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

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The implementation of a model of person-centred practice in older person settings Recommendations 1. There is a need to secure formal on-going commitment for practice development as core day-to-day work among programme participants/internal facilitators and to have agreed systematic processes in place for increasing ‘buy in’ and active participation among all clinical staff. 2. Person-centred PD and management need to be more joined up. 3. Older People must be active participants in PD work around their care and services and ways need to be found to enable participants to gain skills in working with service users as also being evaluators of the service. 4. Where uni-disciplinary practice development takes place attention needs to be given to promoting awareness and longer term involvement with other disciplines, 5. Preparation of Directors of Nursing needs more attention in PD work. Directors and indeed Assistant Directors cannot always fully appreciate the implications of PD if they have not experienced it before. 6. Directors and other key stakeholders need to appreciate looking for ‘quick fix solutions’ that are not embedded into practice is not part of PD because the processes used are not led by or owned by practitioners and will therefore not be sustained. 7. Further work needs to be undertaken with Directors and Assistant Directors of Nursing in order to increase their understanding of emancipatory PD processes, so that they can ‘lead’ changes, role model and ‘embed’ them in everyday service delivery. 8. Future PD advisory groups need to be redesigned. 9. Internal facilitator role needs clarification and protected time 10. Some external facilitators require the same or similar preparation as internal facilitators especially if they are new to working outside of their own organisation. 11. There is a need to further develop, streamline and expand the role of skilled local facilitators within NMPDUs who can systematically both work with key staff acting as internal facilitators for practice development work (specifically using emancipatory approaches) and facilitate staff teams who seem stuck in outmoded forms of practice or ‘unable to vision’ new ways of working, to enable them to find ways of addressing organisational and practice ‘blocks’ necessary for sustained developments in practice and wider organisational cultural change to be effective on a large scale. 12. Active learning methods can be used more systematically in PD work. 199
The implementation of a model of person-centred practice in older person settings 13. Local action planning, including a commitment to staff development, will need to take over to secure longer term sustainability now that the programme has ended. 14. Several areas of project action planning are still ongoing e.g. Continuity of care, Nutrition. This needs evaluation at the appropriate time. 15. The work from this programme needs to be written up for publication. Theoretical development on ‘Active Learning’ in PD needs to be undertaken. 16. This programme is widely shared across Ireland and in particular with the forthcoming PD programme sites Future Plans 2007-2010 Following this successful project, the first of its kind in the Republic of Ireland, partial funding has been awarded to support a national PD programme involving 20 sites across Ireland. This programme, probably the first of its kind internationally, is about to get underway. The existing funding will enable a skeleton programme to be delivered. The project team are looking for further funding to secure opportunities to carry out a more detailed evaluation of the national work (for which an evaluation plan has been established) and to be able to share the outcomes and learning widely, provide learning opportunities for older people about how they can influence what goes on in their care homes, more coaching to local staff to ensure long term sustainability and to ensure that PD resources and knowledge are made more widely available to practitioners working in care of older persons across Ireland. 200
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