Introduction: Establishing methods to evaluate interactions between hospital staff and patients with a dementia is vital to inform care delivery. This study aimed to assess the validity of Quality of Interactions Schedule (QuIS) ratings in relation to the care experiences of people with a dementia in a general hospital setting. Methods: Four hundred and ninety face-to-face interactions between staff and patients with a dementia (n ¼ 107) on six medicine for older people wards in a UK National Health Service hospital were observed and rated using QuIS and the Psychological Well-Being in Cognitively Impaired Persons (PWB-CIP) tool. We also invited patient ratings for longer interactions (n ¼ 217). Analyses explored associations between QuIS ratings, PWB-CIP ratings and patient ratings. Results: When QuIS was rated negative, the mean researcher-rated patient psychological well-being was lower (PWB ¼ 7.9 out of maximum score of 10) than when QuIS was non-negative (PWB ¼ 8.8, p ¼ 0.036). Negative QuIS ratings were associated with negative ratings on seven out of ten individual PWB-CIP items. When QuIS was rated negative, the associated patient rating was 4% less likely to be 'happy'. The patient was also 4% more likely to rate the interaction as 'kind'. Patients struggled to participate in care ratings. Conclusions: Some patients found responding to researcher questions difficult or not relevant, reflecting the need for development of more suitable methods in this field. Our findings of an association between lower quality QuIS-rated interactions and lower psychological well-being lend support to the use of QuIS with patient populations that include people with a dementia.

Purpose This paper aims to raise awareness of the ways in which faecal incontinence can impact the provision of dementia care by examining this through the lens of stigma. Design/methodology/approach This paper contains a scoping review of available literature relating to faecal incontinence, dementia and stigma. Findings Literature was organised into three themes: the origins of the stigma, the purpose of stigma and the care context. Research limitations/implications Limitations of this paper include the lack of literature discussing faecal incontinence and dementia in relation to stigma. Practical implications Stigma regarding faecal incontinence has the potential to impact quality of life of people with a dementia and contributes towards the invisible work of unqualified care workers. Originality/value Stigma and faecal incontinence have only a small amount of research around them in residential dementia care.