Care planning in adult social care Assignment Sample

Enhancing the Role of Care Planning in Adult Social Care: A Staff Perspective on accessibility, Involvement, and Managerial Support in delivering person-centred Care

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Introduction of Care planning in adult social care Assignment

1.1 – Identify the area for the research project.

Enhancing the Role of Care Planning in Adult Social Care: A Staff Perspective on accessibility, Involvement, and Managerial Support in delivering person-centred Care

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Research area

This study will focus on examining the role of care planning in adult social care, by prioritising the importance of a person-centred care approach. This research will also investigate the accessibility of staff to develop care plans for the adults, their involvement in the care planning process, and managerial support that is needed to improve the care planning practices. In this research work, focus will also be given to how current practices of adult care planning in social care facilities align with the CQC or Care Quality Commission Standards and regulations.

Therefore, the Research Questions are:

  • a. What type of person-centred care approach is used for adult care in social care facilities?
  • b. Does the current adult social care approach align with the CQC standards and regulations?
  • c. How accessible the care plans are to the social care workers?
  • d. \Are the staff sufficiently involved in creating care plans for adults?
  • e. What managerial actions are needed to improve staff engagement and patient outcomes with care plans?

1.2 – Develop the aims & objectives of the research project.

Aims and objectives

 This proposed study aims to explore the role of care planning in adult social care with a focus on enhancing staff accessibility, alignment and involvement with person-centred care practice and CQC guidelines.

Therefore, the objectives of this research will be:

  • a. To identify the significance of person-centred care plans for adult patients in the social care aspect.
  • b. To assess the staff's accessibility to person-centred care plans by identifying the barriers to effective use.
  • c. To identify the level of staff involvement and engagement to implement care plans for the wellbeing of adult patients in the social care aspect.
  • d. To recommend managerial strategies which can support the use of care plans and ensure alignment with Person-centred care and CQC regulations.

Complete a full timeline for your research.

Write a timeline with dates, actions and outcomes. For example, using a table like the one below.

ACTION NEEDED METHOD BY WHEN OUTCOME
Set a specific aim and objectives of this research, and carry out a systematic review of literature collected from online databases. Review of the existing literature, peer-reviewed journals, and articles on care planning for adult social care, person-centred care for adults, CQC standards and regulations for adult care, the role of Staff in adult social care One week 15.09.2024 Comprehensive and in-depth understanding of the current research and gaps regarding the subject matter.
Survey Design, approval, and distribution Create survey questions (close-ended questions) and submit them to the ethics committee for approval, after approvals, the survey question set will be distributed to the staff team via in-person and email. Two weeks 22.09.2024 Set up survey questions and initiate the collection of primary data regarding the subject matter.
Survey collection and data analysis; Managerial interviews The first action was to monitor the follow-up of the survey to ensure the surveys were completed, then collect the quantitative data from the multiple choice questions for analysis. A managerial interview has been conducted on a similar topic 3 weeks 6.10.2024 Collection of both quantitative and qualitative data on the importance of care plan, person-centred approach in adult care, and staff involvement in the care plan, and alignment with CQC regulation can provide a comprehensive and clear idea which helps the researcher to further carry out the work and develop a well-informed conclusion.
Drafting report, review and Revision, and submission of Final Report Write up all the findings including analysis and recommendation; ask for peer review and revise the report based on the feedback and submit a final report 2 weeks 27.10.2024 The first draft of the research report was completed and revised and the final research project was delivered for review.

1.3 - The ethical considerations that have to be applied to any research project – Please research & think about the following:

Ethical considerations taken into account

Ethical considerations are important for any research work, as it can ensure the authenticity of the work as per the data protection, University rules and regulations, and the protection and rights of the participants. The key issues include:

  • a. Informed consent: as this proposed research is based on nursing and social care staff, and adult patients, therefore participants must voluntarily agree to take part in the research by fully understanding the purpose, risks, and benefits (Arifin, 2018).
  • b. Recruitment of Participants: As this research has to include a survey to address the role of the person-centred care plan for adult social care and staff involvement, therefore, before the survey, valid consent should be asked from the staff and healthcare workers by informing them of the purpose of this survey. This proves clear criteria for the survey should be provided by ensuring that the personal information of participants should be kept confidential (Dave et al., 2023).
  • c. Ethics in Research: During the research work, it should be ensured that no abuse (the Nuremberg trials) has been performed, and the research has focused on principles like respect, justice, and beneficence.

