A Multiple Case Study Exploring Person-Centred Care in Care Homes

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gary Hodge, Richard Byng, Georgia Page, Iain Lang, Susie Pearce
{"title":"A Multiple Case Study Exploring Person-Centred Care in Care Homes","authors":"Gary Hodge,&nbsp;Richard Byng,&nbsp;Georgia Page,&nbsp;Iain Lang,&nbsp;Susie Pearce","doi":"10.1155/2024/9888828","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Background:</b> There are 14,228 care homes in England with a population of approximately 372,035 residents, many of whom are living with frailty or multiple and complex comorbidities. Policy and international literature advocate that care homes provide high-quality person-centred care that meets each person’s specific needs. This study aims to provide an exploration of person-centred care in care homes in the South West of England from the perspective of all those involved.</p>\n <p><b>Methods:</b> A qualitative multiple case study design was used across seven care homes in a region of South West England. Semistructured interviews were conducted with 61 participants (residents, family and health and care professionals). Nonparticipant observations were undertaken in communal areas to understand the practices and cultures of the care homes. All data were analysed using reflexive thematic analysis.</p>\n <p><b>Findings:</b> The findings are presented as six themes, they are adjusting to the transition into a care home; people at the centre of care; the place we call home with the people we call family; working across the boundaries of care; supporting, valuing and empowering care home teams; and managing complex and challenging moments of care.</p>\n <p><b>Conclusion:</b> This study demonstrates a whole system understanding of person-centred care across seven care homes. The main components of person-centred care appear to be relational. These relationships take place in cultures and systems that are complex and challenging with care boundaries that need to be navigated. Navigating these care boundaries requires a people-centred care approach built on partnerships and mutual respect.</p>\n </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9888828","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health & Social Care in the Community","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/2024/9888828","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Background: There are 14,228 care homes in England with a population of approximately 372,035 residents, many of whom are living with frailty or multiple and complex comorbidities. Policy and international literature advocate that care homes provide high-quality person-centred care that meets each person’s specific needs. This study aims to provide an exploration of person-centred care in care homes in the South West of England from the perspective of all those involved.

Methods: A qualitative multiple case study design was used across seven care homes in a region of South West England. Semistructured interviews were conducted with 61 participants (residents, family and health and care professionals). Nonparticipant observations were undertaken in communal areas to understand the practices and cultures of the care homes. All data were analysed using reflexive thematic analysis.

Findings: The findings are presented as six themes, they are adjusting to the transition into a care home; people at the centre of care; the place we call home with the people we call family; working across the boundaries of care; supporting, valuing and empowering care home teams; and managing complex and challenging moments of care.

Conclusion: This study demonstrates a whole system understanding of person-centred care across seven care homes. The main components of person-centred care appear to be relational. These relationships take place in cultures and systems that are complex and challenging with care boundaries that need to be navigated. Navigating these care boundaries requires a people-centred care approach built on partnerships and mutual respect.

多重案例研究:探索护理院中以人为本的护理服务
背景:英格兰有 14,228 家护理院,入住人数约为 372,035 人,其中许多人体弱多病或患有多种复杂的并发症。政策和国际文献都提倡护理院提供高质量的以人为本的护理,以满足每个人的特殊需求。本研究旨在从所有相关人员的角度探讨英格兰西南部护理院中以人为本的护理服务。 研究方法对英格兰西南部地区的七家护理院进行了多案例定性研究。对 61 名参与者(住户、家人、医疗和护理专业人员)进行了半结构化访谈。对公共区域进行了非参与者观察,以了解护理院的做法和文化。所有数据均采用反思性主题分析法进行分析。 研究结果研究结果分为六个主题,分别是:适应向护理之家的过渡;以人为本的护理;我们称之为家的地方和我们称之为家人的人;跨越护理界限的工作;支持、重视和授权护理之家团队;以及管理复杂和具有挑战性的护理时刻。 结论本研究展示了七个护理院对以人为本的护理的全系统理解。以人为本的护理的主要组成部分似乎是关系。这些关系发生在复杂且具有挑战性的文化和系统中,护理边界需要加以控制。要跨越这些护理界限,就必须在伙伴关系和相互尊重的基础上采取以人为本的护理方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信