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An evaluation of a person-centred care programme for long-term care facilities.
- Source :
- Ageing & Society; Mar2015, Vol. 35 Issue 3, p457-488, 32p
- Publication Year :
- 2015
-
Abstract
- Person-centred approaches in long-term care focus on providing holistic care to residents in order to improve quality of life, enhance resident wellbeing and autonomy, and mitigate behavioural and/or other symptoms. The results of research on person-centred approaches to care are mixed, with very few high-quality empirical studies examining resident outcomes specifically. The purpose of this investigation was to examine a person-centred care programme implemented in three Canadian long-term care facilities to determine its effect on resident outcomes, approach to care and maintenance of the programme three years after implementation. Using the Resident Assessment Instrument Minimum Data Set (RAI-MDS) scale scores and quality indicators, we retrospectively examined resident outcomes before, after and six months following the initiation of the programme using three additional facilities as control. We did not find any effects on resident outcomes. Focus group interviews with facility staff revealed no systematic differences between the programme and control facilities in their approach to care. All facilities supported aspects of a person-centred philosophy. Focus group interview data from the programme facilities indicated partial maintenance in two facilities and more complete maintenance in one facility. Although staff members supported the programme, implementation and maintenance proved difficult and effectiveness on resident outcomes was not indicated in this research. Additional controlled studies are needed. [ABSTRACT FROM PUBLISHER]
- Subjects :
- ELDER care
ANALYSIS of covariance
COMPARATIVE studies
CONFIDENCE intervals
MENTAL depression
FOCUS groups
INTERVIEWING
LONG-term health care
RESEARCH methodology
EVALUATION of medical care
HEALTH outcome assessment
QUALITY of life
QUESTIONNAIRES
RESEARCH funding
SOCIAL skills
MANAGEMENT styles
JUDGMENT sampling
ACTIVITIES of daily living
PAIN measurement
THEMATIC analysis
RESIDENTIAL care
PRE-tests & post-tests
RETROSPECTIVE studies
PATIENT-centered care
EVALUATION of human services programs
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 0144686X
- Volume :
- 35
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Ageing & Society
- Publication Type :
- Academic Journal
- Accession number :
- 101359156
- Full Text :
- https://doi.org/10.1017/S0144686X13000743