This ethical consideration should be followed during research work to safeguard the participants and ensure the legal authenticity of the work.

2.1 – Complete a literature review of the chosen area of research:

Care planning plays an important role in delivering person-centred care within adult care settings, as it prioritises individualised approaches to patient well-being. According to Sedini et al., (2021), advanced care planning is a process that can allow adult patients to receive guidance and make plans about the type of healthcare they need to receive for the betterment of their health and well-being. According to Sudore et al. (2017), involving patients in decisions about their care and treatment is intrinsic to the principle of care planning, and person-centred care approach specifically at adult social care settings. Research on mental health and well-being demonstrates that involvement can lead to improved service outcomes, and can also enhance patient wellbeing. On the other hand, another review by Ahmed et al. (2022) stated that person-centred care focuses on targeting patients with dignity and respect, which also emphasises recognising the patients’ preferences and involving them in decision-making for their own care plan. Therefore, in an adult care setting, a care plan can be considered as a tool to ensure that the care delivery is tailored to the needs and preferences of individuals. 

On the other hand, Mosadeghrad (2019) has mentioned that the major influencing factors of effective care planning include staff accessibility to these plans. Accessibility can be defined as the ability of healthcare staff to obtain, understand, and apply the information contained in care plans. There are many studies which showed that one of the major barriers to effective person-centred care plans in healthcare facilities is the limited accessibility of care plans due to poor communication systems, lack of training, and inadequate documentation. According to previous studies, another major barrier related to the integration of care planning with EHRs. According to Butler et al. (2020), while digital care plans can enhance accessibility, staff often face technical difficulties, insufficient training on EHR systems and inconsistency in the update of patient records, which overall can reduce the effectiveness of person-centred care plans for adult patients. Stanhope et al. (2021) have mentioned that the involvement of staff in creating and implementing care plans is essential to deliver person-centred care. However, many staff feel excluded from this process either due to the hierarchical structure of an organisation or lack of collaborative practices between management and frontline workers. A study by Sedini et al. (2021) mentioned that a care plan is a collaborative effort, where the staff will always be encouraged to be involved in developing a care plan in an adult social care setting. According to the CQC guideline, effective leadership is important to maintain effectiveness in care plans and compliance with regulations (Gray et al., 2015). In summary, the existing literature underscores the importance of improving staff accessibility, involvement, and support to enhance the role of care planning in adult social care.

In the table below, critically compare each of the following research approaches, and give an example of how they could be used in relation to your research or work context.

2.1 – Critically compare different types of research

2.2 – Evaluate a range of methods that can be used to collect data.

2.3 – Identify a range of tools that can be used to analyse data.

*Please research Quantitative and Qualitative, then pick 2 more methodologies and research them*

