Janice Taylor

Quality Improvements in Resident Mobility Care: Using Person- and Relationship-Centered Frameworks

PURPOSE OF THE STUDY Research is needed to demonstrate the application of person- and relationship-centered care to nursing home practice. This article aimed to find a suitable person/relationship-centered framework to assist with mobility care practice improvements in nursing homes. DESIGN AND METHOD The authors discuss the task of mobility care, the nature of person- and relationship-centered care, and the significance of such approaches to mobility care. The Senses Framework (Nolan, Davies, Ryan, & Keady, 2008) is employed to develop mobility care practice improvement objectives. RESULTS The objectives are used to evaluate outcomes from 2 hypothetical scenarios to illustrate the possible value of the Senses Framework. IMPLICATIONS The Senses Framework facilitated development of objectives for mobility care practice improvement that considers the needs of all stakeholders.

An integrated practice approach to mobility care for older people.

Mobility is important to older people in nursing homes and residential facilities since it contributes to their health and quality of life. Many residents in such facilities require some form of assistance to move and accomplish activities of daily living. Therefore, nurses and healthcare assistants should have the knowledge and skills to provide effective mobility care. This article discusses three important aspects of mobility care: safety, mobility optimisation and person-centred approaches to care. Safety is important as residents and staff are at risk of injury during mobility care. Mobility optimisation is essential to ensure residents maintain their independence. Person-centred approaches to care are central to providing an integrated approach to mobility care.

Reflective practice and its relationship to mindfulness, situation/movement awareness and person-centredness during mobility care in nursing homes: a discussion paper

This paper highlights the relationship between reflective practice and staff mindfulness, situation and movement awareness, and person-centredness during mobility care in nursing homes. An overview of relevant decision-making theory is followed by discussion of the place of reflective practice in optimizing mobility care. Two contrasting case scenarios, derived from observations of mobility care during a previous qualitative study, are used to illustrate and contrast how mindfulness, situation awareness and reflection-in-action may enable person-centredness. Implications for training designed to improve person-centredness during mobility care are considered. Training in situation and movement awareness, combined with observations and collaborative reflective practice, may provide a format for coaches and peer leaders to develop mindfulness and person-centredness of care staff during mobility care.