Mixed methods

Bauer, M., Nay, R., Bathgate, T., Fetherstonhaugh, D., Winbolt, M., & McAuliffe, L.

Constructive staff/family relationships in residential aged care. (2009) [43]

Staff and families

To identify and address barriers to constructive staff-family relationships

Australia

Interview & 2 Questionnaires

(34 item adapted version of previously developed British survey tools)

Education

Enabler

Staff and family education in PCC, information exchange and communication to facilitate improvements in staff-family relationships.

Barrier

Differences in staff and family perceptions about information exchange and communication (SDM).

Blackford, J., Strickland, E & Morris, B.

Advanced care planning in residential aged care facilities. (2007) [44]

Staff

To describe lessons learned in implementing an advanced care planning program

Australia

Case studies

Interviews

Questionnaire (unspecified)

Informal feedback

ACP

Education

Documentation, communication and enacting

Enabler

Collaborative decision making was facilitated by introduction of advanced care planning.

Barrier

Sustainability depended on governance structures, educational processes, resident documentation, quality audits and communication. Varying success of sustainability over time. Resources and continued staff education are required over a long time period.

Case study

Jeong, S., Higgins, I & McMillan, M. Advance care planning (ACP): The nurse as “broker” in residential aged care facilities. (2007) [45]

Residents, families and staff

To describe how advanced care planning is implemented and the role of a clinical nurse consultant

Australia

Case studies in 3 RACF’s.

ACP

Enacting

Enabler

Decision support and education for staff and families. Additional staff performed roles of mediation, assessment, intervention, coordination, communication and education in advanced care planning.