A ‘True North Statement for Care’: charting the course to better care for all Australians
Rebecca K. Golley A * , Georgia Middleton
A , Michael T. Lawless A , Lucy Anastasi A , Alison L. Kitson A # and Raymond J. Chan A #
A
# These authors contributed equally to this paper.
Abstract
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.
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).
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.
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.
Keywords: care, care workforce, health services, person-centred, systems.
References
1 Braithwaite J. Changing how we think about healthcare improvement. BMJ 2018; 361: k2014.
| Crossref | Google Scholar | PubMed |
2 Braithwaite J, Glasziou P, Westbrook J. The three numbers you need to know about healthcare: the 60-30-10 Challenge. BMC Med 2020; 18(1): 102.
| Crossref | Google Scholar | PubMed |
3 Hughes G, Shaw SE, Greenhalgh T. Rethinking Integrated Care: A Systematic Hermeneutic Review of the Literature on Integrated Care Strategies and Concepts. Milbank Q 2020; 98(2): 446-92.
| Crossref | Google Scholar | PubMed |
4 Kitson A, Feo R, Lawless M, Arciuli J, Clark R, Golley R, et al. Towards a unifying caring life-course theory for better self-care and caring solutions: A discussion paper. J Adv Nurs 2022; 78(1): e6-e20.
| Crossref | Google Scholar | PubMed |
5 Charlesworth K, Jamieson M, Butler CD, Davey R. The future healthcare? Aust Health Rev 2015; 39(4): 444-7.
| Crossref | Google Scholar | PubMed |
6 Charlesworth K, Jamieson M, Davey R, Butler CD. Transformational change in healthcare: an examination of four case studies. Aust Health Rev 2016; 40(2): 163-7.
| Crossref | Google Scholar | PubMed |
7 Commonwealth of Australia. Royal Commission into Aged Care Quality and Safety. 2021. Available at https://www.royalcommission.gov.au/aged-care/final-report
8 Commonwealth of Australia. Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability. 2023. Available at https://www.royalcommission.gov.au/rounds/violence-abuse-neglect-and-exploitation-people-disability [accessed 16th May 2024].
9 Government of South Australia. Royal Commission into Early Childhood Education & Care. 2023. Available at https://www.royalcommissionecec.sa.gov.au/ [accessed 16 May 2024].
10 Kitson A, Carr D, Conroy T, Feo R, Grønkjær M, Huisman-de Waal G, et al. Speaking Up for Fundamental Care: the ILC Aalborg Statement. BMJ Open 2019; 9(12): e033077.
| Crossref | Google Scholar | PubMed |
11 Smallwood N, Bismark M, Willis K. Burn-out in the health workforce during the COVID-19 pandemic: opportunities for workplace and leadership approaches to improve well-being. BMJ Lead 2023; 7(3): 178-81.
| Crossref | Google Scholar | PubMed |
12 Löhr K, Weinhardt M, Sieber S. The “World Café” as a Participatory Method for Collecting Qualitative Data. Int J Qual Methods 2020; 19:.
| Crossref | Google Scholar |
13 Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs 2000; 32(4): 1008-15.
| Crossref | Google Scholar | PubMed |
14 Jünger S, Payne SA, Brine J, Radbruch L, Brearley SG. Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations based on a methodological systematic review. Palliat Med 2017; 31(8): 684-706.
| Crossref | Google Scholar | PubMed |
15 Microsoft. Microsoft Excel. 2024. Available at https://www.microsoft.com/en-au
16 Cisco Systems. Slido. 2024. Available at https://www.slido.com/
17 Microsoft. Microsoft Word. 2024. Available at https://www.microsoft.com/en-au
18 Grinspun D, Wallace K, Li SA, McNeill S, Squires JE, Bujalance J, et al. Exploring social movement concepts and actions in a knowledge uptake and sustainability context: A concept analysis. Int J Nurs Sci 2022; 9(4): 411-21.
| Crossref | Google Scholar | PubMed |
20 Nathanson CA. Social Movements as Catalysts for Policy Change: The Case of Smoking and Guns. J Health Polit Policy Law 1999; 24(3): 421-88.
