The role of education and training in achieving change in care homes: a literature review

Journal of Research in Nursing - Tập 13 Số 5 - Trang 411-433 - 2008
Mike Nolan1, Sue Davies2, Jayne Brown3, Anna Wilkinson4, Tony Warnes1, Kevin McKee1, Jo Flannery5, Karen Stasi6
1SISA, School of Medicine and Biomedical Sciences, University of Sheffield, Sheffield, UK
2School of Nursing and Midwifery, University of Sheffield, Sheffield, UK
3Research Centre for Applied Gerontological Practice, Glasgow Caledonian University, Glasgow, UK
4School of Health and Related Research, University of Sheffield, Sheffield, UK
5Division of Clinical Psychology, University of Liverpool, Liverpool, UK
6Sheffield Hallam University, Sheffield, UK

Tóm tắt

Abstract Care homes play a vital role in the provision of support for the frailest members of our society, and given the demographic trends their role will continue for the foreseeable future. However, there remain enduring concerns about the quality of care such homes provide. Training and education for staff are often seen as the key to raising standards and as such are widely promoted. This paper presents a conceptual review and synthesis of the literature on the role of education and training in initiating and supporting change in care homes. A systematic method to the identification of sources was adopted, and a rigorous three-stage approach to analysis applied. The review identifies the barriers and facilitators to change and concludes that education is a necessary but not a sufficient condition for success. Rather it is argued that the role and status of care homes needs to be raised, and that a relationship-centred approach to care adopted, which acknowledges the importance of attending to the needs of all those who live in, work in, or visit care homes.

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