رسالة جامعية

The Creation of a Dementia-friendly Community in Aged Residential Care: A Critical Realist Case Study

التفاصيل البيبلوغرافية
العنوان: The Creation of a Dementia-friendly Community in Aged Residential Care: A Critical Realist Case Study
المؤلفون: Shannon, Kay
المساهمون: Neville, Stephen, Wright-St Clair, Valerie
بيانات النشر: Auckland University of Technology
سنة النشر: 2021
المجموعة: Auckland University of Technology: AUT Scholarly Commons
مصطلحات موضوعية: Aged care, Aged residential care, Dementia, Dementia-friendly communities, Person-centred care, Culture change, Governance networks, Innovation in aged care, Critical realism, Case study, Dementia-enabling environments, Desegregation
الوصف: The practice of segregating people who require specialist dementia services from residents requiring other levels of care is beginning to be questioned. The ageing of the population, along with the accumulation of long-term health conditions such as dementia in older people indicate there will be an increasing demand for Aged Residential Care facilities. There is a growing awareness of the need to transform Aged Residential Care facilities into places where people can continue to live in ways that matter to them and engage in activities they value, with support. This thesis explains the transition of residents from a traditional Aged Residential Care facility to an innovative dementia-friendly village where they are supported to live life as normally as possible. Additionally, residents who require specialist dementia services are not segregated from the rest of the community within the secure perimeter. The case study, guided by a critical realist theoretical perspective, explains the process and outcomes of the transition of residents from Whare Aroha CARE to The CARE Village. Data for the study comprised transcripts of semi-structured interviews, records of observation of resident daily life, documents and photographs. Forty-two facility staff, residents, their family members and key informants participated in the study. Analysis of study data using a process of retroduction enabled three underlying mechanisms generating the events contributing to the process of the transition to be identified. These are 'they changed the culture of the workplace to enable person-centred care,' 'they created a physical environment that supports the vision of people living normal lives,' and 'they formed a governance network to support the transition to an innovative model of care.' Themes in the data explain the outcomes of the transition for the staff, residents and their family members. Data analysis began with the development of codes derived from the beginning theoretical propositions for the study and the data, themes ...
نوع الوثيقة: thesis
وصف الملف: application/pdf
اللغة: English
العلاقة: https://hdl.handle.net/10292/14226Test
الإتاحة: https://hdl.handle.net/10292/14226Test
حقوق: OpenAccess
رقم الانضمام: edsbas.20F8CFEA
قاعدة البيانات: BASE