Читать книгу Fundamentals of Person-Centred Healthcare Practice - Группа авторов - Страница 107

John is a second‐year student currently undertaking practice learning in a community residential setting for older people. Whilst the registered staff are attending a meeting, Mr Gregor presses the call bell requesting a commode. The safe transfer of Mr Gregor from his bed to commode will require two people to operate the use of a ceiling hoist and there is no‐one else around. John has never used this type of equipment and he's frightened of asking for help. Mr Gregor urgently needs to use the toilet. John manages to apply the sling on his own and hoists Mr Gregor onto the commode. Afterwards John asks one of the registered staff to help him return Mr Gregor to bed and comments that Mr Gregor nearly slipped during the earlier transfer.

What professional issues does this raise? Using the Person‐centred Practice Framework, what components of the practice environment domain are relevant in this episode of care?

In your discussion, you may have considered professional issues such as competency, accountability and preserving safety. In relation to the care environment domain of the Person‐centred Practice Framework, you might have considered appropriate skill mix, shared decision making, power sharing and effective staff relationships. You may have questioned why John did not feel able to ask for help; is this based on his previous experience or current levels of support? Additionally, you may have questioned why John was left alone and why he was prepared to engage in care activities beyond his scope of competency. Consider the potential trauma for Mr Gregor if he had slipped. For John there could also be consequences, both in terms of accountability for his actions and the risk of injury as a result of inappropriate moving and handling. The appropriate professional response would be to prioritise the interests of the client and to seek help. This experience could be used as an opportunity for reflection between John and his practice supervisor, to explore their values and competencies and the culture of the care environment. A possible outcome could be that John attends a moving and handling update, demonstrates safe client transfers and has the confidence to seek help and challenge unsafe practice.