Skip to main content

How Does an Accreditation Programme in Residential Aged Care Inform the Way Residents Manage Their Healthcare and Lifestyle?

  • Chapter
  • First Online:
Managing Improvement in Healthcare

Abstract

Our study examined how accreditation informs the way Australian aged care facility residents manage their healthcare and lifestyle in residential aged care. Residents did not draw direct links between accreditation programmes and their quality of life, yet accreditation standards implicitly underpinned aspects of quality of life that were important to them. There are opportunities for accreditation programmes to more fully utilise resident perspectives to improve their care and quality of life. More overt connections between accreditation standards and issues that are important to residents could promote partnerships with staff, and support enhanced quality of life and a resident-centred focus of care. Furthermore, residents’ perspectives and experiences may contribute to refining accreditation programmes, to ensure they align more with community expectations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • ACSQHC. (2012). Australian commission on safety and quality in health care: Australian safety and quality goals for health care: Development and consultation report. Sydney: Australian Commission on Safety and Quality in Health Care.

    Google Scholar 

  • Auras, S., & Geraedts, M. (2010). Patient experience data in practice accreditation—An international comparison. International Journal for Quality in Health Care, 22, 132–139. doi:10.1093/intqhc/mzq006mzq006.

    Article  Google Scholar 

  • Boldy, D. P., Chou, S. C., & Lee, A. H. (2004). Assessing resident satisfaction and its relationship to staff satisfaction in residential aged care. Australasian Journal of Ageing, 23, 195–197. doi:10.1111/j.1741-6612.2004.00049.x.

    Article  Google Scholar 

  • Braithwaite, J. (2001). Regulating nursing homes: The challenge of regulating care for older people in Australia. BMJ, 323, 443–446.

    Article  Google Scholar 

  • Braithwaite, J., et al. (2006). A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation. BMC Health Services Research, 6, 113. doi:10.1186/1472-6963-6-113.

    Article  Google Scholar 

  • Braithwaite, J., et al. (2010). Health service accreditation as a predictor of clinical and organisational performance: A blinded, random, stratified study. Quality and Safety in Health Care, 19, 14–21. doi:10.1136/qshc.2009.033928.

    Article  Google Scholar 

  • Braun, V., & Clarke, C. (2006). Using thematic analysis in psychology. Qualitative Research Psychology, 3, 77–101. doi:10.1191/1478088706qp063oa.

    Article  Google Scholar 

  • Briggs, D. (2006). Accreditation and the quality journey in aged care. Asian Journal of Gerontology and Geriatrics, 1, 163–169.

    Google Scholar 

  • Chao, S. Y., & Roth, P. (2005). Dimensions of quality in long-term care facilities in Taiwan. Journal of Advanced Nursing, 52, 609–618. doi:10.1111/j.1365-2648.2005.03632.x.

    Article  Google Scholar 

  • Cheek, J., & Ballantyne, A. (2001). Moving them on and in: The process of searching for and selecting an aged care facility. Qualitative Health Research, 11, 221–237.

    Google Scholar 

  • Chou, S. C., Boldy, D. P., & Lee, A. H. (2002a). Resident satisfaction and its components in residential aged care. The Gerontologist, 42, 188–198. doi:10.1093/geront/42.2.188.

    Article  Google Scholar 

  • Chou, S. C., Boldy, D. P., & Lee, A. H. (2002b). Staff satisfaction and its components in residential aged care. International Journal for Quality in Health Care, 14, 207–217. doi:10.1093/oxfordjournals.intqhc.a002612.

    Article  Google Scholar 

  • Chou, S. C., Boldy, D. P., & Lee, A. H. (2003). Factors influencing residents’ satisfaction in residential aged care. The Gerontologist, 43, 459–472. doi:10.1093/geront/43.4.459.

    Article  Google Scholar 

  • Commonwealth of Australia. (2007). Evaluation of the impact of accreditation on the delivery of quality of care and quality of life to residents in Australian Government subsidised residential aged care homes. Canberra: Australia.

    Google Scholar 

  • Grabowski, D. C., & Town, R. J. (2011). Does information matter? Competition, quality, and the impact of nursing home report cards. Health Services Research, 46, 1698–1719. doi:10.1111/j.1475-6773.2011.01298.x.

    Article  Google Scholar 

  • Greenfield, D., & Braithwaite, J. (2008). Health sector accreditation research: A systematic review. International Journal for Quality in Health Care, 20, 172–183. doi:10.1093/intqhc/mzn005mzn005.

    Article  Google Scholar 

  • Greenfield, D., Pawsey, M., & Braithwaite, J. (2011). What motivates professionals to engage in the accreditation of healthcare organizations? International Journal of Quality in Health Care, 23, 8–14. doi:10.1093/intqhc/mzq069.

    Article  Google Scholar 

  • Greenfield, D., Pawsey, M., & Braithwaite, J. (2013). Accreditation: A global regulatory mechanism to promote quality and safety. In W. Sollecito & J. Johnson (Eds.), Continuous quality improvement in health care (4th ed., pp. 513–531). New York: Jones and Barlett Learning.

    Google Scholar 

  • Grenade, L., & Boldy, D. (2002). The accreditation experience: Views of residential aged care providers. Geriaction, 20, 5–9.

