Peiyan Ho, Rachel Chin Yee Cheong, Siew Pei Ong, Carol Fusek, Shiou Liang Wee, Philip Lin Kiat Yap
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Today, person-centred care (PCC) has become synonymous with high-quality care that sustains the well-being and personhood of the care recipient.</p><p><strong>Objectives: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>There were statistically significant improvements in resident well-being (Δ = 0.44, <i>p</i> = 0.029), Positive Engagement Potential (Δ = 0.17, <i>p</i> = 0.002), and Occupational Diversity (Δ = 0.12, <i>p</i> = 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.</p><p><strong>Conclusions: </strong>Post-PCC implementation, the outcomes indicate a superior quality of care, enhanced resident well-being, and better staff retention. 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引用次数: 8
摘要
背景:新加坡的传统养老院采用一种注重安全和风险管理的机构和医疗护理模式。因此,不太重视维护居民的尊严和自主权,这损害了护理质量和居民的福祉。今天,以人为本的护理(PCC)已成为高质量护理的代名词,可以维持护理对象的福祉和人格。目的:用逻辑模型描述Apex Harmony Lodge养老院采用的PCC模式,并通过比较PCC实施前(2015年)和实施后(2016年)对居民幸福感、护理质量和员工流失率进行评估。方法:使用痴呆护理地图对AHL 30张床位的老年痴呆辅助生活设施中的男性居民进行评估。在PCC实施前后测量居民幸福感和员工流失率。结果:2016年居民幸福感(Δ = 0.44, p = 0.029)、积极参与潜力(Δ = 0.17, p = 0.002)和职业多样性(Δ = 0.12, p = 0.014)均有显著改善。居民的退缩和被动参与显著减少,关怀诋毁者也明显减少。在pcc之后,员工流失率也降低了55%。结论:pcc实施后,结果表明护理质量提高,居民幸福感增强,员工保留率提高。AHL PCC模式可以作为其他养老院的路线图,为政策制定者和立法者提高护理质量和影响长期护理标准和法规。
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. 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.
期刊介绍:
This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .