Experiences of Nursing Staff Using Dementia-Specific Case Conferences in Nursing Homes

Holle, Daniela; Krüger, C; Halek, Margareta; Sirsch, Erika; Bartholomeyczik, Sabine

doi:10.1177/1533317514552320

Cited by 19 publications

(49 citation statements)

References 20 publications

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“…A detailed description of the development and evaluation of IdA has been published elsewhere [26]. We chose an intra-professional nursing approach to WELCOME-IdA due to the results of a prior feasibility study [10]. Additional disciplines were not directly included in the DSCCs.…”

Section: Methodsmentioning

confidence: 99%

“…During the stepped-wedge cluster RCT conducted between September 2013 and March 2015, an average of 13.8 people (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) participated in the 1st WELCOME-IdA in-service training session, and 14.8 people (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) participated in the 2nd WELCOME-IdA in-service training session. They represented a skill mix of registered nurses and nursing assistants.…”

Section: Delivery Of and Participants In The Intervention Componentsmentioning

confidence: 99%

“…The assessment of the behaviour was carried out more quickly because the case reporter had already worked on it in preparation for the DSCC (E75_ WB1_R485-88). In another nursing home, which reserved a time slot of 90 min, 2-3 domains were processed per DSCC (E79_R6_WB1, 20-23) (E79_ZI_WB1, [9][10].…”

Section: Handling Of the Ida In The Dsccmentioning

confidence: 99%

“…The development of an analysis-focused approach to challenging behaviour is a complex process, and new tools and guidance are required to apply such approaches in daily practice. A dementia-specific case conference (DSCC) is an important tool for enabling nursing staff to analyse the various triggers influencing the challenging behaviour of residents with dementia [10]. The DSCC provides a method for structured reflection, which enhances learning at work and helps nursing staff cope with problematic situations such as challenging behaviours [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…The DSCC provides a method for structured reflection, which enhances learning at work and helps nursing staff cope with problematic situations such as challenging behaviours [11,12]. The DSCC concept WELCOME-IdA (Wittener model of case conferences for people with dementiathe Innovative dementia-oriented Assessment tool) was developed based on a literature review [13], consultation with experts in the field of DSCCs [12] and the results of an initial feasibility study of the experiences of nursing staff and the factors that promote or inhibit the use of DSCCs for nursing home residents with dementia [10]. The effectiveness of WELCOME-IdA was investigated in a stepped-wedge cluster randomized controlled trial, FallDem [14].…”

Section: Introductionmentioning

confidence: 99%

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Process evaluation of the response of nursing homes to the implementation of the dementia-specific case conference concept WELCOME-IdA: A qualitative study

et al. 2020

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Background: The implementation of clearly structured dementia-specific case conferences could be an important tool to enable nursing staff to properly analyse and manage challenging behaviour in nursing home residents with dementia. A process evaluation of the responses of nursing homes to the implementation of WELCOME-IdA (Wittener model of case conferences for people with dementiathe Innovative dementia-oriented Assessment tool) was carried out to gain insight into which key elements of the intervention were adopted by the nursing homes and which elements were adapted. Methods: This study was part of a larger process evaluation using a qualitative design. Thirty-four semi-structured telephone interviews and 15 focus group interviews were conducted in four nursing homes. The interviews were analysed using deductive content analysis, although inductive categories have been developed. Results: Nursing home staff adopted the roles of moderator, case reporter, keeper of the minutes and reflection partner in WELCOME-IdA, but the selection of the staff members who filled these roles differed across nursing homes. The recommended group size of 5-8 participants per case conference was sometimes adopted. The key element of having core nursing teams who participated continuously in all case conferences was not adopted at all. Instead, there was a high level of rotation among staff members. The pre-defined process structure of WELCOME-IdA was adapted in such a way that the assessment of the residents' behaviour and the selection of the relevant domain for the behaviour analysis were conducted in advance of the case conference. The evaluation of the interventions was also organized differently. Conclusion: The scope of the response implies that WELCOME-IdA requires further adaptation to the requirements of nursing processes in nursing homes. The results provide important information on the selection of role keepers and offer insights into a) how knowledge of the structured training was circulated and transformed into selforganized case conferences and b) how knowledge was circulated throughout the entire processing of one case. Thus, these results can be used to optimize intervention and implementation. Overall, the intervention should allow more possibilities for tailored adaptation than it currently does.

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Section: Methodsmentioning

confidence: 99%

Section: Delivery Of and Participants In The Intervention Componentsmentioning

confidence: 99%

Section: Handling Of the Ida In The Dsccmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Process evaluation of the response of nursing homes to the implementation of the dementia-specific case conference concept WELCOME-IdA: A qualitative study

et al. 2020

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How do person‐centered outcome measures enable shared decision‐making for people with dementia and family carers?—A systematic review

Aworinde

Ellis‐Smith

Gillam

et al. 2022

A&D Transl Res & Clin Interv

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Objectives To identify published evidence on person‐centered outcome measures (PCOMs) used in dementia care and to explore how PCOMs facilitate shared decision‐making and improve outcomes of care. To build a logic model based on the findings, depicting linkages with PCOM impact mechanisms and care outcomes. Design Mixed‐methods systematic review. We searched PsycINFO, MEDLINE, CINAHL, and ASSIA from databases and included studies reporting experiences and/or impact of PCOM use among people with dementia, family carers, and/or practitioners. Groen Van de Ven's model of collaborative deliberation informed the elements of shared decision‐making in dementia care in the abstraction, analysis, and interpretation of data. Data were narratively synthesized to develop the logic model. Setting Studies were conducted in long‐term care, mixed settings, emergency department, general primary care, and geriatric clinics. Participants A total of 1064 participants were included in the review. Results Ten studies were included. PCOMs can facilitate shared decision‐making through “knowing the person,” “identifying problems, priorities for care and treatment and goal setting,” “evaluating decisions”, and “implementation considerations for PCOM use.” Weak evidence on the impact of PCOMs to improve communication between individuals and practitioners, physical function, and activities of daily living. Conclusions PCOMs can enable shared decision‐making and impact outcomes through facilitating collaborative working between the person's network of family and practitioners to identify and manage symptoms and concerns. The constructed logic model demonstrates the key mechanisms to discuss priorities for care and treatment, and to evaluate decisions and outcomes. A future area of research is training for family carers to use PCOMs with practitioners.

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Dealing with the behaviour of residents with dementia that challenges: A stepped-wedge cluster randomized trial of two types of dementia-specific case conferences in nursing homes (FallDem)

Halek

Reuther

Müller-Widmer

et al. 2020

International Journal of Nursing Studies

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Experiences of Nursing Staff Using Dementia-Specific Case Conferences in Nursing Homes

Abstract: CC-IdA represents an important tool in the management of challenging behavior of people with dementia. For the successful implementation of these case conferences, both structural and personal resources are needed.

Cited by 19 publications

References 20 publications

Process evaluation of the response of nursing homes to the implementation of the dementia-specific case conference concept WELCOME-IdA: A qualitative study

Process evaluation of the response of nursing homes to the implementation of the dementia-specific case conference concept WELCOME-IdA: A qualitative study

How do person‐centered outcome measures enable shared decision‐making for people with dementia and family carers?—A systematic review

Dealing with the behaviour of residents with dementia that challenges: A stepped-wedge cluster randomized trial of two types of dementia-specific case conferences in nursing homes (FallDem)

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