Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes

ABSTRACTBackground:The aim was to develop an evidence-based model that focuses specifically on factors that enable the provision of personalized care to facilitate and promote the implementation of community-based personalized dementia care interventions. The model is based on our previous research and additional literature.Methods:The theoretical model of adaptive implementation was used as a framework to structure our model. Facilitators and barriers considered relevant for personalized care were extracted from our studies and additional literature, and were synthesized into the new evidence-based implementation model and checklist for personalized dementia care in the community.Results:Extraction of data led to a composition of an evidence-based model for the implementation of personalized psychosocial care interventions that incorporates core components of personalized care. The model addresses several issues, e.g. how personalized care interventions should be offered and to whom; whether these are able to adapt to personal characteristics and needs of clients and informal caregivers; and whether both organizational management and staff that provide the intervention support personalized care and are able to focus on providing individualized care.Conclusions:Our model provides a checklist for researchers, professional caregivers, and policy-makers who wish to develop, evaluate, or implement personalized care interventions.

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A model for implementing guidelines for person-centered care in a nursing home setting

International Psychogeriatrics ◽

10.1017/s1041610214001598 ◽

2014 ◽

Vol 27 (1) ◽

pp. 49-59 ◽

Cited By ~ 15

Author(s):

Sofia Vikström ◽

Per-Olof Sandman ◽

Ewa Stenwall ◽

Anne-Marie Boström ◽

Lotta Saarnio ◽

...

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Qualitative Content Analysis ◽

Dementia Care ◽

Research Approach ◽

Evidence Based ◽

National Guidelines ◽

Quality Improvement Strategy ◽

Home Setting ◽

Action Research Approach

ABSTRACTBackground:Systematic evaluations of knowledge translation interventions in nursing homes to improve practice are scarce. There is also a lack of studies focusing on creating sustainable evidence-based practice in the setting of residential dementia care.Methods:The aim of this paper is to describe a model for implementing national evidence-based guidelines for care of persons with dementia in nursing homes. The secondary aim is to outline the nursing home staff experiences during the first year of the implementation process. The intervention had a participatory action research approach. This included educational activities such as: (i) thematic seminars introducing national guidelines for dementia care, (ii) regular unit-based seminars; and (iii) later dissemination of information in reflective seminars and several days of poster-exhibitions. Areas of practice development were selected on each of the 24 units, based on unit-specific needs, and a quality improvement strategy was applied and evaluated. Each unit met ten times during a period of eight months. Data for this study were extracted from the reflective seminars and poster presentations, analyzed using a qualitative content analysis.Results:Findings showed that implementation of guidelines were perceived by staff as beneficial for both staff and the residents. However, barriers to identification of relevant sources of evidence and barriers to sustainable implementation were experienced.Conclusions:One of our assumptions was that dementia nursing homes can benefit from becoming knowledge driven, with care practices founded in evidence-based sources. Our findings show that to be partly true, even though most staff units found their efforts to pursue and utilize knowledge adversely impacted by time-logistics and practical workload challenges.

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Fidelity to an evidence-based model for crisis resolution teams: a cross-sectional multicentre study in Norway

BMC Psychiatry ◽

10.1186/s12888-021-03237-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

N. Hasselberg ◽

K. H. Holgersen ◽

G. M. Uverud ◽

J. Siqveland ◽

B. Lloyd-Evans ◽

...

