A Multiple Case Study Exploring Person‐Centred Care in Care Homes.

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 p...

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Publicado en:Health & Social Care in the Community Vol. 2024; pp. 1 - 12
Autores principales: Hodge, Gary, Byng, Richard, Page, Georgia, Lang, Iain, Pearce, Susie, Chen, Qing-Wei
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 10/25/2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 10/25/2024
      vid: 2024
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2024/9888828
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        atl: A Multiple Case Study Exploring Person‐Centred Care in Care Homes.
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        au:
          Hodge, Gary
          Byng, Richard
          Page, Georgia
          Lang, Iain
          Pearce, Susie
          Chen, Qing-Wei
        affil: University of Plymouth,, School of Nursing & Midwifery,, Plymouth, Devon, UK, plymouth.ac.uk
      sug:
        subj:
          Nursing Homes England
          Patient Centered Care
          Quality of Health Care
          Patient Attitudes Evaluation
          Attitude of Health Personnel Evaluation
          Human
          Male
          Female
          England
          Qualitative Studies
          Case Studies
          Purposive Sample
          Semi-Structured Interview
          Nonparticipant Observation
          Organizational Culture
          Thematic Analysis
          Transitional Care
          Support, Psychosocial
          Empowerment
          Professional-Patient Relations
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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