+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Person-centred dementia care: a reality check in two nursing homes in Ireland

Person-centred dementia care: a reality check in two nursing homes in Ireland

Dementia 15(5): 1158-1170

The introduction of a person-centred care (PCC) approach to dementia care has been a major paradigmatic shift in the care provision in residential settings for older adults in Ireland. However, policy implementation in nursing homes relies very much on the preparedness of nursing staff. This study explored this through semi-structured interviews with care assistants in two nursing homes which professed to support the PCC philosophy. We addressed their knowledge and perspectives of person-centred dementia care and views on various factors affecting its delivery. Findings showed considerable disparity between policy and practice, in particular because care assistants lacked clarity on what PCC is and reported that they were not educated in it. Notwithstanding this, carers' perspectives on 'good care' for people with dementia included elements of PCC which suggested its 'implicit' use in practice. Besides the necessity of more (and more explicit) training on PCC, the findings also suggest concerns around communication between staff and management and the need for improvement of staffing resources and available time in residential settings in order to make the delivery of person-centred dementia care a reality.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054945841

Download citation: RISBibTeXText

PMID: 25370077

DOI: 10.1177/1471301214556132

Related references

Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: A cluster-randomised controlled trial. Plos Medicine 15(2): E1002500, 2018

The role of leadership in the implementation of person-centred care using Dementia Care Mapping: a study in three nursing homes. Journal of Nursing Management 23(1): 15-26, 2015

Improving person-centred care in nursing homes through dementia-care mapping: design of a cluster-randomised controlled trial. Bmc Geriatrics 12: 1, 2012

A model for using the VIPS framework for person-centred care for persons with dementia in nursing homes: a qualitative evaluative study. International Journal of Older people Nursing 6(3): 227-236, 2011

Person-centred care and job satisfaction of caregivers in nursing homes: a systematic review of the impact of different forms of person-centred care on various dimensions of job satisfaction. International Journal of Geriatric Psychiatry 27(3): 219-229, 2012

A whole-systems approach for dementia care Drawing on his 30 years' experience as a nurse, Trevor Adams has written a book on dementia care nursing. Here, he refers to its contents to explain why nurses should look beyond person-centred and relationship-centred care to consider wider social, psychological and biological systems that help construct a more rounded picture of the needs of people with dementia. Nursing Older people 20(10): 24-26, 2008

Evaluating the effectiveness and cost-effectiveness of Dementia Care Mapping™ to enable person-centred care for people with dementia and their carers (DCM-EPIC) in care homes: study protocol for a randomised controlled trial. Trials 17(1): 300, 2016

The impact of personality on person-centred care: a study of care staff in Swedish nursing homes. International Journal of Older people Nursing 12(2):, 2017

The impact of life story work on person-centred care for people with dementia living in long-stay care settings in Ireland. Dementia 18(7-8): 2731-2746, 2018

Person-Centred dementia care. Making services better Dawn Brooker Person-Centred Dementia Care. Making Services Better Jessica Kingsley 160 £14.99 1 84310 337 0 1843103370 [Formula: see text. Nursing Older People 19(5): 22-23, 2007

Ontological Security in Nursing Homes for Older Persons - Person-Centred Care is the Power of Balance. Open Nursing Journal 8: 79-87, 2014

Healing Arts Therapies and Person Centred Dementia Care Innes Anthea Katfield Karen Healing Arts Therapies and Person Centred Dementia Care 137pp Jessica Kingsley 9781843100386 184310038X. Nursing Standard 1987) 16(47): 29-29, 2002

Daring involvement and the importance of compulsory activities as first-year students learn person-centred care in nursing homes. Nurse Education in Practice 21: 114-120, 2016

Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: a cluster-randomised trial. Lancet. Neurology 8(4): 317-325, 2009

The development of the Person-Centred Situational Leadership Framework: Revealing the being of person-centredness in nursing homes. Journal of Clinical Nursing 27(1-2): 427-440, 2018