Keyword(s):

Mental Health ◽

Multidisciplinary Teams ◽

Evidence Based ◽

Crisis Resolution ◽

Health Crisis ◽

The Core ◽

Crisis Resolution Teams ◽

Fidelity Scale ◽

The Uk ◽

Evidence Based Model

Abstract Background Crisis resolution teams (CRTs) are specialized multidisciplinary teams intended to provide assessment and short-term outpatient or home treatment as an alternative to hospital admission for people experiencing a mental health crisis. In Norway, CRTs have been established within mental health services throughout the country, but their fidelity to an evidence-based model for CRTs has been unknown. Methods We assessed fidelity to the evidence-based CRT model for 28 CRTs, using the CORE Crisis Resolution Team Fidelity Scale Version 2, a tool developed and first applied in the UK to measure adherence to a model of optimal CRT practice. The assessments were completed by evaluation teams based on written information, interviews, and review of patient records during a one-day visit with each CRT. Results The fidelity scale was applicable for assessing fidelity of Norwegian CRTs to the CRT model. On a scale 1 to 5, the mean fidelity score was low (2.75) and with a moderate variation of fidelity across the teams. The CRTs had highest scores on the content and delivery of care subscale, and lowest on the location and timing of care subscale. Scores were high on items measuring comprehensive assessment, psychological interventions, visit length, service users’ choice of location, and of type of support. However, scores were low on opening hours, gatekeeping acute psychiatric beds, facilitating early hospital discharge, intensity of contact, providing medication, and providing practical support. Conclusions The CORE CRT Fidelity Scale was applicable and relevant to assessment of Norwegian CRTs and may be used to guide further development in clinical practice and research. Lower fidelity and differences in fidelity patterns compared to the UK teams may indicate that Norwegian teams are more focused on early interventions to a broader patient group and less on avoiding acute inpatient admissions for patients with severe mental illness.

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Facilitators and barriers to implement nurse-led interventions in long-term dementia care: a qualitative interview study with Swiss nursing experts and managers

BMC Geriatrics ◽

10.1186/s12877-021-02120-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Julian Hirt ◽

Melanie Karrer ◽

Laura Adlbrecht ◽

Susi Saxer ◽

Adelheid Zeller

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Public Perception ◽

Dementia Care ◽

Term Care ◽

Face To Face ◽

People With Dementia ◽

Qualitative Interview Study ◽

Facilitators And Barriers

Abstract Background To support the implementation of nurse-led interventions in long-term dementia care, in-depth knowledge of specific supporting factors and barriers is required. Conditions and structures of caring for people with dementia differ widely, depending on the country and the care context. Our study aimed to describe the experiences and opinions of nursing experts and managers with regard to facilitators and barriers to the implementation of nurse-led interventions in long-term dementia care. Methods We conducted a qualitative descriptive study using individual interviews based on qualitative vignettes as a useful stimulus to generate narrations allowing to study peoples’ perceptions and beliefs. The study took place in nursing homes in the German-speaking part of Switzerland and in the Principality of Liechtenstein using purposive sampling. We intended to conduct the interviews face-to-face in a quiet room according to the participant’s choice. However, due to the lockdown of nursing homes during the COVID-19 pandemic in spring 2020, we performed interviews face-to-face and by video. We analysed data thematically following Braun and Clarke to achieve a detailed, nuanced description. To verify our interpretation and to ensure congruence with participants’ perspectives, we conducted member checks. The Standards for Reporting Qualitative Research (SRQR) served to structure our manuscript. Results Six dyads of nursing home managers and nursing experts from six nursing homes took part in our study (n = 12). Our thematic analysis yielded seven themes reflecting facilitators and barriers to implementing nurse-led interventions in long-term dementia care: «A common attitude and cohesion within the organization», «Commitment on several levels», «A needs-oriented implementation», «The effect and the public perception of the intervention», «A structured and guided implementation process», «Supporting knowledge and competencies», as well as «Resources for implementing the intervention». Conclusions To support the implementation of nurse-led interventions in long-term dementia care, active commitment-building seems essential. It is necessary that the value of the intervention is perceptible.Commitment-building is the precondition to reach the persons involved, such as nursing home managers, nursing staff, residents and relatives. Furthermore, nurses should precisely inform about the intervention. It is necessary that the value of the intervention is perceptible. In addition, nurses should adjust the interventions to the situational needs of people with dementia, thus. Therefore, it is important to support dementia-specific competencies in long-term care. Findings indicate that the barrier is determined by the intervention and its implementation – and not by the behaviour of the person with dementia.

