Nurses' experiences of practice and political reform in long-term aged care in Australia : implications for the retention of nursing personnel

Venturato, Lorraine, Kellett, Ursula, & Windsor, Carol A. (2007) Nurses' experiences of practice and political reform in long-term aged care in Australia : implications for the retention of nursing personnel. Journal of Nursing Management, 15(1), pp. 4-11.

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gerontological nursing;health care reform;health policy;long-term care;recruitment and retention


The aim of the study was to explore registered nurses’ experiences in long-term aged care in light of the political reform of aged care services in Australia.


In Australia, the aged care industry has undergone a lengthy period of political and structural reform. Despite reviews into various aspects of these reforms, there has been little consideration of the effect these are having on the practice experiences and retention of nursing staff in long-term care.


In this critical hermeneutic study, 14 nurses from long-term care facilities in Australia were interviewed about their experiences during the reform period.


The data revealed a sense of tension and conflict between nurses’ traditional values, roles and responsibilities and those supported by the reforms. Nurses struggled to renegotiate both their practice roles and values as the reforms were implemented and the system evolved. Nursing management support was an important aspect in mediating the effect of reforms on nursing staff.


This research highlights both the tensions experienced by nurses in long-term aged care in Australia and the need to renegotiate nursing roles, responsibilities and values within an evolving care system. This research supports a role for sensitive and proactive nursing management during periods of industry reform as a retention strategy for qualified nursing personnel.

Impact and interest:

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ID Code: 63854
Item Type: Journal Article
Refereed: Yes
Keywords: gerontological nursing, health care reform, health policy, long-term care, recruitment and retention
DOI: 10.1111/j.1365-2934.2006.00610.x
ISSN: 1365-2834
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2007 John Wiley & Sons, Inc
Deposited On: 01 Nov 2013 01:20
Last Modified: 25 Nov 2013 04:47

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