scholarly journals ‘Getting to Know Me’: The second phase roll-out of a staff training programme for supporting people with dementia in general hospitals

Dementia ◽  
2016 ◽  
Vol 17 (1) ◽  
pp. 96-109 ◽  
Author(s):  
Ruth Elvish ◽  
Simon Burrow ◽  
Rosanne Cawley ◽  
Kathryn Harney ◽  
Mark Pilling ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Training Programme ◽  
Dementia Care ◽  
Second Phase ◽  
General Hospitals ◽  
People With Dementia ◽  
Point Increase ◽  
Care Training ◽  
The Impact ◽  
Roll Out

Objectives The aims were to evaluate a second phase roll-out of a dementia care training programme for general hospital staff and to further develop two outcome scales: the Confidence in Dementia scale for measuring confidence in working with people with dementia and the Knowledge in Dementia scale for measuring knowledge in dementia. Method Following a ‘training the trainers’ phase, the study involved the delivery of the ‘Getting to Know Me’ training programme to a large number of staff (n = 517) across three National Health Service (NHS) Trusts situated in North-West England. The impact of the programme was evaluated using a pre–post design which explored: (i) changes in confidence in dementia, (ii) changes in knowledge in dementia, and (iii) changes in beliefs about behaviours that challenge. Results Statistically significant change was identified between pre–post training on all outcome measures (Confidence in Dementia: eight point increase, p < 0.001; Knowledge in Dementia: two point increase p < 0.001; controllability beliefs scale: four point decrease, p < 0.001). Medium to large effect sizes were demonstrated on all outcome measures. The psychometric properties of the Confidence in Dementia and Knowledge in Dementia scales are reported. Conclusion Staff knowledge in dementia and confidence in working with people with dementia significantly increased following attendance at the training sessions. The findings are consistent with preliminary findings and strengthen current knowledge about the impact of dementia care training in general hospitals. The Confidence in Dementia and Knowledge in Dementia scales continue to demonstrate psychometrically sound properties and demonstrate utility in the field of dementia research.

Alzheimer's Association Quality Care Campaign and professional training initiatives: improving hands-on care for people with dementia in the U.S.A.

2009 ◽  
Vol 21 (S1) ◽  
pp. S25-S33 ◽  
Author(s):  
Elizabeth Gould ◽  
Peter Reed
Keyword(s):  
Professional Training ◽  
Quality Care ◽  
Dementia Care ◽  
Direct Care ◽  
Care Staff ◽  
Distinct Component ◽  
Term Care ◽  
People With Dementia ◽  
Hands On ◽  
Care Training

ABSTRACTIn the U.S.A., direct care workers and licensed practical nurses are the professionals who provide the most hands-on care to people with dementia in nursing homes and residential care facilities – yet they do not receive adequate training in dementia care. Dementia care training needs to be universal with all disciplines at all levels of care. Even though there is variability on recommended hours and content, most studies emphasize the importance of dementia care training as a distinct component of required training for any professional or paraprofessional working in long-term care. In 2005, the Alzheimer's Association launched its Quality Care Campaign to improve dementia care through state and federal advocacy; consumer education and empowerment; and staff training. This paper describes the effectiveness of Alzheimer's Association training as measured by knowledge gained and providers' intention to change their behavior immediately after attending the training.Overall, findings indicated that the participants responded positively to evidence-based training in dementia care that emphasized the importance of (i) leadership, (ii) team communication and collaboration, (iii) support and empowerment of direct care staff, (iv) awareness and practice of specific dementia care issues, (v) resident and family involvement in care, and (vi) professional self-care.

scholarly journals What factors affect paramedics’ involvement of people with dementia in decisions about their care? A qualitative study

2021 ◽  
Vol 5 (4) ◽  
pp. 1-8
Author(s):  
Esme Choonara ◽  
Julia Williams
Keyword(s):  
Best Practice ◽  
Dementia Care ◽  
Research Approach ◽  
Best Interest ◽  
Individual Interviews ◽  
Ethical Frameworks ◽  
Lack Of Information ◽  
People With Dementia ◽  
Generic Qualitative ◽  
The Impact

<sec id="s1">Background: Paramedics are frequently called to people with dementia, but decision making can be challenging due to lack of information or difficulties in assessment. Best-practice dementia care should be holistic and involve people with dementia in decisions as far as possible. </sec> <sec id="s2">Aims: To explore how paramedics make decisions when attending people with dementia, with a particular focus on factors that impact on how, and to what degree, paramedics involve people with dementia in these decisions. </sec> <sec id="s3">Methods: A generic qualitative research approach was used. Data were collected through semi-structured individual interviews with seven paramedics. The interviews were recorded and transcribed verbatim and subsequently analysed using thematic analysis. </sec> <sec id="s4">Results: Four themes were identified that all touched on challenges to delivering person-centred care. Themes identified were: 1) paramedics’ differing approaches to assessing capacity and making best interest decisions; 2) communication and developing a rapport; 3) interconnections with others important to the person with dementia; and 4) the impact of paramedics’ values and attitudes. </sec> <sec id="s5">Conclusion: The involvement of people with dementia is sometimes limited by medical, social or clinician-dependent factors. This study highlights how paramedics’ values and communication skills influence their interactions with people with dementia. As the paramedic role evolves, there is an opportunity to embed person-centred care in practice and to ensure that education equips paramedics with the skills and ethical frameworks needed to deliver high quality dementia care. </sec>

Approaches to Measuring the Impact of Music Therapy and Music Activities on People Living With Dementia

2019 ◽  
pp. 171-196
Author(s):  
Becky Dowson ◽  
Orii McDermott
Keyword(s):  
Music Therapy ◽  
Outcome Measures ◽  
Quantitative Research ◽  
Psychological Symptoms ◽  
Real Life ◽  
Evidence Base ◽  
People With Dementia ◽  
The Impact ◽  
Music Activities

This chapter provides an introduction to the evaluation of music activities and music therapy for people with dementia. We outline some of the main challenges and considerations involved in choosing or using outcome measures. An overview of common outcome measures used in current research, including those for behavioral and psychological symptoms, quality of life, physiological changes, cognitive function, and music-related behaviors, is provided. Two music-therapy case studies are presented as real-life examples of how to select clinically relevant measures. Clinicians have long argued that some clinically meaningful changes may not always be measurable. We propose that when insights obtained from high-quality qualitative and mixed methods studies are added to the evidence base of quantitative research, it will lead to a deeper understanding of the benefits that music can have in the lives of people living with dementia.

scholarly journals 29 Adapting Dementia and Delirium Awareness Training to a Rehabilitation Setting

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Emma O'Brien ◽  
Monica Devine ◽  
Sarah Maxwell ◽  
Catherine McDonnell ◽  
Stuart Lee
Keyword(s):  
Cognitive Impairment ◽  
Occupational Therapy ◽  
Dementia Care ◽  
Awareness Training ◽  
Likert Scales ◽  
Staff Members ◽  
Patient Profile ◽  
People With Dementia ◽  
Adult Rehabilitation ◽  
The Impact

Abstract Background The patient profile in a Dublin rehabilitation hospital has changed in recent years to include older adult rehabilitation alongside orthopaedic rehabilitation. A snapshot audit completed by the occupational therapy department on one day in 2018 demonstrated that 64% of patients had an assessment score indicative of a cognitive impairment. A subjective gap in knowledge regarding dementia care and a misunderstanding of the ability of people with dementia to engage in rehabilitation was identified. It was imperative that dementia awareness training was provided with a particular focus on modifying rehabilitation techniques to cater for these patients. Methods A dementia care committee was established with an Educational Development subgroup responsible for addressing dementia and delirium awareness training. Educational material was received from the field of occupational therapy, nursing, medicine, pharmacy and dietetics. The programme was accredited by the Nursing and Midwifery Board of Ireland. A focus group was completed pre/post formulation of the presentation with various departmental representatives. Feedback provided was used to inform and finalise the training content. Results Sessions are completed once monthly. One hundred and seven participants to date have attended. Ten-point Likert scales are completed pre and post training. Data from the Likert scales were analysed revealing on average a 24.4 % increase in knowledge of dementia, a 27.6% increase in awareness of the impact of dementia on function and a 23.3% increase in confidence in caring for a patient with dementia. Highest contingent of staff members trained were household and catering staff (19%) nursing staff (18%), and health care attendants (13%). Conclusion This essential training is ongoing with thirty per cent of staff trained to date. The objective is for all staff to complete this training for enhanced care and rehabilitation for all patients with dementia. It will also aim to review treatment for all patients with cognitive impairment so unique rehabilitation programmes can be tailored.

