How provider organisations interpret regulation in the context of residential dementia aged care

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http://hdl.handle.net/10138/310970

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Biggs , S & Carr , A 2019 , ' How provider organisations interpret regulation in the context of residential dementia aged care ' , Australasian Journal on Ageing , vol. 38 , pp. 83-89 . https://doi.org/10.1111/ajag.12634

Title: How provider organisations interpret regulation in the context of residential dementia aged care
Author: Biggs, Simon; Carr, Ashley
Contributor: University of Helsinki, Faculty of Social Sciences
Date: 2019-09
Language: eng
Number of pages: 7
Belongs to series: Australasian Journal on Ageing
ISSN: 1440-6381
URI: http://hdl.handle.net/10138/310970
Abstract: Objective To explore how Australian residential dementia aged care providers respond to regulation via organisational culture, level, processes and interpretation. Methods Observation took place in three provider organisations. Qualitative, semi-structured in-depth interviews were conducted with aged care staff (n = 60) at three different levels of each organisation: senior management from three head offices (n = 17), facility management (n = 13) and personal care workers (n = 30) from eight residential care facilities. Results Orientations towards regulation included the following: "above and beyond;" "pushing back;" and "engineering out." Regulation was interpreted differently depending on the level of authority within an organisation where boundaries were managed according to strategic, operational and interactional priorities. Discussion Examining regulation within an organisational context and at different staff levels suggests ways to balance dementia care with regulatory control. Both generate stress, mitigated by culture and interdependent role differentiation.
Subject: care work
dementia
management
organisations
regulation
stress
5141 Sociology
515 Psychology
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