Usability of films designed for people with dementia in a nursing home setting

Dementia ◽  
2018 ◽  
Vol 19 (4) ◽  
pp. 1067-1085 ◽  
Author(s):  
Stina Bjørnskov ◽  
Anders Møller Jensen ◽  
Rikke Gregersen
Keyword(s):  
Nursing Homes ◽  
Focus Group Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Home Setting ◽  
People With Dementia ◽  
Short Films ◽  
Testing Data ◽  
Nursing Home Setting ◽  
Group Interviews

Although films and television are frequently used in nursing homes, there is limited knowledge of how they affect people with dementia. Life in the Memories is a collection of 50 short films targeted at people with dementia. The overall objective of the study was to assess the usability of these films in nursing homes and whether they can be used for reminiscence purposes. Workshops were carried out in seven nursing homes, followed by four weeks of practice testing. Data were obtained from 63 professional caregivers working with residents with dementia through a cross-sectional survey and focus group interviews. The results consistently indicated that the films can maintain the attention of people with dementia, evoke memories, and create conversation. Compared to classic reminiscence activities, caregivers rate the use of the films as easier and less time consuming. The study supported that the films can be utilized for recreational and reminiscence purposes.

The meaning of slow nursing in dementia care

Dementia ◽  
2015 ◽  
Vol 16 (7) ◽  
pp. 930-947 ◽  
Author(s):  
Daniela Lillekroken ◽  
Solveig Hauge ◽  
Åshild Slettebø
Keyword(s):  
Nursing Homes ◽  
Focus Group ◽  
Best Practices ◽  
Sense Of Coherence ◽  
Participant Observation ◽  
Research Literature ◽  
Focus Group Interviews ◽  
People With Dementia ◽  
Group Interviews ◽  
The Moment

Research literature in the dementia field lacks examples of ‘best-practices’ demonstrating concretely how it is possible to support the sense of coherence in people with dementia. The purpose of this study was to elucidate the nurses’ views concerning a caring approach that may support the sense of coherence in people with dementia. The data were collected through participant observation and focus group interviews during a four-month period in 2011. Sixteen registered nurses recruited from two Norwegian nursing homes participated in this study. The data were interpreted using a phenomenological-hermeneutical method. Three themes were identified: ‘being in the moment’, ‘doing one thing at a time’, and ‘creating joy and contentment’. An overall interpretation of these themes is described by the metaphor ‘slow nursing’, a caring approach that may lead to supporting the sense of coherence in people with dementia.

scholarly journals Investigating dementia literacy among community-dwelling adults and older adults in Macau: A mixed methods study

2019 ◽  
Author(s):  
Angela YM Leung ◽  
Cindy S. U Leong ◽  
Pak Leng Cheong ◽  
Alice S. M. Tsang ◽  
Bernice O. C. Lam Nogueira ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Quantitative Data ◽  
Attitude Scale ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Focus Group Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Group Interviews

Abstract Background: As population ageing and dementia incidence continue to increase worldwide, health systems are urged to empower the public to address factors related to dementia. This study aims to assess Macau citizens’ knowledge of dementia, attitudes towards persons with dementia, and help-seeking behaviours and intention toward dementia.Methods: This is a mixed-methods study with both quantitative (cross-sectional survey) and qualitative components (focus group interviews). The Alzheimer’s Disease Knowledge Scale (ADKS) and Dementia Attitude Scale (DAS) were utilized in the quantitative data collection, whereas focus group interviews were employed to gather context-specific understanding of dementia in the local setting. Descriptive statistics and Chi-square tests were used to analyze quantitative data, while content analysis was used for qualitative data.Results: The overall level of knowledge on dementia was low (ADKS mean total score = 17.38, SD = 3.31), with the least amount of knowledge in the caregiving domain. Meanwhile, attitudes toward persons with dementia was generally positive (mean [SD] = 89.07 [11.99]). Many of the focus group participants were also uncertain regarding the availability of dementia services in the region. The general public was interested to obtain dementia information through social media.Conclusions: Efforts should be made to build up dementia literacy in Macau, especially in terms of caregiving. Information about dementia could be disseminated in social media and by healthcare professionals.

