A Survey on Dementia Training Needs Among Staff at Community-Based Outpatient Clinics

Adler, Geri; Lawrence, Briana; Ounpraseuth, Songthip; Asghar-Ali, Ali Abbas

doi:10.1080/03601277.2015.1071549

Cited by 29 publications

(36 citation statements)

References 30 publications

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“…17 If people with dementia and their carers are to receive appropriate and needed support in a timely manner, it is essential that health professionals and service providers understand dementia and its impact. 18 Using existing dementia training programs and translating them into different local contexts can be one approach to address dementia education needs in rural regions. Other research has similarly established that there is a need for further and continuing dementia-specific education and training for rural health professionals.…”

Section: Importance Of Diagnosis and Dementia Trainingmentioning

confidence: 99%

Identifying support needs to improve rural dementia services for people with dementia and their carers: A consultation study in Victoria, Australia

Bauer

Fetherstonhaugh

Blackberry

et al. 2019

Australian J Rural Health

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Objective: The support and service needs of people with dementia and their carers are not always addressed in rural regions, yet family carers play an important role in supporting the person living with dementia to remain living in their own home. This study sought to identify and prioritise service and support needs of people with dementia and carers. Design: A two-phase mixed methods study involving qualitative focus groups and a survey. Setting: A rural region in Victoria, Australia. Participants: People living with dementia, carers and health professionals. Results: Focus groups identified 12 areas of need. A follow-up survey reached consensus on the priority areas for service improvement. These included diagnosis and information access, dementia training, community understanding and carer support. Conclusion: Living in a rural region imposes significant challenges on people with dementia and carers. We need to find ways to address gaps in service provision for carers and people with dementia in rural settings and examine their applicability in other rural regions more broadly.

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Section: Importance Of Diagnosis and Dementia Trainingmentioning

confidence: 99%

Identifying support needs to improve rural dementia services for people with dementia and their carers: A consultation study in Victoria, Australia

Bauer

Fetherstonhaugh

Blackberry

et al. 2019

Australian J Rural Health

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“…Pragmatically, we suggest that attention is given to the provision of education to physiotherapists to enhance their skills, abilities and confidence when managing complexities associated with working in nursing homes with residents with dementia. Those noting failures in healthcare education regarding dementia across Europe (Hvalič‐Touzery et al, ) and the United States (Adler, Lawrence, Ounpraseuth, & Asghar‐Ali, ), suggest that ‘investment in inter‐professional evidence‐based education is required if we are to respond effectively and compassionately to the needs of people living with dementia and their families’ (Hvalič‐Touzery et al, ). Our research highlighted a need for dialogue to occur between referrers and providers of physiotherapy around the role.…”

Section: Discussionmentioning

confidence: 99%

How is the emerging role of domiciliary physiotherapists who treat residents with dementia in nursing homes perceived by allied health professionals? A phenomenological interview study

McCarroll

Riet²,

Halter

2019

Health Soc Care Community

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Dementia affects majority of older residents in nursing homes and physiotherapists are regularly involved with this population. However, little is known about the role of physiotherapists who treat residents with dementia in nursing homes. The aim of this paper was to report on an interpretivist qualitative exploration of the perceptions of both the providers of and referrers to domiciliary physiotherapy for residents with dementia in nursing homes in London. In 2015, we conducted semi‐structured interviews with 10 purposively sampled participants – two were providers of physiotherapy for residents with dementia in nursing homes, five were referrers to these providers and three occupied dual roles. A thematic analysis of the verbatim transcripts identified three main themes. First were perceptions of a multifaceted but unclear role, focused on both conventional ‘physical’ physiotherapy interventions and specialist care, the latter being reliant on knowledge and confidence that physiotherapists did not always feel they possessed. Second were the stated challenges to the role, including the focus and organisation of the nursing home setting, with perceived lack of emphasis on rehabilitation; the progressive and demanding nature of dementia itself; a lack of continuity of nursing home and visiting health professional staff with associated need to entrust physiotherapy intervention to multiple others and the final challenge was the difficulty measuring impact. Third, despite the challenges, enablers of the role were experienced, namely collaborative working and positive previous experiences of referrers. Joining these themes were underpinning concepts of complexity and uncertainty in relation to the physiotherapy role in this setting. This paper highlights a need for enhanced collaborative working in clinical practice, enabled at organisational level, to help address some of the uncertainties expressed around the physiotherapists’ role with residents with dementia in nursing homes and thereby enable improvements to processes and outcomes of their interventions.

