Table 2.
Quotations illustrating domains of the McCormack and McCance's person‐centred care nursing practice framework
| Care processes of person‐centred care |
|---|
| Having sympathetic presence |
| Recognizing and acknowledging residents' remaining abilities |
| ‘[Person‐centered care] Provided my mother with one‐on‐one attention… Living in the moment is how she sees the world right now, and the moments [the PA] provided her were very special… Consideration to when and where my mom wanted to go on a walk was taken into account and her stories and past histories were used to remind her of the neighborhood where she used to live.’ (SDM, Interviewee R4) |
| ‘My mom is a “wanderer” and I encourage her to move around. She just doesn't know how to articulate where she is going. The researcher's approach was tailored and assumed she had remaining abilities’. (SDM, Interviewee R3) |
| Tailoring care to residents' preferences and capabilities |
| ‘The communication [during the PA] was centered on the resident. The [PA sessions] took into consideration her capabilities, preferences, for example, staying inside or going outside, walking on the pavement surface versus the garden with grass, sunlight or shade…. It recognized the preferences and uniqueness of each resident and focused on those aspects to get them up and walking.’ (SDM, Interviewee R27) |
| ‘Walking [as a PA] is a way to physicalize the frustration and get out of her head and rejoin the world around her. She is stuck in here on the unit within this residence. She wants to be around people and talk to them. Walking and talking about things she knows and likes is necessary in the quality of life of residents who have dementia. This is a good thing and it increases their social engagement’. (SDM, Interviewee R3) |
| Enable residents' need to be independent |
| ‘The more she walks, the stronger she will be, so she can be more independent. She needs some help now and the activities here only provide seated exercise, so the person‐centered walking will help her maintain her standing and walking abilities more, for a longer period of time; it will keep her from not drifting away so she's forced to use her mind and use her legs. It encourages her independence during and after the physical activity’. (SDM, Interviewee R10) |
| Engagement |
| Connecting with the resident |
| ‘[personal connection] is very important because if there is someone with her she feels more secure to assist her and accompany her. She feels much more confident. Her safety and protection from falls is very important’. (LTC home staff, Interviewee 21) |
| ‘I think this [PA] was person‐centered because I was asked about how I interact with [the resident]. The intervention was one‐on‐one and so you were able to listen and ask her questions about her life. Because you got to know her and her family, she felt comfortable with you’. (SDM, Interviewee R28) |
| Undivided one‐on‐one care and attention |
| ‘My mother enjoys walking and complains of loneliness. Combining person‐centered care and PA is an ideal intervention and all staff need to be able to do this if they are working with residents who have dementia. The one‐on‐one aspect keeps individuals more engaged, physically and mentally. I like that you moved outside… because my mother loves being outdoors’. (SDM, Interviewee 10) |
| ‘The [one‐on‐one] attention it gives her helps support a better prognosis of the disease and gives her a sense of security. The [resident] is less destructive and can focus on her needs and wants’. (LTC home staff, Interviewee R1) |
| ‘Consideration to when and where my mom wanted to go was integrated into the PA. My mom enjoyed talking about each of her pictures with the interventionist and being reminded of who everyone is. All the information I provided was used to engage with my mom. It was personalized perfectly to her’. (SDM, Interviewee 4) |