Context assessments (inner context and recipients)
dementia
RECRUITMENT
Key findings from the organisational context assessment included capacity and capability enablers such as strong clinical governance structures; the availability of Senior Clinical Nurse Advisors (SCNAs) for key specialties within the aged care provider (including continence, dementia, and palliative care); availability of an integrated system for all residents’ information; and availability of a learning management system which already included modules on deterioration. There was no evidence that trial RAC homes had bladder scanners or the proposed vital sign monitors onsite at that time, making the EDDIE + intervention potentially attractive to RAC home staff. This organisational level context assessment also recognised barriers such as information transfer between RAC homes and the hospital system, and long-term systemic issues within the broader aged care sector around staff recruitment and retention. These findings further emphasised the need for the local level facilitation, and connection between nurses and PCWs and internal support structures such as the SCNAs. Results from local RAC home level context assessments were undertaken during the trial phase (not during development) so will be reported elsewhere.