Relationship-centred care is the next logical step

Nolan, Mike; Keady, John; Aveyard, Barry

doi:10.12968/bjon.2001.10.12.12336

Cited by 31 publications

(27 citation statements)

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“…This is as true for family as it is for professional carers, and recognition of this has recently led to calls to move beyond person-centred care, which is implicitly individualistic (Post, 2001b), towards a model of 'relationshipcentred care' (Nolan, Keady, & Aveyard, 2001), which fully recognizes and accounts for the dynamic interactions between all those involved in the caring enterprise. Capturing these interactions presents the real future challenge for service design, delivery and evaluation.…”

Section: Moving Beyond 'Person-centred' Carementioning

confidence: 99%

Towards a More Inclusive Vision of Dementia Care Practice and Research

et al. 2002

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Drawing on recent literature this article explores the development of research with family carers and people with dementia and identifies a number of themes that have emerged over time. It raises fundamental questions about the nature and purpose of research and the balance of power between researchers, family carers and people with dementia. Existing notions of expertise and knowledge are called into question and the article concludes with a call for a more empowering and inclusive model of research and practice based upon a relationship-centred approach to care.

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Section: Moving Beyond 'Person-centred' Carementioning

confidence: 99%

Towards a More Inclusive Vision of Dementia Care Practice and Research

et al. 2002

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“…Conceptually, there exists considerable agreement among researchers that although the physical attributes of home are important in an institutional setting, they are not enough (Reimer, 2004). Best practice requires the development, continuation, and ongoing management of social relations that are meaningful not only to the person with dementia, but to the family and the institutional staff who care for that person (Nolan, Keady, & Aveyard, 2001;Nolan, Ryan, Enderby, & Reid, 2002). Yet, attention to relationships may not be seen as a priority for institutional caregivers.…”

Section: Introductionmentioning

confidence: 99%

A home away from home: The meaning of home according to families of residents with dementia

2010

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This study sought to understand the ways in which family caregivers to institutionalized relatives with dementia perceived and experienced the relocation of their relative to a more home-like setting of care. Twenty-nine family members were interviewed through focus groups and individual interviews following the closing of two traditional care facilities and the subsequent migration of all residents to dementia cottages. Questions focused on the assessment and evaluation of quality of care. Results of this qualitative study pointed to the centrality of relationships in creating a truly homelike environment, in addition to what constitutes effective relational practice from the family perspective. We argue that the creation of a meaningful home for persons with dementia must encompass a relational orientation, both philosophically and in practice, that is inclusive of resident, staff, and family.

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“…Finally, the instruments to measure culture may not have been sufficiently sensitive. Culture as evidenced in the care-giving role may involve yet unexplored variables, such as family relationships (Nolan et al 2001), gender roles, or work values.…”

Section: Discussionmentioning

confidence: 99%

Resource need and use of multiethnic caregivers of elders in their homes

Friedemann

Newman

Buckwalter

et al. 2013

Journal of Advanced Nursing

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Aims To predict South Florida family care-givers’ need for and use of informal help or formal services; specifically, to explore the predictive power of variables suggested by the Caregiver Identity Theory and the literature and develop and test a structural model 0. Background In the USA, most of the care to older adults is given by family members. Care-givers make economic and social sacrifices that endanger their health. They feel burdened, if they receive no assistance with their tasks; however, services available are not sufficiently used. Design This cross-sectional correlational study was a survey of family care-givers in their home, using standardized and/or pre-tested scales and a cognitive status test of their patients. Methods A random sample of 613 multiethnic care-givers of frail elders was recruited in home care and community agencies. The interviews occurred between 2006–2009. Analyses involved correlation and regression analyses and structural equation modeling. Outcome measures were need and use of family help and formal services. Results/Findings The model yielded excellent fit indices replicated on three random samples of 370. The patients’ functional limitations yielded the strongest predictive coefficients followed by care-giver stress. Cultural indicators played a minor role. Conclusion The lack of a link between resource need and use suggested access barriers. Important for policy makers and service providers are the delivery of high-quality services and the use of a personal and individualized approach with all ethnicities. Quality service includes understanding the care-giving situations and requires a trusting relationship with family care-givers.

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Relationship-centred care is the next logical step

Cited by 31 publications

References 0 publications

Towards a More Inclusive Vision of Dementia Care Practice and Research

Towards a More Inclusive Vision of Dementia Care Practice and Research

A home away from home: The meaning of home according to families of residents with dementia

Resource need and use of multiethnic caregivers of elders in their homes

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