scholarly journals The Effect of Training on Dementia Care among Nurses: A Systematic Review

2021 ◽  
Vol 9 (F) ◽  
pp. 145-152
Author(s):  
Sri Mulyani ◽  
Probosuseno Probosuseno ◽  
Intansari Nurjannah
Keyword(s):  
Dementia Care ◽  
Cognitive Domain ◽  
Health Staff ◽  
Term Care ◽  
Staff Burnout ◽  
Dementia Patients ◽  
Keywords Dementia ◽  
Maximum Period ◽  
Working Performance ◽  
The Impact

Background: Dementia has become a global concern in ageing societies nowadays. Nurses have major roles in caring for dementia patients in various settings. There have been many trainings on dementia conducted for nurses and other health staff. However, reviews of the effect of the trainings on nurses are still scarce. This paper aims to review the impact of training on dementia care among nurses in differents settings. Method: systematic search from Medline, Pubmed and Scopus was conducted until February 2019. Additional references were collected using Google Scholar. The inclusion criteria were: primary papers, written in English, involving nurses, and related to dementia. Results: There were 20 papers included in this review. In terms of methodology, most of the articles employ quantitative method (90%). Only one article uses qualitative method (5%) and another one employs mixed methods design (5%). Pretest and posttest design is the mostly used design and four articles use Randomized Control Trial (RCT). The settings of the papers were nursing home or long-term care facilities (45%), hospitals (35%) and other settings (20%).  The lenght of the training was varied from 2 hours to 18 hours within a maximum period of eight months. The various outcome measures are categorised into four domains: cognitive, physical, psychological and working performance. The results of the review indicate that training and education for nurses can improve their knowledge, attitude, confidence and self efficacy towards better dementia care. However, the results regarding staff burnout, stress and physical health complaint are still unclear. Conclusion: raining and education in dementia care were varied and generally improve nurses’ capacities mainly in cognitive domain. However, the effect for the psychological and their working performance were still doubted Keywords: dementia, training, education, nurses

The Impact of a Shared Decision-Making Training Program on Dementia Care Planning in Long-Term Care

2018 ◽  
Vol 64 (4) ◽  
pp. 1123-1135 ◽  
Author(s):  
Elena Mariani ◽  
Rabih Chattat ◽  
Giovanni Ottoboni ◽  
Raymond Koopmans ◽  
Myrra Vernooij-Dassen ◽  
...  
Keyword(s):  
Decision Making ◽  
Training Program ◽  
Shared Decision Making ◽  
Long Term Care ◽  
Dementia Care ◽  
Care Planning ◽  
Shared Decision ◽  
Term Care ◽  
The Impact

scholarly journals The Impact of Antipsychotic Drugs on Long-term Care, Nursing Home Admission, and Death in Dementia Patients

2017 ◽  
Vol 73 (10) ◽  
pp. 1396-1402 ◽  
Author(s):  
Michael Nerius ◽  
Kristina Johnell ◽  
Sara Garcia-Ptacek ◽  
Maria Eriksdotter ◽  
Britta Haenisch ◽  
...  
Keyword(s):  
Nursing Home ◽  
Antipsychotic Drugs ◽  
Long Term Care ◽  
Nursing Home Admission ◽  
Term Care ◽  
Dementia Patients ◽  
The Impact ◽  
Care Nursing

scholarly journals 440 - Dementia villages: rethinking dementia care

2020 ◽  
Vol 32 (S1) ◽  
pp. 158-158
Author(s):  
Catarina Pedro ◽  
Mariana Duarte ◽  
Beatriz Jorge ◽  
Daniela Freitas
Keyword(s):  
Local Community ◽  
Dementia Care ◽  
Western World ◽  
Term Care ◽  
Ordinary Life ◽  
Dementia Patients ◽  
Care Models ◽  
Real Community ◽  
Person With Dementia

Introduction:Over the past 20 to 30 years, alternative dementia care models have been developed. Dementia villages challenge popular perceptions about life with dementia and contrast to the traditional model of long-term care facilities that are often seen as institutional, impersonal, and risk-averse. The first dementia village, De Hogeweyk, was developed in 2009 and is located in Weesp, Netherlands. Hogeweyk aims to create a safe environment, enabling the person with dementia to live an “ordinary life” with as much autonomy as possible and also maintaining integration with the local community. Other dementia villages have been established in several countries, following De Hogeweyk model.Objectives:The aim of this presentation is to describe the functioning of dementia villages and evaluate its benefits on dementia patients.Methods:A non-systematic review of the literature was performed on PubMed, PsycINFO and Web of science using selected keywords. We also consult the official websites of the institutions.Results:Dementia villages seem to improve functioning and reduce the need for medication. Anxiety, restlessness and homesickness can still persist, but are reduced by the homelike and hospitable setting in which residents live. In fact, antipsychotic medication use at the residence has decreased from approximately 50% of residents, before the dementia village was introduced, to approximately 12% in 2019. The staff also reported greater job satisfaction. Although dementia villages are growing throughout the Western world, this concept has also been criticized, arguing that this type of living is dishonest, misleading the residents to believe that they are still living in the ‘real community’.Conclusions:Dementia villages are guided by the principles “deinstitutionalize, transform and normalize” care for people with advanced dementia. Although its intuitive advantages, there is no research evidence to demonstrate that this environment has any beneficial effect in behaviour, functional ability or cognition. In future studies, clinical outcomes could be used as a measure of quality of care. Hogeweyk concept has made societies rethinking dementia care and has been inspiring the development of other innovative models of dementia care.

THE IMPACT OF ANTIPSYCHOTIC DRUGS ON LONG-TERM CARE DEPENDENCY, NURSING HOME ADMISSION AND DEATH AMONG DEMENTIA PATIENTS

2017 ◽  
Vol 13 (7) ◽  
pp. P1239-P1240
Author(s):  
Michael Nerius ◽  
Kristina Johnell ◽  
Sara Garcia-Ptacek ◽  
Maria Eriksdotter ◽  
Britta Haenisch ◽  
...  
Keyword(s):  
Nursing Home ◽  
Antipsychotic Drugs ◽  
Long Term Care ◽  
Nursing Home Admission ◽  
Term Care ◽  
Care Dependency ◽  
Dementia Patients ◽  
The Impact

scholarly journals Comprehensive home-based care coordination for vulnerable elders with dementia: Maximizing Independence at Home-Plus—Study protocol

2017 ◽  
Vol 20 (4) ◽  
pp. 123-134 ◽  
Author(s):  
Quincy M Samus ◽  
Karen Davis ◽  
Amber Willink ◽  
Betty S Black ◽  
Melissa Reuland ◽  
...  
Keyword(s):  
Health Care ◽  
Care Coordination ◽  
Life Quality ◽  
Health Care Expenditures ◽  
Dementia Care ◽  
Term Care ◽  
Health Care Innovation ◽  
The Impact ◽  
Care Innovation ◽  
At Home

Introduction Despite availability of effective care strategies for dementia, most health care systems are not yet organized or equipped to provide comprehensive family-centered dementia care management. Maximizing Independence at Home-Plus is a promising new model of dementia care coordination being tested in the U.S. through a Health Care Innovation Award funded by the Centers for Medicare and Medicaid Services that may serve as a model to address these delivery gaps, improve outcomes, and lower costs. This report provides an overview of the Health Care Innovation Award aims, study design, and methodology. Methods This is a prospective, quasi-experimental intervention study of 342 community-living Medicare–Medicaid dual eligibles and Medicare-only beneficiaries with dementia in Maryland. Primary analyses will assess the impact of Maximizing Independence at Home-Plus on risk of nursing home long-term care placement, hospitalization, and health care expenditures (Medicare, Medicaid) at 12, 18 (primary end point), and 24 months, compared to a propensity-matched comparison group. Discussion The goals of the Maximizing Independence at Home-Plus model are to improve care coordination, ability to remain at home, and life quality for participants and caregivers, while reducing total costs of care for this vulnerable population. This Health Care Innovation Award project will provide timely information on the impact of Maximizing Independence at Home-Plus care coordination model on a variety of outcomes including effects on Medicaid and Medicare expenditures and service utilization. Participant characteristic data, cost savings, and program delivery costs will be analyzed to develop a risk-adjusted payment model to encourage sustainability and facilitate spread.

