Centre for Ageing and Health, Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
Int J Older People Nurs. 2011 Sep;6(3):227-36. doi: 10.1111/j.1748-3743.2011.00290.x.
The 'VIPS' framework sums up the elements in Kitwood's philosophy of person-centred care (PCC) for persons with dementia as values, individualised approach, the perspective of the person living with dementia and social environment. There are six indicators for each element. Aim. To conduct an initial evaluation of a model aimed at facilitating the application of the VIPS framework.
Qualitative evaluative study.
A model was trialled in a 9-week pilot study in two nursing homes and evaluated in four focus groups using qualitative content analysis.
Five themes emerged: (1) Legitimacy of the model was secured when central roles were held by nurses representing the majority of the staff; (2) The model facilitated the staff's use of their knowledge of PCC; (3) Support to the persons holding the internal facilitating roles in the model was needed; (4) The authority of the leading registered nurse in the ward was crucial to support the legitimacy of the model and (5) Form of organisation seemed to be of importance in how the model was experienced.
The model worked best in wards organised with a leading registered nurse who could support an auxiliary nurse holding the facilitating function.
“VIPS”框架总结了基特伍德以人为本的痴呆症护理哲学（PCC）中的要素，即价值观、个性化方法、痴呆症患者的视角和社会环境。每个要素都有六个指标。目的。对旨在促进 VIPS 框架应用的模型进行初步评估。
定性评估研究。
该模型在两家养老院进行了为期 9 周的试点研究，并在四个焦点小组中使用定性内容分析进行了评估。
出现了五个主题：（1）当代表大多数员工的护士担任核心角色时，模型的合法性得到了保障；（2）该模型促进了员工对 PCC 知识的运用；（3）需要为模型中担任内部促进角色的人员提供支持；（4）病房的注册护士的权威对于支持模型的合法性至关重要；（5）组织形式似乎对模型的体验方式很重要。
该模型在由能够支持担任促进职能的辅助护士的护士长领导的病房中效果最佳。
