![]() Hearing and vision impairments and the use of audio-visual aids are associated with cognitive decline in community-dwelling older people, but effects in long-term care facilities (LFCF) are unclear. Commonalities in their responses indicate the potential for a greater level of collaboration among the health and allied health professions. The diversity in issues to which participants drew attention highlights the importance of obtaining the perspectives of a broad range of practitioners providing services to RACF residents to achieving excellence in the sector. Under each of these themes, participants referred to issues closely related to the concerns of their particular professions as well as those more general in nature. Thematic analysis yielded five themes, which correspond with different dimensions or ways of understanding excellence, including resident well-being, residences as a true home, good practice models, effective management and skilled staff, and unmet needs. The interviews focused on how practitioners perceived excellence within RACFs. In a qualitative, exploratory designed study, interviews were undertaken with seventeen participants from 10 health and allied health disciplines (general practice, dentistry, pharmacy, psychiatry, psychology, neuropsychology, physiotherapy, speech pathology, occupational therapy and palliative care) with experience of working in Victorian RACFs. To identify factors that health and allied health practitioners consider central to excellence in residential aged care facilities (RACFs) with the objective of supporting improvements in monitoring, accountability and service delivery within the sector. Studies drawing on resident perspectives have found that residents wish to be treated with dignity and respect, and to experience both supportive relationships and a degree of autonomy. 4 Australian and international qualitative research has also sought to identify a range of factors relevant to highquality care. 3 Caughey and colleagues' recent survey of quality and safety indicators found that common across indicator sets were an emphasis on activities of daily living limitations and abilities use of restraints changes in psychological and cognitive symptoms kinds of pain and injuries and use of medication. ![]() 2 Internationally, a range of indicators for quality care have been developed, progress against which has been measured using tools such as the Resident Assessment Instrument minimum data set-which collects the minimum amount of data required to guide planning and monitoring for residents in long-term care and has its origins in sector reforms in the United States in the 1980ssurveys, health-care records and registries.
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