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.

scholarly journals Working Conditions Supporting Person-Centered Care of Persons Living with Dementia in Long-Term Care Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 962-962
Author(s):  
Marie Savundranayagam ◽  
Susan Docherty-Skippen ◽  
Shalane Basque
Keyword(s):  
Working Conditions ◽  
Long Term Care ◽  
Dementia Care ◽  
Term Care ◽  
Support Person ◽  
Personal Support ◽  
Person Centered Care ◽  
Centered Care ◽  
The Impact

Abstract The COVID-19 pandemic has underscored the importance of person-centered dementia care and working conditions that support such care in long-term care (LTC) home settings. Personal support workers (PSWs), known also as certified nursing assistants, provide the most direct formal care for persons living with dementia. However, little is known about the working conditions that enable person-centered care. Accordingly, the purpose of this study was to examine the working conditions and the impact of those conditions on PSWs in LTC homes. PSWs (N=39) employed at one of five LTC homes in southwestern Ontario, Canada participated in a series of one-hour focus groups before, during, and after Be-EPIC, a person-centred communication training program for formal caregivers of persons living with dementia. Using an interpretive description investigative framework, textual data from focus group conversation transcripts were open-coded into categories. Overarching themes were interpreted inductively. Study credibility was enhanced through investigator triangulation. Three themes emerged related to working conditions of PSWs: dementia care is complex, lack of trained staff to provide person-centered dementia care, and residents’ families are not situated in the residents’ care circle. Four themes emerged related to the impact of current working conditions of PSWs: occupational burnout, poor resident care, frustrated and disengaged families, and PSWs leave their role. The findings offer opportunities for employers to ameliorate working conditions to support person-centered care. We conclude with specific workplace recommendations that respond to the complexity of dementia care and the associated occupational stresses PSWs experience in the current LTC environment.

scholarly journals Architecture as third skin : spatial dimensions of stimuli for dementia care.

2021 ◽  
Author(s):  
Sebastian Lubczynski
Keyword(s):  
Dementia Care ◽  
Direct Care ◽  
Community Based ◽  
Term Care ◽  
Dementia Patients ◽  
People With Dementia ◽  
Spatial Dimensions ◽  
Short And Long Term ◽  
Mental And Physical Health

Our built environments have a direct correlation with our mental and physical health. This correlation is ever more evident with the process of ageing and the declining of neurological and physiological capacities of the human body. Architecture as Third Skin: Spatial Dimensions of Stimuli for Dementia Care thesis-project asserts that architecture, supported by evidence-based knowledge, can create an environment that triggers positive neurological changes in its users, negotiating the functional and social necessities of people with dementia in supporting their needs. The architectural model that informs this inquiry is explored through the design of a community-based Dementia Respite Care Centre, providing short and long term care as well as physical and mental therapy for those with early-to mid-stage dementia. Situated in Toronto, this thesis-project proposes a model that provides direct care for the specialized needs of dementia patients early in their illness condition to maintain independence and encourage living and ageing.

scholarly journals Architecture as third skin : spatial dimensions of stimuli for dementia care.

2021 ◽  
Author(s):  
Sebastian Lubczynski
Keyword(s):  
Dementia Care ◽  
Direct Care ◽  
Community Based ◽  
Term Care ◽  
Dementia Patients ◽  
People With Dementia ◽  
Spatial Dimensions ◽  
Short And Long Term ◽  
Mental And Physical Health

Our built environments have a direct correlation with our mental and physical health. This correlation is ever more evident with the process of ageing and the declining of neurological and physiological capacities of the human body. Architecture as Third Skin: Spatial Dimensions of Stimuli for Dementia Care thesis-project asserts that architecture, supported by evidence-based knowledge, can create an environment that triggers positive neurological changes in its users, negotiating the functional and social necessities of people with dementia in supporting their needs. The architectural model that informs this inquiry is explored through the design of a community-based Dementia Respite Care Centre, providing short and long term care as well as physical and mental therapy for those with early-to mid-stage dementia. Situated in Toronto, this thesis-project proposes a model that provides direct care for the specialized needs of dementia patients early in their illness condition to maintain independence and encourage living and ageing.

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