Local Health Districten
dc.description.affiliatesGosford Hospitalen
dc.description.affiliatesThe University of Newcastleen
dc.identifier.journaltitleJournal of Evaluation in Clinical Practiceen
dc.type.contentTexten
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.grantfulltextnone-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
Appears in Collections:Integrated Care
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