TeamCare: Development and Evaluation of an Evidence Based Model for Supporting Safer, Quality Care Delivery to Residents in Aged Care Facilities
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This paper reports on the evaluation of a teamwork intervention designed to introduce four evidence-based teamwork protocols. The aim of the intervention was to standardize and improve team communication and team leadership in care delivered in a residential aged care facility. The evaluation framework examined changes in understanding and practice of the new teamwork protocols, as well as evolution of leadership from hierarchical, command-and-control style of traditional nursing, to a preferred distributed leadership. Of the four teams involved in training, only one successfully transitioned to working with the new protocols. This outcome is analyzed in terms of whole of organization factors impacting on practice change at the care delivery interface.
KeywordsAged care workforce Aged care culture Team based care Organizational change
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interests.
As this was deemed a QI project undertaken as an organizational development activity, no personal information was solicited and written consent was deemed unnecessary by the HHREC. Consent to participate was given through the voluntary attendance of staff at focus groups or interviews. Staff were assured that qualitative data would be aggregated so that in general no-one’s responses would be identifiable. The exception to this were interview responses by the site manager who is specifically identified in the manuscript. This site manager has reviewed the manuscript and given her permission for her feedback to be identifiable.
Ethical Treatment of Experimental Subjects (Animal and Human)
This research was approved by the Helping Hand Research Ethics Committee (HHREC, constituted in accordance with the requirements of the Australian National Health and Medical Research Council) and performed in accordance with ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The research was classified as a quality improvement (QI) study, funded by the Commonwealth of Australia through the Health Workforce Australia: Aged Care Workforce Reform Program, in 2012–2013.
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