Methodology Strengths/weaknesses of using this approach for this project Methods used to collect data Tools used to analyse data
Quantitative Quantitative research would be well-suited for this study, as it can allow us to measure the importance and impact of person-centred care plans on adult social care by providing numerical data on recovery rates among the adult population. The survey can provide numerical information from a large sample of social care staff about the importance of care plans, alignment with CQC standards, and the importance and level of staff involvement in implementing care plans (Queirós et al., 2017). However, this survey cannot capture the nuances and complexities of staff experiences in delivering person-centred care through care planning, and this method lacks depth in understanding the individual's experiences and emotions. Survey (close-ended question) Statistical analysis tools including SPSS, Excel to measure the trends, percentages, and correlation
Qualitative Qualitative research can provide rich, in-depth insight into the social care staff’s experiences towards adult care planning. Semi-structured interviews and focus groups can allow staff to share their perception about the benefits and challenges of developing and implementing care plans for adults by aligning with CC standards (Mwita, 2022). However, this method is time-consuming and provides descriptive ideas or generalised findings across large groups. Interview, open-ended survey and questions Thematic analysis by using software like NVivo or manual coding for patterns in narrative response.
Experimental The experimental method can allow high control over the variables enabling the researchers to establish a cause-and-effect relationship between accessibility involvement, and managerial support to care planning for adult patients (Campbell & Stanley, 2015). This method can provide reliable, and valid results compared to the standard process. However, experimental design limits the ethical concern in social care settings. Controlled Trial and intervention within adult social care environment Statistical tools for analysing pre and ost intervention outcomes include ANOVA, and t-tests.
Descriptive This method provides a comprehensive overview of the subject matter by highlighting the contextual factors which may influence the accessibility, and involvement of staff in implementing person-centred care plans for adults (Siedlecki, 2020). However, this method lacks providing idea about casual relationships limits the effectiveness of how different factors interact with each other. Survey, observations and case study analysis. Descriptive statistics including means, frequencies, and percentages using tools like SPSS, and Excel.

2.4 – Explain the importance of validity and reliability of the data within the research.

Please research both, and why they are needed in a research project. What are the consequences of the project are not valid or reliable? If you did it again would you get the same results?

Validation and reliability of data

In this proposed research, the validity of data and information is important as it can ensure that the survey questions are effective enough to evaluate the staff perspectives on involvement in implementing and designing person-centred care planning for adults in social care facilities. On the other hand, the reliability of the data refers to the consistency of the information (Hajjar, 2018). For this proposed research work, content validity can be used to ensure that the survey covers all the relevant aspects of the subject matter, along with criterion validity, which includes the comparison of the survey results with the data collected from existing literature. To measure the reliability of survey data, a test-retest process can be used to check whether the respondents provide similar answers if they take part in the survey under the same conditions. In this research, Cronbach’s Alpha tool can be used to test the internal consistency of the data gathered through the survey.

3.1 - Identify sources of support whilst conducting a research project:

Sources of information and data

Survey: the research title is to explore the Role of Care Planning in Adult Social Care: A Staff Perspective on Accessibility, Involvement, and Managerial Support in Delivering Person-Cemtred Care. The survey will be conducted by including the nursing staff who are responsible for providing care to the adult patient. For this survey, 100 respondents are being taken into consideration as a sample for the survey. A stratified random sampling technique has been used to identify the healthcare staff, specifically the care assistant nurse and manager to increase the accuracy and reliability of the data. The stratified sampling technique can reduce the sampling bias and improve the outcome by ensuring that each subgroup within the population is represented according to the proportion in the overall workforce.

Demography

a. What is your role in social care organisation:

  • 1. Care Assistant
  • 2. Nurse
  • 3. Social Worker
  • 4. Manager
  • 5. Others

b. How many years of experience do you have in adult social care?

  • 1. Less than 1 year
  • 2. 1-3 years
  • 3. 4-6 years
  • 4. 7-10 years
  • 5. More than 10 years

Likert Scale Questions:

a. Do you agree that a proper care plan is important for providing person-centred care to adults?

  • 1. Strongly agree
  • 2. Agree
  • 3. Neutral
  • 4. Disagree
  • 5. Strongly disagree

b. How easy do you find it to access care plans for an adult patient while providing person-centred care?

  • 1. Very Easy
  • 2. Esay
  • 3. Neutral
  • 4. Difficult
  • 5. Very Difficult

c. Do you get involved when making person-centred care plans for adult care?

  • 1. Always
  • 2. Often
  • 3. Sometimes
  • 4. Rarely
  • 5. Never

d. Would you like to be more involved in developing and implementing a person-centred care plan for adult social care?

  • 1. Strongly Agree
  • 2. Agree
  • 3. Neutral
  • 4. Disagree
  • 5. Strongly disagree

e. What gets in the way of accessing the care plans while providing person-centred care to adults?

