A 'True North Statement for Care': charting the course to better care for all Australians.

Rebecca K Golley, Georgia Middleton, Michael T Lawless, Lucy Anastasi, Alison L Kitson, Raymond J Chan
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Abstract

Objective To shift the narrative from 'deficit dialogues' in health and social care in Australia, we aimed to generate a series of consensus 'ambition' statements representing what peak care stakeholders in Australia want health and social care to look like in the future. Methods A multiphase co-design study with Australian 'care' stakeholders was undertaken. This consisted of a desk-based audit of Australian health and social care organisations (n =9) and a pre-forum survey (n =21 responses) (activity 1), the findings of which informed the national forum activities (activity 2, n =31 organisations), which became the content for the Delphi survey (activity 3, n =28 organisations). Results Through this process we distilled five ambition statements and 39 descriptors. These statements are our True North Statement for Better Care, providing a starting point to guide individual, organisation and system redesign across the life span. The statements require action at individual consumer, workforce and system level. Conclusions Creating the True North Statement for Better Care provides a united direction for heterogeneous groups to work together to improve care for consumers, their workforce and the systems they work in. This is an important initiative to change the way we value, talk about, do, own and research care. Further user testing is required to ensure the statements can be translated into action.

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一份“真正的北方关怀声明”:为所有澳大利亚人提供更好的关怀。
为了改变澳大利亚医疗和社会护理领域的 "赤字对话",我们旨在制定一系列共识性的 "雄心 "声明,这些声明代表了澳大利亚高峰护理利益相关者对未来医疗和社会护理的期望。其中包括对澳大利亚医疗和社会护理机构的案头审核(9 家)和论坛前调查(21 家机构参与)(活动 1),其结果为全国论坛活动(活动 2,31 家机构参与)提供了参考,并成为德尔菲调查(活动 3,28 家机构参与)的内容。这些声明就是我们的 "更好护理的真北声明",为指导个人、组织和系统在整个生命周期内进行重新设计提供了一个起点。这些声明要求在消费者个人、员工队伍和系统层面上采取行动。结论:《"真正的北方 "改善护理声明》为不同群体提供了一个统一的方向,使他们能够共同努力,改善对消费者、员工队伍和系统的护理。这是一项改变我们对护理的重视、谈论、实践、拥有和研究方式的重要举措。还需要进一步的用户测试,以确保这些声明能够转化为行动。
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