Peer-enabled staff training in residential care settings as means for promoting person-centred dementia care

Abstract

Background: Person-centred care (PCC) is regarded as best practice within dementia care, however there is a gap between the understanding and the implementation of this type of care practice. The Peer Enablement Program (PEP) incorporates a group problem solving model for promoting PCC of residents with moderate to advanced dementia living in care facilities.

Objective: Trained PEP facilitators introduced the program to selected staff from an organisation with 99 facilities across Australia. The objective of this study was to identify what particular aspects of the PEP these facilitators valued for advancing PCC and care culture change.

Method: An embedded mixed methods study design guided this investigation. The qualitative component of the study focussed on the insights of the nine PEP facilitators who presented the workshops. This information was supported and contrasted with descriptive data generated from 322 workshop feedback forms by attendees over the course of the three workshops presented nationally.

Results: Facilitators identified peer support as the most valued aspect of the PEP. It promoted collaboration among attendees; supported development of their occupational identities as transformational leaders; and created communities of practice with potential to sustain advances in PCC.

Conclusions: The PEP has the potential to advance PCC. Further research is needed to evaluate the long-term sustainability of these advances and to determine if this program can be utilised more widely, both in a national and international context.

Keywords:

• Transformational leadership
• group problem solving
• residential aged care
• occupational identity
• community of practice

Acknowledgments

The authors would like to acknowledge the Dementia Australia facilitators as well as attendees of the PEP – people with a passion for advancing care for adults with advanced dementia.

Disclosure statement

In accordance with Taylor & Francis policy and my ethical obligation as a researcher, I am reporting that I was a consultant to Dementia (previously Alzheimer’s) Australia a company that may be affected by the research reported in the enclosed paper. I have disclosed those interests fully to Taylor & Francis, and I have in place an approved plan for managing any potential conflicts arising from my role as consultant.

Description of authors’ roles: SHJ du Toit designed the study and supervised the data collection and analysis. Yik Ling Chan collected and analysed the data. All four authors assisted with preparing the paper.

Additional information

Funding

This work was supported by Dementia Australia (formerly Alzheimer’s Australia) (commissioned research project).