Senior staff experiences of implementing a reablement model in community care.

Abstract

Background In 2018, a community care organisation in Northwest Tasmania collaborated with University of Tasmania researchers to develop and implement a strategy for incorporating a reablement-based model of care into their service delivery model as a core organisational approach to care. This study aimed to investigate the long-term outcomes from the initial reablement education to improve our understanding of the needs of staff and clients of community care organisations. Methods The research explored the impact of reablement on client outcomes and how reablement can be translated across organisations. A qualitative research method was utilised to explore experiences of senior staff 2years after the first reablement education sessions. Two focus groups were held 4weeks apart. Nine senior staff participated in focus group one and seven in focus group two. Results Three key themes emerged; reablement needs an appropriate governance and organisational strategy; reablement is a beneficial practice; and strong organisational culture supports reablement. Achieving long-term outcomes involves integrating reablement into working practices and this remains challenging due to organisational constraints. Conclusions This study contributes to the growing body of evidence that shifting underlying practices in community care from 'doing for' to 'doing with' involves a major change of behaviour and practice for individuals and organisations.