A systematic review of interventions to improve acute hospital care for people with dementia

Karrer, Melanie; Schnelli, Angela; Zeller, Adelheid; Mayer, Hanna

doi:10.21203/rs.2.22248/v1

Cited by 3 publications

(3 citation statements)

References 28 publications

(96 reference statements)

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“…In alignment with the VIPS ‘Personal perspective’ principle, staff reportedly enabled the person to maintain their abilities, while promoting well-being and self-esteem [ 22 ]. Persons with dementia who reported feeling safe, respected and valued, were generally more satisfied that their experiences aligned with their expectations of an effective healthcare system [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…PCC aims to reduce the potentially negative influence of the healthcare environment [ 12 ]. When armed with PCC knowledge and skills, staff are more likely to understand how dementia can impact the person’s behaviour, for example, which often occurs as a response to the healthcare environment [ 14 ] and know how to accommodate changed behaviour in routine care [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers

2021

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Objectives: to report on acute hospital care experiences for persons with dementia and family/carers in a pilot study (PiP) of person-centred care compared with usual care. Methods: participants were recruited from one acute aged care ward and one mixed medical/surgical ward. One-on-one interviews occurred soon after discharge using a semi-structured interview guide framed by person-centred principles whereby the person is: V—valued; I—treated as an individual; P—perceived as having a unique identity; and S—supported socially and psychologically. Data were analysed deductively with reference to these a priori principles. Results: 11 consented persons with dementia and 36 family/carers participated. A total of eight core VIPS concepts were derived from the data. While many occasions of person-centred care occurred, there was variability in staff expertise, interest and aptitude for dementia care work. Neglect of person-centred principles more frequently occurred for the usual care group, where staff failed to place the person and their family/carer at the centre of service. Conclusions: person-centred services for persons with dementia requires that hospital executive equip staff with the relevant knowledge, skills and support to adhere to person-centred care guidelines. Hospitals must address workplace cultures and procedures that favour organisational systems over person-centred services.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers

2021

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“…Several explanations might be provided for the lack of significant associations between this item and others in the POPAC scale. First, given the strict and rigid structure of acute care hospitals, together with staff shortage (Karrer et al., 2020; Nilsson et al., 2013), constant monitoring of people with cognitive impairment might be an unrealistic expectation. Alternatively, leaving alone people with dementia might be perceived by health care professionals as amoral, and even abusive behaviour (McCausland et al., 2016), and they might therefore have difficulty reporting on this item.…”

Section: Discussionmentioning

confidence: 99%

Validating the Hebrew version of the Person‐Centered Care of Older People with Cognitive Impairment in Acute Care scale

et al. 2020

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Aim To validate the Hebrew version of the Person‐Centered Care of Older People with Cognitive Impairment in the Acute Care scale. Background The Person‐Centered Care of Older People with Cognitive Impairment in Acute Care scale is a reliable and valid measure to assess the extent to which person‐centred care among people with dementia is adopted in the acute care setting. Methods A cross‐sectional study using a self‐reporting structured questionnaire was conducted with 678 professionals (69% nurses, 26% physicians, 5% other health care professionals) in five hospitals across Israel. Results Similar to other languages, best results were obtained using 14 of the 15 items included in the original scale. Confirmatory factor analysis indicated the appropriateness of a three‐factor structure for the Hebrew version of the scale. Cronbach's alpha scores for these factors were moderate to good. Conclusions The Hebrew version of the scale is a reliable and valid tool for assessing hospital professionals' perceptions of person‐centred care. Implications for Nursing Management A new language validated version of the scale will allow nurse managers to learn from multiple countries' experience while conducting international comparisons. Such developments will improve and expand the implementation of the person‐centred care among people with dementia in hospital settings.

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The impact of an education intervention on the approach of hospital staff to patients with dementia in a Danish general hospital setting: An explanatory sequential mixed-methods study

Toubøl

Moestrup

Thomsen

et al. 2021

Nordic Journal of Nursing Research

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The number of patients with dementia admitted to hospitals is increasing. However, the care and treatment of these patients tends to be suboptimal. A response to this is a widespread implementation of educational initiatives. Nevertheless, the effect of such initiatives is questioned. The aim of this study was to investigate the impact of a dementia education intervention by examining the self-reported outcomes of general hospital staff and exploring the staff’s experiences of these outcomes. An explanatory sequential mixed-methods design framed the study method. The quantitative data collection included repeated questionnaires: pre-intervention ( n = 849), one month post-intervention ( n = 618), and five months post-intervention ( n = 468) followed by a qualitative data collection using interviews ( n = 16). The GRAMMS guideline was followed. The integration of the quantitative and qualitative results suggests that the impact of the education intervention can be ascribed to the interdisciplinary focus, which facilitated a comprehensive commitment to creating careful solutions for patients with dementia. A prioritization of person over task seems to be assisted by an improved interdisciplinary cooperation initiated by the inclusion of all employed staff at the hospital in a dementia education intervention.

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A systematic review of interventions to improve acute hospital care for people with dementia

Abstract: Background

Cited by 3 publications

References 28 publications

Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers

Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers

Validating the Hebrew version of the Person‐Centered Care of Older People with Cognitive Impairment in Acute Care scale

The impact of an education intervention on the approach of hospital staff to patients with dementia in a Danish general hospital setting: An explanatory sequential mixed-methods study

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