# data[].attributes.body
Good work DF 3
The breakdown of your mark is:
Poster appearance 16/20
Poster Content 49/60
Good work. The use of numbering as signposting was really good. Mostly enough content to get the message across although the actual project could have been made a little clearer. The references were hard to read – the font there could have been slightly larger.  Brief inclusion of an ethical aspect/implication would have added but well done overall.
Well-balanced and very good graphics.
In regard to marks for peer review, those who scored higher on peer review did so because their peer review comments made a scholarly contribution to the poster content and was relevant to leadership issues within a health care environment. Students with higher marks on peer review tended to write comments that were designed to support the improvement of the other group’s work (scholarly contribution) rather than provide general commentary on what they liked about the poster.  Commentary that was brief without strong evidence of constructive feedback did not attract high marks.
Katya and Sue 031017

# data[].attributes.body
You have chosen interesting topic to discuss. Dementia care gets neglected and overlooked in aged care industry. People do not understand that people with dementia are like rest of us. Each person has a different personality, interest, preferences and story to share. They also require caring hand and therapeutic touch and communication so they feel relaxed, safe and maintain their dignity. Their perception of reality or world can be different than others. However, person centered care is the best approach while looking after people with dementia as you have touched in your poster. Person centered care is effective if it is based on "V+I+P+S" that is - Values People, Individuals Needs, Perspective of Service User and Supportive Social Psychology (Brooker, 2009).

Reference:
Brooker, D. (2009). Person centred dementia care: Are you serious? Retrieved from https://www.fightdementia.org.au/.../20090604_Nat_CON_BrookerPersCentCare

Regards,

Saurabh Bajaj-02/10/2017

# data[].attributes.body
Dear DF3

Firstly, the topic you have chosen is very interesting and unique. Australia is experiencing a demographic shift with a rapid increase in the number of older Australians. The increasing number of older Australians and those who have a chronic illness such as dementia will have a major impact on both the health and community care systems. Patient centred care allows consumers and their carers to have greater control over their own lives and staff are supported to value and seek to know the people they care for, to understand their experience and to support them to retain as much independence and dignity as possible. In your poster, strategies utilised to facilitate the introduction of patient centred care are well structured. Evaluation the effectiveness of the strategies is very precise and clear. The whole work introduced the topic well in a professional manner. Love your work.

Yana Wu

Reference

Valuing people (2017) Why is person-centred care important? Retrieved from http://valuingpeople.org.au/the-resource/why-is-person-centred-care-important

# data[].attributes.body
I really liked the colour scheme and simplicity of the poster. It was clear and easy to read and follow. It would be interesting to know what aspects or examples of person centered care you are referring to as, without knowing, it is difficult to envision why staff would be resistant or  evaluate strategies and effectiveness.
Definitely an important topic and I feel if you shared a few more specifics it could be helpful to other Aged Care workers.
Elizabeth Champion (2014)) writes about a facility that underwent change to make it more PCC focused, they included simple things like re-designing day rooms and gathering patient specific information from families to engage patients.

Kelsey Rutland 1/10/17

Champion, E. (2014). Person-centered dementia care in acute settings. Nursing Times, 110 (37).

# data[].attributes.body
Thank you for a simple, uncluttered, easy to read piece of work!
I haven't worked in aged care since my nursing training days, and I spent many shifts on locked dementia wards. There was certainly a mindset in some facilities of "in status quo", a term I didn't really become familiar with until I did my psych nursing training. The application of the PCC towards this vulnerable, and often forgotten population is inspiring and motivating. Your work has demonstrated leadership qualities by proposing a simple, but powerful message to all staff involved in this continuum of care. I'm certainly convinced. Great work and congratulations. Mick G

# data[].attributes.body
Great poster- with such an important message and change addressed. There is such a misconception of how to care for elderly and demented patients, especially in acute care setting and I love that you have put the patient in the centre of this. The idea that dementia patients are 'difficult to look after' is such an easy excuse to not do the job that nurses are trained to do- that is look after each individual patient. This is certainly a message and a concept that can be translated to so many areas of nursing.

Thanks so much for the great ideas
Fiona Collins

01/10/2017

# data[].attributes.body
The simplicity of the poster really helped me to focus on the keypoints of the poster. It is indeed very important that the resistances of any planned changes are well analysed which you have done in the poster. Indeed in an aged care setting dementia is very prevalent and any changes in the person centered care is considered as a challenge. Here, a team approach guided by a leader (Galvin, Valois and Zweig, 2015) is effective in implementing the change and achieving the desired outcome. Also taking a feedback after implementation of a change is important to assessthe outcome.
Great work.
Shakiba Das.
(S00217109).
1/10/2017

Reference
Galvin, J. E., Valois, L., and Zweig, Y. (October, 2015). Collaborative transdisciplinary team approach for dementia care. Retrieved 1 October 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4308691/

