Development and Evaluation of a Person-centered Dementia Care Education Program for Nursing Home Staff

Kong, Eun-Hi

doi:10.17079/jkgn.2020.22.3.247

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…Therefore, improving evidence-based knowledge related to restraint application is important for reducing the use of physical restraints. It is necessary to develop educational programs aimed at reducing the use of physical restraints based on previous studies that have shown an improvement in overall knowledge levels through systematic and ongoing education [ 14 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Factors affecting nursing practice of patient physical restraint among nurses

Kim,

Yang

2024

Arch Public Health

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Background This study was aimed to identify perception, knowledge, attitude and nursing practice toward use of physical restraints among clinical nurses. Methods The research participants were 180 nurses from general hospitals located in Korea. Data were collected using self-report questionnaires regarding perception, attitude, knowledge, and nursing practice on application of physical restraints and analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results There were significant negative relationships attitudes towards the use of physical restraints with knowledge (r = -.32, p < .001). Knowledge showed a positive correlation with nursing practice (r = .28, p < .001). Factors affecting nursing practice of clinical nurses were identified as knowledge (β = .23), education experiences on physical restraints (Yes) (β = .18), and work unit (ICU) (β = .43). The explanation power of this regression model was 22% and it was statistically significant (F = 7.45, p < .001). Conclusion This study suggests that knowledge, education experiences on physical restraints, and work unit were the strongest predictor on nursing practice toward use of patient physical restraints. Therefore, developing and applying evidence-based educational intervention programs by work unit to reduce the inappropriate use of physical restraints in hospitals are required.

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Section: Discussionmentioning

confidence: 99%

Factors affecting nursing practice of patient physical restraint among nurses

Kim,

Yang

2024

Arch Public Health

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“…Of these, attitude toward agency, in particular, can have a significant impact on SDM as it reflects the care provider’s belief in the care receiver’s ability to make decisions regarding their own actions. A study implementing a person-centered dementia care education program, which included curriculum components focused on “valuing people” and “personal perspectives” for the staff at nursing homes, demonstrated improvements in person-centered attitude [ 37 ]. Notably, it is necessary to improve person-centered attitudes by providing person-centered care education through various approaches such as incorporating videos or images [ 37 ], ICT technologies such as touchscreen technology [ 38 ], and role-playing strategies [ 39 ], subsequently enhancing SDM practices.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing shared decision-making in long-term care facilities

Kim,

Kim

2023

BMC Geriatr

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Background Shared decision-making, a communicative process to reach decisions based on informed preferences, evidence, and co-created goals, improves care satisfaction and patients’ quality of life. However, shared decision-making has not been widely implemented in long-term care facilities, and few studies have examined how to promote the shared decision-making practice. This study aimed to identify the influencing factors of shared decision-making based on the Person-centered Practice Framework in long-term care facilities. Methods A total of 300 staff (nursing staff, social workers, and personal care workers) in 13 Korean long-term care facilities participated in this study. Data from 280 respondents were finally analyzed, excluding respondents with missing values. Data were collected using structured questionnaires that included items on shared decision-making, personal factors (e.g., knowledge about dementia, person-centered care education, person-centered attitude, communication behavior, and job tenure), and care environment factors (e.g., person-centered climate, staffing level, effective staff relationships, supportive supervisors, and power-sharing). Multilevel linear regression analyses were performed using Mplus Version 8.8. Results The mean shared decision-making score was 35.78 (range 8–45). Staff with experience of person-centered care education (β = 0.198, p = 0.034), a higher person-centered attitude score (β = 0.201, p = 0.007), and a higher communication behavior score (β = 0.242, p < 0.001) were more likely to report a higher shared decision-making score. In addition, staff who viewed their care environment as more person-centered were more likely to report a higher shared decision-making score (β = 0.416, p < 0.001). Conclusions This study highlights that personal (e.g., person-centered care education, person-centered attitude, and communication behavior) and care environment (e.g., person-centered climate) factors could influence shared decision-making for long-term care residents. These findings could be foundational evidence for facilitating shared decision-making practice in long-term care settings.

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“…A study implementing a personcentered dementia care education program, which included curriculum components focused on 'valuing people' and 'personal perspectives' for the staff at nursing homes, demonstrated improvements in person-centered attitude [29]. Notably, it is necessary to improve person-centered attitudes by providing person-centered care education through various approaches such as incorporating videos or images [29], ICT technologies such as touchscreen technology [30], and role-playing strategies [31], subsequently enhancing SDM practices.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing shared decision-making within long-term care facilities: A person-centered nursing framework

Kim

2023

Preprint

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Background Shared decision-making, a communicative process to reach decisions based on informed preferences, evidence, and co-created goals, improves care satisfaction and patients’ quality of life. However, shared decision-making has not been widely implemented in long-term care facilities, and few studies have examined how to promote the shared decision-making practice. This study aimed to identify the influencing factors of shared decision-making based on the person-centered nursing framework in long-term care facilities. Methods A total of 300 staff (nursing staff, social workers, and personal care workers) in 13 Korean long-term care facilities were participated in this study. Data from 280 respondents were finally analyzed, excluding the respondents with missing values. Data were collected using structured questionnaires that included items on shared decision-making, personal factors (e.g., knowledge about dementia, person-centered attitude, and communication behavior), care environmental factors (e.g., person-centered climate, staffing level, effective staff relationship, supportive supervisor, and power-sharing) of the facilities. Multilevel linear regression analyses were performed using Mplus Version 8.8. Results The mean shared decision-making score was 35.78 (range 8–45). Staff with at least one person-centered education (β = 0.198, p = 0.034), higher person-centered attitude score (β = 0.201, p = 0.007) and higher communication behavior score (β = 0.242, p < 0.001) were more likely to report a higher shared decision-making score. In addition, staff who recognize their care environment is more person-centeredness were more likely to report a higher shared decision-making score (β = 0.416, p < 0.001). Conclusions This study highlights that general (e.g., person-centered education), personal (e.g., person-centered attitude, and communication behavior) and care environmental (e.g., person-centered climate) factors could influence shared decision-making for long-term care residents. These findings could be foundational evidence for facilitating shared decision-making practice in long-term care settings.

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Development and Evaluation of a Person-centered Dementia Care Education Program for Nursing Home Staff

Cited by 8 publications

References 16 publications

Factors affecting nursing practice of patient physical restraint among nurses

Factors affecting nursing practice of patient physical restraint among nurses

Factors influencing shared decision-making in long-term care facilities

Factors influencing shared decision-making within long-term care facilities: A person-centered nursing framework

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