Best practice models of Aged care implemented for First Nations people: a systematic review aligned with the Good Spirit Good Life quality of life principles

Author:

Rivers Caleb1,Haynes Emma1,LoGiudice Dina2,Smith Kate1,Bessarab Dawn1

Affiliation:

1. University of Western Australia

2. University of Melbourne

Abstract

Abstract Development and delivery of aged-care programs based in a First Nations worldview to First Nations Elders is believed to translate to improved quality of life. First Nations perspectives of health and well-being incorporates social and cultural determinants in addition to traditional Western biomedical approaches. The Australian Royal Commission into Aged Care which identifies a need for culturally-appropriate aged care represents a strong policy driver in undertaking this work. We undertook a systematic review of the available evidence regarding implementation of culturally appropriate measures into models of practice. The sixteen included articles were systematically assessed and thematically analysed. The Good Spirit Good Life (GSGL) tool consists of 12 strength-based factors determined by First Nations Elders as constituting culturally appropriate aging. The publications included in this review were assessed as demonstrating a strong alignment with these 12 factors and a general consensus surrounding the constituents of aging well for First Nations Elders. From our findings, we identified that best-practice regarding First Nations ageing requires a decolonising approach involving top-down systematic change within organisations. This review contributes to an understanding of the enablers of best-practice models of care and supports determining strategies for the effective implementation of the 12 GSGL factors.

Publisher

Research Square Platform LLC

Reference69 articles.

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