    Google Scholar 

  • Hampel, M. J., & Hastings, M. M. (1993). Assessing quality in nursing home dementia special care units: A pilot test of the joint commission protocol. Journal of Mental Health Administration, 20, 236–246. doi:10.1007/bf02518692.

    Article  Google Scholar 

  • Hasson, H., & Arnetz, J. E. (2011). Care recipients’ and family members’ perceptions of quality of older people care: A comparison of home-based care and nursing homes. Journal of Clinical Nursing, 20, 1423–1435. doi:10.1111/j.1365-2702.2010.03469.x.

    Article  Google Scholar 

  • Hillcoat-Nalletamby, S. (2014). The meaning of “independence” for older people in different residential settings. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 69, 419–430. doi:10.1093/geronb/gbu008.

    Article  Google Scholar 

  • Hinchcliff, R., Greenfield, D., Moldovan, M., Westbrook, J. I., Pawsey, M., Mumford, V., & Braithwaite, J. (2012). Narrative synthesis of health service accreditation literature. BMJ Quality and Safety, 21, 979–991. doi:10.1136/bmjqs-2012-000852bmjqs-2012-000852.

    Article  Google Scholar 

  • Hinchcliff, R., Greenfield, D., Westbrook, J. I., Pawsey, M., Mumford, V., & Braithwaite, J. (2013). Stakeholder perspectives on implementing accreditation programs: A qualitative study of enabling factors. BMC Health Services Research, 13, 437. doi:10.1186/1472-6963-13-437.

    Article  Google Scholar 

  • King, D., et al. (2012). The aged care workforce. Canberra: Australia.

    Google Scholar 

  • Knight, T., & Mellor, D. (2007). Social inclusion of older adults in care: Is it just a question of providing activities? International Journal of Qualitative Studies on Health and Well-being, 2, 76–85. doi:10.1080/17482620701320802.

    Article  Google Scholar 

  • Liamputtong, P. (2009). Qualitative research methods (3rd ed.). Melbourne: Oxford University Press.

    Google Scholar 

  • Mittal, V., et al. (2007). Perception gap in quality-of-life ratings: An empirical investigation of nursing home residents and caregivers. The Gerontologist, 47, 159–168. doi:10.1093/geront/47.2.159.

    Article  Google Scholar 

  • Nakrem, S., Vinsnes, A. G., Harkless, G. E., Paulsen, B., & Seim, A. (2013). Ambiguities: Residents’ experience of ‘nursing home as my home’. International Journal of Older People Nursing, 8, 216–225. doi:10.1111/j.1748-3743.2012.00320.x.

    Article  Google Scholar 

  • Netten, A., Trukeschitz, B., Beadle-Brown, J., Forder, J., Towers, A. M., & Welch, E. (2012). Quality of life outcomes for residents and quality ratings of care homes: Is there a relationship? Age and Ageing, 41, 512–517. doi:10.1093/ageing/afs050.

    Article  Google Scholar 

  • Oosterveld-Vlug, M. G., Pasman, H. R., van Gennip, I. E., Muller, M. T., Willems, D. L., & Onwuteaka-Philipsen, B. D. (2013). Dignity and the factors that influence it according to nursing home residents: A qualitative interview study. Journal of Advanced Nursing, 70(1), 97–106. doi:10.1111/jan.12171.

    Article  Google Scholar 

  • Retchin, S. M. (2007). Overcoming information asymmetry in consumer-directed health plans. American Journal of Managed Care, 13, 173–176.

    Google Scholar 

  • Ryan, A., & McKenna, H. (2013). ‘Familiarity’ as a key factor influencing rural family carers’ experience of the nursing home placement of an older relative: A qualitative study. BMC Health Services Research, 13, 252. doi:10.1186/1472-6963-13-252.

    Article  Google Scholar 

  • Shaw, C. D., Braithwaite, J., Moldovan, M., Nicklin, W., Grgic, I., Fortune, T., & Whittaker, S. (2013). Profiling health-care accreditation organizations: An international survey. International Journal of Quality in Health Care, 25, 222–231. doi:10.1093/intqhc/mzt011.

    Article  Google Scholar 

  • Street, D., & Burge, S. (2012). Residential context, social relationships, and subjective well-being in assisted living. Research on Aging, 34, 365–394. doi:10.1177/0164027511423928.

    Article  Google Scholar 

  • Street, D., Burge, S., Quadagno, J., & Barrett, A. (2007). The salience of social relationships for resident well-being in assisted living. The Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 62, S129–S134. doi:10.1093/geronb/62.2.s129.

    Article  Google Scholar 

  • Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27, 237–246. doi:10.1177/1098214005283748.

    Article  Google Scholar 

  • Torrington, J. (2007). Evaluating quality of life in residential care buildings. Building Research & Information, 35, 514–528. doi:10.1080/09613210701318102.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anne Hogden .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 The Author(s)

About this chapter

Cite this chapter

Hogden, A. et al. (2018). How Does an Accreditation Programme in Residential Aged Care Inform the Way Residents Manage Their Healthcare and Lifestyle?. In: McDermott, A., Kitchener, M., Exworthy, M. (eds) Managing Improvement in Healthcare. Organizational Behaviour in Health Care. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-62235-4_17

Download citation

Publish with us

Policies and ethics