‘Getting to Know Me’: the development and evaluation of a training programme for enhancing skills in the care of people with dementia in general hospital settings

Elvish, Ruth; Burrow, Simon; Cawley, Rosanne; Harney, Kathryn; Graham, Pat; Pilling, Mark; Gregory, Julie; Roach, Pamela; Fossey, Jane; Keady, John

doi:10.1080/13607863.2013.856860

Cited by 115 publications

(177 citation statements)

References 22 publications

Supporting

Mentioning

170

Contrasting

Order By: Relevance

“…This supports findings from previous studies (Banks et al, 2014, Elvish et al, 2013, Galvin et al, 2012 which have demonstrated similar results.…”

Section: Discussionsupporting

confidence: 93%

“…Using a non-validated questionnaire at each time point they found the training had an immediate impact on staff knowledge, competence and attitudes and that this was largely maintained over the 120 day period of time. Likewise, in a UK pre-post design study, Elvish et al (2013) found that in a sample of 71 general hospital staff who completed a 6-hour dementia training programme, knowledge about dementia, confidence in providing care to this group and beliefs about 'challenging behaviour', assessed using validated measures, significantly improved. Banks et al (2014) implemented a blended learning dementia champions programme comprised of 5 study days alongside a half day in a community care setting, with 100 staff working at an 'enhanced level' in acute settings.…”

Section: Background To the Studymentioning

confidence: 95%

See 1 more Smart Citation

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

Surr¹,

Smith

Crossland³

et al. 2016

International Journal of Nursing Studies

130

185

View full text Add to dashboard Cite

Background: People with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the most effective approaches to supporting acute hospital staff to deliver more person-centred care.Objectives: This study aimed to evaluate the efficacy of a specialist training programme for acute hospital staff regarding improving attitudes, satisfaction and feelings of caring efficacy, in provision of care to people with dementia.Design: A repeated measures design, with measures completed immediately prior to commencing training (T1), after completion of Foundation level training (T2: 4-6 weeks post-baseline), and following Intermediate level training (T3: 3-4 months postbaseline). Setting: One NHS Trust in the North of England, UK.Participants: 40 acute hospital staff working in clinical roles, the majority of whom (90%) were nurses.Methods: All participants received the 3.5 day Person-centred Care Training for Acute Hospitals (PCTAH) programme, comprised of two levels, Foundation (1/2 day) and Intermediate (3 days), delivered over a 3-4 month period. Staff demographics and previous exposure to dementia training was collected via a questionnaire. Staff attitudes were measured using the Approaches to Dementia Questionnaire (ADQ), satisfaction in caring for people with dementia was captured using the Staff Experiences of Working with Demented Residents questionnaire (SEWDR) and perceived caring efficacy was measured using the Caring Efficacy Scale (CES). Results:The training programme was effective in producing a significant positive change on all three outcome measures following intermediate training compared to baseline. A significant positive effect was found on the ADS between baseline and after completion of Foundation level training, but not for either of the other measures. Conclusions:Training acute hospital staff in Intermediate level person-centred dementia care is effective in producing significant improvements in attitudes towards and satisfaction in caring for people with dementia and feelings of caring efficacy. Foundation level training is effective in changing attitudes but does not seem to be sufficient to bring about change in satisfaction or caring efficacy.2 Keywords: acute hospitals; dementia; education; general hospitals; person-centred care; staff training. Contribution of the paper:What is already known about this topic? Care for people with dementia is has often been found to be of poor quality in acute general hospitals and deficiencies in staff knowledge, skills and confidence to deliver dementia care is a contributory factor.  Person-centred dementia care can improve quality of life for people with dementia in specialist settings but there remains limited knowledge and understanding about its application in acute hospitals.  There is limited research about the...

show abstract

“…This supports findings from previous studies (Banks et al, 2014, Elvish et al, 2013, Galvin et al, 2012 which have demonstrated similar results.…”

