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

The implementation of a model of person-centred practice in older person settings
care workers to support working in person-centred ways. The themes that emerged
from the quantitative data (Person-Centred Nursing Index (PCNI) and Person-
Centred Caring Index (PCCI)) regarding staff were:
o Work related stress
o Job satisfaction
o Organisational culture
o Empowerment
o Organisational commitment
And from the Context Assessment Index (CAI) were
o Leadership
o Cultural
o Evaluation
o Context
The findings from these were discussed using reflective questioning and the
challenge was to make initiatives/innovations tangible and relevant to
residents/patients, families and staff and a starting point was to challenge the taken–
for–granted perceptions of care and caring and to build on the existing body of best
practice. The following were the proposed local action plans based on the data
gathered:
• Hospital greeting cards (welcome cards) (Image 2.4) for new patients and staff
were designed by the participants and printed. One site sent sympathy cards on
behalf of the staff and management to the family of residents following their
death. Christmas Cards were designed by the participants in one site and given
to the residents/patients from the staff and management.
• Effective communication between service users and service providers were
fostered and care plans were modified to take account of the Activity of Living
(Working and Playing). Communication was enhanced by including Healthcare
Assistants at handover in one hospital that did not previously engage in this
process.
• Residents/patients were facilitated to become more active in their daily life,
participate in decision-making about their care and have choices with regards to
their preferences and needs. Residents’ bed spaces were personalised with their
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