3. 3
BACKGROUND STORIES
• A Value Base and Challenging
poor practice (see above
images of use of Bibs in
Hospital)
• Searching for good practice
examples
• Older Peoples’ voices
4. 4
PERSPECTIVES :
AN OVERVIEW OF A CHANGE
IN NURSING PRACTICE
• What is “Nursing”?
• Subtle Change in Focus
–Societal Influences and Nursing
Reaction
–Nurse Education and Regulation
–Government Policy - UK and Wales
• Blatant Change in Practice
–Shift to different values?
–Nurses Reactions and Concerns
–Challenge to change the perceived status quo?
5. 5
THE DESIRED CORE VALUES
OF NURSING
Waters A (2005) Nursing the Future:‘Nursing is the most emotionally rewarding career’
28 april :: vol 19 no 30 :: 2005 NURSING STANDARD, RCN publications London.
6. 6
Elder Abuse - by individual
practitioners and by institutions
• Defining poor practice.
• Why aren’t the national campaigns having an
immediate impact?
• Why is it going wrong - who is to blame?
• It’s everyone’s fault - but is it?
• So why does it still go on? - Some theories
7. 7
Who is to blame?
Is “to blame” the right way forward?
• Nurses Professional Code of Conduct
• Ensuring Corporate responsibility is accepted
• The need to develop a better understanding of
institutional abuse and how it occurs.
• Finally - remember the Human Rights’ Act 1998?
8. 8
Finding a Way Forward?
Professionals unresponsive and fail to take
concerns seriously
Tight Performance management is
proceduralised and rigid.
The Brave Middle Way – Listening and applying,
Focused, flexible, honorable, efficient and fair.
9. 9
What can I do? What I can do !To
•Understand ourselves and our own unconscious
prejudices
•Reflect, acknowledge and act.
•Leadership
–Dignity in Care
–Hungry to be Heard campaign
–Review your Adult Protection training
•Speak up and speak out
•Work towards our own form of Reconciliation
–Glasnost
–Truth and Reconciliation Commission
•Hope?
10. 10
UK AND WALES ACTIVITIES
Leadership
University/Academic Research
The value of the person and their relationships
The holistic model of expert practice - links to person-centred
care/Relationship Centred Care and the moral implications
within practice.
Practitioners and Managers of Services
Joint approaches
E.g. The Gerontological Nursing Development Centre in Scotland.
Government reactions to challenge and concern
Nurses coming together because of concern and personal
experience.
Monitoring and Evaluation and action to address poor
practice.
11. 11
Examples of Action,
Research & Learning
http://openlearn.open.ac.uk Free Learning
materials.
http://openlearn.open.ac.uk/mod/resource/vi
ew.php?id=189818 This link is about caring
in hospitals.
http://www3.open.ac.uk/courses/bin/p12.dll?
Q01B53 This link will take you to the degree
for nursing practice and older people.
http://road.open.ac.uk
http://www.myhomelife.org.uk
The Senses Framework - a
model of valuing people and
enriching the care
envrionment
12. 12
THE FUTURE:
The Experience of Good Nursing
1. For Older People in Wales
2. For the Families/Carers/Advocates of
Older People
3. For Nurses
