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dc.contributor.authorCrozier, M
dc.contributor.authorMuenchberger, H
dc.contributor.authorEhrlich, C
dc.date.accessioned2018-06-25T12:30:28Z
dc.date.available2018-06-25T12:30:28Z
dc.date.issued2015
dc.identifier.issn1037-6178
dc.identifier.doi10.1080/10376178.2015.1035862
dc.identifier.urihttp://hdl.handle.net/10072/99068
dc.description.abstractInadequate community housing and support for adults under 65 years with complex health needs often leads to residential aged care placement. In 2006, Australian government authorities funded a range of supported housing alternatives for younger adults requiring access to 24-hour support including the Integrated Living Model (ILM). The ILM provided purpose-built accommodation for 10–20 people and represented a change in practice from traditional 24/7 nursing care toward a more holistic, individualised approach. Aim: Examine workforce challenges in implementing disability service standards (DSS) within an ILM. Method: Thematic Analysis of workforce practices was conducted by coding staff interviews (n = 20) against the prevailing DSS. Results: Emerging challenges identified against each standard were: expectation management; coordination; client expertise; blurred boundaries; role confusion; valued status beyond client; unclear practice boundaries; multilayered communication; reflective practices; and mixed service model responses. Conclusion: This ILM setting requires workforce development in rights-based practice, personalisation and effective communication. Key paradigm shifts are also recommended.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherRoutledge
dc.relation.ispartofpagefrom169
dc.relation.ispartofpageto182
dc.relation.ispartofissue2-3
dc.relation.ispartofjournalContemporary Nurse
dc.relation.ispartofvolume50
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchSub-acute care
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420506
dc.titleBreaking traditions of practice: workforce challenges in implementing disability service standards within purpose-built accommodation for younger adults
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Human Services and Social Work
gro.hasfulltextNo Full Text
gro.griffith.authorZeeman, Heidi


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