Investigating elderly care contexts according to stakeholders’ needs

Abstract

This chapter aims to present an innovative and participatory model for assessment, improvement of quality and innovation in residential facilities for fragile elderly people. Starting from a theoretical and practical reflection on the value of the care relationship in these organisations, this chapter focuses on innovating care practices in these organisations. In this model care is understood not only as a practice but as an attitude of the organisation: an approach to assistance which goes beyond the mere satisfaction of physical needs, looking at the person as a whole and working within a framework of constant promotion of their well-being. The chapter presents a method for innovating elderly care services through evaluation, self-evaluation and participatory planning. This method was developed through two case studies, the research design and tools of which are presented. The research is guided by an approach of Educational Evaluation [Scriven (The methodology of evaluation. Rand McNally, 1967; Evaluation thesaurus. Edge Press, 1981; Evaluation thesaurus. Sage, 1999)] and Action Research: the professionals are actively involved both during the definition of the quality standards and their relative evaluation. Some specific evaluation tools are developed, and the data gathered is constantly fed back to the professionals in order to stimulate their reflexive practice and foster innovation by improving the quality of care.