Journal article

“We have to work within the system!”: Staff perceptions of organizational barriers to decision making for older adults with dementia in Australian aged care facilities

L Tarzia, D Fetherstonhaugh, M Bauer, E Beattie, R Nay

Research in Gerontological Nursing | Published : 2015

Abstract

The current study explored the perceptions of direct care staff working in Australian residential aged care facilities (RACFs) regarding the organizational barriers that they believe prevent them from facili­tating decision making for individuals with dementia. Normalization process theory (NPT) was used to interpret the findings to understand these barriers in a broader context. The qualitative study involved semi-structured interviews (N = 41) and focus groups (N = 8) with 80 direct care staff members of all levels working in Australian RACFs. Data collection and analysis were conducted in parallel and followed a sys­tematic, inductive approach in line with grounded theory. The perceptions..

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Funding Acknowledgements

The authors have disclosed no potential conflicts of interest, financial or otherwise. This project was funded by the Dementia Collaborative Research Centre-Carers and Consumers as part of the Australian Government's Dementia Initiative. The views expressed in this work are the views of the authors and not necessarily those of the Australian Government. The funding body played no part in the study design, data collection, analysis, and interpretation of data, or in writing this article.