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Moving the agenda forward: a person-centred framework in long-term care.
Int J Older People Nurs. 2012 Dec; 7(4):303-9.IJ

Abstract

BACKGROUND

Internationally, the role of the registered nurse (RN) in long-term care (LTC) settings has evolved in response to the demands of governmental and organisational priorities. In stark contrast to the regulatory mandates, a person-centred care approach in LTC settings would require different outcomes, processes and competencies of the RN.

AIMS

This article explores the implications of defining the RN's role in delivering person-centred care in LTC homes.

METHODS

Based on a review of the literature, we present a framework that can be used to gather evidence on the outcomes, processes of care and competencies required of RNs to lead their teams to person-centred LTC homes.

RESULTS

The development of the framework highlighted several issues: (i) current measures of quality in LTC settings focus on health outcomes and avoiding adverse events rather than on resident quality of life and well-being, which influences the RN's practice; (ii) person-centred care has emerged as a focus of care, yet measures currently developed are limited, and thus, new outcomes are proposed; (iii) to practice in a person-centred way, RNs must work through others on their team to ensure that staff truly relate to their residents, tailor approaches based on the remaining abilities of the residents and manipulate environments to match the competence of the individual, while focusing on residents' personhood and (iv) competencies of RNs to deliver person-centred care include leadership, facilitation, clinical excellence and critical thinking skills.

CONCLUSIONS

RNs need to be supported, allowed and encouraged in redesigning their role, to work to their full capacity if they are truly to support person-centred care in LTC settings.

Authors+Show Affiliations

Toronto Rehabilitation Institute-UHN, Toronto, ON M6K 2R7, Canada. Kathy.McGilton@uhn.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23164252

Citation

McGilton, Katherine S., et al. "Moving the Agenda Forward: a Person-centred Framework in Long-term Care." International Journal of Older People Nursing, vol. 7, no. 4, 2012, pp. 303-9.
McGilton KS, Heath H, Chu CH, et al. Moving the agenda forward: a person-centred framework in long-term care. Int J Older People Nurs. 2012;7(4):303-9.
McGilton, K. S., Heath, H., Chu, C. H., Boström, A. M., Mueller, C., Boscart, V. M., McKenzie-Green, B., Moghabghab, R., & Bowers, B. (2012). Moving the agenda forward: a person-centred framework in long-term care. International Journal of Older People Nursing, 7(4), 303-9. https://doi.org/10.1111/opn.12010
McGilton KS, et al. Moving the Agenda Forward: a Person-centred Framework in Long-term Care. Int J Older People Nurs. 2012;7(4):303-9. PubMed PMID: 23164252.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Moving the agenda forward: a person-centred framework in long-term care. AU - McGilton,Katherine S, AU - Heath,Hazel, AU - Chu,Charlene H, AU - Boström,Anne-Marie, AU - Mueller,Christine, AU - Boscart,Veronique M, AU - McKenzie-Green,Barbara, AU - Moghabghab,Rola, AU - Bowers,Barbara, PY - 2012/04/12/received PY - 2012/09/10/accepted PY - 2012/11/21/entrez PY - 2012/11/21/pubmed PY - 2013/5/8/medline SP - 303 EP - 9 JF - International journal of older people nursing JO - Int J Older People Nurs VL - 7 IS - 4 N2 - BACKGROUND: Internationally, the role of the registered nurse (RN) in long-term care (LTC) settings has evolved in response to the demands of governmental and organisational priorities. In stark contrast to the regulatory mandates, a person-centred care approach in LTC settings would require different outcomes, processes and competencies of the RN. AIMS: This article explores the implications of defining the RN's role in delivering person-centred care in LTC homes. METHODS: Based on a review of the literature, we present a framework that can be used to gather evidence on the outcomes, processes of care and competencies required of RNs to lead their teams to person-centred LTC homes. RESULTS: The development of the framework highlighted several issues: (i) current measures of quality in LTC settings focus on health outcomes and avoiding adverse events rather than on resident quality of life and well-being, which influences the RN's practice; (ii) person-centred care has emerged as a focus of care, yet measures currently developed are limited, and thus, new outcomes are proposed; (iii) to practice in a person-centred way, RNs must work through others on their team to ensure that staff truly relate to their residents, tailor approaches based on the remaining abilities of the residents and manipulate environments to match the competence of the individual, while focusing on residents' personhood and (iv) competencies of RNs to deliver person-centred care include leadership, facilitation, clinical excellence and critical thinking skills. CONCLUSIONS: RNs need to be supported, allowed and encouraged in redesigning their role, to work to their full capacity if they are truly to support person-centred care in LTC settings. SN - 1748-3743 UR - https://www.unboundmedicine.com/medline/citation/23164252/Moving_the_agenda_forward:_a_person_centred_framework_in_long_term_care_ L2 - https://doi.org/10.1111/opn.12010 DB - PRIME DP - Unbound Medicine ER -