scholarly journals Nursing and allied health professionals’ views about using health literacy screening tools and a universal precautions approach to communication with older adults: a qualitative study

2019 ◽  
Vol 42 (13) ◽  
pp. 1819-1825 ◽  
Author(s):  
Charlotte Brooks ◽  
Claire Ballinger ◽  
Don Nutbeam ◽  
Clare Mander ◽  
Jo Adams
Author(s):  
Delene Amsters ◽  
Mellisa Kendall ◽  
Sarita Schuurs ◽  
Melissa Lindeman ◽  
Pim Kuipers

Allied health professionals (AHPs) acting as consultants to other professionals and workers is an important emerging issue. It has received little research attention, despite this role being central to many AHP job descriptions, particularly senior positions. This exploratory qualitative study, conducted with AHPs and other key informants, examined consultancy in metropolitan, rural and remote settings in Australia. Thirty-nine professionals were interviewed in individual and focus group settings, using semi-structured questions. Analysis of data revealed roles, definitions and processes of consultancy, the influence of the context in which it occurs, and the multi-layered outcomes of consultancy. This led to the drafting of a framework noting roles and relationships of the key actors – consultant, consultee, and client. Further research is required to establish the generalisability of the framework.


2019 ◽  
Vol 5 ◽  
pp. 237796081983412 ◽  
Author(s):  
Marie-Lee Yous ◽  
Jenny Ploeg ◽  
Sharon Kaasalainen ◽  
Lori Schindel Martin

Introduction: Approximately 56,000 individuals with dementia were admitted to Canadian hospitals in 2016, and 75% of them experience responsive behaviors. Responsive behaviors are words or actions used to express one's needs (e.g., wandering, yelling, hitting, and restlessness). Health-care professionals perceive these behaviors to be a challenging aspect in providing care for persons with dementia. Aims: This study explores the perceptions of nurses about (a) caring for older adults with dementia experiencing responsive behaviors in acute medical settings and (b) recommendations to improve dementia care. Methods: Thorne's interpretive description approach was used. In-person, semistructured interviews were conducted with 10 nurses and 5 allied health professionals from acute medical settings in an urban hospital in Ontario. Interviews were conducted with allied health professionals to understand their perspectives regarding care delivery for persons with responsive behaviors of dementia. Data were analyzed using Braun and Clarke's experiential thematic analysis. Findings: Themes related to caring for individuals with responsive behaviors included (a) delivering care is a complex experience, (b) using pharmacological strategies and low investment nonpharmacological strategies to support older adults with responsive behaviors, (c) acute medical settings conflicted with principles of dementia care due to a focus on acute care priorities and limited time, and (d) strong interprofessional collaboration and good continuity of care were facilitators for care. Conclusions: Findings provide guidance for improved support for nurses who provide care for individuals experiencing responsive behaviors in acute medical settings such as increasing staffing and providing educational reinforcements (e.g., annual review of dementia care education and in-services).


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