Format

Send to

Choose Destination
J Cross Cult Gerontol. 2019 Dec 20. doi: 10.1007/s10823-019-09387-3. [Epub ahead of print]

Embracing Cultural Diversity - Leadership Perspectives on Championing Meaningful Engagement for Residents Living with Advanced Dementia.

Author information

1
The University of Sydney, Sydney, Australia. sanet.dutoit@sydney.edu.au.
2
Faculty of Medicine and Health, The University of Sydney, 75 East Street, J111, Cumberland Campus, Lidcombe, NSW, 2141, Australia. sanet.dutoit@sydney.edu.au.
3
The University of Western Australia, Perth, Australia.
4
Shawnee State University, Portsmouth, OH, USA.
5
Royal Perth Hospital, Perth, Australia.
6
University of Cape Town, Cape Town, South Africa.
7
Australian Catholic University, Sydney, Australia.
8
Brunel University, London, UK.
9
The University of Auckland, Auckland, New Zealand.
10
Curtin University, Perth, Australia.
11
The University of Sydney, Sydney, Australia.

Abstract

Resource constraints and high staff turnover are perceived as substantial barriers to high quality residential aged care. Achieving relationship-focused, person-centered care (PCC) is an ongoing challenge. This paper reports on an international project that explored how residential care leadership understand meaningful engagement for residents with dementia from culturally and linguistically diverse (CALD) backgrounds. This paper critically appraises the process, and outcomes, of an adapted Delphi method. Participants were the residential care leadership (i.e. staff in supervisory capacity) from four international facilities. Participation in the Delphi process was limited even though surveys were designed to require minimal time for completion. No participants opted for the alternative option of being interviewed. Findings indicate that residential care leadership recognised the importance of meaningful engagement for residents from CALD backgrounds. Limitations of time, resources and policy infrastructure were cited as barriers to achieving PCC. These findings suggest that facility leadership understand the importance of PCC, but identify multiple barriers rather than enablers for delivering PCC. Alternative methods, such as collecting data in interactive sessions allowing real-time discussion should be initiated to more effectively engage residential care leaders for a collaborative approach to explore PCC practices.

KEYWORDS:

Adapted Delphi technique; Culturally and linguistically diverse residents; Meaningful engagement; Person-centered care; Residential aged care

PMID:
31863260
DOI:
10.1007/s10823-019-09387-3

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center