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Values in work with older people - research in two care homes. Moira Dunworth PEPE Conference : 24 Jan 2008. Workshop Aims. Process of the study and the implications for working with a range staff in a multi-disciplinary setting Research findings Training needs - PowerPoint PPT Presentation
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Values in work with older people - research in two care homes
Moira DunworthPEPE Conference : 24 Jan
2008
Workshop Aims
Process of the study and the implications for working with a range staff in a multi-disciplinary setting
Research findings Training needs The implications for the service
user - discussion
Process of the study Idea first! Are SW values so different? Reading Funding – SWET Permission – local authority Questionnaire Managers – co-operation and planning Pilot and revise questionnaire Administer and collect questionnaires
Analysis
Got help with the stats Coded the comments
Deontological or Utilitarian or Avoids the dilemma
Played with the results Now trying it out on you!
A diverse staff group I was out of my comfort zone! Language and literacy issues How much truth to tell? Why should they help me? How to be neutral Issue of ‘right answer’
Findings - challenges
Not possible to see ‘health’ and ‘social care’
How much was any difference down to management style rather than profession?
Numbers quite small but the same as Osmo and Landau (2006)
Findings 1Q6 Bath Issue Home SW Home N Total
She should not be pressurised (autonomy)
9 11 20
She should be required – so as to fit in
2 1 3
She should be required for health reasons
15 13 28
She should be given a single room
1 1 2
No box ticked 5 7 12
Total 32 33 65
Q7 Fingernails Home SW Home N Total
She should not be pressurised (autonomy)
24 16 40
They should be cut when she is asleep
1 1 2
She should be given a tranquilizer
2 9 11
No box ticked 5 7 12
Total 32 33 65
Findings 2
Different responses to Q9 - severe pains/confidentiality
0
5
10
15
20
25
30
35
Ticked more than one box Wrote comment Tell manager
Home SW
Home N
Findings 3
Relative importance of needs
Physio
logica
l
Securit
y
Love
& B
elongin
g
Esteem
Self-a
ctualis
ation
Self-a
ctualis
ation
Maslow's needs
Lev
el o
f im
po
rtan
ce
Home N
Home SW
Findings 4
Q15 Views about older people
0
5
10
15
20
25
30
35
Ho
me
SW
Ho
me
N
Ho
me
SW
Ho
me
N
Ho
me
SW
Ho
me
N
Ho
me
SW
Ho
me
N
Ho
me
SW
Ho
me
N
Ho
me
SW
Ho
me
N
Ho
me
SW
Ho
me
N
Ho
me
SW
Ho
me
N
A B D E F G H I
Statements by home
Nu
mb
ers
of
res
po
ns
es
Agree orStronglyAgree
Disagreeor StronglyDisagree
Findings 5
Q15 Agreement by care qualification
05
101520253035
Car
e
Not
car
e
Car
e
Not
car
e
Car
e
Not
car
e
Car
e
Not
car
e
Car
e
Not
car
e
Car
e
Not
car
e
Car
e
Not
car
e
Car
e
Not
car
e
A B D E F G H I
Statements by qualification
Nu
mb
ers
of
resp
on
ses
Agree or strongly agree
Disagree or strongly disagree
Main Conclusions Both homes worked on a social model of disability/age Home SW made more comments and gave more
complex responses when faced with a list of options. Home SW were more likely to write in resident’s notes Home N more often referred to a manager only Care-qualified staff in both homes were more likely to
make comments and to select more options from a list. Very few staff made their reasoning explicit Overall respondents selected options and made
comments which implied a utilitarian reasoning Deontological options are more popular the further the
problem is removed from the necessity of action All staff display some ageist assumptions, esp decision-
making - non care-qualified staff more ageist
Training needs Articulation of ethical principles Ageist assumptions Definition of ‘duty of care’ – for most, but not all,
of the respondents this did not include the duty to respect autonomy when there was any safety risk.
Conflation of responsibility of role and moral responsibility.
Development of autonomous moral decision-making
Record-keeping – very few respondents would record information about the situations presented
Implication for service users?
?????
Discuss
