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

The implementation of a model of person-centred practice in older person settings
RESIDENT NARRATIVES AND OBSERVATIONS
In total across the 3 time points, one hundred and eighty (180) periods of observation
and sixty (60) user narratives were collected. The process used for analysing these
data sets is set out in Appendix 2. Four key categories were identified from across
all data sets and each of these categories are operationalised through a number of
themes. In the presentation of the data analysis, the key categories will be
introduced and the themes will be discussed and illustrated with data extracts.
Category 1 = Choice
Themes
• Choice - “Is it facilitated”
Meal and mealtimes
• Family - Visiting
Roots
• Activity/Boredom - Lack of stimulation
and meaningful
activities
The theme of choice was a significant
theme across the data sets and indeed
it is something that featured in the
work of the programme groups across
the participating sites. The data
demonstrate that over the period of the
programme, residents were provided
with a greater range and number of
choices. Specific activities (such as resident and family groups) were initiated and
established in the majority of settings as methods of enabling more choice for
residents. However, the data also reflects a range of challenges and ongoing issues
in the development of person-centred care environments that facilitate choice for
older people.
A key question that was in particular reflected from the analysis of the observation
notes, was “is choice facilitated”?
“Some evidence of choice, however there is poor evidence in the notes to show that
it is continuously reviewed” (observation note)
“Evidence of strong knowledge among staff of the individualised preferences of the
resident, however, no evidence of formal structures of handover of this information”
(observation note)
“Well it depends on my experience, it’s a tough life being a patient … As regards my
control, they’d say they are scared in case I’d go to the toilet on my own in case I’d
have a fall and that way. Two years ago I had a fall and they are still referring to that
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