# data[].attributes.body
I liked the idea of numbering, which  provided an easy signpost to follow. This is why sometimes headings in an essay can be useful - they help keep the writer on track. You can always remove them once the paper is written if you are worried about word lengths bu they do help support a logical presentation. In your final papers,  an obvious point of analysis would be around resistance to change. Why do some staff approach dementia care with the 'nothing can be done' attitude. How did that attitude initially arise and why is it often sustained/deeply entrenched for a long time in many organisations?  Expanding on the learning program might also be a good topic for further analysis - how are learning needs identified in an organisation and implemented - you do touch on that in your poster. Developing trust with staff is important, but even with trust, how does a leader take that a step further and get people actively involved in committees and meetings - this can be very challenging for a leader. Do you think that some staff will still "just come to work to do their job" without any additional involvement? If so, why is that and what more can be done to get past that attitude? Some food for thought. Sue G

# data[].attributes.headline
Hi DF3The placements of the topics in the poster are appropriate. The concept is explained very clearly and is in simple language. The use of image is very accurate. Using numbers to identify each topic is brilliant. You have done well in terms of referencing with recent references.  I enjoyed reading your poster. Well done group. It’s a great effort. Kind regards29/09/2017Asha Vincent 

# data[].attributes.subject
Hi DF3The placements of the topics in the poster are appropriate. The concept is explained very clearly and is in simple language. The use of image is very accurate. Using numbers to identify each topic is brilliant. You have done well in terms of referencing with recent references.  I enjoyed reading your poster. Well done group. It’s a great effort. Kind regards29/09/2017Asha Vincent 

# data[].attributes.body
This is great that you have done a poster on Aged Care. There has been a lot in the media lately about this issue so it is both timely and relevant. It seems change is certainly needed. It is a difficult area with many challenges involved and it is wonderful that you have highlighted some very important ones. Thanks for sharing. Alan

# data[].attributes.headline
Hi DF 3 members,               I like the way you designed your poster, which is clear and easy to read through, good work DF 3.                            Caring for dementia residents can be physically and emotionally challenging. I agree with your strategies and implementation; educating staff and the families about dementia is important part of dementia centred care, knowing organisational culture, and maintaining a positive however realistic attitude can promoted PCC. Introduced the leadership is another key factor for a successful implementation in facilitating (Jacobsen et al, 2017).    Reference:     Jacobsen, F. F., Mekki, T. E., Førland, O., Folkestad, B., Kirkevold, Ø., Skår, R., & ... Øye, C. (2017). A mixed method study of an education intervention to reduce use of restraint and implement person-centered dementia care in nursing homes. BMC Nursing, 161-11. doi:10.1186/s12912-017-0244-0                                Kind regards,       Shaodi                        27-09-2017

# data[].attributes.subject
Hi DF 3 members,               I like the way you designed your poster, which is clear and easy to read through, good work DF 3.                            Caring for dementia residents can be physically and emotionally challenging. I agree with your strategies and implementation; educating staff and the families about dementia is important part of dementia centred care, knowing organisational culture, and maintaining a positive however realistic attitude can promoted PCC. Introduced the leadership is another key factor for a successful implementation in facilitating (Jacobsen et al, 2017).    Reference:     Jacobsen, F. F., Mekki, T. E., Førland, O., Folkestad, B., Kirkevold, Ø., Skår, R., & ... Øye, C. (2017). A mixed method study of an education intervention to reduce use of restraint and implement person-centered dementia care in nursing homes. BMC Nursing, 161-11. doi:10.1186/s12912-017-0244-0                                Kind regards,       Shaodi                        27-09-2017

# data[].attributes.headline
Dear DF 3 In your poster were the words ‘maintain personhood’ this was a focus point for me in terms of person centred care especially for patients with dementia. Depending on the stage of dementia it can be difficult to understand the authentic patient due to the disease.  It can be very challenging for staff working with dementia patients. The evaluation strategy in the poster does involve staff understanding of personhood which is positive to look at future change needs for person centred care.An important construct for me is the use of the word residents in the poster which resonates with me in terms of this is there place/home. So if this is the residents’ home then the staff who work in the nursing home are then guests.The blue background on your poster contrasts well with the outer white text boxes for ease of reading. I noticed the images of hands that demonstrated a collaborative culture for me of staff and the personhood of the resident.Kind Regards        Mary Jane     26/09/2017

# data[].attributes.subject
Dear DF 3 In your poster were the words ‘maintain personhood’ this was a focus point for me in terms of person centred care especially for patients with dementia. Depending on the stage of dementia it can be difficult to understand the authentic patient due to the disease.  It can be very challenging for staff working with dementia patients. The evaluation strategy in the poster does involve staff understanding of personhood which is positive to look at future change needs for person centred care.An important construct for me is the use of the word residents in the poster which resonates with me in terms of this is there place/home. So if this is the residents’ home then the staff who work in the nursing home are then guests.The blue background on your poster contrasts well with the outer white text boxes for ease of reading. I noticed the images of hands that demonstrated a collaborative culture for me of staff and the personhood of the resident.Kind Regards        Mary Jane     26/09/2017

