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How does accreditation influence staff perceptions of quality in residential aged care?

Anne Hogden (Australian Institute of Health Innovation, Macquarie University, Sydney, Australia)
David Greenfield (Australian Institute of Health Service Management, University of Tasmania, Sydney, Australia)
Mark Brandon (Health Care Informed Limited, Melbourne, Australia)
Deborah Debono (Centre for Health Services Management, Faculty of Health, University of Technology Sydney, Sydney, Australia)
Virginia Mumford (Australian Institute of Health Innovation, Macquarie University, Sydney, Australia)
Johanna Westbrook (Australian Institute of Health Innovation, Macquarie University, Sydney, Australia)
Jeffrey Braithwaite (Australian Institute of Health Innovation, Macquarie University, Sydney, Australia)

Quality in Ageing and Older Adults

ISSN: 1471-7794

Article publication date: 12 June 2017

Abstract

Purpose

Quality of care in the residential aged sector has changed over the past decade. The purpose of this paper is to examine these changes from the perspectives of staff to identify factors influencing quality of residential aged care, and the role and influence of an aged care accreditation programme.

Design/methodology/approach

Focus groups were held with 66 aged care staff from 11 Australian aged care facilities. Data from semi-structured interviews were analysed to capture categories representing participant views.

Findings

Participants reported two factors stimulating change: developments in the aged care regulatory and policy framework, and rising consumer expectations. Four corresponding effects on service quality were identified: increasing complexity of resident care, renewed built environments of aged care facilities, growing focus on resident-centred care and the influence of accreditation on resident quality of life. The accreditation programme was viewed as maintaining minimum standards of quality throughout regulatory and social change, yet was considered to lack capacity of itself to explicitly promote or improve resident quality of life.

Research limitations/implications

For an increasingly complex aged care population, regulatory and societal change has led to a shift in service provision from institutional care models to one that is becoming more responsive to consumer expectations. The capacity of long-established and relatively static accreditation standards to better accommodate changing consumer needs comes into question.

Originality/value

This is the first study to examine the relationship between accreditation and residential aged care service quality from the perspectives of staff, and offers a nuanced view of “quality” in this setting.

Keywords

Citation

Hogden, A., Greenfield, D., Brandon, M., Debono, D., Mumford, V., Westbrook, J. and Braithwaite, J. (2017), "How does accreditation influence staff perceptions of quality in residential aged care?", Quality in Ageing and Older Adults, Vol. 18 No. 2, pp. 131-144. https://doi.org/10.1108/QAOA-07-2016-0028

Publisher

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Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited