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Person-Centered Care Training in Long-Term Care Settings: Usefulness and Facility of Transfer into Practice*

Published online by Cambridge University Press:  23 January 2013

Anabelle Viau-Guay ,
Marie Bellemare ,
Isabelle Feillou ,
Louis Trudel ,
Johanne Desrosiers  and
Marie-Josée Robitaille
Anabelle Viau-Guay*
Affiliation:
Université Laval
Marie Bellemare
Affiliation:
Université Laval
Isabelle Feillou
Affiliation:
Université Laval
Louis Trudel
Affiliation:
Université Laval
Johanne Desrosiers
Affiliation:
Université de Sherbrooke
Marie-Josée Robitaille
Affiliation:
Association paritaire pour la santé et la sécurité du travail du secteur affaires sociales (ASSTSAS)
*
†Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Anabelle Viau-Guay, Ph.D. Professeure adjointe Département d’études sur l’enseignement et l’apprentissage Faculté des sciences de l’éducation Université Laval 2320 rue des Bibliothèques, local 1142 Québec (Québec) G1V 0A6 ([email protected])
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Résumé

Les approches de soins centrées sur la personne sont de plus en plus recommandées en vue d’améliorer la qualité des soins de longue durée. Au Québec (Canada), l’approche relationnelle de soins a été implantée dans plusieurs établissements. Cette étude porte sur le point de vue des soignants formés sur l’utilité de cette approche ainsi que sur leur capacité à la transférer en pratique. Des questionnaires comportant des questions ouvertes ont été administrés un mois après la formation (n=392). Les réponses ont été catégorisées selon une approche qualitative. Les répondants perçoivent que certaines dimensions de l’approche sont hors de leur portée ou s’opposent à leurs croyances. Ils rapportent des pressions liées aux contraintes temporelles, à leurs collègues ainsi qu’aux familles des résidents. Ces résultats indiquent que la formation ne suffit pas à transformer les pratiques. Il faut également agir sur les croyances des individus ainsi que sur les situations de travail

Keywords

vieillissementapproches de soins centrées sur la personneaides soignantsformationtransfert des connaissancessoins de longue duréeagingperson-centered approachpatient care attendantstrainingknowledge transferlong-term care
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 32 , Issue 1 , March 2013 , pp. 57 - 72
Copyright
Copyright © Canadian Association on Gerontology 2013

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Footnotes

*

The authors thank the research team members Véronique Barret and Anne-Céline Guyon for their administrative support, as well as Daniel Prud’homme for his contribution to data analysis. They also thank the Association paritaire pour la santé et la sécurité du travail du secteur affaires sociales (ASSTSAS) trainers for their contribution to data collection, analysis, and validation; moreover, they are grateful for the reviewers’ incisive and constructive comments.

This research received financial support from the Canadian Institutes of Health Research, the Institut de recherche Robert-Sauvé en santé et en sécurité du travail, the ASSTSAS, and the Community-University Research Alliance: Innovation, Labour, and Employment.