# data[].attributes.body
I like person centered approach in nursing and the empowerment
of the elderly. According to Flagg (2015) stated that holistic nursing enables the nurses to self reflect and engage in the person centered approach that uses the skills of listening and questioning. Flagg (2015) described the benefits of this approach for the increased communication between patients and nursing. This approach further decreases the confusion during the discharge and teaching and increases the opportunities for patient and family education.

Flagg, A. (2015). The Role of Patient-Centered Care in Nursing. Nursing Clinics of North America, 50(1), 75-86.

Kind regards,
Neelam Pandit
26/9/17

# data[].attributes.body
Thank you for the informative poster Discussion Forum 3! I really liked your topic of focus, coming from an aged care background I have seen the importance of successfully implemented PCC. My own research into PCC drew on Hinds’ (2013) research, which highlighted empowerment of the patient, their family and friend by involving them in care. Primarily, PCC requires compassion and a willingness to develop care plans which are respectful of patients own beliefs, values, care preferences and personal needs (Hinds, 2013). This can be achieved through multidisciplinary care meetings with the patient and their family/ support network. PCC allows for the effective implementation of care, especially in the event of patient deterioration (Hinds, 2012). Implementing PCC has been linked with improving patient satisfaction and overall patient experience (Hinds, 2013).
Kind regards Marissa Blackwell
26/9/2017

Hinds, L.E. (2013). Patient-centered care: A nursing priority. The Journal of Continuing Education in Nursing, 44(1), 10-1. doi:http://dx.doi.org/10.3928/00220124-20121227-70

# data[].attributes.body
Thank you for your interesting poster. I was an agency nurse and had the experience of working in different aged care dementia wings. I did find there are lots of issues regarding how to look after dementia elderly. The language staffs were used to communicate with dementia elderly sometimes were confronting, especially personal care works (PCAs). Caring for people with dementia requires specific skills in communication to overcome the barriers between dementia individuals and their caregivers, and this applies to all healthcare workers in all settings (Eggenberger, Heimerl & Bennett, 2013). Therefore, I think the strategies you use in your poster could provide an optimal outcome in dementia setting. Well done guys!

Xu Chen 2/10/2017

Reference

Eggenberger, E., Heimerl, K., & Bennett, M. (2013). Communication skills training in dementia care: A systematic review of effectiveness, training content, and didactic methods in different care settings. International Psychogeriatrics, 25(3), 345-358. doi: 10.1017/S1041610212001664

# data[].attributes.headline
Good Morning DF group 3.                                                              I think your poster is simple, easy to follow and contains all necessary information.You have made it clear what your main headings are. It is eye catching as it is able to be read quite quickly and contains prominent reasons on how and why we need to implement change in the healthcare setting.                         Regards, Samantha McIndoe26/09/17

# data[].attributes.subject
Good Morning DF group 3.                                                              I think your poster is simple, easy to follow and contains all necessary information.You have made it clear what your main headings are. It is eye catching as it is able to be read quite quickly and contains prominent reasons on how and why we need to implement change in the healthcare setting.                         Regards, Samantha McIndoe26/09/17

# data[].attributes.body
The poster provides current situation in most aged care places. Dementia is rife among this population and staff may see it challenging to provide patient-centered care. Petrakaki, Klecun, & Cornford (2014)  believe that nurses are trained, able and willing to engage in the delivery  of person-centered care (Petrakaki, Klecun & Cornford, 2014).
People see change as a threat. For change to be successful, effective leaders look at leadership as a collection of personal characteristics, that is, staff involvement as a function within the organization and an influence in forming organisational culture (Barr & Dowding, 2016).
Changing the organisational culture is an important strategy to facilitate change. As mentioned in the poster, authentic leadership and integrity of leadership team play a key role for change to be successful. Conversely, Lussier & Achua (2016) described distrust of leadership and fear of being manipulated as some of the reasons for resisting change (Lussier & Achua, 2016).
Great work DF Group 3!

References:
1.Barr, J., & Dowding, L.(2016). Leadership in Health care (3rd ed.). London, Sage.
2.Lussier, R., & Achua, C. (2016).Leadership: Theory, application, & skil development (6th ed.) Boston, MA: South-
Western/Cengage Learning.
3.Petrakaki, D., Klecun, E., & Cornford, T. (2014). Changes in health care professional work afforded by technology:The introduction of a national electronic patient record in an English hospital. Organization. Doi: 10.1177/1350508414545907.
By:
Judith Lancucki-26/09/17