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1

Shohel, Mohammad. "Antibiotic Stewardship in Residential Aged Care Facilities." Thesis, Curtin University, 2019. http://hdl.handle.net/20.500.11937/86378.

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Анотація:
Aged care residents are at increased risk of infections due to their frailty and comorbidities. This study aimed to identify and reduce the risk of antibiotic-related misadventure in this population. Particular medicines were associated with use of antibiotics, suggesting compromised immunity via numerous mechanisms. Potential interactions between antibiotics and residents’ other medicines were also identified, and may increase morbidity in this vulnerable group. Expanded scope of antimicrobial stewardship in aged care facilities is recommended.
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2

DeBeyer, Carrie Jeanette. "Diabetes care : the status of diabetes care in Queensland residential aged facilities." Thesis, Curtin University, 2010. http://hdl.handle.net/20.500.11937/2627.

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Анотація:
Diabetes care of the elderly in residential aged care facilities has often been unstructured and non-standardised, with disparities in both the practice and knowledge of health care workers caring for this vulnerable group. Poorly controlled diabetes can contribute to a range of adverse events, including impaired wound health and cardiovascular events. The purpose of this study was to establish if current Australian diabetes management guidelines for the elderly are being met in residential aged care facilities in Queensland and identify areas for clinical practice improvement.A cross-sectiona
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3

Grenade, Linda Elise. "Accreditation of residential aged care facilities: experiences of service providers." Thesis, Curtin University, 2003. http://hdl.handle.net/20.500.11937/1306.

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Анотація:
The need to address the issue of quality in aged care service provision in Australia has received increasing emphasis in recent decades. Particularly since the 1980s, the federal government has played a key role in ensuring that this is the case through the implementation of various reforms and regulatory strategies. In 1998, the national standards monitoring system which had been in place since the mid 1980s was replaced with a new system based on an accreditation model. In contrast to the former system which was wholly controlled by government and involved one-off inspections by government s
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4

Grenade, Linda Elise. "Accreditation of residential aged care facilities : experiences of service providers /." Curtin University of Technology, School of Public Health, 2003. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=15068.

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Анотація:
The need to address the issue of quality in aged care service provision in Australia has received increasing emphasis in recent decades. Particularly since the 1980s, the federal government has played a key role in ensuring that this is the case through the implementation of various reforms and regulatory strategies. In 1998, the national standards monitoring system which had been in place since the mid 1980s was replaced with a new system based on an accreditation model. In contrast to the former system which was wholly controlled by government and involved one-off inspections by government s
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5

Bagul, Deepali Sanved. "Culturally appropriate dementia care for older Indian migrants living in residential aged care facilities in Sydney, Australia." Thesis, The University of Sydney, 2020. https://hdl.handle.net/2123/24868.

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Анотація:
This thesis explores dementia care for migrants living in residential care facilities. To begin, this thesis considers how culturally sensitive dementia care influences the participation and engagement of migrants with dementia. Using mixed studies - systematic review, barriers, and facilitators supporting the engagement and participation of migrants with dementia are considered. The review findings highlight the need to consider that culturally sensitive care must extend beyond issues of language and should also incorporate broader aspects of culture, such as environmental design and cultural
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6

Banks, Merrilyn Dell. "Economic analysis of malnutrition and pressure ulcers in Queensland hospitals and residential aged care facilities." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/16966/1/Merrilyn_D_Banks_Thesis.pdf.

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Анотація:
Malnutrition is reported to be common in hospitals (10-60%), residential aged care facilities (up to 50% or more) and in free living individuals with severe or multiple disease (>10%) (Stratton et al., 2003). Published Australian studies indicate similar results (Beck et al., 2001, Ferguson et al., 1997, Lazarus and Hamlyn, 2005, Middleton et al., 2001, Visvanathan et al., 2003), but are generally limited in number, with none conducted across multiple centres or in residential aged care facilities. In Australia, there is a general lack of awareness and recognition of the problem of malnutriti
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7

Banks, Merrilyn Dell. "Economic analysis of malnutrition and pressure ulcers in Queensland hospitals and residential aged care facilities." Queensland University of Technology, 2008. http://eprints.qut.edu.au/16966/.

