Abstract
Background: New Zealand mirrors global population dynamics experiencing an unprecedented growth in the number of older adults with an increased need for care provision. Literature and policy have seen a fundamental shift from a dependency to a restorative style of care, focused on maximising one's level of function. However, a gap exists regarding the extent of the experiences of restorative care (RC) of older adults living in aged residential care (ARC) and the extent of its implementation.
Aim: This research aimed to obtain the qualitative experiences of RC of older adults living in ARC.
Method: A qualitative descriptive research methodology was used with purposive sampling, one-on-one semi-structured interviews, and thematic data analysis.
Results: The analysis revealed the pivotal role of the ARC environment and employed Healthcare Professionals (HCPs) in shaping the experiences of older adults. These ranged from positively enhancing RC through passive enablement, reactive enablement and active facilitation to the prevention of RC through inherent barriers and limitations, a prevailing dependency-style-of-care and active disablement. Older adults and their external ecosystem played a significant role in the implementation of RC. The impacts of care experiences on older adults encompassed both positive and negative effects on their emotional and physical well-being, often influenced by the circumstances of their transition to ARC.
Significance: This research responds to global and national calls for data collection, analysis and reporting of the progress and implementation of strategies on healthy ageing. It suggests that while aspects of RC are being implemented to some extent, this is hindered by systemic environmental barriers and a dependency style of care prevails. Future recommendations include transitioning towards a relational autonomy approach and education and training sessions on RC for HCPs, older adults and families alongside broader cultural and environmental shifts.