  • 1. Time (Strongly agree- agree-neutral- disagree-strongly disagree)
  • 2. System issue (Strongly agree- agree-neutral- disagree-strongly disagree)
  • 3. Lack of training (Strongly agree- agree-neutral- disagree-strongly disagree)
  • 4. Lack of staff involvement (Strongly agree- agree-neutral- disagree-strongly disagree))
  • 5. Lack of managerial support (Strongly agree- agree-neutral- disagree-strongly disagree)

f. What can be done by the manager to enhance the effective use of care plans by staff in adult social care

  • 1. Training (Strongly agree- agree-neutral- disagree-strongly disagree))
  • 2. Better system support (Strongly agree- agree-neutral- disagree-strongly disagree)
  • 3. Allocation of time for care planning (Strongly agree- agree-neutral- disagree-strongly disagree)
  • 4. Improvement in communication (Strongly agree- agree-neutral- disagree-strongly disagree)

To allocate the qualitative information for the proposed research, interviews with the managers in the social care setup should be carried out. The sample size for the interview will be 5, and the purposive sampling technique will be used to select the manager who has relevant experiences and knowledge about care planning, personal-centred care approach for adults, and CQC standards for adult care. For an interview, open-ended questions will be framed based on the research topic, and objective of the study. The interview questions will be:

  • A. Do you believe that care planning is important for adult care in social and healthcare aspects?
  • B. Do you believe that a person-centred care approach is important to increase patient outcomes in an adult social care setup?
  • C. What challenges do you face in ensuring staff access and use of care plans for adult care?
  • D. How do you support the staff involvement in the care planning process?
  • E. What changes can be recommended to improve the accessibility and use of plans?

4.2 – Draw conclusions from findings.

Summary of findings

What have you learnt from your research?

The person-centred care is a caring approach that puts a person who needs to receive care at the centre of the process and tailors care to meet the needs of that patient. The purpose of this research is to explore the role of effective care planning for adult social care from the perspectives of staff and managers, particularly focusing on the involvement and accessibility of the plan to provide person-centred care to the patient (Stanhope et al., 2021). To meet this aim and objectives, both surveys and interviews with the nursing staff and managers who have experience in utilising care plans and providing person-centred care to older adults have been carried out. Considering the survey questions and systematic review of literature, it can be assumed that the probable outcomes of this research and findings will state that effective care plans are essential to provide person-centred care to meet the needs of adults and improve overall outcomes. In this scenario, many respondents may highlight the key challenges they might face while assessing and delivering care plans to adults in a person-centred care approach. This statement states that time constraints, system issues, and lack of training are the major difficulties that restrict the staff from designing and implementing care plans and aligning them to a person-centred care approach and CQC standards (Stanhope et al., 2021). From the survey, it can also be viewed that, by assessing the staff involvement, the study will reveal the current engagement levels and highlight the strategies to enhance participation in care planning, which can ultimately lead to better implementation and outcomes for the adult patient in the social care aspect. This study or more specifically the survey and interview with the managers can also provide an in-depth overview of the actionable managerial recommendation to improve the use of care plans, focusing on facilitating accessibility, promoting the collaboration between manager, nursing staff, and adult patients, and ensure the compliance with new CQC standards for adult care. This study will interpret that the care plans in alignment with CQC standards will be effective in enhancing patient well-being in adult care settings.

The different ways to show the data

Describe the ways you could have shown your data. Why did you use the method you used and not others? Name at least 4 methods to display your data.

There are several ways to show the data, which are:

  • a. Bar Charts: this method is effective in carrying out comparisons between categorical data, such as responses to the survey questions. Bar charts show the difference between the responses given by responders regarding the importance of care plans for adult social care (Taher et al., 2015).
  • b. Pie Chart: It is used to display the percentages of the responses- and it is important when focus is given on the relative contribution of different categories to a total.
  • c. Treemaps: Treemaps are a space-efficient method of displaying proportions across several categories of hierarchical data. Their ability to display parts-to-whole relationships in a layered structure makes them ideal for intricate datasets with numerous levels of detail (Ghoniem et al., 2015).
  • d. Histograms: this is another method of displaying the data, where the data is distributed based on the frequency of responses in different ranges.

