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

The implementation of a model of person-centred practice in older person settings
HOW DID PROGRAMME PARTICIPANTS MAKE USE OF THEIR
LEARNING IN THE WORKPLACE?
During day one participants learnt how to commence the first phase of the Values
and Beliefs Clarification activity (Dewing and Titchen 2006; Manley and Warfield
1990) with the residents staff and families; to describe the PCN framework to 3 team
members and to notice language and make notes on the types of language used in
the workplace that they would consider to be more or less person-centred. In order to
illustrate the workplace learning activities that were taking place and how the learning
activities in the programme days were followed through to the programme days an
example is offered here. Between day 2 and day 3 the programme groups were
working on five workplace learning activities:
Draft vision statement: Sharing and consulting on the draft vision statement and
vision in colour was largely a positive experience. However, the challenge posed by
their colleagues and others was as to how it would be made a living document or a
working statement.
“Some good words in statement”
”Just a statement”
“Promoted what we expect but does it work?”
“Only works if we work as a team”
“What is team work?”
“Statement too long”
All sites had by this point a draft of their vision statement and had sought feedback
from staff residents/patients and families. A final draft was prepared for circulation to
ensure consensus would it before it became the hospital or facility’s “Vision
Statement”. The consultation with staff revealed a range of views about personcentredness,
which are captured in these quotes below:
“Choice is fundamental to everything we do”. I agree….. but whose choice-the
patients or the nurses and carers? As we work (nurse and carer) in a long term
setting we become institutionalised, patients get less due to the constraining effects
of that institutionalisation.
“Overall this is good-however; I think that patients should come before staff”
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