“Saluting” perceived sense of coherence in people with dementia by nurses

2015 ◽  
Vol 14 (3) ◽  
pp. 149-158 ◽  
Author(s):  
Daniela Lillekroken ◽  
Solveig Hauge ◽  
Åshild Slettebø
Keyword(s):  
Nursing Homes ◽  
Sense Of Coherence ◽  
Qualitative Content Analysis ◽  
Participant Observation ◽  
Focus Group Interviews ◽  
Main Category ◽  
Content Type ◽  
People With Dementia ◽  
Group Interviews ◽  
Insight Into

Purpose – Nurses employed in nursing homes have a unique insight into the lives of people with dementia (PwD) and into the factors that may support and possibly enhance their sense of coherence (SOC). It is currently not known precisely which factors contribute to supporting the SOC in PwD; therefore, in order to address the paucity of research in this area, the purpose of this paper is to identify and present these factors as they were perceived by nurses. Design/methodology/approach – The study employed a qualitative explorative design. Participant observation and focus group interviews were the data collection methods. The participants were nurses employed in special dementia units from two Norwegian nursing homes. Data were analysed using qualitative content analysis. Findings – Data analysis highlighted a main category, with additional three generic categories. The main category, “creating order out of chaos” concerns the nurses’ explanations about how they could create order in the lives of PwD lives. This main category is subdivided into three generic categories; “establishing continuity”, “ensuring predictability” and “building confidence”. These categories were assessed as “salutary” factors that may contribute to supporting the SOC in PwD. Originality/value – This paper highlights the importance of continuity, predictability and confidence as factors that may contribute to counterbalancing the state of chaos and to supporting the SOC in PwD. The findings add a salutogenic perspective to dementia care and research.

scholarly journals Person-centered care in Norwegian nursing homes and its relation to organizational factors and staff characteristics: a cross-sectional survey

2017 ◽  
Vol 30 (9) ◽  
pp. 1279-1290 ◽  
Author(s):  
Irene Røen ◽  
Øyvind Kirkevold ◽  
Ingelin Testad ◽  
Geir Selbæk ◽  
Knut Engedal ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Nursing Homes ◽  
Physical Environment ◽  
Organizational Factors ◽  
Structural Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care

ABSTRACTBackground:Person-centered care (PCC) is regarded as good quality care for persons with dementia. This study aimed to explore and understand the association between PCC and organizational, staff and unit characteristics in nursing homes (NHs).Methods:Staff from 175 NH units in Norway (n = 1,161) completed a survey, including measures of PCC and questions about staff characteristics and work-related psychosocial factors. In addition, data about organizational and structural factors and assessment of the physical environment in the units were obtained. The distribution of these factors in regular units (RUs) and special care units (SCUs) is described, and the differences between the two types of units are analyzed. Furthermore, multilevel linear regression analyses explored the extent to which variables were associated with PCC.Results:Higher levels of PCC were associated with a greater job satisfaction, three years or more of health-related education, a lower level of quantitative demands and role conflict, a higher level of perception of mastery, empowering leadership, innovative climate and perception of group work, in addition to the type of unit and the physical environment in the NH unit designed for people with dementia. SCU and staff job satisfaction explained most of the variation in PCC.Conclusion:This study shows an association between PCC and organizational, staff and unit characteristics in NH. These findings indicate that providing PCC in NH care is closely linked to how the staff experiences their job situation in addition to both organizational and structural factors and the physical environment. Attention needs to be given to such factors when planning NH care.

scholarly journals 74 GPs Knowledge of and Attitudes Towards the Management of Behavioural and Psychological Symptoms of Dementia: a Descriptive Cross Sectional Study