4.3 - Reflect on how your research findings substantiate the initial literature review

Reflecting on research findings in relation to an existing review of literature, it can be stated that the survey used in this research work can provide more in-depth ideas about the importance of care plans in adult care settings. In the existing literature, majority of the cases, systematic reviews of secondary research have been carried out which offered a generalised overview of the topic (Ahmed et al., 2022). In comparison to the existing literature review, the current findings can provide statistical data about the importance of care planning, and person-centred care, staff involvement in care planning from the perception of the nurses. Additionally, prior research failed to include the managerial point of view and their responsibilities to encourage staff for involved and access the care plan, however, in this research, an interview with the manager can provide an overview of managerial support in care planning.

4.4 - Make recommendations related to the area of research

1. Improvement in the accessibility of care plans through digital integration: a user-friendly digital system can be implemented in a healthcare facility to enhance the accessibility of care plans by nurses. Ficus can be given on implementing the use of electronic care planning tools so that staff can easily access, update and review the plans as per the patient’s needs (Erku et al., 2023).

2. Increase staff involvement: encourage the staff to regularly participate in developing and reviewing care plans through structured team meetings, and individual feedback sessions (Babiker et al., 2014). Training programs that focus on the importance of involvement in care planning can empower the staff to take ownership of patient outcomes.

4.4 - Identify potential uses for the research findings within the workplace

The findings of this research can be used in several areas of healthcare to improve the quality of care plans for adult care settings. To enhance staff participation in care planning, for instance, a new training program emphasizing person-centred care techniques and enhancing digital system accessibility may be created. The results may also guide the creation of a hiring procedure that gives preference to applicants who have a solid grasp of care planning and patient-centred care concepts. Finally, by creating management support measures like setting aside time for staff to participate in care planning, the insights may assist improve staff satisfaction and patient outcomes.

