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The Australian Ageing Research Agenda the researcher perspective

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Title: The Australian Ageing Research Agenda the researcher perspective


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.
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