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Анотація:
Malnutrition is reported to be common in hospitals (10-60%), residential aged care facilities (up to 50% or more) and in free living individuals with severe or multiple disease (>10%) (Stratton et al., 2003). Published Australian studies indicate similar results (Beck et al., 2001, Ferguson et al., 1997, Lazarus and Hamlyn, 2005, Middleton et al., 2001, Visvanathan et al., 2003), but are generally limited in number, with none conducted across multiple centres or in residential aged care facilities. In Australia, there is a general lack of awareness and recognition of the problem of malnutriti
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8

Walker, Helen M. "The experience of care assistants who care for residents in the final stage of life in residential aged care facilities." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/278.

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Анотація:
This thesis presents the results of a study that explores the experience of care assistants who care for residents in the final stages of life in residential aged care facilities in metropolitan Perth. Care assistants, with little formal training and no regulation, play a pivotal role in the direct care of dying residents in these facilities. Yet little was known about the palliative care role and the impact that caring for residents in the final stage of life has on this health care group. The literature relating to end of life care in residential aged care facilities revealed limited researc
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9

O'Reilly, Maria Therese. "Clinical indicators of quality for Australian residential aged care facilities : establishing reliability, validity, and quality thresholds." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/40314/1/Maria_O%27Reilly_Thesis.pdf.

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Анотація:
Background: In response to the need for more comprehensive quality assessment within Australian residential aged care facilities, the Clinical Care Indicator (CCI) Tool was developed to collect outcome data as a means of making inferences about quality. A national trial of its effectiveness and a Brisbane-based trial of its use within the quality improvement context determined the CCI Tool represented a potentially valuable addition to the Australian aged care system. This document describes the next phase in the CCI Tool.s development; the aims of which were to establish validity and reliabil
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10

Shen, Xizi. "Unveiling the Concept of Person-centered Dementia Care within Occupational Therapy in Residential Aged Care Facilities: A Critical Interpretive Synthesis." Thesis, Discipline of Occupational Therapy, 2017. http://hdl.handle.net/2123/16256.

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Анотація:
Background: People with dementia living in residential aged care facilities are at risk of being deprived of occupational engagement. The link between occupational therapy and meaningful engagement of residents with moderate to advanced dementia has been established. Concepts regarding person-centered dementia care are adopted as the guiding principle for service providers in this field. However, it is unclear how occupational therapists embrace the essence of person-centered dementia care when promoting meaningful engagement of residents with moderate to advanced dementia. This study thus aim
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11

Cope, Sarah N. "The performance of caring: The construction of nursing care for people with dementia who live in residential facilities and wander." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/96017/1/Sarah_Cope_Thesis.pdf.

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Анотація:
This research adopted a social interpretive framework informed by symbolic interactionism and dramaturgy. The key finding was that a social order of practice was constructed in the residential aged care facilities through participant interpretations of spatial and temporal frames within the RACF setting. The participants used space and time to organise and mediate the ways in which they worked with people with dementia who wander.
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12

Pappne, Demecs Ilona. "The use of creative activities in dementia in residential aged care facilities in Australia : a cross-sectional study." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/82146/1/Ilona_Pappne%20Demecs_Thesis.pdf.

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Анотація:
This thesis provides the first inquiry into the use of creative activities in dementia care in residential aged care facilities in Australia. The study used descriptive method design, incorporating a mix of quantitative and qualitative approaches to explore the incidence and the characteristics of these activities from the carers' perspective. Information about the use of creative activities and the appreciation of these activities by residents and carers is essential to the provision of dementia care and treatment to improve the quality of life of people with dementia.
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13

Sinasac, Patricia A. "Residential aged care health workers' knowledge, attitudes and confidence in providing care to a person with a stoma : a needs analysis for education." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/104436/1/Patricia_Sinasac_Thesis.pdf.

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Анотація:
This study of residential aged care health workers’ knowledge, attitudes and confidence in providing care to an older person with a stoma was conducted to identify characteristics of the learners and educational needs to effectively provide stoma care. The findings will be valuable to inform development of an educational program aimed at aged care health workers’ to give appropriate and confident stoma care to residents.
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14

Littbrand, Håkan. "Physical exercise for older people : focusing on people living in residential care facilities and people with dementia." Doctoral thesis, Umeå universitet, Geriatrik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-39784.

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Анотація:
The main purposes of this thesis were to evaluate a high-intensity functional weight-bearing exercise pro­gramme, regarding its applicability (attendance, achieved intensity, adverse events) as well as its effect on physical functions and activities of daily living (ADL) among older people living in residential care facilities, with a special focus on people with dementia. Furthermore, a main purpose was to systematically review the applicability and effects of physical exercise on physical functions, cognitive functions, and ADL among people with dementia. A high-intensity functional weight-b
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15

Chan, Leroy Lai-Yu Graduate School of Biomedical Engineering Faculty of Engineering UNSW. "A technical feasibility study of an automated evaluation system for assessing the care needs of residents living in Australian residential aged care facilities." Awarded By:University of New South Wales. Graduate School of Biomedical Engineering, 2008. http://handle.unsw.edu.au/1959.4/43543.

