@article{a3ac42fc5a654b1db75b264ff0c8450b,
title = "Alternative staffing structures in a clustered domestic model of residential aged care in Australia",
abstract = "Objective: A clustered domestic model of residential aged care has been associated with better consumer-rated quality of care. Our objective was to examine differences in staffing structures between clustered domestic and standard models. Methods: A cross-sectional study involving 541 individuals living in 17 Australian not-for-profit residential aged care homes. Results: Four of the homes offered dementia-specific clustered domestic models of care with higher personal care attendant (PCA) hours-per-resident-per-day (mean [SD] 2.43 [0.29] vs. 1.74 [0.46], P < 0.001), slightly higher direct care hours-per-resident-per-day (2.66 [0.35] vs. 2.58 [0.44], P = 0.006), higher staff training costs ($1492 [258] vs. $989 [928], P < 0.001) and lower registered/enrolled nurse hours-per-resident-per-day (0.23 [0.10] vs. 0.85 [0.17], P < 0.001) compared to standard models. Conclusions: An Australian clustered domestic model of care had higher PCA hours, more staff training and more direct care time compared to standard models. Further research to determine optimal staffing structures within alternative models of care is warranted.",
keywords = "health services for the aged, nursing homes, nursing staff",
author = "Harrison, {Stephanie L.} and Dyer, {Suzanne M.} and Rachel Milte and Enwu Liu and Gnanamanickam, {Emmanuel S.} and Maria Crotty",
note = "Funding Information: The INSPIRED study is supported by funding from the National Health and Medical Research Council (NHMRC) Cognitive Decline Partnership Centre (CDPC Grant: GNT9100000). The aged care providers who are partners in the NHMRC CDPC provided information on the organisational structure and access to their aged care homes but played no role in the analysis or interpretation of the study findings. The contents of the published materials are solely the responsibility of the Administering Institution, Flinders University and the individual authors identified, and do not reflect the views of the NHMRC or any other Funding Bodies or the Funding Partners. Funding Information: We thank the INSPIRED study participants and their families for their participation in the study. The assistance of facility staff, care worker researchers, facility pharmacists and data collectors in each state is also gratefully acknowledged. The INSPIRED study is supported by funding from the National Health and Medical Research Council (NHMRC) Cognitive Decline Partnership Centre (CDPC Grant: GNT9100000). The aged care providers who are partners in the NHMRC CDPC provided information on the organisational structure and access to their aged care homes but played no role in the analysis or interpretation of the study findings. The contents of the published materials are solely the responsibility of the Administering Institution, Flinders University and the individual authors identified, and do not reflect the views of the NHMRC or any other Funding Bodies or the Funding Partners.",
year = "2019",
month = sep,
day = "1",
doi = "10.1111/ajag.12674",
language = "English",
volume = "38",
pages = "68--74",
journal = "Australasian journal on ageing",
issn = "1440-6381",
publisher = "Wiley-Blackwell",
number = "S2",
}