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Type: Journal article
Title: Alternative staffing structures in a clustered domestic model of residential aged care in Australia
Author: Harrison, S.L.
Dyer, S.M.
Milte, R.
Liu, E.
Gnanamanickam, E.S.
Crotty, M.
Citation: Australasian Journal on Ageing, 2019; 38(S2):68-74
Publisher: Wiley Online Library
Issue Date: 2019
ISSN: 1440-6381
Statement of
Stephanie L. Harrison, Suzanne M. Dyer, Rachel Milte, Enwu Liu, Emmanuel S. Gnanamanickam, Maria Crotty
Abstract: OBJECTIVE:A clustered domestic model of residential aged care has been associated with better consumer-rated quality of care. Our objective was to examine differences in staffing structures between clustered domestic and standard models. METHODS:A cross-sectional study involving 541 individuals living in 17 Australian not-for-profit residential aged care homes. RESULTS:Four of the homes offered dementia-specific clustered domestic models of care with higher personal care attendant (PCA) hours-per-resident-per-day (mean [SD] 2.43 [0.29] vs. 1.74 [0.46], P < 0.001), slightly higher direct care hours-per-resident-per-day (2.66 [0.35] vs. 2.58 [0.44], P = 0.006), higher staff training costs ($1492 [258] vs. $989 [928], P < 0.001) and lower registered/enrolled nurse hours-per-resident-per-day (0.23 [0.10] vs. 0.85 [0.17], P < 0.001) compared to standard models. CONCLUSIONS:An Australian clustered domestic model of care had higher PCA hours, more staff training and more direct care time compared to standard models. Further research to determine optimal staffing structures within alternative models of care is warranted.
Keywords: health services for the aged
nursing homes
nursing staff
Rights: © 2019 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1111/ajag.12674
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