Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study

Sjögren, Karin; Lindkvist, Marie; Sandman, Per‐Olof; Zingmark, Karin; Edvardsson, David

doi:10.1186/s12912-017-0240-4

Cited by 45 publications

(52 citation statements)

References 61 publications

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“…However, the caregivers cannot implement TT-based activities into their work schedules without management approval. This is in-line with Sjögrens et al’s [82] conclusion in their study investigating person-centred care characteristics, that it is essential that managers and leaders in residential care enable staff to prioritise social interactions and encounters. Thus, management needs to fully endorse the use of new technologies by staff, including providing permission, education and training as well as clear directions.…”

Section: Discussionsupporting

confidence: 84%

The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home

Juul

Wilding

Baldassar

2019

IJERPH

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Older people living in residential aged care facilities tend to be physically as well as socially inactive, which leads to poorer health and reduced wellbeing. A lack of recognition of the importance of social support, limited resources, lack of training and task-oriented work routines leave little time for staff to meet the social needs of residents. Through qualitative ethnographic fieldwork, this study investigates the potential for new technologies to enhance quality of life and facilitate meaningful engagement in physical and social activities among culturally and linguistically diverse residents and staff in care facilities. A continuum from nonparticipation to full participation among residents was observed when Touch Screen Technology activities were implemented. Data indicate that resident’s engagement is impacted by five interdependent factors, including environmental, organisational, caregiver, patient, and management- &government-related. Findings show that new technologies can be used to increase meaningful physical and social engagement, including transcending language and cultural barriers. However, the successful application of new technologies to enhance quality of life is dependent on their integration into the daily routine and social relationships of staff and residents, with the full support of management. Guidelines governing the use of new technologies to support meaningful engagement of older people in residential care are lacking: this project highlights the importance of attention to the social relational dimensions of technology interventions to support best practice in their use.

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Section: Discussionsupporting

confidence: 84%

The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home

Juul

Wilding

Baldassar

2019

IJERPH

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“…As per Table 4, almost all PCC features and relational ethics actions were mentioned in articles belonging to group 1 (34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50).…”

Section: Article Groupsmentioning

confidence: 95%

Person-Centered Care From a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review

Tomaselli

Buttiġieġ

Rosano³

et al. 2020

Front. Public Health

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Background: The aim of this scoping review is to explore whether or not person-centered care (PCC), in its quest to deliver high quality and safe health care, has a relational-ethics perspective. To do so, we first need to relate the extant literature pertaining to PCC and relational ethics. To this extent, the specific features that define PCC and relational ethics were identified. PCC dimensions include: patient and provider concordance, improved health outcomes, improved patient safety, individual expectations, patients' integration within the environment, patient as a person, patient as an active part of society, dialogue and interaction, sharing experience, and documentation of patient's (person's) narrative. Relational ethics framework includes the following actions: mutual respect, engagement, embodied knowledge, environment, and uncertainty.Methods: Data were retrieved through multiple keywords search on PubMed, Medline, and Scopus. Inclusion/exclusion criteria were set, and these were based on year of publication (2008-2018), language, paper focus, research method and document types. A total of 23 articles (N = 23) were selected and reviewed. Content analysis was conducted in order to identify and compare the main features of PCC and relational ethics. Results:The most important relational ethics action referred to in conjunction with PCC features is environment (referred to as person's integration within a social environment/community). This is followed by mutual respect, engagement and embodied knowledge. These were the salient relational ethics actions both directly and indirectly linked to PCC. Uncertainty was the less recurrent relational ethical action mentioned.Conclusions: This paper revealed that while PCC features embrace most of the relational ethics approaches, these are not exploited in their entirety and therefore PCC emerges as a unique ethical stance in healthcare. PCC's ethical approach goes beyond what is explained within provider-patient relational ethics and emphasizes that the patient is an active person and a partner in care with capabilities and resources.Tomaselli et al. Person-Centered Care and Relational EthicsThis distinction enables us to explain the paradigm shift from "patient-centered" to "person-centered" care. The healthcare provider partnership and co-creation of the healthcare plan contributes to the delivery of high quality, safe and cost-contained healthcare.

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“…While many health professionals and support workers may have the best intentions, poor resourcing and lack of education obstruct their (Ratti et al, 2016). Organizational and environmental facilitating factors that contribute to highly person-centred residential aged care include a shared philosophy of care; time to spend with residents; social support from colleagues and leaders; interdisciplinary collaboration; and a friendly physical environment (Sjogren et al, 2017). People with intellectual disabilities at the end of life require similar considerations.…”

Section: Discussionmentioning

confidence: 99%

Creating person-centred support for people with intellectual disabilities at the end of life: An Australian qualitative study of unmet needs and strategies

McNamara

Same

Rosenwax

2019

J Intellect Disabil

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Background: People with intellectual disabilities at the end of life are at risk of receiving inadequate and inequitable end-of-life care. This study explores their unmet needs, opportunities for person-centred care and experiences of health service use. Methods: Qualitative interviews with 26 experienced health professionals and carers were used to explore their patients’ and residents’ unmet needs and end-of-life care options and to outline strategies to support them. Results: A range of challenges and unmet needs experienced by people with intellectual disabilities are presented in themes: (1) accommodation setting at the end of life: dying ‘at home’; (2) personal factors and networks: a circle of support; (3) end-of-life medical care and decision-making. Strategies to facilitate good end-of-life care and a model of care are presented. Conclusions: Well-prepared and collaborative disability and health service workforces are needed, together with flexible and adequate end-of-life funding to ensure compassionate and person-centred care.

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Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study

Cited by 45 publications

References 61 publications

The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home

The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home

Person-Centered Care From a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review

Creating person-centred support for people with intellectual disabilities at the end of life: An Australian qualitative study of unmet needs and strategies

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