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Barriers and enablers to leisure provision in residential aged care: personal care attendant perspectives


Stoddart, SR and Courtney-Pratt, H and Andrews, S, Barriers and enablers to leisure provision in residential aged care: personal care attendant perspectives, Ageing & Society pp. 1-21. ISSN 0144-686X (2022) [Refereed Article]


Copyright Statement

Copyright 2022 The Author(s). Published by Cambridge University Press Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.1017/S0144686X2200071X


This exploratory descriptive study investigated barriers and enablers to the provision of leisure activities for people living in three Australian residential aged care facilities (RACFs) that operated under a household model of care. This research is unique in the international context, as few studies have explored the understandings and experiences of personal care attendants' (PCAs) perceptions of what impacts leisure provision for people living in RACFs. Qualitative data were collected from 17 PCAs via four focus groups. Barriers to leisure provision were identified as PCA-resident ratios, competing demands of the PCA role and a prioritisation of physical care tasks over leisure-related activities. The severity of residents' dementia (cognitive and functional deficits) as well as behavioural and psychological symptoms of dementia were also framed as barriers to participation in and the provision of leisure. Participants identified enablers of leisure provision as related to perceptions of leisure, the experiential knowledge of staff, organisational support and resourcing. The study findings suggest that enhancing leisure provision for people living with dementia will require attention to system issues (i.e. staffing levels, ratios, PCA role demands) as well as PCA knowledge and capability to facilitate person-centred leisure.

Item Details

Item Type:Refereed Article
Keywords:dementia, leisure, residential aged care, barriers, enablers, personal care attendants
Research Division:Health Sciences
Research Group:Nursing
Research Field:Aged care nursing
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Stoddart, SR (Ms Sharon Stoddart)
UTAS Author:Courtney-Pratt, H (Dr Helen Courtney-Pratt)
UTAS Author:Andrews, S (Dr Sharon Andrews)
ID Code:151430
Year Published:2022
Deposited By:Nursing
Deposited On:2022-07-28
Last Modified:2022-12-20
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