Promoting Excellence in All Care Homes Exploring Knowledge, Practices & Training Needs of the Care Home Workforce
Study Code / Acronym
PEACHAward Number
025/0056Programme
Policy Research ProgrammeStatus / Stage
CompletedDates
2 April 2009 -1 April 2012
Duration (calculated)
02 years 11 monthsFunder(s)
NIHRFunding Amount
£449,266.00Funder/Grant study page
NIHRContracted Centre
Cardiff UniversityContracted Centre Webpage
Principal Investigator
Dr Winifred TaddWHO Catergories
Methodologies and approaches for risk reduction researchModels across the continuum of care
Disease Type
Dementia (Unspecified)CPEC Review Info
| Reference ID | 180 |
|---|---|
| Researcher | Reside Team |
| Published | 12/06/2023 |
Data
| Study Code / Acronym | PEACH |
|---|---|
| Award Number | 025/0056 |
| Status / Stage | Completed |
| Start Date | 20090402 |
| End Date | 20120401 |
| Duration (calculated) | 02 years 11 months |
| Funder/Grant study page | NIHR |
| Contracted Centre | Cardiff University |
| Contracted Centre Webpage | |
| Funding Amount | £449,266.00 |
Abstract
Despite belief that abuse, neglect & lack of dignity is common in institutional care for older people, hard evidence is lacking. A systematic review identified only 5 care home studies with 16% of staff admitting significant psychological abuse. Identified obstacles to appropriate care include values & motivation of practitioners, organisational factors, inadequate resources & lack of education. For many paid carers these factors result in frustration & loss of personal dignity. There is little guidance or training in relation to dignified care & lack of knowledge about recognising & dealing with abuse & neglect. The proposed study will build on work being undertaken by Tadd with the NHS workforce & will inform the prevalence study of abuse & neglect of older people in care homes. 1.Explore views & experiences of care home sector & workforce in relation to provision of dignified care & avoidance of abuse & neglect 2.Explore effect of an evidence based training intervention on attitudes & practice Objectives: 1.Identify positive & negative factors in relation to abuse, neglect & dignified care. 2.Explore views & experiences of the care home sector & workforce in relation to best practice, training, job satisfaction & wellbeing 3.Determine organisational, personal, & practice contexts in which abuse, neglect & lack of respect may occur to staff & residents 4.Undertake a preliminary evaluation of the effects of training intervention 5.Make recommendations for policy development, training & regulation in care homes Plan of Investigation The research involves: focus groups with care home owners/managers & relatives/residents exploring educational needs of the workforce. review of existing training materials observation of care practices & dynamics between residents & providers in 8 diverse care homes & completion of validated measures with staff of attitudes to older people, approaches to dementia, sense of control, job satisfaction & burnout. survey of & in-depth interviews with care staff to explore experiences & views & identify factors leading to abuse, neglect & loss of dignity development & evaluation of an evidence-based training package informed by the findings of focus groups, observations & interviews. Potential Impact The study will provide evidence to inform development & implementation of policy, legislation & practice for care home regulation, workforce training & protection of vulnerable adults. It will generate robust evidence to inform & support change identifying good practice, developing guidelines & producing of training materials. Findings will be used to: produce recommendations for training, best practice & improved care provision. identify causative factors of abuse, neglect & indignity that may indicate strategic & operational actions required for prevention of abuse, including, specific care standards for benchmarking, inspection & regulation, education & leadership development. identify staff development needs, enabling effective training.
Aims
1.Explore views & experiences of care home sector & workforce in relation to provision of dignified care & avoidance of abuse & neglect. 2.Explore effect of an evidence based training intervention on attitudes & practice.