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Values in work with older people - research in two care homes

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

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Values in work with older people - research in two care homes

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  1. Values in work with older people - research in two care homes Moira Dunworth PEPE Conference : 24 Jan 2008

  2. 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

  3. 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

  4. 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!

  5. 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’

  6. 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)

  7. Findings 1

  8. Findings 2

  9. Findings 3

  10. Findings 4

  11. Findings 5

  12. 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

  13. 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

  14. Implication for service users? • ????? • Discuss

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