BACKGROUND: The 'VIPS' framework sums up the elements in Kitwood's philosophy of person-centred care (PCC) for persons with dementia as values, individualised approach, the perspective of the person living with dementia and social environment. There are six indicators for each element. Aim. To conduct an initial evaluation of a model aimed at facilitating the application of the VIPS framework. DESIGN: Qualitative evaluative study. METHODS: A model was trialled in a 9-week pilot study in two nursing homes and evaluated in four focus groups using qualitative content analysis. RESULTS: Five themes emerged: (1) Legitimacy of the model was secured when central roles were held by nurses representing the majority of the staff; (2) The model facilitated the staff's use of their knowledge of PCC; (3) Support to the persons holding the internal facilitating roles in the model was needed; (4) The authority of the leading registered nurse in the ward was crucial to support the legitimacy of the model and (5) Form of organisation seemed to be of importance in how the model was experienced. CONCLUSION: The model worked best in wards organised with a leading registered nurse who could support an auxiliary nurse holding the facilitating function.
BACKGROUND: The 'VIPS' framework sums up the elements in Kitwood's philosophy of person-centred care (PCC) for persons with dementia as values, individualised approach, the perspective of the person living with dementia and social environment. There are six indicators for each element. Aim. To conduct an initial evaluation of a model aimed at facilitating the application of the VIPS framework. DESIGN: Qualitative evaluative study. METHODS: A model was trialled in a 9-week pilot study in two nursing homes and evaluated in four focus groups using qualitative content analysis. RESULTS: Five themes emerged: (1) Legitimacy of the model was secured when central roles were held by nurses representing the majority of the staff; (2) The model facilitated the staff's use of their knowledge of PCC; (3) Support to the persons holding the internal facilitating roles in the model was needed; (4) The authority of the leading registered nurse in the ward was crucial to support the legitimacy of the model and (5) Form of organisation seemed to be of importance in how the model was experienced. CONCLUSION: The model worked best in wards organised with a leading registered nurse who could support an auxiliary nurse holding the facilitating function.
Authors: Jing Wang; Bei Wu; Barbara J Bowers; Michael J Lepore; Ding Ding; Eleanor S McConnell; Kirsten N Corazzini Journal: Gerontol Geriatr Med Date: 2019-05-14