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

The implementation of a model of person-centred practice in older person settings
corporate level). Currently, as other programmes show, successful practice
development work seems to present a challenge to organisations to carry on with the
approaches and processes that have been introduced. In regard to this programme
some of that challenge will now sit with the NMPDU Directors and how they
demonstrate their leadership in taking forward practice development in their areas.
As Bevan (2010) argues bringing in or buying in external project leads and
consultants does not ‘hard wire’ or embed change into practice. Instead ‘inside out’
change creates the capability and builds up sustainable improvements in quality and
costs. In the current economic climate, HEIs and NMPDUs will need to work more
and more on this principle.
7. Effective practice development requires the adoption of three key
methodological principles – collaboration, inclusion and participation.
This principle has already been discussed in other parts of this section. In part it is
achieved by making use of the methods set out in earlier principles These processes
are in many ways a cumulative and simplified statement of the process of
engagement which is in turn central to enlightenment, empowerment and
emancipation. Enlightenment requires inclusion. Individuals need to be emotionally
connected with others and the environment around them to perceive and experience
things differently. Empowerment requires inclusion and participation rather than
acting on self-interest. This enables the generation of latent or untapped energy and
the establishment of different types of relationships which will fuel changes in work
practices. Finally emancipation requires collaboration as this is the pinnacle of social
and collective action.
This programme has helped clarify the ways in which different stakeholders can
adopt these principles. However further research is needed to know more about
which interventions in each attribute are essential.
8. There are a number of methods that are effective in ensuring participatory
engagement and in bringing about changes in the culture and context of
practice.
These are:
• Agreeing ethical processes
• Analysing stakeholder roles and ways of engaging stakeholders
• Person-centredness
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