Resources: Client Centred Care
The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of the Client Centred Care Best Practice Guideline. Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Initiative team. Visit this site often to see what's new!
The word client, patient, resident and person will be used interchangeably so that the resources can be used in any practice setting. In certain circumstances the resident substitute decision maker may be involved in the process.
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References for Client Centred Care
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| Resource | Link |
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RNAO Client Centred Care Best Practice Guideline (BPG) | ![]() |
RNAO Client Centred Care Best Practice Guideline (BPG) Supplement | ![]() |
RNAO Soins axés sur les besoins du client RNAO Lignes directrices sur les pratiques exemplaires en soins infirmiers. | ![]() |
RNAO Client Centred Care PDA Guideline Condensed version of the Client Centred Care BPG viewable on Personal Digital Assistants (PDAs) or mobile phones. | ![]() |
RNAO Soins axés sur les besoins du client PDA | ![]() |
Congregate living and the law as it affects older adults Read more... | ![]() |
RNAO Client Centred Care - French Supplement Soins axés sur les besoins du client Supplément. | ![]() |
Gap Analysis Worksheet for Client Centred Care Identifying your organization’s strengths and areas of improvement in relation to the best practice recommendations and MOHLTC (Ministry of Health and Long-Term Care) standards. | ![]() |
Ministry of Health and Long-Term Care (MOHLTC): Guideline Examples These examples from the Long Term Care Homes Program Manual list the activities demonstrating dignity and respect, privacy and confidentiality, autonomy and the right to be informed. | ![]() |
Resident's Bill of Rights The resident bill of rights can be found in the Nursing Homes Act, R.S.O. 1990, c. N.7. Source: http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_90n07_e.htm. | ![]() |
Resident's Bill of Rights: Aphasia Institute Pictoral Version The pictographic version of the Ontario Resident's Bill of Rights was designed by the Aphasia Institute and funded by the Ontario Ministry of Health and Long-Term Care through the Seniors Health Research Transfer Network (SHRTN) initiative. | ![]() |
Resident’s Bill of Rights: "Every Resident" Advocacy Centre for the Elderly (ACE) and Community Legal Education Ontario (CLEO) An education booklet designed to explain the Bill of Rights that pertains to every resident living in long-term care in Ontario. | ![]() |
College of Nurses of Ontario (CNO) Practice Standards and Client Centered Care This resource includes the most applicable CNO Standards reflecting client centered care concepts. | ![]() |
Sunnybrook Nursing Standards: A Framework for Practice Comparison of College of Nursing Standards and Sunnybrook Health Sciences Centre Nursing Standards for the Nurse-Person Process including 6Rs (Really listening, Responding to Concerns, Respecting Choices, Reporting, Recording, and Reviewing Feedback) | ![]() |
| Resource | Link |
|---|---|
Institute for Health Care Improvement (IHI) Organizational Assessment Tool The Institute for Health Care Improvement has developed this organizational assessment tool which allows organizations to understand the range and breadth of elements under patient and family centered care and to assess where they are against the leading edge of practice. | ![]() |
Sample of Report Card A tool to demonstrate areas of strengths and areas for improvement. | ![]() |
Sample of Resident Questions to Evaluate Client Centred Care A compilation of questions to measure client centered care and services in long-term care home setting. | ![]() |
Tools and Practical Suggestions to create your own survey at less cost Tools and practical suggestions for resident satisfaction surveys are featured in this article by written by Dr. Emma Stodel for the Manrex Educational Series: A reprinted document from Long Term Care Magazine. | ![]() |
Picker Patient Centred Care Institute Information for NRC Picker’s Patient-Centered Care Institute. The Institute is dedicated to advancing the knowledge and practice of patient-centered care within the healthcare industry. Members have access to leading experts, advisors and original research in patient-centered care, as well as assessments and resources for creating a patient-focused environment. | ![]() |
Agili-t Resident Satisfaction Survey (Brochure) This brochure contains the contact information for free assessment on how to improve resident satisfaction and the quality of care. It is a validated survey for long term care residents. Available at http://www.agili-t.com/_pdf/en/Long_Term_Care_Brochure.pdf. | ![]() |
CARF Canada CARF (Commission on Accreditation of Rehabilitation Facilities) provides information for a consumer reporting system. | ![]() |
uSPEQ uSPEQ raises a powerful voice for consumers and provides valuable information to providers serving them. | ![]() |
