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

The implementation of a model of person-centred practice in older person settings
conducting an observation of care. This exercise has been one of the most
powerful tools in allowing staff to reflect on practice and how it might feel for the
residents. We have given feedback on the observations of care to the team and
any residents who wished to be present. This was a very useful exercise in trying
to get everybody on board and to let them know more about person-centred care.
• Environmental walkabouts have been facilitated and participants encouraged to
involve residents, families and visitors in reflecting on how person-centred the
environment is for people living and working in the setting.
• Participants have been introduced to a reflective framework and encouraged to
undertake reflective exercises about their practice and their facilitation work. It
has been very difficult to get participants to do the reflective work and this is
something that needs to be worked on by the Internal facilitator in future.
• Giving and receiving feedback has improved perceptions of the programme as a
supportive and developmental endeavor to improve experiences for both staff
and residents. This has helped to develop the facilitation skills of the team.
Specific Action plans Developed across Participating Sites
• Developing meaningful activity plans for the residents.
• Developing a person-centred culture to enhance teamwork and staff relationships
in order to improve communication and well being for staff and residents.
• Enable residents to maintain their connections with family and the outside
community. A meeting was held with the residents group and some family
members in Trim and their issues were very much the same as the themes
emerging from the overall evaluation of the programme (Chapter 4). Groups
have been established at the other sites to address family and community
connections.
• Giving residents a voice and choice.
• Working towards making changes and improvements in the environment to
create a person-centred context and culture.
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