The use of life story work with people with dementia to enhance person-centred care

被引:113
作者
McKeown, Jane [1 ]
Clarke, Amanda [2 ]
Ingleton, Christine [3 ]
Ryan, Tony [4 ]
Repper, Julie [5 ]
机构
[1] Sheffield Hlth & Social Care NHS FT, Dept Profess & Practice Dev, Fulwood House Old Fulwood Rd, Sheffield S10 3TH, England
[2] Univ Aberdeen, Ctr Adv Studies Nursing, Aberdeen, Scotland
[3] Univ Sheffield, Ctr Hlth & Social Care Studies & Serv Dev, Palliat Care Nursing, Sheffield, England
[4] Univ Sheffield, Ctr Hlth & Social Care Studies & Serv Dev, Sheffield, England
[5] Univ Nottingham, Sch Nursing & Midwivery, Mental Hlth Nursing & Social Care, Nottingham, England
关键词
care of older people; dementia; life story work; person-centred practice; practice development; qualitative research;
D O I
10.1111/j.1748-3743.2010.00219.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background. Person-centred care has been linked with quality of care but difficulties remain in person-centred care being implemented in care practice. This study explores the use of life story work to enhance person-centred care with people with dementia. Aims and objectives. The study investigates how life story work is: understood and developed in practice; experienced by all participants and affects the delivery and outcomes of care. Design and methods. The experience of older people with dementia, family carers and care staff in using life story work was explored within an NHS Health and Social Care Trust. A multiple case study design was adopted within a constructivist approach. Semi-structured interviews, observation, conversations were employed. Findings. Life story work has the potential to: enable care staff to see the person behind the patient; allow family carers to uphold their relatives' personhood; enable the voice of the person with dementia to be heard, verbally and non-verbally; be enjoyable for all concerned and enable the person with dementia to feel proud about themselves and their lives. Conclusion and implications for practice. Life story work has the potential to enhance person-centred care for older people with dementia and their families.Taking a practice development approach ensures that life story work can be implemented sensitively and is sustained in practice.
引用
收藏
页码:148 / 158
页数:11
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