Cargando…
Person-Centred Care Transformation in a Nursing Home for Residents with Dementia
BACKGROUND: Conventional nursing homes in Singapore adopt an institutional and medical model of care with a focus on safety and risk management. As such, less regard is placed on upholding the dignity and autonomy of the resident, which compromises quality of care and the well-being of the resident....
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7989831/ https://www.ncbi.nlm.nih.gov/pubmed/33790933 http://dx.doi.org/10.1159/000513069 |
_version_ | 1783668992543555584 |
---|---|
author | Ho, Peiyan Cheong, Rachel Chin Yee Ong, Siew Pei Fusek, Carol Wee, Shiou Liang Yap, Philip Lin Kiat |
author_facet | Ho, Peiyan Cheong, Rachel Chin Yee Ong, Siew Pei Fusek, Carol Wee, Shiou Liang Yap, Philip Lin Kiat |
author_sort | Ho, Peiyan |
collection | PubMed |
description | BACKGROUND: Conventional nursing homes in Singapore adopt an institutional and medical model of care with a focus on safety and risk management. As such, less regard is placed on upholding the dignity and autonomy of the resident, which compromises quality of care and the well-being of the resident. Today, person-centred care (PCC) has become synonymous with high-quality care that sustains the well-being and personhood of the care recipient. OBJECTIVES: To describe the model of PCC adopted by a nursing home, Apex Harmony Lodge (AHL), with a logic model and evaluate outcomes on residents' well-being, care quality, and staff attrition by comparing pre-PCC initiation (2015) to post-implementation (2016). METHODS: Male residents in a 30-bed assisted living facility for persons with dementia in AHL were assessed using Dementia Care Mapping. Residents' well-being and staff attrition were measured before and after PCC implementation. RESULTS: There were statistically significant improvements in resident well-being (Δ = 0.44, p = 0.029), Positive Engagement Potential (Δ = 0.17, p = 0.002), and Occupational Diversity (Δ = 0.12, p = 0.014) in 2016. Withdrawal and Passive Engagement in the residents were reduced significantly as were Care Detractors. There was also a 55% reduction in staff attrition rates post-PCC. CONCLUSIONS: Post-PCC implementation, the outcomes indicate a superior quality of care, enhanced resident well-being, and better staff retention. The AHL PCC model could serve as a roadmap for other nursing homes aspiring to raise the quality of care and influence long-term care standards and regulations for policy makers and legislators. |
format | Online Article Text |
id | pubmed-7989831 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-79898312021-03-30 Person-Centred Care Transformation in a Nursing Home for Residents with Dementia Ho, Peiyan Cheong, Rachel Chin Yee Ong, Siew Pei Fusek, Carol Wee, Shiou Liang Yap, Philip Lin Kiat Dement Geriatr Cogn Dis Extra Research Article BACKGROUND: Conventional nursing homes in Singapore adopt an institutional and medical model of care with a focus on safety and risk management. As such, less regard is placed on upholding the dignity and autonomy of the resident, which compromises quality of care and the well-being of the resident. Today, person-centred care (PCC) has become synonymous with high-quality care that sustains the well-being and personhood of the care recipient. OBJECTIVES: To describe the model of PCC adopted by a nursing home, Apex Harmony Lodge (AHL), with a logic model and evaluate outcomes on residents' well-being, care quality, and staff attrition by comparing pre-PCC initiation (2015) to post-implementation (2016). METHODS: Male residents in a 30-bed assisted living facility for persons with dementia in AHL were assessed using Dementia Care Mapping. Residents' well-being and staff attrition were measured before and after PCC implementation. RESULTS: There were statistically significant improvements in resident well-being (Δ = 0.44, p = 0.029), Positive Engagement Potential (Δ = 0.17, p = 0.002), and Occupational Diversity (Δ = 0.12, p = 0.014) in 2016. Withdrawal and Passive Engagement in the residents were reduced significantly as were Care Detractors. There was also a 55% reduction in staff attrition rates post-PCC. CONCLUSIONS: Post-PCC implementation, the outcomes indicate a superior quality of care, enhanced resident well-being, and better staff retention. The AHL PCC model could serve as a roadmap for other nursing homes aspiring to raise the quality of care and influence long-term care standards and regulations for policy makers and legislators. S. Karger AG 2021-02-02 /pmc/articles/PMC7989831/ /pubmed/33790933 http://dx.doi.org/10.1159/000513069 Text en Copyright © 2021 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. |
spellingShingle | Research Article Ho, Peiyan Cheong, Rachel Chin Yee Ong, Siew Pei Fusek, Carol Wee, Shiou Liang Yap, Philip Lin Kiat Person-Centred Care Transformation in a Nursing Home for Residents with Dementia |
title | Person-Centred Care Transformation in a Nursing Home for Residents with Dementia |
title_full | Person-Centred Care Transformation in a Nursing Home for Residents with Dementia |
title_fullStr | Person-Centred Care Transformation in a Nursing Home for Residents with Dementia |
title_full_unstemmed | Person-Centred Care Transformation in a Nursing Home for Residents with Dementia |
title_short | Person-Centred Care Transformation in a Nursing Home for Residents with Dementia |
title_sort | person-centred care transformation in a nursing home for residents with dementia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7989831/ https://www.ncbi.nlm.nih.gov/pubmed/33790933 http://dx.doi.org/10.1159/000513069 |
work_keys_str_mv | AT hopeiyan personcentredcaretransformationinanursinghomeforresidentswithdementia AT cheongrachelchinyee personcentredcaretransformationinanursinghomeforresidentswithdementia AT ongsiewpei personcentredcaretransformationinanursinghomeforresidentswithdementia AT fusekcarol personcentredcaretransformationinanursinghomeforresidentswithdementia AT weeshiouliang personcentredcaretransformationinanursinghomeforresidentswithdementia AT yapphiliplinkiat personcentredcaretransformationinanursinghomeforresidentswithdementia |