Calgary Regional Health Authority: Long Term Care resident Satisfaction Survey This is a sample of a Long Term Care Resident Satisfaction Survey from Calgary Regional Health Authority. Source: http://www.calgaryhealthregion.ca/qshi/hsau/Population_Health/Highlights/6/ltc.pdf. | ![]() |
| Resource | Link |
|---|---|
Resident Created Profile: Persons living in LTC sharing their life Sample profile created by residents themselves. It is suggested that homes create a similar set with their own residents. This profile can be used for orientation and education. Source: Sunnybrook Health Sciences Centre. | ![]() |
Resident Created Profile: A Personal view of waiting Sample profile created by residents themselves. It is suggested that homes create a similar set with their own residents. This profile can be used for orientation and education. Source: Sunnybrook Health Sciences Centre. | ![]() |
Resident Created Profile: A personal view of living with early onset Alzheimer’s Disease Sample profile created by residents themselves. It is suggested that homes create a similar set with their own residents. This profile can be used for orientation and education. Source: Sunnybrook Health Sciences Centre. | ![]() |
Patient Centred Care Improvement by the Picker Institute This Guide is designed as a practical resource for health care organizations that are striving to become more patient-centered. It contains best practices and practical implementation tools contributed by hospitals from across the United States. Source: http://www.pickerinstitute.org/Patient-Centered%20Care%20Improvement%20Guide%2010.10.08.pdf. | ![]() |
Implementation Strategies for Client Centred Care Page 5 of the RNAO Client Centred Care supplement outlines implementation strategies for client centred care. | ![]() |
Strategies for Leadership : Patient- and Family-Centred Care A toolkit prepared by AHA partnered with the Institute for Family-Centered Care, a non-profit organization that serves as a resource for consumers, practitioners and policymakers who want to advance the practice of family-centered care. Source: http://www.aha.org/aha/issues/Quality-and-Patient-Safety/strategies-patientcentered.html. | ![]() |
| Resource | Link |
|---|---|
Client Centered Care Plan Fact Sheet Practice recommendations and MOHLTC Resident Assessment Instrument/Minimum Data Set (RAI- MDS) Education recommendations related to Resident Assessment Protocols (RAPS) and Care Planning. Care Plan prompts and examples of generic vs. client centered care planning statements are also included. | ![]() |
Documentation: Provider-driven vs. Client-centered These are sample of progress notes demonstrating the contrast between provider (staff) driven vs. client centred documentation. Source: Sunnybrook Health Sciences Centre. | ![]() |
Ottawa Decision Support Framework The Ottawa Decision Support Framework is an evidence-based, practical, mid-range theory for guiding patients making health or social decisions. It uses a three-step process to: | ![]() |
Ottawa Decision Support Framework Tools Tools that were used to operationalize the variables in the Ottawa Decision Support Framework are listed in the website link. A sample of each tool is provided, along with a User Manual describing the tool's properties, scoring and directions for administration. | ![]() |
| Resource | Link |
|---|---|
| Self Learning and PowerPoint Presentations | |
Client Centred Care e-Learning Course This is an interactive computer based self-learning tool designed to build on existing knowledge, skills and experience of all health care providers and to help integrate evidence-based recommendations into practice. | ![]() |
Client Centred Care PowerPoint Presentation Created by the RNAO Long-Term Care Best Practice Coordinators to provide an overview of client centred care. | ![]() |
Resident Centred Care in Long-Term Care: A Self Learning Package This self-directed learning package is designed to support the implementation of the RNAO BPG Client Centred Care in the long-term care sector. The main objective of the package is to help nurses begin to think about the principles of resident centred care, and the ways that they can improve the provision of care to residents in the long-term care home. | ![]() |
| Charts | |
| Fact Sheets / Pamplets / Pocket Cards / Logos | |
RNAO Health Education Fact Sheet: Putting Patients First This fact sheet is targeted towards patients to help them better understand the role and responsibility of a nurse within the health care system. | ![]() |
RNAO Placer les patients à l’avant-plan RNAO Fiche de renseignements pour la sensibilisation en matière de santé. | ![]() |
Pocket Cards Patient centred care questions for initiating discussion. Created by Sunnybrook Health Sciences Centre. | ![]() |
| Videos | |
UHN Video Clip: "What Patient Centred Care Means To Me" A video clip from nine individuals discussing what inspires them to care for patients and families. Each story brings the unique perspective of the individuals based on their past experiences. Run time is 10:40 min. Source: University Health Network (UHN): /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} http://www.uhn.ca/about_uhn/nursing/site/practice/pcc/video_series/index.html | ![]() |
