The work of front line community aged care staff and the impact of a changing policy landscape and consumer-directed care

Prgomet, Mirela, Douglas, Heather E., Tariq, Amina, Georgiou, Andrew, Armour, Pauline, & Westbrook, Johanna I. (2016) The work of front line community aged care staff and the impact of a changing policy landscape and consumer-directed care. British Journal of Social Work. (In Press)

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Abstract

Community aged care in Australia is facing both challenges and opportunities with the introduction of consumer-directed care and its goal to provide clients with greater choice and control over their care services. Such policy changes impact not only aged care organisations, but front line staff who manage and deliver care. This study investigated the work of front line staff and their perceptions of the impact of a changing policy landscape. Focus groups were conducted with thirteen care workers and six case managers from one Australian aged care organisation. The data revealed valuable information about the: daily activities of front line staff; information exchange mechanisms facilitating front line work; management of clients and client relationships; and implications of policy and organisational changes on front line work and clients. Front line staff highlighted the importance of care coordination, communication and continuity of care delivery, all of which impact on client relationships and quality of care. For aged care organisations and policy makers, the findings identify important areas for consideration when making decisions about changes to community care, including the key role of front line staff in fostering client relationships, providing consistency and continuity, balancing the needs and expectations of clients, and providing support and advocacy of care options.

Impact and interest:

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ID Code: 99533
Item Type: Journal Article
Refereed: Yes
Keywords: Community care, care management, care working, older people, choice, personalisation
DOI: 10.1093/bjsw/bcw112
ISSN: 1468-263X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Aged Health Care (111702)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health and Community Services (111708)
Australian and New Zealand Standard Research Classification > STUDIES IN HUMAN SOCIETY (160000) > SOCIAL WORK (160700) > Counselling Welfare and Community Services (160702)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2016 The Authors
Copyright Statement: This is a pre-copyedited, author-produced PDF of an article accepted for publication in British Journal of Social Work following peer review. The version of record [insert complete citation information here] is available online at: xxxxxxx [insert URL that the author will receive upon publication here]
Deposited On: 26 Sep 2016 00:29
Last Modified: 04 Oct 2016 22:53

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