Changing Settings in Health Promotion: Algester Lodge Case Study

USC Public Health Programs. This template is a summary of the ‘Changing Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.
Changing Settings
Area of the Poland et al Framework Evidence from research process
Context
- What is the history of this health promotion setting category?
- How have approaches changed over time?
- What is the Health Promotion practitioner’s (HPP) role?
- What similaries or differences are noted between stakeholders and the HPP?
- Role of broad socio-political context
History of Algester Lodge
For more than 15 years Algester Lodge Nursing Home has been offering high-quality aged
care.1 The facility offers the following services aged care, high care, secure dementia care,
low care, respite care, bariatric care, and special needs.
Capacity (eg. Policies, staffing, professional development, plans and procedures)
What capacities are required? Among:
- Primary stakeholders
- Professionals
- Local communities
- Local agencies
- Government
Focus
- Identify the values that underpin your approach
- Identify and outline the HP Settings frameworks and theory that will guide your
approach
- What are the priorities in this setting?
Changing Setting
The primary most component towards enhancing aged care quality can be realised through
continuous improvement process7. As a result, Algester Lodge is supposed to have a written
plan for its continuous improvement which describes approached that it is intended to
provide and how it will realise its responsibilities in accordance with the service standards.
Major requirements for continuous improvement
In order for Algester to be effective in its continuous improvement, it has to focus on its
objectives by ensuring that they are well understood across different levels by staff and the

USC Public Health Programs. This template is a summary of the ‘Changing Settings’ component of the health promotion setting analysis framework outlined by Poland et al. It is vital that you read the article in full for a detailed description (including examples) of each element.
management. Some of the key components for continuous enhancement include innovation,
care recipient-oriented, realising of improvement using planned steps and working through
the engagement of all stakeholders and holding staff accountable.
Algester Lodge should use a continuous improvement cycle to improve its change setting.
Plan the Improvement: Algester lodge should evaluate it present state and then collect
information and research on various ways to make improvements. So that to ensure that this
becomes a success Algester lodge should search for input and feedback from different
stakeholders. Later it can then develop goals and identify appropriate actions on how to
implement its plan.
Implement the improvement: Algester should test its recommended alternatives to identify
the ideal improvements. Also, Algester should ensure that its stakeholders are informed and
involved by engaging members that directly benefit from the results. Similarly, Algester
should allocate enough resources to make sure that the implementation succeeds, and lastly
but not least it should document the decisions reached at the time of implantation.
Evaluate the improvement activity: Algester Lodge should evaluate its services to find out if
the improvement process is working as planned. Indeed, this help to know if changes are still