• Abstract and Figures
• Public Full-text

The Implementation of a Model of Person-Centred Practice In Older Person Settings THE IMPLEMENTATION OF A MODEL OF PERSON-CENTRED PRACTICE IN OLDER PERSON SETTINGS FINAL REPORT Programme Leaders Professor Brendan McCormack, Director of the Institute of Nursing Research, and Head of the Person-centred Practice Research Centre, University of Ulster, Northern Ireland Adjunct Professor of Nursing, University of Technology, Sydney Adjunct Professor of Nursing, Faculty of Medicine, Nursing and Health Care, Monash University, Melbourne Visiting Professor, School of Medicine & Dentistry, University of Aberdeen Professor II, Buskerud University College, Drammen, Norway Professor Jan Dewing, Head of Person-centred Research and Practice Development, East Sussex Community Health NHS/Canterbury Christchurch University Kent England Honorary Research Fellow, University of Ulster Visiting Professor, SNMIH University of Wollongong NSW Australia NMPDU Lead Facilitators Liz Breslin, NMPDU NW Catherine Tobin, NMPDU NE Mary Manning, NMPDU ML Ann Coyne-Nevin, NMPDU SE Kate Kennedy, NMPDU South Lorna Peelo-Kilroe, NMPDU MW The implementation of a mod el o f p ers on-ce ntr ed practi ce in older pers on setti ngs TABLE OF CONTENTS ACKNOWLEDGEMENTS ......................................................................................... 4 EXECUTIVE SUMMARY......................................................................................... 13 CHAPTER 1............................................................................................................ 23 INTRODUCTION, BACKGROUND AND METHODOLOGY......................... 23 INTRODUCTION ............................................................................................... 24 BACKGROUND ................................................................................................ 24 PROGRAMME AIMS AND OBJECTIVES ................................................... 25 PROGRAMME METHODOLOGY.................................................................. 26 CHAPTER 2............................................................................................................ 40 FINDINGS PART 1: INDIVIDUAL SITE REPORTS ...................................... 40 THE MIDLANDS AREA ................................................................................... 41 THE NORTH WEST AREA ............................................................................. 55 THE SOUTH EAST AREA .............................................................................. 65 THE MID WEST AREA .................................................................................... 76 THE DUBLIN NORTH EAST AREA.............................................................. 92 SOUTH AREA ................................................................................................... 97 CHAPTER 3.......................................................................................................... 104 FINDINGS PART 2: LEARNING AND DEVELOPMENT OUTCOMES ARISING FROM THE FACILITATION ACTIVITIES ..................................... 104 INTRODUCTION ............................................................................................. 105 EVALUATION QUESTIONS ......................................................................... 106 WHAT HAS BEEN THE PROGRAMME PARTICIPANTS’ EXPERIENCE OF ENGAGING IN ACTIVE LEARNING?.................................................. 106 WHAT DID PROGRAMME PARTICIPANTS LEARN?............................ 113 HOW DID PROGRAMME PARTICIPANTS MAKE USE OF THEIR LEARNING IN THE WORKPLACE?........................................................... 121 SUMMARY ....................................................................................................... 126 2 The implementation of a mod el o f p ers on-ce ntr ed practi ce in older pers on setti ngs CHAPTER 4.......................................................................................................... 128 FINDINGS PART 3: ............................................................................................ 128 QUANTITATIVE AND QUALITATIVE DATA ................................................ 128 PERSON-CENTRED NURSING INDEX (PCNI) AND PERSON- CENTRED CARING INDEX (PCCI)............................................................. 129 RESIDENT NARRATIVES AND OBSERVATIONS ................................. 142 CHAPTER 5.......................................................................................................... 163 DISCUSSION OF FINDINGS AND RECOMMENDATIONS ....................... 163 INTRODUCTION ............................................................................................. 