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Анотація:
An aging population is one common challenge faced by many developed countries including Australia. The Australian government has realised that the existing healthcare system must be improved to provide better support longer-term for the healthcare needs of this population. This research examines one such opportunity by suggesting a reform on how the care needs of residents living in Australian residential aged care facilities (RACF) are assessed. A recent study has shown that the current assessment system, known as the Residential Classification Scale (RCS), is subjected to high administrative
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16

Hampson, R. "Setting policy in concrete: the impact of the built environment on older people who live in residential aged care facilities." University of Melbourne, 2008. http://repository.unimelb.edu.au/10187/3425.

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Анотація:
Residents of residential aged care facilities live out the last days of their lives in an institutional environment. These facilities can potentially liberate and/or constrain. The voice of actual residents has been little explored to date. Critical gerontology, which underpins the study, demands that researchers endeavour to understand the lived experience of the older person.<br>This thesis focuses on the impact of the built environment on older people (without dementia) who live in residential aged care facilities. Based on original research undertaken in Victoria and some of the latest thi
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17

Pu, Lihui. "The feasibility and effect of using PARO for people living with dementia and chronic pain: A pilot randomised controlled trial." Thesis, Griffith University, 2020. http://hdl.handle.net/10072/398089.

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Анотація:
Background: Chronic pain is a common problem in people with dementia living in residential aged care facilities (RACFs); however, it is often under-recognised and untreated due to the cognitive impairment of residents, and lack of knowledge and communication among care providers. Untreated pain is reported to be associated with behavioural and psychological symptoms of dementia (BPSD), such as agitation, depression and anxiety. Moreover, pain is also related to poor sleep and reduced physical activity, leading to a lower quality of life in people with dementia. Social robots, such as the robot
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18

Warne, Rhonda J. "Trends in the use of psychotropic medication in residential aged care facilities prior to and after the advent of an accredited pharmacist conducted medication review service." Thesis, The University of Sydney, 2001. https://hdl.handle.net/2123/27725.

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Анотація:
Aim: To investigate trends in the use of psychotropic medication in residential aged care facilities prior to and after the advent of an accredited pharmacist conducted medication review service (PCMRS). Objectives: 1. To compare the mean number of psychotropic medications in the treatment group and comparison group prior to and after the implementation of a pharmacist conducted medication review service. 2. To compare the distribution of classes of psychotropic drugs between the treatment and comparison groups prior to and after a PCMRS 3. To evaluate the appropriateness of psy
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19

Rosendahl, Erik. "Fall prediction and a high-intensity functional exercise programme to improve physical functions and to prevent falls among older people living in residential care facilities." Doctoral thesis, Umeå : Samhällsmedicin och rehabilitering Community Medicine and Rehabilitation, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-756.

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20

Fan, Lijun. "Effectiveness and cost analysis of a hospital in the nursing home program in Queensland, Australia." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101165/1/Lijun_Fan_Thesis.pdf.

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Анотація:
This thesis evaluated the effectiveness and cost-saving potential of a health service delivery model in Queensland Australia, the Hospital in the Nursing Home program. The research adopted a before-after controlled study design, comparing the outcomes between an intervention hospital and a control hospital during the pre- and post-intervention periods. Findings from the research supported that the intervention was preferred over the current practice, which reduced the attendances to emergency departments (EDs) and inpatient hospitals from patients in residential aged care facilities, shortened
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21

Kallin, Kristina. "Falls in older people in geriatric care settings : predisposing and precipitating factors." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-307.

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22

Wilkinson, Peter. "De concentv amisso qvaerendo: An investigation into the relative benefits of three different types of ambient music on the observed agitated behaviour and quality of life of dementia sufferers in residential aged care facilities." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2014. https://ro.ecu.edu.au/theses/1562.

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Анотація:
There is an increasing body of research evidence to support the use of music as a therapeutic modality in reducing the agitated behaviour frequently associated with late-stage dementia. Although much of this evidence suggests that music interventions are most effective when they are “individualized”, this type of intervention is often difficult to implement in large, busy, aged care facilities where residents may be located together in communal areas during the day. The challenge therefore is to try and identify a particular musical genre which, when played as “ambient” or “background” music,
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23

(9821450), Jennifer Mulvogue. "The machinations of restraint use in residential aged care. A critical discourse analysis." Thesis, 2024. https://figshare.com/articles/thesis/The_machinations_of_restraint_use_in_residential_aged_care_A_critical_discourse_analysis/25483873.

