Premium
Alternative staffing structures in a clustered domestic model of residential aged care in Australia
Author(s) -
Harrison Stephanie L.,
Dyer Suzanne M.,
Milte Rachel,
Liu Enwu,
Gnanamanickam Emmanuel S.,
Crotty Maria
Publication year - 2019
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12674
Subject(s) - staffing , aged care , medicine , nursing homes , residential care , demography , nursing , gerontology , sociology
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.