@article{ref1,
title="Fear and overprotection in Australian residential aged care facilities: the inadvertent impact of regulation on quality continence care",
journal="Australasian journal on ageing",
year="2015",
author="Ostaszkiewicz, Joan and O'Connell, Beverly and Dunning, Trisha",
volume="35",
number="2",
pages="119-126",
abstract="AIM: Most residents in residential aged care facilities are incontinent. This study explored how continence care was provided in residential aged care facilities, and describes a subset of data about staffs' beliefs and experiences of the quality framework and the funding model on residents' continence care. <br><br>METHODS: Using grounded theory methodology, 18 residential aged care staff members were interviewed and 88 hours of field observations conducted in two facilities. Data were analysed using a combination of inductive and deductive analytic procedures. <br><br>RESULTS: Staffs' beliefs and experiences about the requirements of the quality framework and the funding model fostered a climate of fear and risk adversity that had multiple unintended effects on residents' continence care, incentivising dependence on continence management, and equating effective continence care with effective pad use. <br><br>CONCLUSION: There is a need to rethink the quality of continence care and its measurement in Australian residential aged care facilities.<p /> <p>Language: en</p>",
language="en",
issn="1440-6381",
doi="10.1111/ajag.12218",
url="http://dx.doi.org/10.1111/ajag.12218"
}