Villar Feliciano, Celdrán Montserrat, Vila-Miravent Josep, Serrat Rodrigo
Department of Cognition, Development, and Educational Psychology, University of Barcelona, Barcelona, Spain.
Alzheimer Catalonia Foundation, Barcelona, Spain.
Scand J Caring Sci. 2018 Jun;32(2):567-574. doi: 10.1111/scs.12480. Epub 2017 Sep 13.
Applying a person-centred care (PCC) approach is an aspiration for many services attending people with dementia (PwD). However, the implementation and assessment of PCC practices represent a challenge to health professionals.
To evaluate the impact on staff of a programme aiming to involve people with dementia (PwD) in their individualised care-planning (ICP) meetings in long-term residential settings; specifically, to explore the lessons that staff perceived they had learned from the experience.
Twenty-one staff members working in residential facilities for older people were interviewed after the programme. Responses to two questions ('Do you think that your work has been affected in any way by the attendance of PwD at ICP meetings?' and 'Have you learnt something new as a result of these meetings?') were submitted to thematic analysis.
Eighteen of the 21 participants identified at least one lesson they had learned from the experience. The lessons could be grouped under three main headings: (i) an increase in their understanding of PwD, (ii) questioning of their own care practices, and (iii) an improvement in teamwork.
The involvement of PwD in ICP meetings had a positive impact on staff. They stated that the experience encouraged them to develop PCC-compatible attitudes and modify the way they treat PwD, thus improving the quality of care they deliver. The experience also seemed to empower staff (particularly the lesser trained members) and increase the cohesion of working teams.
采用以人为主的护理（PCC）方法是许多为痴呆症患者（PwD）提供服务的机构所追求的目标。然而，PCC实践的实施和评估对卫生专业人员来说是一项挑战。
评估一项旨在让痴呆症患者（PwD）参与长期居住环境中个性化护理计划（ICP）会议的项目对工作人员的影响；具体而言，探讨工作人员认为从该经历中学到的经验教训。
项目结束后，对在老年人居住设施工作的21名工作人员进行了访谈。对两个问题（“你认为痴呆症患者参加ICP会议对你的工作有任何影响吗？”和“通过这些会议你学到了新东西吗？”）的回答进行了主题分析。
21名参与者中有18人指出至少从该经历中学到了一条经验教训。这些经验教训可归为三个主要类别：（i）对痴呆症患者的理解有所增加，（ii）对自身护理实践的反思，以及（iii）团队合作的改善。
痴呆症患者参与ICP会议对工作人员产生了积极影响。他们表示，该经历促使他们形成与PCC相符的态度，并改变对待痴呆症患者的方式，从而提高了他们提供的护理质量该经历似乎也增强了工作人员（尤其是培训较少的成员）的能力，并提高了工作团队的凝聚力。