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“…Before developing PACERS, we completed a needs assessment of interprofessional rural clinicians at VA community‐based outpatient clinics that measured knowledge, skills, and attitudes regarding dementia . Informed by the need's assessment, six asynchronous training modules were designed by a team consisting of a gerontologist, geriatric psychiatrist, geriatric psychologist, geriatrician, and nurse.…”

Section: Methodsmentioning

confidence: 99%

“…Finally, a diagnosis while the person has decision‐making capacity allows him or her to participate in advanced care planning . However, many primary care providers in rural settings lack adequate knowledge about dementia and its treatment, creating barriers to a timely diagnosis and appropriate treatment . Moreover, the growing number of patients with dementia significantly outpaces the number of geriatric providers with expertise in diagnosis and management of dementia…”

Section: Introductionmentioning

confidence: 99%

“…12,13 However, many primary care providers in rural settings lack adequate knowledge about dementia and its treatment, creating barriers to a timely diagnosis and appropriate treatment. 14 Moreover, the growing number of patients with dementia significantly outpaces the number of geriatric providers with expertise in diagnosis and management of dementia. 15,16 Therefore, it is critical that a wide range of healthcare providers identify and treat dementia.…”

mentioning

confidence: 99%

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Development and Dissemination of an Interprofessional Online Dementia Training Curriculum

Bryan

Asghar-Ali

2019

J American Geriatrics Society

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OBJECTIVES Despite the growing number of individuals with dementia, clinicians skilled in caring for people with dementia, especially in rural areas, are lacking. The Program for Advancing Cognitive Disorders Education for Rural Staff (PACERS) was designed to improve clinician competency and comfort when caring for individuals with dementia. Based on an interprofessional needs assessment, six 1‐hour training modules were created: (1) Dementia and Delirium, (2) Identifying and Assessing for Dementia, (3) Treating Dementia: Case Studies, (4) Normal Cognitive Aging and Dementia Caregiving, (5) Addressing Decision Making and Safety in Dementia, and (6) Dementia and Driving. Each module is available for free on the Department of Veterans Affairs Talent Management System (TMS) for employees and the free TrainingFinder Real‐time Affiliate Integrated Network (TRAIN) platform for clinicians in the community. One continuing education unit is earned upon completion of each module. DESIGN Posttest. SETTING Online training at VA TMS and TRAIN. PARTICIPANTS To date, more than 3000 modules have been completed by interprofessional healthcare learners (eg, nurses, physicians, psychologists, and social workers). MEASUREMENTS Satisfaction, perceived utility of training, knowledge, skills, and attitudes were assessed. RESULTS The learners reported high satisfaction (mean [M] > 4) and ability to apply the knowledge and skills learned from the module to their job (M > 4) on a Likert scale (1 = Strongly disagree to 5 = Strongly agree). CONCLUSION Learners also reported perceived impact on both direct patient care (eg, ability to provide education and support to individuals with dementia and their caregivers) and system‐level care (eg, more appropriate referrals). Given the number of users and their evaluation data, PACERS can serve as a model curriculum for online interprofessional dementia training. J Am Geriatr Soc 68:192–197, 2019

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A Survey on Dementia Training Needs Among Staff at Community-Based Outpatient Clinics

Cited by 29 publications

References 30 publications

Identifying support needs to improve rural dementia services for people with dementia and their carers: A consultation study in Victoria, Australia

Identifying support needs to improve rural dementia services for people with dementia and their carers: A consultation study in Victoria, Australia

How is the emerging role of domiciliary physiotherapists who treat residents with dementia in nursing homes perceived by allied health professionals? A phenomenological interview study

Development and Dissemination of an Interprofessional Online Dementia Training Curriculum

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