Person-Centered Care Training in Long-Term Care Settings: Usefulness and Facility of Transfer into Practice

Abstract

The person-centered approach is increasingly recommended in long-term care facilities to increase quality of care. In Quebec, Canada,. caregivers were specifically trained in "relationship-based care. "This study analyzed caregivers' assessment of this approach's usefulness and their capacity, after training, to apply it to care practices. Questionnaires with open-ended questions were administered to caregivers (n= 392) one month after training. Caregivers' answers were categorized using a qualitative approach. Respondents perceive some features of this approach are beyond their reach or in opposition to their beliefs. They reported feeling pressure related to time constraints, their peers and the families of residents. These results indicate that training itself is insufficient to transform practice. Institutions wishing to implement such an approach must also act upon the beliefs of individuals, as well as upon work situations.

Ethical and moral considerations of (patient) centredness in nursing and healthcare: Navigating uncharted waters

“…The value of individual autonomy that underpins the western worldview of bioethics (Caldwell et al., ; Pollard, ) is in vivid contrast to some eastern cultural beliefs that instead esteem collectivism, respect for authority and maintenance of social harmony (Caldwell et al., ). As ultimately internal values and beliefs impact outward behaviour, incongruity between personal and workplace values can pose a significant barrier to adoption of a centred philosophy (Viau‐Guay et al., ).…”

“…The principles underlying centredness and the provider's personal or cultural beliefs and values may also be at odds. A study by Viau-Guay et al (2013) that explored the utility and feasibility of (person) centred training in a LTC setting found that some caregivers felt the approach was in opposition to their values and beliefs. Although the authors did not elaborate further as to the basis of these viewpoints, this notion can be explored further by consideration of how cultural values and beliefs may impact the extent a healthcare provider embraces the tenets of centredness.…”

Relationship-Based Care and Behaviours of Residents in Long-Term Care Facilities

“…Similarly, the perception of confidence and ease in giving care among Hoeffer's participants [7] increased after training. In another part of our research project carried out with 420 caregivers trained in RBC [31], job satisfaction was among the best perceived positive effects of RBC. However, Boumans and colleagues [32] found that only 3 out of 15 items related to quality of life at work significantly differed between caregivers who applied patient-oriented care after training and a control group.…”

Learning manual handling without direct supervision or support: a case study of home care workers

“…An additional concern here is the lack of time for HCWs to become 'embodied' in their home care role, or form the subjectivities that are aligned with, and value home care work (Somerville, 2006b;Somerville & Bernoth, 2001). Consequently, the challenge in preparing workers for these roles is how best to offer an approach to initially develop their capacities and provide ongoing support in the workplace to develop them further (Stolee, Esbaugh, Aylward, Cathers, Harvey, et al, 2005;Viau-Guay, Bellemare, Feillou, Trudel, Desrosiers, et al, 2013). This preparation likely needs to include encouraging HCWs to develop their sense of self and reframe themselves as skilled workers who are not reliant on moral bonds and feelings of love (i.e., societal sentiments), but effective occupational capacities to provide safe, quality support to clients in their own homes.…”

“…These kinds of environments have long been acknowledged as risks to working safely in health care settings (e.g., Clemes et al, 2010;Swain, Purfahl & Williamson, 2003). Similarly, many studies have made specific recommendations for modifications to the physical environment, such as installing appropriate equipment, room redesign, and heating and ventilation adjustments (Alexander, 2008;Viau-Guay et al, 2013). However, these recommendations stand as ideals rather what these environments ultimately comprise: people's homes.…”