Mrs Ann MacRae, Monash University
Ms Natalija Nesvadba, Regis Aged Care
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Dignity of Risk is a core principle of high‑quality aged care and is embedded within policy, standards and organisational commitments. Yet across the sector, despite substantial investment in staff training, assessment tools and policies, efforts to embed Dignity of Risk into practice remains inconsistent and risk‑averse. The authors’ experience from partnering and working within aged care organisations suggests this is not primarily a failure of staff capability, but a consequence of organisational and regulatory factors that unintentionally constrain positive risk‑taking. This ThinkTank will facilitate a cross‑disciplinary practice‑focused conversation on the organisational conditions required to meaningfully embed Dignity of Risk. Drawing on real‑world implementation experience and a systems lens, the session will explore how cultural norms, job design, information systems, leadership, and environmental conditions shape how Dignity of Risk is understood and enacted in practice. Particular attention will be given to the tension between safeguarding, compliance and autonomy, and how dominant risk‑minimisation practices can override values of choice, dignity and independence. Proposed outcomes and session overview include: The ThinkTank will generate shared understanding and practical insights to advance the implementation of Dignity of Risk across aged care. We welcome participants with lived experience of navigating the balance between risk and dignity/independence, including older people/families, alongside frontline staff, managers, educators, regulators, policymakers and researchers. Together, these perspectives will support collective problem‑solving and co‑development of the following outcomes: • Introductions (5-minutes). • Brief overview positioning Dignity of Risk as an organisational system-level issue, and introduction to common implementation challenges and tensions between safety, compliance and autonomy, and how diverse cultural, personal and community contexts shape understanding of dignity and risk (10-minutes). • Discussion-1: Shared cross-sectional insights on system-level barriers and enablers (30-minutes) o Small-group roundtable discussions exploring organisational system-level factors that limit or enable Dignity of Risk. o Discussion will draw on participant experiences across research, practice, policy and lived experience. It will consider how cultural norms, values and expectations influence perceptions of risk, autonomy and acceptable practice. o Key themes will be captured with participants. We encourage to write or visually share their perspectives and ideas using provided materials. • Discussion-2: Co‑generated, prioritised strategies/actions-From Barriers and Enables to Action (25-minutes): o Groups collaboratively identify practical strategies and priority actions to strengthen organisational readiness and system alignment for Dignity of Risk. o Discussion will focus on workforce role-design and capability, leadership, training, cultural practices, and communication; and alignment of strategies with governance. o Identification of priority research and practice gaps to inform future research directions. • Synthesis and close (20-minutes) o Whole-group reflection to summarise key insights, identify shared priorities and confirm proposed outputs. o Building cross‑discipline collaborations to support future projects focused on Dignity of Risk implementation and sustainability, including participation in an Equitable Rights‑Based Network being established with the Canadian Research Centre on Aging (May-June 2026) The ThinkTank is designed to provoke a rethinking of Dignity of Risk - not as an individual staff decision or standalone policy requirement, but an organisational strategy focused on deliberate systems approach and sustained practice change efforts–while appropriately balancing regulatory requirements for safety and dignity.
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