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

More documents

Recommendations

Info

The implementation of a model of person-centred practice in older person settings coached to locally lead and deliver complex practice development activity. It also shows that practice development offers work based and work place learning and skills development that will produce improvements in care and the workplace culture/context. The summary of findings is presented against each of the key objectives of the programme. Coordinate a programme of work that can replicate effective Practice Development processes in care of older peoples’ settings This objective has been achieved. A programme was developed, coordinated and delivered. Once the programme began, interest was shown by other sites who wished to become involved. HIQA inspections are prompting other sites to explore practice development activities to achieve their action plans. Enable participants/local facilitators and their Directors and managers to recognise the attributes of person-centred cultures for older people and key practice development and management interventions needed to achieve the culture (thus embedding person-centred care within organisations) Staff and managers became familiar with the Person-centred Practice and practice development frameworks, and learnt a set of core practice development methods and processes. The ground work for embedding practice development within the organisation has taken place. It is now up to others to sustain and nurture this. Given the changes across the NMPDUs it is unclear how successful this will be. Develop person-centred cultures in participating practice settings. Significant progress was made in achieving numerous attributes of a person-centred culture. There is no end point to person-centred cultures, thus further development is still needed. If this is not systematically planned and nurtured then the new cultures will begin to fall apart. Systematically measure or evaluate outcomes on practice and for older people I. The PCNI and PCCI data demonstrated significant outcomes for nursing and care staff and were statistically proven. These changes relate to the ‘prerequisites’ of person-centred practice within the person-centred practice framework. These changes are significant in terms of developing a personcentred culture. Statistically significant changes included: 17
The implementation of a model of person-centred practice in older person settings Preparation for the role Staff support Knowledge of treatment decisions Communication and support Career development Role satisfaction Staffing and resources Commitment to the setting Workload Intention to stay in role II. There was significant change in nurses perceptions of caring’ as assessed using the Caring Dimensions Inventory (CDI). The data analysis showed that staff had shifted their views from one of seeing technical’ aspects of nursing as caring, to a view that the ‘non-technical’ aspects of caring were more important. This was at a statistically significant level. For residents and families, the data demonstrated significant changes in care practices that resulted in an impact on four key areas of care experiences for older people and their families, with each of them showing qualitatively a change in the practice culture: • Hope and Hopelessness: This was also a theme in the analysis of the first round of evaluation (and reported in the Year 1 report (October 2008). However on this occasion the data shows a shift towards increased hopefulness in the way that residents are cared for, including the range of activities available for residents, their involvement in decision-making and the quality of engagements between staff and residents. However, hopelessness among residents continues to be an issue and one that needs further work. • Choice: The data demonstrated that residents were provided with a greater range and number of choices. Specific activities (such as resident and family groups) have been initiated and established in the majority of settings as methods of enabling more choice for residents. • Belonging and Connectedness: There was evidence of staff ‘knowing the person’ in a more meaningful way in this data set compared with Year 1 data. A range of activities have been initiated to enable greater knowing of residents as persons with ‘histories’ and these can be seen to have had an impact on the quality and quantity of meaningful engagement with residents. A lot of attention 18
Page 1 and 2: The Implementation of a Model of Pe
Page 3 and 4: The implementation of a model of pe
Page 17: The implementation of a model of pe
Page 69 and 70:
The implementation of a model of pe
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211:
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?