Implementing Person Centred Reminiscence Education for Nurses Caring for Elderly Persons with Dementia in a Long Term Care Setting - An Action Research Study
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This document summarizes an action research study that implemented person-centered reminiscence education for nurses caring for elderly persons with dementia in long-term care. The study aimed to improve nurses' knowledge of reminiscence methods and develop competence in person-centered care. Data was collected through appreciative inquiry meetings with nurses. Outcomes included residents experiencing comfort and enjoyment from looking back on life experiences, maintaining identity and self-esteem, and reducing behaviors like frustration. The conclusion was that understanding of person-centered reminiscence increased but organizational change requires ongoing support and training for long-term impact.
Implementing Person Centred Reminiscence Education for Nurses Caring for Elderly Persons with Dementia in a Long Term Care Setting - An Action Research Study
- 1. ‘ I M P L E M E N T I N G P E R S O N C E N T R E D R E M I N I S C E N C E E D U C AT I O N F O R N U R S E S C A R I N G F O R E L D E R LY P E R S O N S W I T H D E M E N T I A I N A L O N G T E R M C A R E S E T T I N G : A N A C T I O N R E S E A R C H S T U D Y ’ STUDENT: KAVITHA RAMALINGAM SUPERVISOR: DR. AMANDA PHELAN MSC. PERSON CENTRED CARE YEAR 2014 -2016
- 2. DEMENTIA • The increased prevalence of dementia is one of the biggest issues healthcare professionals face in long term care settings. • 34% of total people in Ireland with dementia (14, 266) in LTC (Connolly et al., 2012), Estimated to rise to a total of (45,000-50,000) in Long term care by 2046 (Cahill et al., 2012).
- 3. NEED FOR THIS STUDY Creating a supportive social environment promotes a sense of well- being among residents with dementia. Integrating psychosocial approaches with nursing care is key to the person centred approach. Staff nurses are required to develop the necessary skills for delivering a psychosocial approach to care. Consequently, education in using such an approach is essential.
- 4. AIMS This action research project aim is to improve nurses’ knowledge of various methods of reminiscence for older people with dementia and develop competence in providing person-centred care. As person centeredness is a priority of care in St Mary’s Campus, there is a need for this particular project to be implemented to improve service delivery.
- 5. PERSON CENTEREDNESS ‘… an approach to practice established through the formation and fostering of healthful relationships between all care providers, service users and others significant to them in their lives. It is underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding. It is enabled by cultures of empowerment that foster continuous approaches to practice development.’ (McCormack et al., 2013, p 193).
- 6. ACTION RESEARCH Action research emphasises research in action, rather than research on action. This approach helps professional to share their power to deliver support together in order to improve quality of life of residents. (Coghlan and Brannick, 2014). 3 3 1 7 PARTICIPANTS NURSES CNMs ACTIVITY CNM
- 7. DATA COLLECTION Four stages of appreciative inquiry meetings conducted ; focus on what already works in a system, rather than a focus on what is deficient. (Cooperrider and Whitney, 2005)
- 8. REMINISCENCE The act or process of recollecting and recalling past life experiences or event with or without using prompts. There are number of therapeutic activities employed in dementia. Yet, reminiscence has been a standard approach. (Wang, 2007; McCarthy, 2011)
- 9. OUTCOMES • PCR can provide an opportunity for people to experience comfort and enjoyment. • Look back on their life experiences, rethink all they have done in their lives help to maintaining self-esteem and identity. • Nurturing relationships. • Increasing sociability and communication skills. • Helping to reduce frustration, agitation and aggressive behaviour.
- 10. STORY
- 11. CONCLUSION • During this project the understanding about person centred reminiscence has increased. • Organisational change is a long process we need continuous support, education and training, and staff motivation for the better outcome and long lifespan of any intervention.
- 12. THANK YOU ALL K A V I T H A R A M A L I N G A M