scholarly journals A Pilot Study of the Impact of NHS Patient Transportation on Older People with Dementia

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Nicola Roberts ◽  
Stephen Curran ◽  
Virginia Minogue ◽  
Jane Shewan ◽  
Rebecca Spencer ◽  
...  
Keyword(s):  
Pilot Study ◽  
Older People ◽  
Dementia Care ◽  
Formal Care ◽  
Transport Service ◽  
Patient Transport ◽  
People With Dementia ◽  
Care Mapping ◽  
The Impact ◽  
Dementia Care Mapping

Background. A pilot study using a mixed methodology was used to evaluate the effects of travelling on NHS Patient Transport Service ambulances on the experience of patients with dementia. The study assessed the feasibility of using Dementia Care Mapping in this setting and looked at the effects of the presence of designated staff teams on journeys, compared to journeys without such designated staff.Method. Dementia Care Mapping was used to observe and record participants' behaviour, mood, and engagement during their outward and return journeys to NHS hospital sites. Observations were analysed for themes relating to the effects of travelling on PTS across the two groups.Results and Conclusions. Participant's observed mood scores did not differ significantly across the two groups but the range of behaviours recorded on the escorted group journeys did and were reflective of formal care environments. The findings from this study highlight the importance of trained escorts on NHS PTS ambulances for people with dementia and provide important information regarding further research in this area.

Single-System Methodology: A Way Forward in Dementia Care?

1998 ◽  
Vol 61 (10) ◽  
pp. 448-452 ◽  
Author(s):  
Tessa Perrin
Keyword(s):  
Direct Observation ◽  
Dementia Care ◽  
Therapeutic Interventions ◽  
System Evaluation ◽  
Cognitive Disability ◽  
Group Comparison ◽  
Single System ◽  
People With Dementia ◽  
The Impact ◽  
System Methodology

Owing to the cognitive disability of people with dementia, the direct observation of behaviour is often the only means of evaluating the impact of therapeutic interventions. A number of standardised instruments of direct observation have been developed in recent years, but none offering the occupational therapist the flexibility with which to evaluate the diversity of physical, emotional, cognitive and behavioural variables encountered in dementia care. Conventional group-comparison methodology is inadequate in the clinical setting. Single-system evaluation is able to address the highly individualised needs of people with dementia. This paper describes how an evaluation may be custom-built to identify the specific changes elicited in a specific individual by a specific intervention under specific conditions.

scholarly journals Using touchscreen tablets to support social connections and reduce responsive behaviours among people with dementia in care settings: A scoping review

Dementia ◽  
2020 ◽  
pp. 147130122092274
Author(s):  
Lillian Hung ◽  
Bryan Chow ◽  
John Shadarevian ◽  
Ryan O’Neill ◽  
Annette Berndt ◽  
...  
Keyword(s):  
Scoping Review ◽  
Care Home ◽  
Dementia Care ◽  
Lessons Learned ◽  
Social Connections ◽  
Term Care ◽  
People With Dementia ◽  
Person With Dementia ◽  
The Impact

The use of touchscreen tablets, such as the iPad, offers potential to support the person with dementia staying in a care setting, ranging from a long-term care home to an adult day programme. Although electronic devices are used among people with dementia, a comprehensive review of studies focusing on their impact and how they may be used effectively in care settings is lacking. We conducted a scoping review to summarize existing knowledge about the impact of touchscreen tablets in supporting social connections and reducing responsive behaviours of people with dementia in care settings. Our research team consists of patient partners and family partners, physicians, nurses, a medical student and an academic professor. A total of 17 articles were included in the review. Our analysis identified three ways in which touchscreen tablets support dementia care: (1) increased the person’s engagement, (2) decreased responsive behaviours and (3) positive effect on enjoyment/quality of life for people with dementia. Lessons learned and barriers to the use of touchscreen tablets in the care of people with dementia are described. Overall, only a few studies delineated strategies that helped to overcome barriers to technology adoption in care settings. Knowledge translation studies are needed to identify effective processes and practical tips to overcome barriers and realize the potential of assistive technology in dementia care.

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