@article{
 title = {Fear and overprotection in Australian residential aged care facilities: The inadvertent impact of regulation on quality continence care},
 type = {article},
 year = {2015},
 identifiers = {[object Object]},
 keywords = {incontinence,quality of health care,regulation,residential aged care facility},
 month = {9},
 publisher = {AJA Inc},
 day = {13},
 city = {Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.; Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada.; Centre for Quality and Patient Safety Research, S},
 id = {5735003e-2c5c-3fc2-b337-42301346126a},
 created = {2016-08-20T16:52:29.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {LR: 20150915; CI: (c) 2015; JID: 9808874; OTO: NOTNLM; aheadofprint},
 folder_uuids = {63a49397-62a3-4051-829d-7112ba34c71e,06271a48-ad48-43cc-b073-52e57f10f5e1},
 private_publication = {false},
 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. 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. 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. CONCLUSION: There is a need to rethink the quality of continence care and its measurement in Australian residential aged care facilities.},
 bibtype = {article},
 author = {Ostaszkiewicz, J and O'Connell, B and Dunning, T},
 journal = {Australasian journal on ageing}
}

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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. 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. 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. CONCLUSION: There is a need to rethink the quality of continence care and its measurement in Australian residential aged care facilities.","bibtype":"article","author":"Ostaszkiewicz, J and O'Connell, B and Dunning, T","journal":"Australasian journal on ageing","bibtex":"@article{\n title = {Fear and overprotection in Australian residential aged care facilities: The inadvertent impact of regulation on quality continence care},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n keywords = {incontinence,quality of health care,regulation,residential aged care facility},\n month = {9},\n publisher = {AJA Inc},\n day = {13},\n city = {Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.; Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada.; Centre for Quality and Patient Safety Research, S},\n id = {5735003e-2c5c-3fc2-b337-42301346126a},\n created = {2016-08-20T16:52:29.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {LR: 20150915; CI: (c) 2015; JID: 9808874; OTO: NOTNLM; aheadofprint},\n folder_uuids = {63a49397-62a3-4051-829d-7112ba34c71e,06271a48-ad48-43cc-b073-52e57f10f5e1},\n private_publication = {false},\n 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. 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. 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. 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