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Анотація:
The Australian Government has implemented a myriad of restraint tools, bulletins, policies, reform documents and legislation restricting the use of physical and chemical restraint use in Residential Aged Care Facilities (RACFs). Despite this, the use of restraint in RACFs remains commonplace. One of the foci of the recent Royal Commission into Aged Care Quality and Safety was the inappropriate use of restraint which exposed considerable abuse, neglect, and atrocities of care throughout the sector. Methodology. Discourses around physical and chemical restraint use were investigated, using a cri
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24

Lee, Ping-Wen, and 李秉文. "The use of Environmental Audit Tool (EAT) to improve the design of physical environments within residential aged care facilities (RACFs) in Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/8shd6p.

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Анотація:
碩士<br>國立宜蘭大學<br>建築與永續規劃研究所碩士班<br>107<br>This paper reports on two study aims: (1) to explore the process of adapting the English version of the Environmental Audit Tool (EAT) developed in Australian into Chinese questionnaire survey that can be used to investigate RACFs in Taiwan; (2) to compare EAT scores of a sample of RACFs in Taiwan with the mean and standard deviation (SD) of EAT scores across a variety (N=56) of RACFs in Australian where some (N=24) were purpose-built for people with dementia while others (N=32) were non- purpose-built.
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25

Kennedy, KT. "Lived experiences and the design implications for living and dying with dementia in residential aged care facilities." Thesis, 2019. https://eprints.utas.edu.au/31658/1/Kennedy_whole_thesis.pdf.

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Анотація:
There has been a significant increase in age-related diseases, particularly dementia. By necessity, people with dementia spend most of their time in one setting, typically a Residential Aged Care Facility (RACF), as the requirements of care exceed the resources of most families. With increased environmental sensitivities and dependence on the environment to support their diminished cognition appropriate design of RACFs becomes a critical factor in promoting well-being. The developing body of research on the design of environments for people with dementia is largely empirical, focused on mid-s
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26

Cho, Gwilae. "Development of care standards for South Korean residential aged care facilities." Thesis, 2014. http://hdl.handle.net/1959.13/1057609.

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Анотація:
Research Doctorate - Doctor of Philosophy (PhD)<br>The world’s ageing population means that many older people in developed countries now live out the latter parts of their lives in Long-Term Care (LTC) settings such as Residential Aged Care Facilities (RACFs). The majority of the older people in LTC settings have problems with cognition and a range of debilitating chronic conditions associated with frailty which means they are dependent on others for the needs of everyday living. South Korea has one of the world’s fastest growing ageing populations. The catalyst for this study was the instigat
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27

(9786494), Patricia Channell. "Experiences of Registered Nurses Working in Residential Aged Care Facilities–A Narrative Inquiry." Thesis, 2025. https://figshare.com/articles/thesis/Experiences_of_Registered_Nurses_Working_in_Residential_Aged_Care_Facilities_A_Narrative_Inquiry/29555030.

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Анотація:
<p dir="ltr"><b>Aim</b>: To explore the experiences of registered nurses working in residential aged are facilities in Australia.</p><p dir="ltr"><b>Background</b>: The number of aged care residents with high acuity and complex care needs in aged care facilities is steadily increasing. However, despite the Aged Care Royal Commission’s recent mandated staffing determination, the number of registered nurses employed in aged care has declined. Instead, unregistered care workers now make up 70% of the aged care workforce. This shift, coupled with organisational challenges such as inadequate educat
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28

(12241256), Glenis Rae Delmore. "Loss and grief in aged care facilities: Understanding nurses' experience of the daily reality." Thesis, 2001. https://figshare.com/articles/thesis/Loss_and_grief_in_aged_care_facilities_Understanding_nurses_experience_of_the_daily_reality/19359137.

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Анотація:
<div>Providers of Residential Aged Care have undergone major structural and philosophical change in the past fifteen years with vastly improved outcomes in service delivery. The improvements covered all aspects of daily living and have been coupled with greater demands for financial accountability. Introduction of the changes has been difficult, and many aged care workers have experienced characteristics of rapid, frequent change in the workplace, such as anxiety, tension and conflict. This is particularly applicable to registered nurses responsible for supervision of personal care, and who ar
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29

Westbury, JL. "Roles for pharmacists in improving the quality use of psychotropic medicines in residential aged care facilities." Thesis, 2011. https://eprints.utas.edu.au/12519/3/Whole_thesis.pdf.