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Aisling A Jennings ◽  
Sheefah Bibi Fatimah Dhuny ◽  
Tony Foley
Keyword(s):  
General Practice ◽  
Nursing Home ◽  
Psychological Symptoms ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Home Setting ◽  
People With Dementia ◽  
Behavioural And Psychological Symptoms ◽  
Nursing Home Setting ◽  
Main Barrier

Abstract Background Evidence suggests that the current management of behavioural and psychological symptoms of dementia (BPSD) in general practice is sub-optimal. Non-pharmacological strategies are recommended first-line but uptake of these strategies is low. Despite their adverse effects and minimal effectiveness antipsychotics are frequently employed to manage BPSD. The aim of this study was to explore general practitioners (GPs) knowledge of and attitudes towards the management of BPSD with a view to informing future interventions. Methods A questionnaire was adapted from existing study. Additional questions were included, informed by the findings of a qualitative study previously conducted by the authors. The questionnaire was piloted with 3 GPs and was posted to a census sample of all GPs in county Cork and county Kerry in the south of Ireland. Statistical analysis was performed using SPSS. Results Of the 456 questionnaires sent 168 completed questionnaires were returned (36.8% response rate). The sample was representative of GPs nationally in terms of years of practice (p<0.0001). 62.5 % (105/168) of respondents had a nursing home commitment. The majority of GPs (60.7%) agreed that they required more training to improve their management of BPSD. ‘Lack of resources in the primary care team’ was cited as the main barrier to GPs recommending non-pharmacological strategies in the community. Nursing staff were identified as the group of people that most influenced the GPs prescribing of antipsychotic medications in a nursing home setting. The majority of respondents (84/168) did not monitor their prescribing of antipsychotics to people with dementia. 63.1% (106/168) of GPs were concerned that withdrawing these medications would negatively impact on the quality of life of the person with dementia. Conclusion This study identified several factors that influenced the management of BPSD in general practice. These findings will be used to guide future interventions in this area.

Acceptability of Strategies to Reduce Student Sitting

2016 ◽  
Vol 18 (1) ◽  
pp. 44-53 ◽  
Author(s):  
Hanna Laine ◽  
Vera Araújo-Soares ◽  
Ari Haukkala ◽  
Nelli Hankonen
Keyword(s):  
Intervention Development ◽  
Mixed Methods Design ◽  
Focus Group Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Alternative Strategies ◽  
Prolonged Sitting ◽  
Intervention Content ◽  
Group Interviews ◽  
Willingness To Use

Background. As school days among adolescents include long periods of prolonged sitting, teachers are key agents to deliver interventions to reduce youth sedentary behavior. To develop an intervention, acceptability and feasibility of alternative strategies should be tested. We aimed to examine teachers’ current use and willingness to use various strategies to decrease student sitting and potential barriers and facilitators of use. Method. Mixed-methods design with college teachers using an online cross-sectional survey (n = 192) and focus group interviews (n = 13). Findings. Although a vast majority (87%) of the teachers found reducing prolonged sitting an important goal, only 47% were actually including practices to reduce sitting in their classroom. 89% of the teachers reported willingness to use at least one of the five alternative strategies presented. Focus groups revealed a discussion emphasis on environmental opportunity and motivation as key to implementation. Teachers also generated additional ideas for intervention content. Discussion. Despite low levels of current sitting reduction, teachers were willing to try at least one strategy to reduce sitting. Results informed intervention development regarding parameters of use for each strategy. When possible, interventions should provide teachers with a variety of alternative strategies that are easy to use to reduce prolonged sitting.

