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

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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. 113
The implementation of a model of person-centred practice in older person settings “Importance of being part of a group with a shared vision and support from each other” Another participant said: “The group work today has been great I really enjoy working this way” (2) Principles of Practice Development and the Person-centred Framework: from discussing the framework and working through examples participants were able to see that developing person-centred care is as much about staff as it is residents. “I like the person-centred model because it looks at staff as much as it looks at the residents. That’s important because if the staff don’t feel that they are valued and that their input matters it will be hard for them to see that involving the residents/patients in developing a person-centred culture matters” “its going to require us all changing how we do things around here and its not just about what we do but they way we do things” Its going to be a challenge” (3) Creative ways of learning: “Opening up my mind to new ways of learning” “Learning can be fun relaxed and fulfilling” (4) Self-awareness: participants were beginning to become aware of their own practice and the impact they could have on changing the culture by role modelling person-centred ways of working. In particular, everyday language was something that participants identified with. The participants tended to comment that the activity on person-centred language made them realise that they first needed to look at their own practice before they could comment on others: ” I had no idea I was using that language every day but I do now. I am going to change how I behave.” “it is only when you stand back and reflect on what you are doing every day and how you might be behaving, that you really can see what you are actually doing, I had no idea” 114
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