Resident-staff interactions: a challenge for quality residential aged care

Objectives: This paper describes one facet of a study to develop and implement a "best practice model" of residential care for older people. The purpose of this facet of the larger study was to describe the current interactional context of a residential aged care facility. Method: A total of 2,848 observations of resident-staff interactions were made and coded according to Baltes' observational schedule. Coder inter-rater reliability was maintained at 90% (Cohen's Kappa). Results: Residents were alone 40% of the time they were observed. The dominant pattern of staff interaction with residents was to not engage in direct verbal or nonverbal communication or physical contact. The dominant response by staff to resident independence was to make no response. The dominant staff response to resident dependence was to support that dependence. Conclusions: Residential aged care practice continues to be focused on technology, and tasks and interactions between residents and staff continue to be dependency-supporting.