1 / 14

The Australian Ageing Research Agenda – the researcher perspective

The Australian Ageing Research Agenda – the researcher perspective. Rhonda Nay Professor/Director Gerontic Nursing Clinical School and ACEBAC La Trobe University /BECC. How are we defining ‘Policy’?. Are we assuming practice guidelines are policy?

kaden
Download Presentation

The Australian Ageing Research Agenda – the researcher perspective

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Australian Ageing Research Agenda – the researcher perspective Rhonda Nay Professor/Director Gerontic Nursing Clinical School and ACEBAC La Trobe University /BECC

  2. How are we defining ‘Policy’? • Are we assuming practice guidelines are policy? • If not – practice/care again the poor third cousin!

  3. Where is Care? • Funding – • not age-related • Bio-medical • Healthy ageing • BUT what about CARE?

  4. Care research • Aged care – • up to 56% acute bed days • Approx 20% formal care • Approx 5% high care/ 25% will experience and rising • ? SRSs • Insufficient health professionals – collaboration essential – BUT research models and outcomes??

  5. Care and Policy • Policy is important to care • Who will provide • Under what circumstances • Skills mix • In what environment • Who will fund!

  6. Care and Policy • Across the continuum • Impact on providers; • Appropriate educational preparation • Funding to support • New employment structures and roles • Collaboration essential

  7. Ageing and Practice Issues • Most Systematic Reviews demonstrate paucity of evidence to inform nursing/care • How can care be evidence-based if no evidence?? • Research/funding essential • Good care can reduce acute admission/readmission/ from home or RACF; decrease LOS; reduce adverse advents, reduce RACF admissions; costs etc etc AND improve QoL in any environment.

  8. Re-defining evidence • Drug effectiveness for dementia – RCT • Maybe?? Co-morbidities • The experience of dementia for the person, family and staff – qualitative • Getting policy and practice - relevant evidence and changing practice – action research. • Qualitative research - synthesis

  9. How to get the evidence • Broad range of practitioners and policy makers involved in setting research agenda and funding processes • Must be relevant to current and anticipated need • Must be accessible – academic journals not necessarily read by practitioners • Implementation and evaluation of research findings

  10. Research • Research teams that reflect rhetoric of holistic care – eg Virtual faculty (G. Andrews)– BUT of ALL aspects of AGEING population and people. • Policy impacts real people not bits of them. • Advice from end-users to researchers and funders.

  11. Research into care • Most older people will require care • Do we remember the drugs? • Machines? • NO – the care that made it bearable and kept us feeling human!

  12. So: • Understanding cause, prevention, cure; maintenance therapies essential • BUT • So is care • Rhetoric of consumer participation and holistic approaches not matched by research priorities and funding

  13. Care • Specialisation = fragmentation • Chronic illnesses; dying major challenges • Collaboration • Use of IT - Communication across disciplines/ between client and provider. • Ethics of care decisions • The need for understanding good care has never been greater

  14. Selected references • A Report to the Australian Health Ministers' Conference from Australian Health Care Agreement Reference Groups September 2002 http://www.health.gov.au/haf/ahca.htm • Flemming K. EBN Notebook: Asking answerable questions. Evidence Based Nursing 1998; 1(2):36-37. • Kitson A. Recognising relationships: reflections on evidence-based practice. Nursing Inquiry 2002; 9(3):179-186. • Koch, W and Tiaziani, A (forthcoming) Current and Future Trends in Gerontic Nursing Research. In Nay, R and Garratt, S Nursing Older People: Issues and Innovations, Elsevier: Sydney. • Pearson, A. (forthcoming) Evidence based practice – quality through research. In Nay, R and Garratt, S Nursing Older People: Issues and Innovations, Elsevier: Sydney.

More Related