Background Internationally, person-centred care (PCC) is embedded in the language of regulations and mandated to be practised in residential aged care (RAC). Despite this, PCC has not been fully adopted in RAC in Australia and internationally, and concerns about the quality of care persist. Over the past 2 decades, Montessori for dementia and ageing has been introduced in RAC to support and inform a cultural change towards PCC. This study aimed to examine the intersection between the goals and approaches of Montessori and PCC in RAC. Methods This qualitative descriptive study reports on a secondary analysis of qualitative data from focus groups (FGs) and interviews with residents, family-members, staff, and volunteers from eight RAC homes in Victoria, Australia. Sixteen FGs and 36 interviews were conducted. A qualitative deductive approach using researcher-developed Montessori for dementia and ageing framework for data analysis was applied. Results Findings provide support for the intersection between PCC and Montessori with participants’ descriptions of PCC aligning with many of the goals and approaches of Montessori. Participants most commonly described Montessori approaches of engagement in daily tasks with purposeful roles and promoting cognitive abilities through multi-sensory stimulation. Least frequently-described approaches included focusing on residents’ strengths/abilities, maintaining function, using familiar objects, and guided repetition. Conclusions Findings have important implications for practice to use Montessori as a vehicle that supports and upskills the workforce to deliver care that is person-centred. Future research must examine the resources required to support the implementation and sustainability of Montessori as a vehicle for PCC.

中文翻译：

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以人为本的实践与蒙台梭利在住宅老年护理中治疗痴呆和老龄化的交叉点


背景 在国际上，以人为本的护理 （PCC） 被嵌入到法规的语言中，并被强制要求在住宅老年护理 （RAC） 中实施。尽管如此，PCC 尚未在澳大利亚和国际上被 RAC 完全采用，并且对护理质量的担忧仍然存在。在过去的 2 年里，痴呆和老龄化的蒙台梭利已被引入 RAC，以支持和告知向 PCC 的文化变革。本研究旨在检验 RAC 中蒙台梭利和 PCC 的目标和方法之间的交叉点。方法 这项定性描述性研究报告了对焦点小组 （FG） 定性数据的二次分析，以及对来自澳大利亚维多利亚州八个 RAC 家庭的居民、家庭成员、工作人员和志愿者的采访。进行了 16 次 FG 和 36 次访谈。采用定性演绎方法，使用研究人员开发的蒙台梭利治疗痴呆和衰老框架进行数据分析。结果：研究结果为 PCC 和蒙台梭利之间的交叉点提供了支持，参与者对 PCC 的描述与蒙台梭利的许多目标和方法一致。参与者最常描述的蒙台梭利方法，即参与日常任务，具有目的性的角色，并通过多感官刺激促进认知能力。描述最少的方法包括关注居民的优势/能力、保持功能、使用熟悉的物体和引导重复。结论 研究结果对实践具有重要意义，将蒙台梭利作为支持和提高劳动力技能的工具，以提供以人为本的护理。未来的研究必须检查支持蒙台梭利作为 PCC 工具的实施和可持续性所需的资源。