Embracing cultural diversity – leadership perspectives on championing meaningful engagement for residents living with advanced dementia

Sanetta Du Toit, Loretta Baldassar, Christine Raber, Adele Millard, Christopher Etherton-Beer, Helen Buchanan, Daniel Du Toit, Lesley Collier, Gary Cheung, Kathrine Peri, Eileen Webb, Meryl Lovarini

Research output: Contribution to journalArticle

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.
Original languageEnglish
JournalJournal of Cross-Cultural Gerontology
DOIs
Publication statusE-pub ahead of print - 20 Dec 2019

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Cultural Diversity
cultural diversity
dementia
Dementia
leadership
resident
human being
staff
turnover
resources
leader
infrastructure

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Du Toit, Sanetta ; Baldassar, Loretta ; Raber, Christine ; Millard, Adele ; Etherton-Beer, Christopher ; Buchanan, Helen ; Du Toit, Daniel ; Collier, Lesley ; Cheung, Gary ; Peri, Kathrine ; Webb, Eileen ; Lovarini, Meryl. / Embracing cultural diversity – leadership perspectives on championing meaningful engagement for residents living with advanced dementia. In: Journal of Cross-Cultural Gerontology. 2019.
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Embracing cultural diversity – leadership perspectives on championing meaningful engagement for residents living with advanced dementia. / Du Toit, Sanetta; Baldassar, Loretta; Raber, Christine; Millard, Adele; Etherton-Beer, Christopher; Buchanan, Helen; Du Toit, Daniel; Collier, Lesley; Cheung, Gary; Peri, Kathrine; Webb, Eileen; Lovarini, Meryl.

In: Journal of Cross-Cultural Gerontology, 20.12.2019.

Research output: Contribution to journalArticle

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AU - Baldassar, Loretta

AU - Raber, Christine

AU - Millard, Adele

AU - Etherton-Beer, Christopher

AU - Buchanan, Helen

AU - Du Toit, Daniel

AU - Collier, Lesley

AU - Cheung, Gary

AU - Peri, Kathrine

AU - Webb, Eileen

AU - Lovarini, Meryl

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AB - 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.

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