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Developing Caring Conversations in care homes: an appreciative inquiry.

Belinda Dewar1, Tamsin MacBride2

  • 1Institute of Healthcare Policy and Practice, School of Health, Nursing and Midwifery, University of West of Scotland, Hamilton, UK.

Health & Social Care in the Community
|February 20, 2017
PubMed
Summary
This summary is machine-generated.

This study adapted the Caring Conversations framework for care homes, using appreciative inquiry to enhance compassionate human interaction and dignity among staff, residents, and families. The approach successfully fostered positive communication and developed an educational intervention.

Keywords:
Caring Conversationsappreciative inquirycare homescompassioneducational interventioninterpersonal skillsolder peoplerelationships

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Communication Studies

Background:

  • Relationship-centred practice is crucial for quality care in care homes, emphasizing human interaction for dignity and compassion.
  • The Caring Conversations framework, developed in acute care, focuses on compassionate care through specific human interaction attributes.
  • Existing evidence supports the centrality of human interaction in fostering dignity and compassion within care settings.

Purpose of the Study:

  • To explore the relevance of the Caring Conversations framework in the care home setting.
  • To develop an educational intervention based on the framework to enhance human interaction.
  • To celebrate and develop excellent human interaction promoting dignity among care home staff, residents, and families.

Main Methods:

  • Employed appreciative inquiry, focusing on identifying and amplifying existing strengths in human interaction.
  • Conducted over 10 months in a Scottish care home with 37 staff, 20 residents, and 18 relatives.
  • Utilized observation and interviews for data collection, followed by iterative analysis mapping themes to the Caring Conversations framework.

Main Results:

  • Findings demonstrated a strong correlation between observed communication patterns and the Caring Conversations framework.
  • Staff developed 'tests of change' to enhance positive interaction practices.
  • Appreciative inquiry proved effective in exploring the framework and developing practice.

Conclusions:

  • The Caring Conversations framework is relevant and adaptable to the care home setting.
  • Appreciative inquiry is a valuable methodology for developing compassionate care practices and educational interventions.
  • The study successfully developed an educational intervention for enhancing human interaction in care homes.