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Development and testing of an evidence-based model of mentoring nursing students in clinical practice

Nurse Education Today ◽

10.1016/j.nedt.2019.104272 ◽

2020 ◽

Vol 85 ◽

pp. 104272 ◽

Cited By ~ 1

Author(s):

Kristina Mikkonen ◽

Marco Tomietto ◽

Giancarlo Cicolini ◽

Boris Miha Kaucic ◽

Bojana Filej ◽

...

Keyword(s):

Clinical Practice ◽

Nursing Students ◽

Evidence Based ◽

Evidence Based Model

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Adapting the SHARE Program for Use With Families Facing the Challenges of Chronic Illness

Innovation in Aging ◽

10.1093/geroni/igaa057.2134 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 626-626

Author(s):

Silvia Orsulic-Jeras ◽

Carol Whitlatch

Keyword(s):

Chronic Illness ◽

Disease Progression ◽

Chronic Conditions ◽

Family Care ◽

Diagnostic Procedures ◽

Dementia Care ◽

Evidence Based ◽

Positive Outcomes ◽

Community Settings ◽

Care Partners

Abstract Advances in diagnostic procedures have helped to make diagnosing Alzheimer’s disease and other dementias more accurate and to occur earlier in the disease progression. For persons living with dementia and their family care partners, finding programs that meet their needs for support post diagnosis can be challenging. Likewise, for persons with chronic conditions, few programs exist which help care dyads to create a manageable plan of care that addresses each person’s concerns and fears. SHARE, (Support, Health, Activities, Resources, and Education), originally designed for dementia care partners, has shown positive outcomes for both members of the care partnership. This presentation describes the development of the six-session SHARE intervention, its implementation in community settings, and its current standing as an evidence-based program and product that has been commercialized. Discussion will also focus on adapting SHARE for use with chronic illness families, highlighting revisions to program procedures, materials, recruitment, and evaluation.

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Mixing fossil- and bio-polymers for internalisation of environmental damage: An evidence-based model-theoretical economic analysis

Ecological Economics ◽

10.1016/j.ecolecon.2021.107083 ◽

2021 ◽

Vol 186 ◽

pp. 107083

Author(s):

Daniel Friedrich

Keyword(s):

Economic Analysis ◽

Environmental Damage ◽

Evidence Based ◽

Evidence Based Model

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Increasing Student Empathy Toward Older Adults Using the Virtual Dementia Tour

Journal of Baccalaureate Social Work ◽

10.18084/basw.19.1.fv3222u1026517q3 ◽

2014 ◽

Vol 19 (1) ◽

pp. S-23-S-40

Author(s):

Jana Donahoe ◽

Lisa Moon ◽

Kathy VanCleave

Keyword(s):

Older Adults ◽

Social Work ◽

Nursing Homes ◽

Experiential Learning ◽

Older Adult ◽

Work Practice ◽

Social Work Practice ◽

Evidence Based ◽

Student Knowledge ◽

Course Content

Educators know too well the challenges of teaching BSW students about social work practice with older adults. Students hesitate to work with older adults due to personal fears about aging, lack of experiences with this population, or stereotypical misconceptions about older adults and nursing homes. It is apparent that many students have difficulty empathizing with older adults because they have never experienced what it is like to be an older adult with dementia. A solution to this problem is incorporating an immersive experiential learning simulation called the Virtual Dementia Tour (VDT) into BSW course content. The findings indicate that the VDT was an effective evidence-based learning tool for increasing student knowledge about aging and improving their empathy and sensitivity toward older adults with dementia.

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Dementia Care: An Evidence-Based Approach

Activities Adaptation & Aging ◽

10.1080/01924788.2018.1457858 ◽

2018 ◽

Vol 42 (2) ◽

pp. 165-165

Author(s):

Boyd H. Davis

Keyword(s):

Dementia Care ◽

Evidence Based

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