Towards personalized care: Factors associated with the quality of life of residents with dementia in Australian rural aged care homes

Mohammad Hamiduzzaman, Abraham Kuot, Jennene Greenhill, Edward Strivens, Vivian Isaac

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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.

Original languageEnglish
Article numbere0233450
Number of pages23
JournalPLoS One
Volume15
Issue number5
DOIs
Publication statusPublished - 21 May 2020

Bibliographical note

Copyright: © 2020 Hamiduzzaman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License [CC BY], which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Keywords

  • personalized care
  • quality of life
  • quality of life of residents
  • residents with dementia
  • aged care homes
  • rural aged care homes
  • Australian rural aged care homes
  • dementia care
  • Quality of dementia care

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