The Implementation of a Model of Person-Centred Practice In Older ...

The implementation of a model of person-centred practice in older person settings
programme leads for review. It was evident from the notes at this stage, that the
workshop days were becoming more varied or contextualised in some respects.
Although they had common themes such as evaluation and analysis, planning for
sustainability, conducting observations of care, patient narratives work and action
planning.
By this point in the programme, creative methods to learning were more accepted
and the local facilitators were actively experimenting. Different activities were used
by the participants as an opening activity to day 11. The use of artefacts was used in
three of the sites. The participants in one of sites were asked to describe using their
artefacts in relation to …. What does PD and PCC mean you over the last two years?
One of the participants described “…a spider’s web as… catching flies, catching
people and catching attitude”. Another participant used the analogy of a Laurel Leaf
to describe PD and PCC as ”bright smooth and shiny, but can have different
meaning… naive at the start of the programme – but, relationships are getting closer
between staff and staff and staff/patients”. Creating pictures, collages and poetry
were utilised by the facilitators and participants to explore the learning and
understanding of PCC and PD and the transfer of the learning to working with
residents in a different way.
The involvement of residents and their families was more evident in the data by
programme day 11. Some of the sites had held joint learning sessions with residents
to explore change and how to improve practice.
Observations of care and discussion of the findings within the group were taking
place in several groups on an ongoing basis indicating some sustainability of this
method. Participants were also involved in regular observational environmental walk
abouts together as a group, and discussed the importance of involving residents and
their families and wider community in the process. Overall the learning from this
process of participating in and carrying observations of care was positive and
powerful in relation to understanding and gathering evidence to change and improve
practice. Through dialogue with other group members the participants described
”how this was a powerful way of looking differently at the way we do things and really
makes you think and puts you in a different place for that period of time …”.
At some sites, participants on programme day 11 worked outside in the garden area
in two of the sites specifically looking at HIQA Standards about outside space,
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