References

ASSTSAS. (2007). Approche relationnelle de soins. Cahier du participant. Montréal: Association sectorielle paritaire pour la santé et la sécurité du travail du secteur affaires sociales (ASSTSAS).Google Scholar
Aylward, S., Stolee, P., Keat, N., & Johncox, V. (2003). Effectiveness of continuing education in long-term care: A literature review. The Gerontologist, 43(2), 259–271. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pubmed/12677083.CrossRefGoogle ScholarPubMed
Ballou, J. (2008). Open-ended question. In Lavrakas, P. J. (Ed.), Encyclopedia of survey research methods (Vol. 43, pp. 548–550). Thousand Oaks, CA: SAGE.Google Scholar
Beck, C., Ortigara, A., Mercer, S., & Shue, V. (1999). Enabling and empowering certified nursing assistants for quality dementia care. International Journal of Geriatric Psychiatry, 14(3), 197–211; discussion 211–2.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Beck, C.K., Vogelpohl, T.S., Rasin, J.H., Uriri, J.T., O’Sullivan, P., Walls, R., et al. (2002). Effects of behavioral interventions on disruptive behavior and affect in demented nursing home residents. Nursing Research, 51(4), 219–228. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pubmed/12131234.CrossRefGoogle ScholarPubMed
Berger, L.P., & Luckmann, T. (1966). The social construction of reality: A treatise in the sociology of knowledge. Garden City, NY: Anchor Books.Google Scholar
Bourgeois, M.S., Dijkstra, K., Burgio, L.D., & Allen, R.S. (2004). Communication skills training for nursing aides of residents with dementia: The impact of measuring performance. Clinical Gerontologist, 27(1/2), 119–138.CrossRefGoogle Scholar
Braun, K.L., Cheang, M., & Shigeta, D. (2004). Increasing knowledge, skills, and empathy among direct care workers in elder care: A preliminary study of an active-learning model. The Gerontologist, 45(1), 118–124.CrossRefGoogle Scholar
Bronfenbrenner, U. (1977). Toward an Experimental Ecology of Human Development. American Psychologist, 32(7), 513–531.CrossRefGoogle Scholar
Buelow, J.R., Winburn, K., & Hutcherson, J. (1998). Job satisfaction of home care assistants related to managerial practices. Home Health Care Services Quarterly, 17(4), 59–71.CrossRefGoogle Scholar
Burgio, L.D., Stevens, A., Burgio, K.L., Roth, D.L., Paul, P., & Gerstle, J. (2002). Teaching and maintaining behavior management skills in the nursing home. The Gerontologist, 42(4), 487–496.CrossRefGoogle ScholarPubMed
Caroly, S., & Weil-Fassina, A. (2004). Évolutions des régulations de situations critiques au cours de la vie professionnelle dans les relations de service. Le Travail humain, 67(4), 305–332.CrossRefGoogle Scholar
Chao, S.-Y. (2005). A psychoeducational program for nursing staff managing problematic behaviors of elderly nursing home residents in Taiwan. Applied Nursing Research: ANR, 18(4), 205–212. Retrieved from 8696.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., & Bester, A. (2006). Flexibility as a management principle in dementia care: The Adards example. The Gerontologist, 46(4), 540–544.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., Creedon, M.A., Malone, T., Parpura-Gill, A., Dakheel-Ali, M., & Heasly, C. (2006). Dressing of cognitively impaired nursing home residents: Description and analysis. The Gerontologist, 46(1), 89–96.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., & Mintzer, J.E. (2005). Time for change: The role of nonpharmacological interventions in treating behavior problems in nursing home residents with dementia. Nursing, 19(1), 37–40.Google ScholarPubMed
Cohen-Mansfield, J., & Parpura-Gill, A. (2007). Bathing: A framework for intervention focusing on psychosocial, architectural and human factors considerations. Archives of Gerontology and Geriatrics, 45, 121–135.CrossRefGoogle ScholarPubMed
Denzin, N.K., & Lincoln, Y.S. (2011). Introduction: Disciplining the practice of qualitative research. In Denzin, N.K. & Lincoln, Y.S. (Eds.), The SAGE handbook of qualitative research (4th ed., pp. 1–20). Thousand Oaks, CA: SAGE.Google Scholar
Edvardsson, D., & Innes, A. (2010). Measuring person-centered care: A critical comparative review of published tools. The Gerontologist, 50(6), 834–846.CrossRefGoogle ScholarPubMed
Emilsson, U.M. (2006). Supervision as pedagogy and support in the Swedish eldercare – A developmental project. Journal of Gerontological Social Work, 47(3/4), 83–102.CrossRefGoogle ScholarPubMed
Engestrom, Y. (2001). Expansive learning at work: Toward an activity theoretical reconceptualization. Journal of Education and Work, 14(1), 133–156.CrossRefGoogle Scholar
Fenwick, T.J. (2003). Reclaiming and re-embodying experiential learning through complexity science. Studies in the Education of Adults, 35(2), 123–141.CrossRefGoogle Scholar
Glouberman, S., Richards, J., El Bestawi, M., Seidman-Carlson, R., & Teperman, L. (2007). Reconnecting to care: A nursing initiative at the Baycrest Geriatric Health System. Nursing Leadership (Toronto, Ont.), 20(2), 39–49.CrossRefGoogle Scholar
Grossman, P., Compton, C., Igna, D., Ronfeldt, M., Shahan, E., & Williamson, P. (2009). Teaching practice: A cross-professional perspective. Teachers College Record, 111(9), 2055–2100.CrossRefGoogle Scholar
Hoeffer, B., Talerico, K.A., Rasin, J., Mitchell, C.M., Stewart, B.J., McKenzie, D., et al. (2006). Assisting cognitively impaired nursing home residents with bathing: Effects of two bathing interventions on caregiving. The Gerontologist, 46(4), 524–532.CrossRefGoogle ScholarPubMed
Kaskie, B. (2004). A strategic response to the challenges presented by older patients with Alzheimer’s disease and other types of dementia. Journal of Healthcare Management/American College of Healthcare Executives, 49(1), 32–45; discussion 45–6.Google Scholar
