Abstract
Background
There are 16,726 care homes in the UK with a population of approximately 441,479 residents [1]. Compared to other groups in society there has been little research evaluating the delivery of high-quality person-centred care provided to residents in their care homes.
Aim
The primary aim of the study was to explore and understand the barriers to, and enablers of, delivering the most effective high-quality person-centred care possible in care homes.
Methods
The study used multiple case study design. Data was collected across seven care homes between September 2022 and August 2023 through multiple stakeholder interviews (n=61) and non-participant observation (400 hours). A reflexive stance was central to the research process. Data was triangulated and analysed using Reflexive Thematic Analysis [2].
Results
Themes stress the importance of ‘people being placed at the centre’, when providing high-quality person-centred care, the challenge of residents and family members (re)negotiating their identity during the move into care home settings, the importance of a care home being the residents’ home, the crossing and negotiating of old and new boundaries between health and social care providers, and care home staff making sense and finding meaning during critical moments in care.
Discussion
The study provides new insights into the provision of high-quality person-centred care in care home settings through resident to system level and provides a platform for further research. The inclusion of an experienced older people’s mental health nurse as an embedded researcher and observer was critical in this study.
Conclusion
The provision of person-centred high-quality care is important to residents, family, professionals and health and social care systems as a whole. Nurses are central to developing person centred care in these settings [3] and are well placed to develop resident focused and accessible care home research.
References
1. Berg, V. (2023) Care home stats: number of settings, population & workforce. Available at: https://www.carehome.co.uk/advice/care-home-stats-number-of-settings-population-workforce (last accessed 15 March 2024)
2. Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. Sage.
3. Ryan, T. (2021). Facilitators of person and relationship‐centred care in nursing. Nursing Open, 9(2), 892-899. doi:10.1002/nop2.1083
There are 16,726 care homes in the UK with a population of approximately 441,479 residents [1]. Compared to other groups in society there has been little research evaluating the delivery of high-quality person-centred care provided to residents in their care homes.
Aim
The primary aim of the study was to explore and understand the barriers to, and enablers of, delivering the most effective high-quality person-centred care possible in care homes.
Methods
The study used multiple case study design. Data was collected across seven care homes between September 2022 and August 2023 through multiple stakeholder interviews (n=61) and non-participant observation (400 hours). A reflexive stance was central to the research process. Data was triangulated and analysed using Reflexive Thematic Analysis [2].
Results
Themes stress the importance of ‘people being placed at the centre’, when providing high-quality person-centred care, the challenge of residents and family members (re)negotiating their identity during the move into care home settings, the importance of a care home being the residents’ home, the crossing and negotiating of old and new boundaries between health and social care providers, and care home staff making sense and finding meaning during critical moments in care.
Discussion
The study provides new insights into the provision of high-quality person-centred care in care home settings through resident to system level and provides a platform for further research. The inclusion of an experienced older people’s mental health nurse as an embedded researcher and observer was critical in this study.
Conclusion
The provision of person-centred high-quality care is important to residents, family, professionals and health and social care systems as a whole. Nurses are central to developing person centred care in these settings [3] and are well placed to develop resident focused and accessible care home research.
References
1. Berg, V. (2023) Care home stats: number of settings, population & workforce. Available at: https://www.carehome.co.uk/advice/care-home-stats-number-of-settings-population-workforce (last accessed 15 March 2024)
2. Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. Sage.
3. Ryan, T. (2021). Facilitators of person and relationship‐centred care in nursing. Nursing Open, 9(2), 892-899. doi:10.1002/nop2.1083
| Original language | English |
|---|---|
| Publication status | Accepted/In press - 25 Apr 2024 |
| Event | RCN International Nursing Research Conference 2024 - Newcastle, United Kingdom Duration: 10 Sept 2024 → 12 Sept 2024 https://www.rcn.org.uk/news-and-events/events/inrc |
Conference
| Conference | RCN International Nursing Research Conference 2024 |
|---|---|
| Country/Territory | United Kingdom |
| City | Newcastle |
| Period | 10/09/24 → 12/09/24 |
| Internet address |