164 DEVELOPMENT OF THE CARE ENVIRONMENT/PRACTICE CULTURE ........................................................................................................ 164 DEVELOPMENTS IN PERCEPTIONS OF CARING ................................ 169 CHANGING PRACTICE ................................................................................ 170 CONTRIBUTION TO PRACTICE DEVELOPMENT KNOWLEDGE...... 172 REVISITING THE PROGRAMME OBJECTIVES ..................................... 184 RECOMMENDATIONS ......................................................................................... 186 REFERENCES...................................................................................................... 188 APPENDICES ....................................................................................................... 193 Appendix 1 .......................................................................................................... 194 Appendix 2 .......................................................................................................... 201 3 The implementation of a mod el o f p ers on-ce ntr ed practi ce in older pers on setti ngs ACKNOWLEDGEMENTS The programme team would like to acknowledge the following for making this work happen: • The National Council for the Professional Development of Nursing and Midwifery for providing the funding that made this work happen. • The Directors of NMPDU North West, North East, Mid West, South, South East and Midlands for supporting the initiation of the programme and the work of the programme as it progressed. • In particular the programme team would like to thank Patrick Glackin, Director, NMPDU Midlands for his unfailing belief in the programme and what it could achieve, for ’calming the waves’ during periods of turbulence and for facilitating meaningful engagement with key-stakeholders. • The internal facilitators whose dedication and unflinching commitment to the day-to-day work of the programme made the work happen. There is no doubt that this programme could not have continued without their work and this report in no way captures the quality and quantity of the work that they undertook. We will be forever grateful to them, their vision, their creativity and their belief in practice development. • All the care staff and other personnel working at the participating sites who became involved in the programme. They embraced the values of the programme and worked hard to develop practice. It is their commitment to person-centredness that will enable those ways of working to be sustained in everyday practice. • The Directors of Nursing and Assistant Directors in the participating sites. It is widely acknowledged that Directors of Nursing are pivotal to changes in workplace cultures and we are very grateful for their support of the programme and in particular their support of the internal facilitators and the site-specific programme groups. 4 The implementation of a mod el o f p ers on-ce ntr ed practi ce in older pers on setti ngs • Margaret Buckley, Regional Facilitator NMPDU South and Seamus McCaul, NMPDU North East who worked as NMPDU facilitators in the first year of the programme. • Julie Cummins, Administrator, Institute of Nursing Research, University of Ulster for her attention to detail in the final editing of this report. • The residents, families, friends and other colleagues who participated in a variety of ways in this programme. We dedicate this work to them as without their participation none of the developments would have happened. Their contributions and participation will enable others to benefit from their insights, challenges and support. Thank you. 5 The implementation of a mod el o f p ers on-ce ntr ed practi ce in older pers on setti ngs INTERNAL FACILITATORS • Deirdre Lang, Assistant Director of Nursing, St John’s Hospital, Enniscorthy • Georgina Bassett, Assistant Director of Nursing, St Columba’s Hospital, Thomastown, Co Kilkenny • Mary Farrell, Assistant Director of Nursing, Sacred Heart Hospital, Carlow • Ros Farrell, Clinical Practice Facilitator, St Josephs Community Care Unit • Rose Mooney, Assistant Director of Nursing and Mary Farrell Clinical Nurse Manager, St Mary’s Hospital Castleblaney, Co Monaghan • Marie Caplice, Staff Nurse, St Joseph’s Hospital, Ardee, Co Louth • Catherine Buckley, CNM2, Practice Development Facilitator, St Finbarr’s Hospital, Cork. • Geraldine Mullins, CNM2 (Year 1) and Claire McCarthy CNM2 (Year 2), St Joseph’s Unit, Bantry General Hospital, Co Cork • Breda Delves, CNM2, St Columbanus Home, Killarney, Co Kerry • Mairead Greene, Assistant Director of Nursing, Community Hospital of the Assumption, Thurles, North Tipperary • Marian T Ryan, Night Superintendant, Community Hospital of the Assumption, Thurles, North Tipperary • Michele Hardiman, Assistant Director of Nursing, Cappahard Lodge

Load more

  212

Copy Link