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

The implementation of a model of person-centred practice in older person settings
Setting
Data Collection points
Time Time 1 Time 2 Time 3 Significant
change
Workload 4.23 4.04 4.02 ** Positive
Inadequate Preparation
Lack of Staff Support
3.24
3.47
3.05
3.12
3.13
3.28
** Negative
** Positive
Conflict with other staff
Uncertainty regarding treatment
2.86
2.30
2.65
2.06
2.74
2.14
** Positive
** Positive
Work – Social Life balance
Working environment
2.69
2.97
2.61
2.78
2.72
3.06
NS
** Negative
Lack of communication and support
Career Development
3.38
2.70
3.02
2.45
3.08
2.49
** Positive
** Unchanged
Satisfaction with Pay and Prospects
Satisfaction with Training
3.77
4.22
4.13
4.30
3.64
4.24
** Negative
NS
Personal Satisfaction 5.02 5.22 5.12 ** Positive
Professional Satisfaction 5.00 5.16 5.14 ** Positive
Adequate Staffing and Resources 3.08 3.3 3.60 ** Positive
Professional Relationships
others
with 3.83 4.28 4.53 ** Positive
Staff management
Empowerment
4.63
4.04
4.85
4.32
4.99
4.43
** Positive
** Positive
Organizational Commitment 4.72 4.99 4.97 ** Positive
Intention to leave 3.24 2.74 2.90 ** Positive
Table 4.4: Mean scores of each of the 19 constructs
* = statistical significance at p>0.05; ** = significance at p>0.01
In the nurse sample, statically significant changes were observed on twelve of the
nineteen factors (see Table 4.5), all indicating the change to be in a positive
direction. In the seven factors that changed but at a non-significant level, the modest
change was in a positive direction with stress levels decreasing, job satisfaction
levels increasing and the practice environment being stronger and a better
environment to work in. The care worker sample showed similar findings.
Statistically significant changes were observed on seventeen of the nineteen factors,
with twelve indicating the change to be in a positive direction. In particular, the
programme had a very positive and significant impact on the organizational work
environment. All 6 factors changed positively and all at a statistically significant level.
Overall, it can be concluded from both data sets that the programme had a significant
effect in changing the practice setting, contributed to the development of more
positive practice environments and facilitated better environments to work in.
Further data analysis sought to determine which constructs (factors) changed in the
different participating sites. Whilst statistical analysis across the sites is limited to
those sites where data were collected on all three time points, examination of the
impact of the programme indicates variability in findings.
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