Despite methodological challenges, the DANCIN model has the potential to facilitate and sustain behavior change and improve mood (e.g. decrease irritability, increase self-esteem) of the residents living with dementia. The study was conducted in two care homes and one nursing home, strengthening the interventions' validity. Findings suggest DANCIN is appropriate for a larger controlled feasibility study.
Background There is an increasing focus on providing effective psychosocial interventions to improve quality of life in dementia care. This study aims to explore the attitudes and perceptions of staff who participated regularly in Music Therapy (MT) and Dance Movement Therapy (DMT) groups for residents with dementia in a nursing home. Method In-depth interviews were conducted with seven members of care home staff. Data were analysed using interpretative phenomenological analysis. Results A representation modelling the impact of MT and DMT in a nursing care home. Three main themes were identified. 1) Discovering residents' skills and feelings; 2) Learning from the therapists to change approaches to care practice with subthemes: time, space and pace, choice, following the residents' lead; 3) Connection between staff and residents. Conclusion The model indicated that both interventions performed in parallel helped staff to discover residents' skills and feelings. Although it is a small sample size, this study strongly suggests that MT and DMT can have a positive influence in helping care staff to provide a meaningful care environment.
Care home residents with mild to moderate dementia wanted to continue DANCIN as part of their routine care and staff and family members were largely supportive of this approach. This study argues in favor of further dissemination of DANCIN in care homes. We provide recommendations for the future development of DANCIN based on the views of key stakeholder groups.
Abstract:Background: Care Homes provide supportive care for older people. The UK National Dementia Strategy aims to educate care staff to retain and increase satisfaction in the workforce and thereby improve the quality of care provided. Ladder to the Moon Culture Change Studio Engagement Programme (CCSEP) is a staff training approach based on the Positive Psychology framework that uses theatre and film-based activities.
Aim:To evaluate the effectiveness of CCSEP on the range of interactions and level of positive engagement between staff and residents, staff outcome measures such as sense of competence, job satisfaction and well-being in two care settings for older people (one nursing and one residential home). 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
Methods
Implications for Practice
What does this research add to existing knowledge in gerontology?• Staff training interventions are needed to translate evidence-based interventions into widespread practice in care homes.• Nurses are enthusiastic to develop person-centred care skills through innovative training.
What are the implications of this new knowledge for nursing care with older people?• This study found that this staff training approach encourages nurses to be involved in activities that apply theatre and film elements when providing care.• Managers need to be supportive of the Positive Psychology approach combined with theatre and film-based training to facilitate culture of care change.How could the findings be used to influence policy or practice or research or education?• When implementing this creative staff training such as CCSEP principles in carehomes, organisations require a coaching supervision plan to sustain the culture of change.• CCSEP has the potential to be successful if the manager has good communication skills and attitude to support the implementation of different activities, such as setting up a 'film studio' within the care home
IntroductionThe UK National Dementia Strategy (2009) A number of studies have suggested that residents benefit when staff are trained to deliver evidence-based psychosocial interventions, For example, the Staff-training in Assisted LivingResidences (STAR) programme (Goyder et al., 2012) decreased depression and
A 2019, 'The mediating role of early maladaptive schemas in the relationship between childhood traumatic events and complex posttraumatic stress disorder symptoms in older adults (>64 years)',
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