Kemeny, B., Boettcher, I., DeShon, R., & Stevens, A. (2006). Using experiential techniques for staff development: Liking, learning and doing. Journal of Gerontological Nursing, 32(8), 9–14.Google ScholarPubMed
Kitwood, T. (2008). Towards a theory of dementia care: The interpersonal process. Ageing and Society, 13(01), 51.CrossRefGoogle Scholar
Kong, E.-H., Evans, L.K., & Guevara, J.P. (2009). Nonpharmacological intervention for agitation in dementia: A systematic review and meta-analysis. Aging & Mental Health, 13(4), 512–520. doi: 10.1080/13607860902774394.CrossRefGoogle ScholarPubMed
Krippendorff, K. (2003). Unitizing. In Content analysis: An introduction to its methodology (2nd ed., pp. 97–110). Thousand Oaks, CA: SAGE.Google Scholar
Lave, J., & Wenger, E. (1991). Situated learning: Legitimate peripheral participation (p. 138). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Matthews, E., Farrell, G., & Blackmore, M. (1996). Effects of an environmental manipulation emphasizing client-centered care on agitation and sleep in dementia sufferers in a nursing home. Journal of Advanced Nursing, 24(3), 439–447.CrossRefGoogle Scholar
McCormack, B. (2004). Person-centredness in gerontological nursing: An overview of the literature. Journal of Clinical Nursing, 13(3a), 31–38.CrossRefGoogle ScholarPubMed
Mezirow, J. (2000). Learning to think like an adult: Core concepts of transformation theory. In Mezirow, J. (Ed.), Learning as transformation: Critical perspectives on a theory in progress (pp. 3–33). San Francisco, CA: Jossey-Bass Pub.Google Scholar
Miller, S.C., Miller, E.A., Jung, H.-Y., Sterns, S., Clark, M., & Mor, V. (2010). Nursing home organizational change: The “Culture Change” movement as viewed by long-term care specialists. Medical Care Research and Review: MCRR, 67(4 Suppl), 65S–81S.CrossRefGoogle ScholarPubMed
MSSS. (2003). Un milieu de vie de qualité pour les personnes hébergées en CHSLD Orientations ministérielles. Québec: Ministère de la Santé et des Services sociaux.Google Scholar
Pitkala, K.H., Laurila, J.V., Strandberg, T.E., & Tilvis, R.S. (2004). Behavioral symptoms and the administration of psychotropic drugs to aged patients with dementia in nursing homes and in acute geriatric wards. International Psychogeriatrics/IPA, 16(1), 61–74.CrossRefGoogle ScholarPubMed
Poulin, P., Bleau, J., & Gineste, Y. (2004). La formation à l’approche relationnelle de soins, la rencontre des humanitudes. Vie et vieillissement, 3(2), 32–40.Google Scholar
Roulston, K.J. (2008). The open-ended question. In Given, L. M. (Ed.), The sage encyclopedia of qualitative research methods (Vol. 43, pp. 583–584). Thousand Oaks, CA: SAGE.Google Scholar
Sannino, A. (2008). Experiencing conversations: Bridging the gap between discourse and activity. Journal for the Theory of Social Behaviour, 38(3), 267–291.CrossRefGoogle Scholar
Schön, D.A. (1983). The reflective practitioner: how professionals think in action (p. 374). New York: Basic Books.Google Scholar
Schoot, T., Proot, I., Legius, M., ter Meulen, R., & de Witte, L. (2006). Client-centered home care: Balancing between competing responsibilities. Clinical Nursing Research, 15(4), 231–237.CrossRefGoogle ScholarPubMed
Shaller, D. (2007). Patient-centered care: What does it take? Stillwater, MN: Picker Institute and The Commonwealth Fund.Google Scholar
Shields, M., & Wilkins, K. (2006). Findings from the 2005 National Survey of the Work and Health of Nurses. Statistics (p. 189). Ottawa: Statistics Canada and Canadian Institute for Health Information.Google Scholar
Sloane, P.D., Hoeffer, Ã.B., Mitchell, C.M., Mckenzie, D.A., Barrick, L., Rader, J., et al. (2004). Effect of person-centered showering and the towel bath on bathing-associated aggression, agitation, and discomfort in nursing home residents with dementia: A randomized, controlled trial. Journal of the American Geriatrics Society, 52(11), 1795–1804.CrossRefGoogle ScholarPubMed
Stolee, P., Esbaugh, J., Aylward, S., Cathers, T., Harvey, D.P., Hillier, L.M., et al. (2005). Factors associated with the effectiveness of continuing education in long-term care. The Gerontologist, 45(3), 399–409.CrossRefGoogle ScholarPubMed
Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: SAGE Publications.Google Scholar
Theureau, J. (2003). Course of action analysis & course of action centered design, Chapter 4. In Hollnagel, E. (Ed.), Handbook of cognitive task design. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Verkade, P.-J., van Meijel, B., Brink, C., van Os-Medendorp, H., Koekkoek, B., & Francke, A.L. (2010). Delphi research exploring essential components and preconditions for case management in people with dementia. BMC Geriatrics, 10, 54.CrossRefGoogle ScholarPubMed
Viau-Guay, A., & Feillou, I. (2011). L’approche relationnelle de soins: une discussion sur le transfert des apprentissages. Investir et s’investir en prévention, c’est judicieux! Colloque annuel de l’Association sectorielle paritaire – secteur Affaires sociales (ASSTSAS). Boucherville, Québec.Google Scholar
Voyer, P., Verreault, R., Azizah, G.M., Desrosiers, J., Champoux, N., & Bédard, A. (2005). Prevalence of physical and verbal aggressive behaviours and associated factors among older adults in long-term care facilities. BMC Geriatrics, 5, 13.CrossRefGoogle ScholarPubMed
White-Chu, E.F., Graves, W.J., Godfrey, S.M., Bonner, A., & Sloane, P. (2009). Beyond the medical model: The culture change revolution in long-term care. Journal of the American Medical Directors Association, 10(6), 370–378.CrossRefGoogle ScholarPubMed
Yeatts, D.E., & Cready, C.M. (2007). Consequences of empowered CNA teams in nursing home settings: A longitudinal assessment. The Gerontologist, 47(3), 323–339.CrossRefGoogle ScholarPubMed