References

  • Ahmed, A., van den Muijsenbergh, M. E. T. C., & Vrijhoef, H. J. M. (2022). Person‐centred care in primary care: What works for whom, how and in what circumstances? Health & Social Care in the Community, 30(6). https://doi.org/10.1111/hsc.13913
  • Arifin, S. R. M. (2018). Ethical considerations in qualitative study. International journal of care scholars1(2), 30-33.https://journals.iium.edu.my/ijcs/index.php/ijcs/article/view/82
  • Babiker, A., El Husseini, M., Al Nemri, A., Al Frayh, A., Al Juryyan, N., O Faki, M., Assiri, A., Al Saadi, M., Shaikh, F., & Al Zamil, F. (2014). Health Care Professional development: Working as a Team to Improve Patient Care. Sudanese Journal of Paediatrics, 14(2), 9–16. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949805/
  • Butler, J. M., Gibson, B., Lewis, L., Reiber, G., Kramer, H., Rupper, R., Herout, J., Long, B., Massaro, D., & Nebeker, J. (2020). Patient-centered care and the electronic health record: exploring functionality and gaps. JAMIA Open, 3(3), 360–368. https://doi.org/10.1093/jamiaopen/ooaa044
  • Campbell, D. T., & Stanley, J. C. (2015). Experimental and quasi-experimental designs for research. Ravenio books. https://books.google.com/books?hl=en&lr=&id=KCTrCgAAQBAJ&oi=fnd&pg=PT4&dq=strength+ans+limitation+of+experimental+research+method&ots=Mfn9BQzK-O&sig=VLNm1iYReLbf9xL48fisD01CzQI
  • Dave, T., Athaluri, S. A., & Singh, S. (2023). ChatGPT in medicine: an overview of its applications, advantages, limitations, future prospects, and ethical considerations. Frontiers in artificial intelligence6, 1169595.https://www.frontiersin.org/articles/10.3389/frai.2023.1169595/full
  • Erku, D., Khatri, R., Endalamaw, A., Wolka, E., Nigatu, F., Zewdie, A., & Assefa, Y. (2023). Digital Health Interventions to Improve Access to and Quality of Primary Health Care Services: A Scoping Review. International Journal of Environmental Research and Public Health, 20(19), 6854. https://doi.org/10.3390/ijerph20196854
  • Ghoniem, M., Cornil, M., Broeksema, B., Stefas, M., & Otjacques, B. (2015, February). Weighted maps: treemap visualization of geolocated quantitative data. In Visualization and Data Analysis 2015 (Vol. 9397, pp. 163-177). SPIE.https://www.spiedigitallibrary.org/conference-proceedings-of-spie/9397/93970G/Weighted-maps-treemap-visualization-of-geolocated-quantitative-data/10.1117/12.2079420.short
  • Gray, D., Sparrow, N., & Field, S. (2015). Response from the CQC: the importance of effective leadership. British Journal of General Practice, 66(642), 14.2-15. https://doi.org/10.3399/bjgp16x683101
  • Hajjar, S. T. (2018). Statistical analysis: Internal-consistency reliability and construct validity. International Journal of Quantitative and Qualitative Research Methods6(1), 27-38.https://www.academia.edu/download/88115056/Statistical-Analysis-Internal-Consistency-Reliability-and-Construct-Validity.pdf
  • Mosadeghrad, A. M. (2019). Factors Influencing Healthcare Service Quality. International Journal of Health Policy and Management, 3(2), 77–89. ncbi. https://doi.org/10.15171/ijhpm.2014.65
  • Mwita, K. (2022). Strengths and weaknesses of qualitative research in social science studies. International Journal of Research in Business and Social Science (2147-4478)11(6), 618-625.https://www.ssbfnet.com/ojs/index.php/ijrbs/article/view/1920
  • Queirós, A., Faria, D., & Almeida, F. (2017). Strengths and limitations of qualitative and quantitative research methods. European journal of education studies.http://oapub.org/edu/index.php/ejes/article/view/1017
  • Sedini, C., Biotto, M., Crespi Bel’skij, L. M., Moroni Grandini, R. E., & Cesari, M. (2021). Advance care planning and advance directives: An overview of the main critical issues. Aging Clinical and Experimental Research, 34(2), 325–330. https://doi.org/10.1007/s40520-021-02001-y
  • Siedlecki, S. L. (2020). Understanding descriptive research designs and methods. Clinical Nurse Specialist34(1), 8-12.https://journals.lww.com/cns-journal/fulltext/2020/01000/understanding_descriptive_research_designs_and.4.aspx
  • Stanhope, V., Choy-Brown, M., Williams, N., & Marcus, S. C. (2021). Implementing Person-Centered Care Planning: A Randomized Controlled Trial. Psychiatric Services, 72(6), appi.ps.2020003. https://doi.org/10.1176/appi.ps.202000361
  • Sudore, R. L., Lum, H. D., You, J. J., Hanson, L. C., Meier, D. E., Pantilat, S. Z., Matlock, D. D., Rietjens, J. A. C., Korfage, I. J., Ritchie, C. S., Kutner, J. S., Teno, J. M., Thomas, J., McMahan, R. D., & Heyland, D. K. (2017). Defining Advance Care Planning for Adults: a Consensus Definition from a Multidisciplinary Delphi Panel. Journal of Pain and Symptom Management, 53(5), 821-832.e1. https://doi.org/10.1016/j.jpainsymman.2016.12.331
  • Taher, F., Hardy, J., Karnik, A., Weichel, C., Jansen, Y., Hornbæk, K., & Alexander, J. (2015, April). Exploring interactions with physically dynamic bar charts. In Proceedings of the 33rd annual acm conference on human factors in computing systems (pp. 3237-3246).https://dl.acm.org/doi/abs/10.1145/2702123.2702604
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