How accessible are grocery shops for people with dementia? A qualitative study using photo documentation and focus group interviews

Dementia ◽  
2018 ◽  
Vol 19 (6) ◽  
pp. 1872-1888 ◽  
Author(s):  
Anna Brorsson ◽  
Annika Öhman ◽  
Stefan Lundberg ◽  
Malcolm P Cutchin ◽  
Louise Nygård
Keyword(s):  
Grounded Theory ◽  
Focus Group ◽  
Qualitative Study ◽  
Grocery Shopping ◽  
Theory Approach ◽  
Focus Group Interviews ◽  
People With Dementia ◽  
Photo Documentation ◽  
Group Interviews ◽  
Grounded Theory Approach

Background People with dementia who live in ordinary housing need to perform activities outside the home such as visiting friends, talking walks and doing grocery shopping. This article identifies and examines characteristics that may influence accessibility in the space of a grocery shop as perceived by people with dementia. Methods This is a qualitative study with a grounded theory approach. The data collection was done with two different methods. It started with photo documentation and continued with focus group interviews in combination with photo elicitation. Data from both photo documentation and focus groups were analysed according to a grounded theory approach. Results The categories “illogical arrangement”, “overload of products, information and people”, “visual illusions” and “intrusive auditory stimuli” showed characteristics in the grocery shop that influenced how accessible and usable the informants experienced a shop to be. Furthermore, personal capacities in relation to the specific characteristics of the grocery shop space had an influence on how accessible and usable the informants experienced the grocery shop to be. Capacities to find, stay focused and concentrated, meet stress, remember, interpret and discriminate sensory impressions through hearing and sight came to the fore as important. Conclusions Characteristics of both the shop and the person need to be taken into account when supporting people with dementia in grocery shopping.

scholarly journals Influenza Vaccination Coverage of Healthcare Workers in Nursing Homes in France and Related Determinants, 2018- 2019 Season: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Sophie Vaux ◽  
Laure Fonteneau ◽  
Anne-Gaëlle Venier ◽  
Arnaud Gautier ◽  
Sophan Soing Altrach ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Negative Binomial ◽  
Nursing Assistants ◽  
Influenza Vaccines ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background The burden of influenza morbidity and mortality in nursing homes (NH) is high. Vaccination of residents and healthcare workers (HCW) is the main prevention strategy. Despite recommendations, HCW vaccination coverage is generally low. Methods We performed a nationwide cross-sectional survey of NH using a single-stage stratified random sampling design to estimate influenza vaccination coverage in nursing home HCW in France during the 2019-2020 season, and to identify measures likely to increase it. A multivariate analysis was performed using a negative binomial regression. Results Overall influenza vaccination coverage in HCW was 31.9% (95% CI [29.7-34.1]). It varied according to occupational category: 75.5% [69.3-81.7] for physicians, 42.9% [39.4-46.4] for nurses, 26.7% [24.5-29.0] for nursing assistants, and 34.0% [30.1-38.0] for other paramedical personnel. When considering all professionals (i.e., HCW and non-medical professionals), overall vaccination coverage was 30.6% [28.2-33.0]. Vaccination coverage was higher in private nursing homes, in i) small nursing homes, ii) when vaccination was offered free of charge (RRa: 1.4, [1.1-1.8]), iii) when vaccination promotion for professionals included individual (RRa: 1.6 [1.1-2.1]) or collective (RRa: 1.3 [1.1-1.5]) information sessions, videos or games (RRa: 1.4 [1.2-1.6], iv) when information on influenza vaccines was provided (RRa: 1.2 [1.0-1.3], and finally, vi) when a vaccination point of contact - defined as an HCW who could provide reliable information on vaccination - was nominated within the nursing home (RRa: 1.7 [1.3-2.2]). Conclusions Urgent and innovative actions are required to increase coverage in HCW. Vaccination programmes should include free vaccination and education campaigns, and particularly target nursing assistants. The results of this nationwide study provide keys for improving influenza vaccination coverage in HCW. Programmes should ensure that information on influenza vaccines is provided by a vaccination point of contact in NH using attractive media. Combining the different prevention measures proposed could increase coverage in NH nationwide by over 50%.

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