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Анотація:
The major psychotropic drug classes are antipsychotics, antidepressants and anxiolytic/hypnotics. Professional guidelines advise that these agents should only be prescribed to manage behavioural and psychological symptoms of dementia (BPSD), anxiety and insomnia in older people after non-drug measures have proved ineffective. Psychotropic medications, particularly antipsychotics and benzodiazepines, are associated with significant risks, yet they only offer modest benefits to treat these conditions. Consequently, these medications should be initiated at the lowest effective dose, monitored reg
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30

Hilaire, Trevor James. "Sustainable residential aged care: the influence of the built environment on carer work satisfaction and stress." Thesis, 2016. http://hdl.handle.net/1959.13/1337777.

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Анотація:
Research Doctorate - Doctor of Philosophy (PhD)<br>The population in Australia and much of the developed world is ageing and increasing the demand on residential aged care (RAC) which is costly to establish and operate thereby imposing an economic burden on society and impacting upon social sustainability. Quality of life (QoL) for residents is a primary condition of RAC. Quality of care is a significant factor of QoL and is provided by the care team however, it can be affected by work stress/satisfaction. RAC facilities are work places for the care team and studies within the field of environ
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31

Dwyer, Drew Darren. "Empowering registered nurses in aged care teams to be clinical leaders." Thesis, 2015. http://hdl.handle.net/2440/101933.

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Анотація:
This Doctoral study explored the impact of structured clinical leadership training on registered nurses who hold positions as clinical leaders and managers in Residential Aged Care Facilities (formally Nursing Homes) in Australia. The aim of the study was to empower nursing workforce in Australian aged care settings through a formal clinical leadership and leadership training program that represented an intervention designed to empower participants to become care team leaders. The study followed a sequential mixed-methods design and included a pre and post-intervention survey completed by the
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32

Hunt, Christine Dianne. "Risk factors associated with antimicrobial resistant organism carriage in residents of residential aged care facilities: a systematic review." Thesis, 2015. http://hdl.handle.net/2440/112046.

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Анотація:
Aim: The thesis reports the outcomes of a systematic review conducted to identify the risk factors associated with antimicrobial resistant organism (ARO) carriage in residents of residential aged care facilities (RACF). Background: The World Health Organization (WHO) recognises antimicrobial resistance as a critical world health issue and acknowledges that with the reduction in the development of new antibiotics there is an urgent need to take action to slow the spread of antimicrobial resistant organisms (AROs). Residential Aged Care Facilities (RACFs) aim to provide nursing and personal care
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33

Batten, Miranda. "Evaluating interprofessional collaboration, normalisation and implementation fidelity of an on-site pharmacist intervention within Australian residential aged care facilities." Doctoral thesis, 2023. https://researchprofiles.canberra.edu.au/en/studentTheses/b1e57985-ed0f-45c5-8e05-d22db307a3fc.

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34

Hullick, Carolyn. "An exploration of the design and impact of a model of care for acutely unwell older people living in residential aged care facilities." Thesis, 2022. http://hdl.handle.net/1959.13/1452604.

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Анотація:
Research Doctorate - Doctor of Philosophy (PhD)<br>People living in Residential Aged Care Facilities (RACFs) in Australia are old, vulnerable, frail and have complex health care needs. This population commonly experiences acute deterioration resulting in transfer to the Emergency Department (ED) where they have longer ED and hospital stays and higher hospital mortality than the broader population. RACF residents also experience increased rates of hospital acquired complications including falls, pressure injuries and delirium, and high rates of invasive intervention. Given the risks associated
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35

Wallace, Janet Patricia. "The development of a service-learning model of health promotion in the residential aged care environment for dental hygiene students." Thesis, 2013. http://hdl.handle.net/1959.13/1045491.

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Анотація:
Research Doctorate - Doctor of Philosophy (PhD)<br>Dental hygienists are preventive focused oral health professionals with the skills, knowledge and expertise to provide preventive oral health care. To contribute to the development of these attributes in their students the Faculty of Health and Medicine at the University of Newcastle implemented a novel student placement program in Residential Aged Care Facilities (RACF) on the NSW Central Coast, Australia. As with any educational innovation it was imperative to monitor whether the intervention had been positive and if improvements were requir
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