Quality Improvements in Resident Mobility Care: Using Person- and Relationship-Centered Frameworks

Taylor, Jan; Sims, Jane; Haines, Terrence Peter

doi:10.1093/geront/gnt082

Cited by 8 publications

(5 citation statements)

References 40 publications

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“…• The Senses Framework can be used to develop objectives of mobility care practice improvement and the authors highlighted the potential advantages of person-centred approaches in enhancing the resident-staff relationship (Taylor et al 2013).…”

Section: Summary Of the Key Findingsmentioning

confidence: 99%

Relationship-centred care for people living with dementia in care homes. A rapid evidence summary

Gillen,

Edwards,

Roberts

et al. 2024

Preprint

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Dementia is a progressive degenerative disease, typically affecting older adults for which there is currently no cure. Dementia is characterised by progressive impairment to several cognitive functions including memory and orientation, practical abilities and mood changes, all of which can impact personality and social relationships. The theory of social death has been explored for people living with dementia as the ability to maintain social interactions are threatened leading to a loss of social identity and exclusion and withdrawal from the wider community. A relationship-centred care approach has been recommended to improve care for older people in long-term care, aiming to create environments conducive to relationships, considering the needs of the person living with dementia and also the staff and family members involved in their care. The Senses Framework by Nolan was designed to promote relationships, acknowledging the experiences of all parties across six senses: security, continuity, belonging, purpose, fulfilment and significance. Utilising the Senses Framework has the potential to sustain meaningful relationships by fostering a sense of value and empowerment. This Rapid Evidence Summary aims to explore the evidence assessing the benefits of a relationship triad approach (Senses Framework and other relationship-centred care approaches) in long term care settings (including care homes) for people living with dementia. Nine primary studies and one systematic review were identified. The benefits of using a relationship-centred approach were mapped under each of the senses described within the Senses Framework, detailed separately for people living with dementia, relatives and care home staff. For people living with dementia, interventions using touch and music increased the sense of security and belonging reducing neuropsychiatric conditions such as agitation and aggression. Memory boxes were used to support a sense of significance and continuity and significant moments from the past brought pleasure and enabled meaningful conversations. For relatives and staff, improved communication and relationships increased confidence and trust and by working together they found that they could exert more influence and could develop into a powerful force for change.

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Section: Summary Of the Key Findingsmentioning

confidence: 99%

Relationship-centred care for people living with dementia in care homes. A rapid evidence summary

Gillen,

Edwards,

Roberts

et al. 2024

Preprint

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“…13 The HCP's skills extend beyond device mastery such as customization of hearing aid performance (real-ear and prescriptive based), but importantly also can help build clients' self-management skills, help manage expectations around device use, and encourage active participation in goal setting and ongoing treatment planning. 3 14 It is also important for the HCP to consider that these activities will likely be iterative and dynamic, as communication needs and goals change over time. 15 Client engagement in the care process will therefore be strengthened through a dynamic relationship with their HCP, through improved education around technology and service-level options, aiming to personalize the care process.…”

Section: Provision and Service Options To Support Engagementmentioning

confidence: 99%

“…2 RCC allows HCPs to approach in-person, remote, or blended care scenarios in a holistic way, using evidence-based implementation frameworks that model human behavior associated with the chronic condition of hearing loss. 3 The relationship component of the care process will help achieve greater flexibility in the hearing journey as the provider and client weave through the continuum of care. This approach is devoted to the person and their well-being, based on individualized needs and preferences, incorporating, and expanding on person-centered care, beginning with a foundationally holistic view dating back to the 1940s.…”

mentioning

confidence: 99%

The Modern Hearing Care Landscape: Toward the Provision of Personalized, Dynamic, and Adaptive Care

Glista

Schnittker²,

Brice

2023

Semin Hear

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New technologies and developments in hearing healthcare are rapidly transforming service models, delivery channels, and available solutions. These advances are reshaping the ways in which care is provided, leading to greater personalization, service efficiencies, and improved access to care, to name a few benefits. Connected hearing care is one model with the potential to embrace this “customized” hearing experience by forging a hybrid of health–technology connections, as well as traditional face-to-face interactions between clients, providers, and persons integral to the care journey. This article will discuss the many components of connected care, encompassing variations of traditional and teleaudiology-focused services, clinic-based and direct-to-consumer channels, in addition to the varying levels of engagement and readiness defining the touch points for clients to access a continuum of connected hearing care. The emerging hearing healthcare system is one that is dynamic and adaptive, allowing for personalized care, but also shifting the focus to the client's needs and preferences. This shift in the care model, largely driven by innovation and the growing opportunities for clients to engage with hearing technology, brings forth new, exciting, and sometimes uncomfortable discussion points for both the provider and client. The modern hearing care landscape benefits clients to better meet their needs and preferences in a more personalized style, and providers to better support and address those needs and preferences.

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“…As gatekeepers, staff need to be well trained in the use of the mobility‐enhancing strategies and the application of person‐centred approaches to optimize residents' mobility, autonomy and control (Taylor et al . ). The staff's gatekeeper role during mobility care is even more salient when we consider the reliance of nurses on care staff to register and report changes in residents' health and behaviour (Jones et al .…”

Section: Introductionmentioning

confidence: 97%

“…, Taylor et al . , ). This article contributes to the body of knowledge regarding mobility care by describing care staff decision‐making practices and suggesting how to improve care staff's decision‐making competences and mobility care.…”

Section: Introductionmentioning

confidence: 99%

The emergent relevance of care staff decision‐making and situation awareness to mobility care in nursing homes: an ethnographic study

Taylor

Sims

Haines

2014

Journal of Advanced Nursing

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Quality Improvements in Resident Mobility Care: Using Person- and Relationship-Centered Frameworks

Abstract: The Senses Framework facilitated development of objectives for mobility care practice improvement that considers the needs of all stakeholders.

Cited by 8 publications

References 40 publications

Relationship-centred care for people living with dementia in care homes. A rapid evidence summary

Relationship-centred care for people living with dementia in care homes. A rapid evidence summary

The Modern Hearing Care Landscape: Toward the Provision of Personalized, Dynamic, and Adaptive Care

The emergent relevance of care staff decision‐making and situation awareness to mobility care in nursing homes: an ethnographic study

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