Section: Discussionsupporting

confidence: 93%

Section: Background To the Studymentioning

confidence: 95%

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

Surr¹,

Smith

Crossland³

et al. 2016

International Journal of Nursing Studies

130

185

View full text Add to dashboard Cite

show abstract

“…Our review suggests training that would be of particular benefit: i) would be tailored specifically for general hospital ward environments; ii) would improve confidence; iii) would shift perceptions about the causes of challenging behaviour; iv) would help staff to view their job role as addressing the needs of people with dementia. Although limited, evidence from recent studies suggests that dementia training programmes undertaken within general hospitals can improve staff knowledge and confidence (Elvish et al, 2014;Galvin et al, 2010) and shift staff towards more personcentred perspectives regarding behaviours that challenge (Elvish et al, 2014). Further studies to investigate this would be of benefit and focus must also now turn to investigate the impact of training on direct patient care.…”

Section: Clinical and Research Implicationsmentioning

confidence: 99%

The experience of caring for patients with dementia within a general hospital setting: a meta-synthesis of the qualitative literature

Turner

Eccles

Elvish

et al. 2015

Aging & Mental Health

Self Cite

View full text Add to dashboard Cite

Objectives: The optimal care of people with dementia in general hospitals has become a policy and practice imperative over recent years. However, despite this emphasis, the everyday experiences of staff caring for this patient group is poorly understood. This review aimed to synthesise the findings from recent qualitative studies in this topic published prior to January 2014 to develop knowledge and provide a framework to help inform future training needs.Method: A systematic search of the literature was conducted across five academic databases and inclusion/exclusion criteria applied to the retrieved papers. A meta-ethnographic approach was utilised to synthesise the resulting 14 qualitative papers.Results: Five key themes were constructed from the findings: overcoming uncertainty in care; constraints of the environmental and wider organisational context; inequality of care; recognising the benefits of person-centred care; and identifying the need for training. These themes explore the opportunities and challenges associated with caring for this group of patients, as well as suggestions to improve staff experiences and patient care. Conclusion:The synthesis highlighted a lack of knowledge and understanding of dementia within general hospital staff, particularly with regard to communication with patients and managing behaviours that are considered challenging. This limited understanding, coupled with organisational constraints on a busy hospital ward, contributed to low staff confidence, negative attitudes towards patients with dementia and an inability to provide person-centred care. The benefits of dementia training for both ward staff and hospital management and peer discussion/support for ward staff are discussed.

show abstract

“…Similarly, Turner, Eccles, Elvish, Simpson & Keady (2015) recommended that dementia care training should be specifically tailored for hospital wards and should evaluate patient outcomes once completed; since most of the studies to date focus mainly on staff outcomes (Elvish et al, 2014, Galvin et al, 2010.…”

Section: Dementia Care Training and Educational Interventions In Clinmentioning

confidence: 99%

Using appreciative inquiry to implement person-centred dementia care in hospital wards

2016

View full text Add to dashboard Cite

The quality of care of persons with dementia in hospitals is not optimal and can be challenging. Moreover, staff may find difficulty in translating what they have learned during training into practice. This paper report the development and evaluation of a set of workshops using an appreciative inquiry approach to implement person-centred dementia care in two hospital wards. Staff worked collaboratively to develop a ward vision and to implement a number of action plans. Using appreciative inquiry approach, staff attitudes towards persons with dementia improved, inter-professional collaboration was enhanced and small changes in staff practices were noted. Dementia care in hospitals can be enhanced by empowering staff to take small but concrete actions after they engage in appreciative inquiry workshops, during which they are listened to and appreciated for what they can contribute.

show abstract

‘Getting to Know Me’: the development and evaluation of a training programme for enhancing skills in the care of people with dementia in general hospital settings

Cited by 115 publications

References 22 publications

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

The experience of caring for patients with dementia within a general hospital setting: a meta-synthesis of the qualitative literature

Using appreciative inquiry to implement person-centred dementia care in hospital wards

Contact Info

Product

Resources

About