Video Listing from Sunnybrook This is a listing of client centred care audiovisual resources from Sunnybrook Health Sciences Centre. | ![]() |
Video Learning Resources A comprehensive listing of videos dealing with the issues of aging can be found in the Canadian Learning Company on line resources. Source: http://www.canlearn.com/catlogfr.htm. | ![]() |
MAREP Video Resources This is a listing of client centred care audiovisual resources from MAREP (Murray Alzheimer Research & Education Program), U of Waterloo. | ![]() |
| Websites | |
OLTCA Photo Exhibit and Irene Borins Ash Irene Borins Ash is a Toronto social worker and photographer. Her website features photographs and stories on aging through the perspective of long-term care residents. Based on her interviews with long-term care residents, she had collected 25 images with text exhibit that exposes myths about aging and long term care. | ![]() |
Theoretical Perspectives: Human Becoming Theory: Rosemary Rizzo Parse Parse’s theory on human becoming is an example of a nursing theory that illustrates core concepts of client centred care. There are other theories that lend themselves to the concept of client centred care. | ![]() |
| Education Resources | |
Lesson/Workshop Planning: Education Program 2 Day These are sample outlines for 2-full day workshops (one month apart). Source: Sunnybrook Health Sciences Centre. | ![]() |
Lesson/Workshop Planning: Education Program 8 Week A sample 8-week course schedule and eight 2 hour classes (over eight weeks). Source: Sunnybrook Health Sciences Centre. | ![]() |
Lesson/Workshop Planning: Course confirmation notice Source: Sunnybrook Health Sciences Centre. | ![]() |
Lesson/Workshop Planning: Course Checklist for Facilitator Source: Sunnybrook Health Sciences Centre. | ![]() |
Workshop Presentation #1 Day 1 PowerPoint presentation to assist a facilitator(s) in guiding the focus for 2-full day workshops on client centred care. The recommended number of participants is 25 working in groups of 5. From Sunnybrook Health Sciences Centre. | ![]() |
Workshop Presentation #2 Day 2 PowerPoint presentation to assist a facilitator(s) in guiding the focus for 2-full day workshops on client centred care. The recommended number of participants is 25 working in groups of 5. From Sunnybrook Health Sciences Centre. | ![]() |
Icebreaker: Getting to Know You Getting to Know You is an activity for participants to get to know each other. Source: Nadine Janes, RN; PhD, Manager, Professional Practice & Advanced Practice Nurse, Extended Practice, West Park Healthcare Centre, Toronto. | ![]() |
Icebreaker: Knowing and Engaging Participants Knowing and Engaging Participants is an activity for participants to get to know each other. Source: J. Hollett, PCC Project Manager, UHN, Toronto. | ![]() |
Icebreaker: Shield Activity Shield activity an exercise to uncover personal values in the participants work. Source: Sunnybrook Health Sciences Centre. | ![]() |
Values Resources – Values Exercise The value exercise is an activity to demonstrate where client/family, management, and staff stand in regards to the certain values. Source: Pillemer, Karl & Meador, Rhoda (1997). Partners in Caregiving: Cooperative Communication Between Families and Nursing Homes, Cornell University, Ithaca, NY. | ![]() |
Listening Resources – Communication: Guided Imagery Guided Imagery is an exercise to experience being listened to. Developed by J. Hollett, RN; MSc; Patient Centred Care Manager, University Health Network, Toronto. | ![]() |
Listening Resources – Communication: The art of listening The 5 Rs of the Nurse-Person Process are Really listening, Responding to concerns, Respecting choices, Reporting and Recording. Developed by Ferrer, Erlinda (2005). Really Listening. Nursing Voice (Summer), p. 10. Sunnybrook Health Sciences Centre. | ![]() |
Dialogue Resources: Communication: Dialogue Analysis This is a collection of resources/worksheets to introduce client centred dialogue in class and as assignments between classes. Source: Contributing Authors: M. E. Nicholson, RN, MSc. PhD(c)., Sunnybrook Health Sciences Centre. | ![]() |
Dialogue Resources: Communication: Exercise/Dialogue Sheets This is a collection of resources/worksheets to introduce client centred dialogue in class and as assignments between classes. Source: Contributing Authors: M. E. Nicholson, RN, MSc. PhD(c)., Sunnybrook Health Sciences Centre. | ![]() |
Dialogue Resources: Communication: 4 A’s of CCC This is a collection of resources/worksheets to introduce client centred dialogue in class and as assignments between classes. Source: Contributing Authors: Janice Beitel, RN, BSN, MScN, CNCC(c), CNN(c) Professional Practice Leader Trillium Gift of Life Network, and Jane Hollett, RN, MSc. PCC Project Manager, University Health Network, Toronto. | ![]() |
Dialogue Resources: Communication - Getting to Know the Person This is a collection of resources/worksheets to introduce client centred dialogue in class and as assignments between classes. Source: Source: Nadine Janes, RN; PhD, Manager, Professional Practice & Advanced Practice Nurse, Extended Practice, West Park Healthcare Centre, Toronto. | ![]() |
