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

The implementation of a model of person-centred practice in older person settings
another site carried out an observations environmental walk around. Feedback was
positive in relation to this from the participants, they liked being outside and ideas
such as “… involving older people in observing and inspecting, changing, …giving
residents choice about their environment and involving residents in the walk around”.
One of the sites used the data collected to explore planning a garden area and
putting up a Christmas tree. Through evaluation of the observations of care by the
participants the change in many aspects of the practice area was identified, such as,
“… less non PCC language, staff are much more aware, noise levels much better
since we started”. “…atmosphere much more improved since we first started the
programmes”. This finding is supported by formal data gathered through structured
observations in the evaluation research (WCCAT). At this point, participants were
able to recognise what they had and were still achieving.
The challenge of carrying out workplace learning activities was noted as been less
challenging for participants and the wider healthcare team as time went on. One of
the participants in her evaluation of the observations of care reported “that staff were
hostile at the beginning, no longer are …”. The importance of giving feedback in a
constructive way and the involvement of other staff members was identified as both
challenging and a necessary part of the process. Role play was often used in the
workshops between the participants to learn and get feedback and support from
within the group as the skill set developed. In day 11, HC/HS skills were discussed
and role play was used to demonstrate the process on one of the sites. Giving and
receiving feedback was considered to be challenging and a skill that required
learning both for the facilitator in giving feedback and also receiving feedback. The
PD group participated in this process through active learning and directed learning in
relation to the used of the HS/HC grid as a framework.
WHAT DID PROGRAMME PARTICIPANTS LEARN?
From day one, five core themes were found across all the programme records.
These are summarised now with some quotes from participants from different sites to
illustrate what is being said.
(1) Working as a group: most frequently recorded was how working together with a
shared vision would enable so much more to be achieved.
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