| Crossref | Google Scholar | PubMed |
21 Jacobson PD, Banerjee A. Social movements and human rights rhetoric in tobacco control. Tob Control 2005; 14(Suppl 2): ii45-9.
| Crossref | Google Scholar |
22 Jiménez Thomas Rodriguez D, Harper C, George R. Mobilising for change: how women’s social movements are transforming gender norms. ALIGN Report. London; 2021. Available at https://www.alignplatform.org/resources/report-mobilising-for-change
23 Department of Health. Future focused primary health care: Australia’s Primary Health Care 10 Year Plan 2022–2032. 2022. Available at https://www.health.gov.au/resources/publications/australias-primary-health-care-10-year-plan-2022-2032?language=en
24 Department of Health. National Preventive Health Strategy 2021–2030. 2021. Available at https://www.health.gov.au/resources/publications/national-preventive-health-strategy-2021-2030?language=en
25 Australian Digital Health Agency. National Digital Health Strategy Delivery Roadmap 2023–2028. Sydney; 2023. Available at https://www.digitalhealth.gov.au/sites/default/files/documents/national-digital-health-strategy-roadmap-2023-2028.pdf
26 Croker A, Fisher K, Hungerford P, Gourlay J, May J, Lees S, et al. Developing a meta-understanding of ‘human aspects’ of providing palliative care. Palliat Care Soc Pract 2022; 16: 26323524221083679.
| Crossref | Google Scholar | PubMed |
27 Morgan JC, Dill J, Kalleberg AL. The quality of healthcare jobs: can intrinsic rewards compensate for low extrinsic rewards? Work Employ Soc 2013; 27(5): 802-22.
| Crossref | Google Scholar |
28 Veras RP, Caldas CP, Motta LB, Lima KC, Siqueira RC, Rodrigues RT, et al. Integration and continuity of Care in health care network models for frail older adults. Rev Saude Publica 2014; 48(2): 357-65.
| Crossref | Google Scholar | PubMed |
29 Mumtaz H, Riaz MH, Wajid H, Saqib M, Zeeshan MH, Khan SE, et al. Current challenges and potential solutions to the use of digital health technologies in evidence generation: a narrative review. Front Digit Health 2023; 5: 1203945.
| Crossref | Google Scholar | PubMed |
30 Atkins D, Kilbourne AM, Shulkin D. Moving From Discovery to System-Wide Change: The Role of Research in a Learning Health Care System: Experience from Three Decades of Health Systems Research in the Veterans Health Administration. Annu Rev Public Health 2017; 38: 467-87.
| Crossref | Google Scholar |
31 Bragge P, Horvat L, McKinlay L, Borg K, Macleod-Smith B, Wright B. From policy to practice: prioritizing person-centred healthcare actions in the state of Victoria. Health Res Policy Syst 2021; 19(1): 133.
| Crossref | Google Scholar | PubMed |
32 Chan RJ, Knowles R, Hunter S, Conroy T, Tieu M, Kitson A. From Evidence-Based Practice to Knowledge Translation: What Is the Difference? What Are the Roles of Nurse Leaders? Semin Oncol Nurs 2023; 39(1): 151363.
| Crossref | Google Scholar | PubMed |
33 Lewis S. The cultural shift towards a value-based approach to healthcare. Aust Health Rev 2024; 48(2): 111-2.
| Crossref | Google Scholar | PubMed |
34 Kitson A, Brook A, Harvey G, Jordan Z, Marshall R, O’Shea R, et al. Using Complexity and Network Concepts to Inform Healthcare Knowledge Translation. Int J Health Policy Manag 2018; 7(3): 231-43.
| Crossref | Google Scholar | PubMed |
37 Cancer Australia. Australian Cancer Plan: Australian Government; 2024. Available at https://www.australiancancerplan.gov.au/welcome
38 Wellington M, Whiting E, Searle D, Kreis M, Cross E. Driving value-based healthcare through a new vision for Queensland’s health system. Aust Health Rev 2024; 48(2): 129-33.
| Crossref | Google Scholar | PubMed |
