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Linda Justin

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Linda Justin

DOCTOR OF PHILOSOPHY

Linda is a Non-Executive Director with National and International for Purpose Organizations, chairing subcommittees in a dynamic policy environment, with emerging risks for these organisations and the vulnerable populations they serve. 

Linda has been a Management Consultant and held Executive roles across health and social services, in the NGO, public and private sectors. 

Linda has worked with Boards and Leaders facilitating the design and development of their strategic direction. Through collaboration and co-design, she has led teams to achieve cultural transformation and operational excellence by placing client/customer quality and service at the centre of an organisation. 

Linda has worked with several national and international health organisations and policy committees. She is a regular international speaker. 

RESEARCH THESIS

Who do  you say I am? Language, Culture and their intersection with Quality and Safety in Aged Care.

The most pervasive and ubiquitous question ever asked across all time is “what is the meaning of life?”(Erickson, 1959; Frankl, 1985). This question gains more import for the elders within our society and care who contributed to the fabric of society and the Australia we now know (Erickson, 1959). 

As frailty and the ageing process progress, care needs can increase and at times there appears to be an irreconcilable tension between quality of life and quality of care; further compounded by an ever-increasing compliance burden against a desire to provide a meaningful supportive quality of life. 

But how is it that we actually acknowledge the dignity of the elder, oftentimes the most vulnerable within our society? 

To answer this providers of aged care homes often espouse person-centred care models and although these terms are universally acknowledged, they can be poorly understood and implemented (McCormack, 2010; McCormack et al., 2010). 

Their implementation can be truncated due to organizational factors, changing structure, priorities or lack of cultural appreciation to assist with the implementation (McCance, 2015; McCormack et al., 2010). 

Language and a multiplicity of terms which undergird various models can conflate the lack of agreed coherent organisational enablers. They are also at times are disconnected from the business of operations and the financial and human resource requirements to deliver care (Baldwin, Chenoweth, Dela Rama, & Liu, 2015; Wells, Brooke, & Solly, 2019). 

This can be further, confounded, by the culture within the Residential care home or facility where at a local level language and terms such as ‘feeder’, ‘faller’, ‘wanderer’ and ‘demented’ can be used innocently but in fact stigmatise and categorise older people. 

The Royal Commission into Aged Care Safety and Quality (RCACSQ) has highlighted some of the failings, loss of dignity and abuse within our aged care services. 

In the foreword to their Interim Report entitled A shocking Tale of Neglect the Aged Care Royal Commission has stated that “As a nation, Australia has drifted into an ageist mindset that undervalues older people and limits their possibilities, Sadly, this failure to properly value and engage with older people as equal partners in our future has extended to our apparent indifference to aged care services. Left out of sight and out of mind, these important services are floundering. They are fragmented, unsupported and underfunded. With some admirable exceptions, they are poorly managed. All too often, they are unsafe and seemingly uncaring.” P.1  (Quality & Safety, 2018). 

This study utilises a mixed methods approach to review organisational, management and health contexts and interviewing international leaders to determine the factors that support the development of the ‘what and the how’ for culture change and practice delivery within health and social care, specifically reviewing the language in use throughout the aged care system and how that pertains to quality service delivery. 

Supervision team

  • Deborah Debono
  • Hamish Robertson
  • Joanne Travaglia

Presentations

  • 2021, Who do you say I am? Language culture and their intersection with Quality and safety in Aged Care Rights Matter, International Federation of Ageing Global Conference Canada. 
  • 2022, Who do you say I am: Future Proofing the language of Policy and Practice, Brave new World International Dementia Conference Sydney. 
  • 2023, Workshop Ageism and social movements for change. International Federation of Ageing Global Conference Bangkok. 
  • 2023, Who do you say I am? Future Proofing policy to see the person and remove ageist bias.International Federation of Ageing Global Conference, Bangkok. 
  • 2023, Invited panelist-implementing Change by influencing policy, Global Ageing Conference. 

Acknowledgement of Country

UTS acknowledges the Gadigal People of the Eora Nation and the Boorooberongal People of the Dharug Nation upon whose ancestral lands our campuses now stand. We would also like to pay respect to the Elders both past and present, acknowledging them as the traditional custodians of knowledge for these lands. 

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