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

The implementation of a model of person-centred practice in older person settings
asking the older person what mattered to them. Further, many of the things that the
older person would like were quite small and achievable.
Reflection: Participants engaged in reflective practice which afforded them the
opportunity to expose, confront and understand the contradictions within practice,
between what is practiced and what is desired. Some participants viewed reflective
models as being prescriptive and reducing their experiences to just answering a set
of questions. Facilitators took different approaches to reflection. Some persisted with
using the agreed model of reflection whilst others were encouraged to use any model
that they felt comfortable with or utilise any strategy such as poetry as an alternative
approach to develop skills in reflection.
“Doing the reflections –makes you think more (differently)”
“The reflective cycle-I found it useful-it helped me understand how changes have
occurred”
Overall, the programme day data shows that reflection as a learning activity was
postponed or given minimal time. This was to become a recurring issue within the
programme.
From analysing the programme records across the sites it was possible to see
movement towards developing a person–centred care culture at all the sites,
although there was some variation. A number of themes were identified which are
set out and illustrated here:
(1) Working collectively towards a person-centred care systems/workplace.
“The importance of involving all staff”
“We can do it”
“There is light at the end of the tunnel, and we are all working together towards
a better future”
This theme also encompassed learning more about the culture of their
organisation and questioning custom and practice issues:
“That change is
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