The change in the culture and movement represent basic move when thinking about nursing homes. Also the facilities are not seen as health care institution but viewed as homes offering long-term care services to person-centered (Kotter, 1996). Due to the consumers shared concerns, providers and policy makers there was shaping of culture-change practices and principles that was in regard to the quality and value of the care offered in homes with traditional nursing. Through these there is promising improvement in quality of care as well as life while alleviating problems such as high turnover in staff. In addition to that, policy makers encourage change in culture and also capitalize on its power transformation through regulation, public reporting, reimbursement and other different mechanisms (Kotter, 1996).
Discuss a minimum of three barriers/challenges to implementing person-centered care in nursing homes
Several aspects of the home nursing industry that included workforce, reimbursement and regulation have been conspiring in limiting the initiation of the change in cultural practices. The culture change over a period of years have been in need of dedicated leadership and a stable workforce with the buy-in nursing and funds for the environmental improvements because the industry has been having these problems with short in number of the parameters (Lerope, Perkins & Kemp, 2010).
Also, nursing profession being largely unprepared for new roles that is expected from nurses. Moreover, the short supply of funds and capital improvements contribute in barricading the implementation of personal-centered care in nursing homes. Incompatible regulations by the state such as the projection of beds in the room rules that makes it impossible for the residents to arrange furniture according to how they want them to be arranged or even forbidden from opening kitchens hindering them from obtaining waivers from the agency of state because of the regulations that exist (Lerope, Perkins & Kemp, 2010). Despite of the federal requirements, most of the nursing homes have remained very far away from idealized visions of the nursing home reformers. The quality has been the day’s critic whereby research suggests association between the poor and the nursing home resident’s outcome e.g. the decline in the levels that are functional and nurses inadequate preparation.
In addition to person-centered care practices mentioned in the article, identify 2 other examples of person-centered care practices
They also participated in educational retreats whereby they were receiving further training on person-centered care that uses a variety of the experiential exercises that were led by the staff from technical assistance firms (Rogers, 2003). The participants went on receiving motivational training and interviewing being a behavior change approach. Motivational interviewing is typically used in assisting with guiding and support of individuals in the making of lifestyle changes through reinforcing of persons own motivational statements. It helps people’s development on a plan of action that is consistent with the values and priorities (Rogers, 2003). On emphasis, at retreats was used in motivational interviewing the approaches working with staff that might be resistant to organizational changes in practices that are required to support a person-centered care. Time was provided for the participants in learning from and supports one another as reported in progress.
Also additional advanced nurse consultation practice was used and it proved to be effective in translating the knowledge used in research to practice. Because of educational ways and approaches are not always effective in the accomplishing the change in institutional settings, because of that a model in consultation coaching was introduced (Rogers, 2003). BPI team of researchers believes that a multifaceted approach including consultation, education and development of initiatives and practices from research based institution.
Moreover, coaches also participated in conducting training within the institutions. Most of them provided evidence based on the practices and other resource materials that are specific to projects and they are all assisted through person-centered planning care in activities. Some coaches were drafted on critiqued when requested in new assessment formation with other documents. To add to their work and facilities, coaches are met as group in monthly discussion on the projects and their coaching roles (Rogers, 2003). The meetings helped in charting progress and identifying barriers through strategizing ways and overcome them. Furthermore, support was provided by the coaches to one another through helping those identifying resources that are beneficial to participating facilities.
The many years outgrowth of work on consumer’s part and the providers together with policy makers, a group of diverse stake-holders have been brought together through culture change around the principle of the person-centered homes of nursing care. Although there is awareness of growing movement, the culture change maintaining and operational difficulties remain daunting but they are usually not insurmountable (Lerope, Perkins & Kemp, 2010). With environment policy that is conducive to the innovation and supports both initial and always sustain adoption of the new models, it is very possible in that before the new generation, there is need of long-term care-nursing homes will definitely become better in value preposition. The change in culture movement has shown that, the provision of a high quality nursing care homes will individualize in meeting each of the residents needs in a setting maximizing self-determination and well being will be vision made real.
Also there are steps used in developing reliable and valid instruments that measure a centre for person care from client’s perspective or family and staff being used in the intervention studies. Additionally, the lessons learnt must be of use in the development testing specific interventions helping organizations with more quick ways in embracing care practices from person-centered practices (Lerope, Perkins & Kemp, 2010).