Portfolio of evidence/resources is grouped around factors that make ideas ‘stick’ identified by Heath and Heath (2007)The thesis argues that ideas which take root (stick) in an organisation/culture have certain key components that form the acronym SUCCESWe have found that SUCCESS mirrors our own findings. However project data suggests that in relation to maintaining the ‘stickiness’ of dignity in hospital, there is a seventh component (Stretch – where ideas/actions need to translate and spread through the whole system
Julienne meyer presentation for age uk
Dignity in CareProfessor of Nursing: Care for Older PeopleCity UniversityDirector: My Home Life programmeAge UK, City University, Joseph Rowntree Foundation, Dementia UK
Commission on DignityRecommendation 24 Care homes need to work with residents to create an environment that makes their lives happy, varied, stimulating, fulfilling and dignified. Being a caring community must be the overarching principle that guides home life. The My Home Life movement (see case study) aims to support care home managers achieving this.
My Home Life Programme UK Promoting quality of life for those living, dying, visiting and working in care homes for older people. www.myhomelife.org.uk
Age UK, City University, Joseph Rowntree & Dementia UK Other key organisations: Relatives & Residents Association National Care Forum English Community Care Association National Care Association Registered Nursing Home Association Care Forum Wales Scottish Care Independent Health & Care Providers National Care Home R&D Forum
My Home Life programme: Activities •Synthesising evidence – appreciative •Empowering leaders – relational •Developing resources – co-create •Creating networks – sharing & support •Supporting change - influencing •Maintain momentum – proactive www.myhomelife.org.uk
MHL Vision Personalisation 1. Maintaining identity 2. Sharing decision-making 3. Creating community Navigation 4. Managing transitions 5. Improving health & healthcare 6. Supporting good end-of-life Transformation 7. Keeping workforce fit for purpose www.myhomelife.org.uk 8. Promoting a positive culture NCHR&D (2007)
MHL Leadership Support and CommunityDevelopment Provide learning experience for a small number of care home managers (Leadership and Support) Identify and reduce the barriers to QoL across the wider system (Community Development) Create a supportive network for care homes to celebrate & share best practice, linked to MHL UK (My Home Life network)
Relationship-centred careSecurity: to feel safeBelonging: to feel part of thingsContinuity: to experience links and connectionsPurpose: to have a goal(s) to aspire toAchievement: to make progress towards these goalsSignificance: to feel that you matter as a person Nolan et al (2006) Positive relationships within the home and across the community of practice
SUCCES(S)Simple – key messagesUnexpected - curiosityConcrete – practical actionCredible – work with & forEmotional – hearts & mindsStories – share experienceStretch – whole systems Heath & Heath (2007)
The challenge is to hold the ‘and’ Quality Efficiency Place of care Pace of care Small acts of kindness Technical interventions Remaining connected, & Transferability, flexibility of known. teams Person centeredness Collective need, cost.