The Implementation of a Model of Person-Centred Practice In Older ...
The Implementation of a Model of Person-Centred Practice In Older ...
The Implementation of a Model of Person-Centred Practice In Older ...
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<strong>The</strong> implementation <strong>of</strong> a model <strong>of</strong> person-centred practice in older person settings<br />
At time 2 nine <strong>of</strong> the twelve items were related to intimacy issues, and the remaining<br />
three were all technically related. <strong>The</strong> highest ranking items related to intimacy.<br />
<strong>The</strong>re was a movement towards the identification <strong>of</strong> more ‘intimacy’ related<br />
statements as being caring. This movement coincides with a reduction <strong>of</strong> the<br />
technical aspects as being caring.<br />
Time 3 (Table 4.10)<br />
<strong>The</strong> number <strong>of</strong> items identified as caring increased at time 3 to incorporate a<br />
combination <strong>of</strong> the nine intimacy items identified in time 2 and 8 technical items, 7 <strong>of</strong><br />
which had been identified at time 1. As in time 1 and 2, the items relating to intimacy<br />
were rated highest.<br />
Statement<br />
Statement<br />
Classification<br />
Being technically competent with a clinical procedure<br />
Technical*<br />
Observing the effects <strong>of</strong> a medication on a patient<br />
Technical<br />
Giving reassurance about a clinical procedure<br />
Technical<br />
Assisting a patient with an activity <strong>of</strong> daily living<br />
Technical*<br />
Making a nursing record about a patient<br />
Technical*<br />
Explaining a clinical procedure to a patient<br />
Technical<br />
Being neatly dressed when working with a patient<br />
Technical*<br />
Reporting a patient’s condition to a senior nurse<br />
Technical<br />
Organising the work <strong>of</strong> others for a patient<br />
Technical*<br />
Consulting with the doctor about a patient<br />
Technical<br />
<strong>In</strong>structing a patient about aspects <strong>of</strong> self-care<br />
Technical<br />
Keeping relatives informed about a patient<br />
Technical<br />
Measuring the vital signs <strong>of</strong> a patient<br />
Technical<br />
Putting the needs <strong>of</strong> a patient before her/his own<br />
Technical*<br />
Providing privacy for a patient<br />
<strong>In</strong>timacy<br />
<strong>In</strong>volving a patient with his or her care<br />
<strong>In</strong>timacy<br />
Being cheerful with a patient<br />
<strong>In</strong>timacy<br />
Feeling sorry for a patient<br />
<strong>In</strong>timacy*<br />
Getting to know the patient as a person<br />
<strong>In</strong>timacy<br />
Sitting with a patient<br />
<strong>In</strong>timacy<br />
Being with a patient during a clinical procedure<br />
<strong>In</strong>timacy<br />
Being honest with a patient<br />
<strong>In</strong>timacy*<br />
Exploring the patient’s lifestyle<br />
<strong>In</strong>timacy*<br />
Listening to a patient<br />
<strong>In</strong>timacy<br />
Arranging for a patient to see his or her chaplain<br />
Supporting<br />
Attending to the spiritual needs <strong>of</strong> patients<br />
Supporting<br />
Praying for a patient<br />
Unnecessary*<br />
Staying at work after there shift has finished to complete a job<br />
Unnecessary*<br />
Keeping in contact with a patient after discharge<br />
Unnecessary*<br />
Appearing to be busy at all times<br />
Unnecessary*<br />
Coming to work if they are not feeling well<br />
<strong>In</strong>appropriate*<br />
Assuring a terminally ill patient that he or she is not going to die<br />
<strong>In</strong>appropriate*<br />
Dealing with everyone’s problems at once<br />
<strong>In</strong>appropriate*<br />
Making a patient do something, even if he or she does not want to<br />
<strong>In</strong>appropriate*<br />
Sharing one’s own personal problems with a patient<br />
<strong>In</strong>appropriate*<br />
Table 4.9 Thirty-five items <strong>of</strong> the CDI and category classification<br />
Rank Statement Mean Mean Time 2 Mean Time 3 Statement<br />
Classification<br />
140
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