The Implementation of a Model of Person-Centred Practice In Older ...
The Implementation of a Model of Person-Centred Practice In Older ...
The Implementation of a Model of Person-Centred Practice In Older ...
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<strong>The</strong> implementation <strong>of</strong> a model <strong>of</strong> person-centred practice in older person settings<br />
Celebrating the National Programme in 2009<br />
<strong>The</strong> three sites had a celebratory event towards the end <strong>of</strong> the programme in 2009.<br />
<strong>The</strong> events were organised as a way <strong>of</strong> celebrating and showcasing all the<br />
achievements and successes from the programme. <strong>The</strong> celebratory events ranged<br />
from one day family/community days to a week long event in CNU Birr involving<br />
residents, their families, and staff both in unit and in the community. <strong>The</strong> feedback<br />
was very positive and generated great enthusiasm and pride for the units. It<br />
highlighted for all involved the importance <strong>of</strong> celebrating what we do well and the<br />
need to embed that positive attitude <strong>of</strong> ‘can do’ into our everyday practice and<br />
culture.<br />
Summary<br />
Values and behaviours are changing slowly to reflect a more person-centred culture.<br />
<strong>Practice</strong>s have changed to embrace new ways <strong>of</strong> working, staff are becoming more<br />
resident focused as opposed to staff focused. <strong>The</strong>re is more focus on the processes<br />
and not just outcomes and a realization that a lot <strong>of</strong> unlearning had to be done first<br />
before a shift to the new culture <strong>of</strong> care could happen. <strong>The</strong>re is a greater emphasis<br />
on participation, choice and inclusion in decision making and practice has become<br />
more thoughtful. Staff who in the past felt they had no voice have now through the<br />
development <strong>of</strong> new skills begun to challenge the culture and status quo. While the<br />
changes may appear small, there is a definite shift in culture. It is the beginning <strong>of</strong><br />
setting the seeds <strong>of</strong> change for older person services, both for the older people and<br />
the organisations as a whole. We have started the journey. Sustainability plans have<br />
been developed for all units in consultation with the Director <strong>of</strong> Nursing, internal<br />
facilitator, unit managers and programme participants. <strong>The</strong> challenge for the future<br />
will be to keep the momentum and motivation sustained in the current climate <strong>of</strong><br />
change and uncertainty.<br />
Evidence <strong>of</strong> the Programme Continuing<br />
A volunteer programme for Residents has recently (May 2010) been launched in St<br />
Vincent’s Hospital Mountmellick by the former Taoiseach Mr Albert Reynolds. This is<br />
the first HSE unit nationally to <strong>of</strong>ficially launch a volunteer programme. <strong>The</strong> concept<br />
<strong>of</strong> developing a volunteer programme was identified as a direct result <strong>of</strong> findings from<br />
research undertaken by the participants involved in the person-centred programme.<br />
Findings from the residents’ narratives clearly indicated that <strong>of</strong>ten resident’s felt<br />
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