Factors associated with dementia care practices among community health nurses: Results of a postal survey

Huang, Hsiu-Lin; Shyu, Yea‐Ing Lotus; Huang, Huei‐Ling; Chen, Sien Tsong; Li, Hsiao Juan; Shiu, Ming Neng; Pong, Mei Chi

doi:10.1016/j.ijnurstu.2012.02.016

Cited by 18 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We found that longer work experience was significantly associated with case managers’ higher frequency ratings of two activities: “provide or facilitate to provide health prevention and education services to improve clients and carers’ wellness” and “evaluate multicultural issues and other factors that influence achieving identified goals and expected outcomes”. These findings partially support previous studies, revealing that experienced case managers are more likely to adopt dementia care practice (case screening, using assessment tools and undertaking interventions) [ 22 ] and are more culturally responsive (regarded as an advanced capacity) in practice [ 32 ]. However, it is difficult to interpret those findings that some case manager factors (such as age and practice locations) and some client factors (such as having high care needs and having carers) were only significantly associated with frequency ratings of one activity, respectively.…”

Section: Discussionsupporting

confidence: 86%

“…There has been even less research exploring factors that affect case management functions and activities. Some research and review studies have reported that client factors (such as some socio-demographic characteristics and health condition), case manager factors (such as professional backgrounds and length of employment), organisational factors (such as financial restrictions and other organisational policies), and system factors (such as available system resources) influence case managers’ performance of specific functions and activities [ 3 , 19 – 22 ], or the overall case management practice [ 13 ]. Such great variability in the factors that influence case managers’ practice indicates the necessity to examine significant factors associated with case managers’ functions and/or activities by empirical research.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How do case managers spend time on their functions and activities?

You

Dunt

Doyle

2016

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundCase management has been a widely accepted approach to practice in various care settings. This study aimed to explore how community aged care case managers allocated their time to case management functions, how frequently they performed specific case management activities, and what factors influenced the frequency of their activities.MethodsThe study involved 154 survey participants, or 17.1 % of the target case managers in the State of Victoria, Australia. Key information collected included participants’ socio-demographic characteristics, proportions of time allocated to six core case management functions, and frequency ratings of 41 specific activities within seven case management functions. Ordinal regression analyses were performed to determine significant factors associated with participants’ frequency ratings of their activities.ResultsParticipants allocated the largest proportion of time to care coordination (22.0 %), and the smallest proportion of time to outcome evaluation (8.0 %). Over 70 % of the participants assigned high frequency ratings to 31 of the 41 case management activities. The remaining ten activities, including all four outcome evaluation activities, three needs assessment activities, one care planning activity, one care coordination activity, and one general functions-related activity were less commonly performed very frequently. The regression analyses indicated that some case manager and client factors were significantly associated with frequency ratings of nine of the ten activities aforementioned. The two main findings of the regression analyses were: First, emphasising achieving more case management goals was significantly associated with higher frequency of three outcome evaluation activities; second, longer work experience was significantly associated with higher frequency of one care coordination activity and one outcome evaluation activity.ConclusionsThe frequent performance of most case management activities and relative absence of factors influencing their frequency suggest a uniformity of practice in community aged care case managers’ practice. What is not clear is whether the frequency of these activities (in particular less frequent performance of outcome evaluation activities) conforms to expectations.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1333-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

How do case managers spend time on their functions and activities?

You

Dunt

Doyle

2016

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Home care nurses reported that increased competence resulted in increased confidence and improved personcentered dementia care (Aasgaard et al, 2014). Similarly, Huang et al (2013) found that community health nurses with a higher level of confidence in dementia care provided higher quality care. In a study of direct care providers in long-term care settings, staff who felt better educated in dementia care assessment and management were more likely to espouse a person-centered attitude and to have higher work satisfaction (Zimmerman et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Dementia-related work activities of home care nurses and aides: Frequency, perceived competence, and continuing education priorities

Morgan

Kosteniuk

O’Connell

et al. 2015

Educational Gerontology

View full text Add to dashboard Cite

“…Studies have demonstrated that early detection and diagnosis of dementia enabled people with dementia to receive adequate treatment, supported their family caregivers to manage dementia at home and reduced preventable dementia associated functional decline and complications [ 4 , 5 ]. Early post-diagnosis care and continuing care were associated with improved quality of life of people with dementia and relieved caregiver burden [ 1 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Community health professionals’ dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China

et al. 2018

View full text Add to dashboard Cite

BackgroundCommunity health professionals play a significant role in dementia care. However, little is known about community health professionals’ capacity in dementia care, especially in low and middle-income countries. The aim of the present study was to assess community health professionals’ dementia knowledge, attitudes and care approach in China, a country with the largest population of people with dementia in the world and where community based dementia care services are much needed.MethodsA cross-sectional survey was conducted. 450 health professionals were recruited into the study using random sampling from community health service centres in Changsha, China. Their knowledge, attitudes and care approach were assessed utilising the Chinese version of the Alzheimer’s Disease Knowledge Scale, Dementia Care Attitude Scale and Approach to Advanced Dementia Care Questionnaire respectively.ResultsA total of 390 participants returned the questionnaire (response rate 87%). Age, education, professional group and care experience were associated with knowledge scores, and overall dementia knowledge was poor. Attitudes were generally positive and influenced by age, professional group, gender and care experience. The experience of caring for people with dementia was positively associated with a person-centred care approach, although the participants tended not to use a person-centred care approach. A statistically significant association was found between knowledge and attitudes (r = 0.379, P < 0.001), and between attitudes and care approach (r = 0.143, P < 0.001). However, dementia knowledge has no relationship with a person-centred approach.ConclusionsCommunity health professionals showed generally positive attitudes towards people with dementia. However, they demonstrated poor dementia knowledge and tended not to use a person-centred care approach. The results suggest that a multifaceted approach consisting of educational interventions for community health professionals, and policy and resource development to meet the demand for community dementia care services, is urgently needed in China.

show abstract

Factors associated with dementia care practices among community health nurses: Results of a postal survey

Cited by 18 publications

References 10 publications

How do case managers spend time on their functions and activities?

How do case managers spend time on their functions and activities?

Dementia-related work activities of home care nurses and aides: Frequency, perceived competence, and continuing education priorities

Community health professionals’ dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China

Contact Info

Product

Resources

About