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

The implementation of a model of person-centred practice in older person settings
INTRODUCTION
This detailed report is organised into 5 chapters. In this first chapter we begin by
introducing and setting out the background to the Older Persons National Practice
Development Programme in the Republic of Ireland (2007-2009). This is then
followed by an overview of the programme aims and objectives. The methodology is
described before the programme structure and methods/processes are presented. In
Chapter 2 the findings from the individual regions and their sites are set out. As this
chapter is written by the different programme team members, readers might like to
note the style differs throughout. In the third chapter the overall quantitative and
qualitative findings from the evaluation research are presented. In the following
chapter (Chapter 4) there is a discussion in which the significant learning from the
programme is discussed and finally, Chapter 5 sets out the recommendations for
future practice development priorities in Older Peoples Services across the Republic
of Ireland.
BACKGROUND
This programme has significantly built on the learning and recommendations of a two
year pilot practice development programme in two sites within the Midlands region of
the Health Service Executive (HSE) and also incorporated a smaller scale practice
development programme across three sites that had started in 2006 across three
older peoples services in the Mid West (as it was then).
Between 2004 and 2006 a team of practice development and research staff from the
Midlands HSE Nursing and Midwifery Planning and Development Unit (NMPDU) and
the University of Ulster collaborated on a practice development (PD) programme,
funded by the National Council for Nursing & Midwifery. The project utilised an
internationally tested model of emancipatory practice development (Garbett and
McCormack 2004; Manley and McCormack 2004; McCormack and Titchen 2006),
incorporating 4 th Generation Evaluation (Guba and Lincoln 1989) and emancipatory
facilitation (Harvey et al 2002). The project took place in two care settings and the
team worked with internal facilitators to facilitate the development and evaluation
processes. This initial project had a range of successes with clear evidence of
cultural change (Dewing and McCormack 2007).
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