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 CONSTRUCTS SITES 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 18 Workload ns ns ** ns ns ns ns ns ** ns ns ns ns ns ns ns Inadequate Preparation ns ns ns ns ns ns ns ns ** ns ns ns ns ns ns ns Lack of Staff Support ns ns ns ns ns ns ns ns ** ns ns ns ns ns * ns Conflict with other Nurses ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns Uncertainty regarding ns ns ns ns ns ns ns ns ns * ns ns ns ns ns * treatment Work – Social Life balance ns * ns ns ns ns ns ns * * ns ns ns ns ns ns Working environment ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns Lack of communication and ns ns ns ns ns * ns ns ** ns ns ns ns * ns ns support Career Development ns ns ns ns ns ns ** ns ** ns ns ns ns ns ns ns Satisfaction with Pay and ns ns * ns ** * ** ns ns ns ns ns ns * ns Prospects Satisfaction with Training ns ns ns ** ns * ns ns ** * ns ns ns ns ** ns Personal Satisfaction * ns ns ns ns ns ns ns ** ns ns ns ns ns ** ns Professional Satisfaction ns ns ns ns ns ns ns ns ** ns ns ns ns ns * ns Adequate Staffing and ns ns ns ns ns ns ** ns ** * ns ns ns ns ** ns Resources Doctor Nurse Relationship ns ns ns ns ns * * ns * ns ns ns ns ns ns * Nurse management ns ns ns * ns ns ns ns ns ns ns ns ns ns ns ns Empowerment ns ns ns ns ns ns ns * ns ns ns ns ns ns ns ns Organizational ns ns ns ns ** ns ns ns ns ns ns ns ns ns ns ns Commitment Intention to leave ns ** ns ns ** ns ns ns ** ns * ns ns ns ns ** Table 4.5: Statistically significant differences in factor scores in each of the sites (Sites 7 and 17 did not provide data at all three time points and are not included in the analysis) CONSTRUCTS 1 3 4 5 6 7 8 10 11 12 13 15 16 17 18 Workload ns ns ns ns ns ns ns ns ns ns ns ns ** ns ns Inadequate Preparation ns * ns * * ns * ns ns ns ns ns ns ns ns Lack of Staff Support ns ** ns ** ns ns * ns ns ns ns ns ns Ns Conflict with other * * ns ns ns ns * ns ns ns * ns ns ns ns Nurses Uncertainty regarding ns ns ns ns ns ns ns ns ns ns ns ns ns ns Ns treatment Work – Social Life ns ns * ns ns * ns ns ns ns ns * ** ns * balance Working environment ns * ns ns ns ns ns ns ns ns ns ns ns ns ns Lack of communication ns ** ns ns ** ns ns ns ns ns ns * ns ns ns and support Career Development ns ns ns ns ns ns ns ns ns ns ns * * ns ns Satisfaction with Pay ns * ns ns ns ns * ns ns ns ns ** ns ** ns and Prospects Satisfaction with * ns ns ns ns ns ns ns ns ns * ns ns ns ns Training Personal Satisfaction ns ns ns * * ns ns * ns ns ns ns * ns ns Professional ns ns ns ns * ns ns ns ns ns ns ns ns ** ns Satisfaction Adequate Staffing and * * ns ns ns * ns * ns ns ns ns * ** ns Resources Doctor Nurse ns ns ns ns ** ns * * ns ns ns ns ns ns ns Relationship Nurse management * ns ns ns ns ns ns ns * ns ns ns ns ** ns Empowerment ns ns ns ns ns ns ns ns * ns ** ns ns * ns Organizational ns * ns ns ns ns ns ns ns * ns ns ns ns ns Commitment Intention to leave ns ns ns ns ** ns ** ns ns * ns ns ns ns ns Table 4.6: Statistically significant differences in factor scores in each of the sites (Sites 2, 9 and 14 did not provide data at all three time points and are not included in the analysis) Perceptions of Caring 135
The implementation of a model of person-centred practice in older person settings The Caring Dimensions Inventory (CDI) comprises 35 operationalised statements of nursing actions designed to elicit the degree to which participants perceive these actions as representative of caring. The items included in the instrument have been categorised as, ‘technical’ ‘intimacy’ ‘supporting’ ‘inappropriate’ and unnecessary activities. A description of each category is provided below. 1. Technical nursing – items that indicate technical and professional aspects of nursing (14 items). 2. Intimacy – getting to know a patient and becoming involved with them (10 items). 3. Supporting – items which indicate helping the patients with spiritual matters (2 items). 4. Unnecessary nursing – aspects of nursing which are not inappropriate or unprofessional but would not normally be expected of nurses (4 items). 5. Inappropriate aspects of nursing – nursing actions, which, in addition to being unnecessary, are certainly not, recommended aspects of nursing (5 items). Table 4.7 shows the classification of each item according to the five headings. 136
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