Development and evaluation of the Feasible and Sustainable Culture Change Model—an online training program designed to increase the provision of person‐centred care practice in residential care homes

Abstract

AbstractBackground and ObjectivesInterventions aimed at increasing the provision of relational and person‐centred care in residential care homes (RCHs) that do not address contextual and system issues most often fail. Promoting positive change in RCHs requires a multilevel, systems approach. The objective of this study was to examine the effectiveness of the online Feasible and Sustainable Culture Change Model (FASCCI) model training program on influencing both the implementation and outcomes of culture change initiatives aimed at increasing the provision of person‐centred care practices during ‘move‐in day’ for newly admitted residents.MethodsUsing principles consistent with Cooperative Participatory Action Research (CPAR), we collected qualitative and quantitative data to examine the processes and outcomes associated with using the online FASCCI training program to implement changes in ‘move‐in day’ care practice in two RCHs. Surveys—including likert scales (1 = strongly disagree‐ 5 = strongly agree) and open‐ended questions, were used to evaluate the staffs’ (n = 24) perceptions of the online training modules. Interviews with the Process Improvement Team leaders (n = 2) were conducted to examine treatment fidelity and ascertain their perceptions regarding the intervention processes. Practice change outcomes were determined based on detailed descriptions and observations of the move‐in practices pre‐intervention and comparing these to the move‐in practices following the intervention.ResultsStaff members indicated they strongly agreed that the online training modules were “useful both personally and professionally” (M = 5.0) and that they “were able to use the skills they learned in their care practice” (M = 4.7). Analysis of data from qualitative interviews demonstrated that use of the online FASCCI model training program resulted in improved team building, communication, and collaborative decision‐making. Multiple changes to care practices occurred, including but not limited to, the creation and implementation of a “Move In Ambassador”, creating an effective process for ‘personal device labelling’ (i.e., walkers), and creating and distributing “Isolation Bags’—bags with personalized, creative activities for the residents to engage with during 2‐week isolation periods (due to the pandemic) at move‐in.ConclusionsThis study offers evidence that the online FASCCI model training program provides a promising approach for improving the provision of relationship‐centred move‐in practices in LTC homes.