Dialogue Resources: Communication - Dialogue with a partner exercise This is a collection of resources/worksheets to introduce client centred dialogue in class and as assignments between classes. Source: J. Hollett, RN, APN, MSc. PCC Project Manager, University Health Network, Toronto. | ![]() |
Dialogue Resources: Communication - Sample questions according to 4 core processes This is a collection of resources/worksheets to introduce client centred dialogue in class and as assignments between classes. Source: Sunnybrook Health Sciences Centre. | ![]() |
Blocks to Communication Examples of communication blocks and its definition as opposed to a client centred communication. Developed by: Sunnybrook Health Sciences Centre and University Health Network, Toronto. | ![]() |
Blocks to Communication Resources: Communication - 7 Hard to break Habits "Hard to break habits" are reflection exercises to raise awareness of common blocks to communication. Sample document of blocks of communication and alternatives are included as well as a blank form to identify blocks to communication and client centred alternatives. Based on article by J. Beitel (1998). Illuminations File: Illuminations Newsletter of the International Consortium of Parse Scholars, 7(3), 3-5. Source: Sunnybrook Health Sciences Centre. | ![]() |
Resources for discussion and reflection: Myths and Challenges - Debunking Client Centred Care Myths & Misconceptions Developed by: Sunnybrook Health Sciences Centre, Toronto. | ![]() |
Resources for discussion and reflection: Haiku Poem Exercise Developed by J. Hollett, RN, APN, MSc. PCC Project Manager, University Health Network, Toronto. | ![]() |
Resources for discussion and reflection: Keeping the CCC Flame Burning - Ideas to Integrate PCC into Clinical Staff Meeting Agendas Source: J. Hollett, RN, APN, MSc. PCC Project Manager, University Health Network, Toronto. | ![]() |
Evaluation of Learning Experiences: Workshop Evaluation Tools Sample of workshop evaluation tools. Source: J. Hollett, RN, APN, MSc. PCC Project Manager, University Health Network, Toronto. | ![]() |
Evaluation of Learning Experiences: Workshop Evaluation Tools Sample of workshop evaluation tool. Source: Sunnybrook Health Sciences Centre. | ![]() |
Evaluation of Learning Experiences: Jeopardy Game Sample The sample Jeopardy Game illustrates a fun way to evaluate learning. Source: Sunnybrook Health Sciences Centre. | ![]() |
Evaluation of Learning Experiences: Blank Jeopardy Template This is a blank template where you can make your own Jeopardy Game. Source: http://www.jmu.edu/madison/teacher/menu.htm. | ![]() |
| Other Resources | |
What we heard: Long Term Care Quality Consultation 2008 A synthesis of a consultation process hosted by the MOHLTC (Ministry of Health and Long Term Care) and SHRTN (Seniors Health Research Transfer Network) in 2008. Over 600 participants from LTC. Five common themes identified. | ![]() |
Universities/Colleges: Client Centred Care Courses - Ryerson University, Toronto, ON Ryerson University, Toronto, Ontario. Degree Credit CVNU 324 Quality of Life:The Client's Perspective | ![]() |
Universities/Colleges: Client Centred Care Courses - York University, Toronto, ON York University, Toronto, Ontario. HH/NURS 2730 3.00 Health and Healing: Health Assessment | ![]() |
Universities/Colleges: Client Centred Care Courses - Thompson Rivers University, Kamloops, BC Thompson Rivers University, Kamloops, British Columbia. Distance Education: Client Directed Care Management. HEAL 310 Client-Directed Care Management | ![]() |
Universities/Colleges: Client Centred Care Courses- Centennial College, Toronto, ON Centennial College. Toronto, Ontario. Distance Education: Resident Centred Care LTRM 706 | ![]() |
| Resource | Link |
|---|---|
A Person/Family Survey: Knowing the person questionnaire This is an evaluation form designed to interview clients about their experience as recipients of client centred care. Source: Sunnybrook Health Sciences Centre. | ![]() |
A Chart Review for client centred care This is a 2-part Chart Review. Part 1 evaluates nursing documentation from a client centred care perspective and Part 2 evaluates pain management from a client centred care perspective. Source: Sunnybrook Health Sciences Centre. | ![]() |
Program Evaluation: The basics Developed for public health units, it is equally applicable for programs developed in long term care particularly as it considers constraints in human resources and finances. The whole toolkit can be accessed at: http://www.phac-aspc.gc.ca/php-psp/toolkit-eng.php. | ![]() |
The Evaluation Center – Western Michigan University This contains checklists and tools for planning your evaluation. | ![]() |
Ontario Injury Prevention Resource Centre. There is a link to the stages of evaluation. This outlines the five steps in the evaluation process, and provides links to the introduction and overview of the program evaluation toolkit. | ![]() |
Public Health Agency of Canada - A Guide to Project Evaluation: A participatory approach This evaluation guide provides an easy-to-use comprehensive framework for project evaluation. | ![]() |


