Small-scale, homelike facilities in dementia care: A process evaluation into the experiences of family caregivers and nursing staff

2012 ◽  
Vol 49 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Hilde Verbeek ◽  
Sandra M.G. Zwakhalen ◽  
Erik van Rossum ◽  
Gertrudis I.J.M. Kempen ◽  
Jan P.H. Hamers
Keyword(s):  
Family Caregivers ◽  
Process Evaluation ◽  
Nursing Staff ◽  
Dementia Care ◽  
Small Scale

Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, Their Family Caregivers, and Staff

2010 ◽  
Vol 11 (9) ◽  
pp. 662-670 ◽  
Author(s):  
Hilde Verbeek ◽  
Sandra M.G. Zwakhalen ◽  
Erik van Rossum ◽  
Ton Ambergen ◽  
Gertrudis I.J.M. Kempen ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Dementia Care ◽  
Small Scale

scholarly journals Self-management-support in dementia care: A mixed methods study among nursing staff

Dementia ◽  
2016 ◽  
Vol 16 (8) ◽  
pp. 1032-1044 ◽  
Author(s):  
Renate Verkaik ◽  
Paulien van Antwerpen-Hoogenraad ◽  
Anke de Veer ◽  
Anneke Francke ◽  
Judith Huis in het Veld
Keyword(s):  
Mixed Methods ◽  
Home Care ◽  
Family Caregivers ◽  
Nursing Staff ◽  
Elderly Care ◽  
Dementia Care ◽  
Self Management ◽  
Practice Research ◽  
Management Support ◽  
People With Dementia

Background Self-management in patients and family caregivers confronted with dementia is not self-evident. Self-management skills may be limited because of the progressive cognitive decline of the patient and because family caregivers are often also very aged. Self-management support by nursing staff is therefore of paramount importance. Objectives To gain insight into how nursing staff perceive their self-management support tasks, and how they put them into practice. Research questions are: ‘What are the opinions and experiences of Dutch nursing staff working in home care or residential elderly care regarding self-management support for people with dementia and their family caregivers?' and ‘Do nursing staff feel sufficiently trained and skilled for self-management support?’. Methods A mixed methods approach was used, combining cross-sectional quantitative survey data from 206 Dutch nursing professionals with qualitative interviews among 12 nursing staff working in home care or residential elderly care in The Netherlands. Results Nursing staff working in home care experienced self-management support of people with dementia as a part of their job and as an attractive task. They consider ‘helping people with dementia to maintain control over their lives by involving them in decisions in daily care’ the essence of self-management support. Nursing staff saw family caregivers as their main partners in providing self-management support to the patient. They were less aware that family caregivers themselves might also need self-management support. Nursing staff often felt insufficiently trained to give adequate self-management support. RN’s and CNA’s did not differ in their opinions, experiences and training needs. Conclusions Nursing staff in home care do consider self-management support an important and attractive task in dementia care. Their skills for providing self-management support to patients with dementia and family caregivers need improvement. Recommendations Nursing staff need sufficient training to enable the proper provision of self-management support for people with dementia. More attention should also be given to the support of self-management for family caregivers.

scholarly journals SHARED DECISION MAKING IN DEMENTIA CARE PLANNING: INVOLVING FAMILY CAREGIVERS

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 667-667
Author(s):  
M. Vernooij-Dassen ◽  
E. Mariani ◽  
Y. Engels ◽  
R. Chattat
Keyword(s):  
Decision Making ◽  
Family Caregivers ◽  
Shared Decision Making ◽  
Dementia Care ◽  
Care Planning ◽  
Shared Decision

scholarly journals Paid Caregivers in the Community-Based Dementia Care Team: Do Family Caregivers Benefit?

2021 ◽  
Author(s):  
Jennifer M. Reckrey ◽  
Kathrin Boerner ◽  
Emily Franzosa ◽  
Evan Bollens-Lund ◽  
Katherine A. Ornstein
Keyword(s):  
Family Caregivers ◽  
Dementia Care ◽  
Care Team ◽  
Community Based ◽  
Paid Caregivers

scholarly journals How, why and under what circumstances does a quality improvement collaborative build knowledge and skills in clinicians working with people with dementia? A realist informed process evaluation

2021 ◽  
Vol 10 (2) ◽  
pp. e001147
Author(s):  
Lenore de la Perrelle ◽  
Monica Cations ◽  
Gaery Barbery ◽  
Gorjana Radisic ◽  
Billingsley Kaambwa ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Reflective Practice ◽  
Process Evaluation ◽  
Aged Care ◽  
Dementia Care ◽  
Quality Improvement Collaborative ◽  
Programme Theory ◽  
Post Intervention ◽  
Knowledge And Skills ◽  
People With Dementia

