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

The implementation of a model of person-centred practice in older person settings
anything. Nurse at table writing notes did not interact with residents and did not ask
other staff member to keep the noise down or to take her call elsewhere”
(observation notes)
In some respects, managers and leaders were less concerned with ‘authority and
rules’ than they were with the development of a service that focused on the needs of
individuals
Some evidence that some staff find it difficult to work with other staff. But staff on
duty today are very happy and enjoying work. Some hierarchy but no overt
distinction. Staff seem to be clear about what they are doing, asking for help from
colleagues easily but discretely. The leadership evident today is transformational – it
feels like an organised team. Staff look relaxed and are interacting with residents at
a slow pace … good evidence of resident involvement in [named] assessments and
personal profiles (observation notes)
The extent to which practices existed that compromised residents privacy, dignity
and personhood, was influenced by the active participation of managers and leaders
in the programme and the reinforcement of agreed ways of working by senior staff.
The data further illustrates and emphasises the importance of a continuous
developmental approach to team development and team effectiveness as well as
commitment from managers and leaders for this work. As illustrated in some of the
site reports (Chapter 2) the extent of managerial support for the programme varied
significantly and in some cases the work was sabotaged by managers/leaders (either
directly or through their lack of engagement or support for the internal facilitator).
This is something that needs to be addressed as a strategic issue for the
development of residential care services in Ireland.
Where there was intentional practice, i.e. intent to engage in a meaningful way with
residents then positive practices existed and meaningful relationships were
developed and maintained
Conversation taking place in CNM II’s office – gentle voice and door is open. Can
hear resident calling out for someone to help with their napkin. Very prompt
response from two members of staff ... Tone of voice appropriate during interaction
… encouragement of staff with residents to eat meals. Interaction between support
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