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The role of education and training in achieving change in care homes: a literature review

SISA, School of Medicine and Biomedical Sciences, University of Sheffield, Sheffield, UK

Sue Davies

School of Nursing and Midwifery, University of Sheffield, Sheffield, UK

Jayne Brown

Research Centre for Applied Gerontological Practice, Glasgow Caledonian University, Glasgow, UK

Anna Wilkinson

School of Health and Related Research, University of Sheffield, Sheffield, UK

Tony Warnes

SISA, School of Medicine and Biomedical Sciences, University of Sheffield, Sheffield, UK

Kevin McKee

SISA, School of Medicine and Biomedical Sciences, University of Sheffield, Sheffield, UK

Jo Flannery

Division of Clinical Psychology, University of Liverpool, Liverpool, UK

Karen Stasi

Sheffield Hallam University, Sheffield, UK

Abstract

Care homes play a vital role in the provision of support for the frailest members of our society, and given the demographic trends their role will continue for the foreseeable future. However, there remain enduring concerns about the quality of care such homes provide. Training and education for staff are often seen as the key to raising standards and as such are widely promoted. This paper presents a conceptual review and synthesis of the literature on the role of education and training in initiating and supporting change in care homes. A systematic method to the identification of sources was adopted, and a rigorous three-stage approach to analysis applied. The review identifies the barriers and facilitators to change and concludes that education is a necessary but not a sufficient condition for success. Rather it is argued that the role and status of care homes needs to be raised, and that a relationship-centred approach to care adopted, which acknowledges the importance of attending to the needs of all those who live in, work in, or visit care homes.

Key Words: care homes • change • education • relationship-centred care • review

Journal of Research in Nursing, Vol. 13, No. 5, 411-433 (2008)
DOI: 10.1177/1744987108095162


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