In increasingly constrained health and aged care services, strategies are needed to improve quality and translate evidence into practice. In dementia care, recent failures in quality and safety have led the WHO to prioritise the translation of known evidence into practice. While quality improvement collaboratives have been widely used in healthcare, there are few examples in dementia care.We describe a recent quality improvement collaborative to improve dementia care across Australia and assess the implementation outcomes of acceptability and feasibility of this strategy to translate known evidence into practice. A realist-informed process evaluation was used to analyse how, why and under what circumstances a quality improvement collaborative built knowledge and skills in clinicians working in dementia care.This realist-informed process evaluation developed, tested and refined the programme theory of a quality improvement collaborative. Data were collected pre-intervention and post-intervention using surveys and interviews with participants (n=28). A combined inductive and deductive data analysis process integrated three frameworks to examine the context and mechanisms of knowledge and skill building in participant clinicians.A refined program theory showed how and why clinicians built knowledge and skills in quality improvement in dementia care. Six mechanisms were identified: motivation, accountability, identity, collective learning, credibility and reflective practice. These mechanisms, in combination, operated to overcome constraints, role boundaries and pessimism about improved practice in dementia care.A quality improvement collaborative designed for clinicians in different contexts and roles was acceptable and feasible in building knowledge, skills and confidence of clinicians to improve dementia care. Supportive reflective practice and a credible, flexible and collaborative process optimised quality improvement knowledge and skills in clinicians working with people with dementia.Trial registration numberACTRN12618000268246.

P2-542: LOCAL COMMUNITY ACTIVITIES: DEMENTIA CARE CLASSES AND COMMUNITY SALON PREVENT THE ISOLATION OF PEOPLE WITH DEMENTIA AND FAMILY CAREGIVERS

2006 ◽  
Vol 14 (7S_Part_17) ◽  
pp. P944-P945
Author(s):  
Sayaka Takeuchi ◽  
Aya Seike ◽  
Naoki Ohkubo ◽  
Nobue Mizuno ◽  
Naoki Saji ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Local Community ◽  
Dementia Care ◽  
Community Activities ◽  
People With Dementia

scholarly journals Ludic care for hospitalized children: perspective of family caregivers and nursing staff

2014 ◽  
Vol 6 (2) ◽  
pp. 703-715 ◽  
Author(s):  
Glaucia Nicola ◽  
Hilda Maria Freitas ◽  
Giovana Gomes ◽  
Regina Costenaro ◽  
Elisabeta Nietsche ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Nursing Staff ◽  
Hospitalized Children

scholarly journals Evaluating Caregivers’ Service Quality Perceptions: Impact-Range Performance and Asymmetry Analyses

2021 ◽  
Author(s):  
Wen-Fu Wang ◽  
Chun-Min Chen ◽  
Kai-Ming Jhang ◽  
Yung-Yu Su
Keyword(s):  
Service Quality ◽  
Family Caregivers ◽  
Dementia Care ◽  
Survey Study ◽  
Future Research ◽  
Service Improvement ◽  
Term Care ◽  
Perceived Performance ◽  
Care Giving ◽  
Convenience Sampling

Abstract Background: This study aimed to analyze family caregivers’ (FCs) dementia care service perceptions to identify the various attributes impacting FCs satisfaction and dissatisfaction. Methods: This is a cross-sectional survey study using convenience sampling methods. A self-completion questionnaire was developed from the Service Quality scale and distributed using a convenience sampling method to family caregivers in community-based dementia care centers to determine their perceptions of service quality in dementia care. A total of 155 questionnaires were collected; however, 95 were included for data analysis after questionnaires with incomplete and biased data were eliminated. This study employed Impact Range Performance Analysis (IRPA) and Impact Asymmetry Analysis (IAA) to analyze the data obtained from FCs across five attribute dimensions (Tangibles, Reliability, Responsiveness, Assurance, and Empathy). Priorities for service improvement were derived using a three-step analytical framework.Results: This study reported that the overall perceived performance of service provided is high. The results indicated that practitioners should focus on attributes such as demand coordination, appropriate services, timely service, barrier-free environment, care-giving process, fire and safety compliance, professional knowledge, and reliable services, which have a higher range of impact on customer service and low impact-asymmetry and attribute performance scores. Conclusion: This study used expectation and perceived performance to suggest that the priorities for improvement and resource allocation in dementia care centers vary across different attributes. Thus, attentiveness toward satisfying user demand could improve patient care and caregiver satisfaction. The dimensions and attributes identified by our study can serve as basic data for future research on the long-term care system.

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