The development of quality indicators to improve psychosocial care in dementia

Vasse, Emmelyne; Moniz-Cook, Esmé; Rikkert, Marcel G M Olde; Cantegreil, I.; Charras, Kévin; Dorenlot, Pascale; Fumero, Georgina; Franco, Manuel; Woods, Bob; Vernooij‐Dassen, Myrra

doi:10.1017/s1041610211002523

Cited by 24 publications

(21 citation statements)

References 23 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…650 QIs were selected from literature [11, 16, 18, 22, 24–54]. After having assessed these QIs, 554 were excluded because they were not about the organisation of palliative care or because of overlap; the remaining 96 QIs were included in a preliminary set of QIs (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…QIs can help trace potential problems or confirm good quality of care and can be used to guide quality improvement processes [10]. They have been used effectively to assess and improve hospital care, [13] primary care, [14] and dementia care [15, 16]. Several studies have also developed QIs to improve the structures and process needed for the delivery of good quality palliative cancer or dementia care [11, 12, 17, 18].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Consensus on quality indicators to assess the organisation of palliative cancer and dementia care applicable across national healthcare systems and selected by international experts

Paap

Vernooij‐Dassen²,

Dröes

et al. 2014

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

BackgroundLarge numbers of vulnerable patients are in need of palliative cancer and dementia care. However, a wide gap exists between the knowledge of best practices in palliative care and their use in everyday clinical practice. As part of a European policy improvement program, quality indicators (QIs) have been developed to monitor and improve the organisation of palliative care for patients with cancer and those with dementia in various settings in different European countries.MethodA multidisciplinary, international panel of professionals participated in a modified RAND Delphi procedure to compose a set of palliative care QIs based on existing sets of QIs on the organisation of palliative care. Panellists participated in three written rounds, one feedback round and one meeting. The panel’s median votes were used to identify the final set of QIs.ResultsThe Delphi procedure resulted in 23 useful QIs. These QIs represent key elements of the organisation of good clinical practice, such as the availability of palliative care teams, the availability of special facilities to provide palliative care for patients and their relatives, and the presence of educational interventions for professionals. The final set also includes QIs that are related to the process of palliative care, such as documentation of pain and other symptoms, communication with patients in need of palliative care and their relatives, and end-of-life decisions.ConclusionInternational experts selected a set of 23 QIs for the organisation of palliative care. Although we particularly focused on the organisation of cancer and dementia palliative care, most QIs are generic and are applicable for other types of diseases as well.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Consensus on quality indicators to assess the organisation of palliative cancer and dementia care applicable across national healthcare systems and selected by international experts

Paap

Vernooij‐Dassen²,

Dröes

et al. 2014

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Important requirements for carrying out care plans are consistent and stable staffing, retaining a familiar environment by minimizing relocations (NICE/SCIE, 2006), and staff education (Canadian Coalition for Seniors ' Mental Health, 2006;Vasse et al, 2008).…”

Section: Care Plansmentioning

confidence: 99%

Psychosocial interventions for dementia patients in long-term care

Vernooij‐Dassen

Vasse

Zuidema

et al. 2010

Int. Psychogeriatr.

Self Cite

114

View full text Add to dashboard Cite

Long-term care offers the possibility for planned care through individualized care plans, and consideration of the needs of persons with dementia and the individual life context. While using recommendations based on evidence and consensus is important to shape future long-term care, further well-designed research is needed on psychosocial interventions in long-term care to strengthen the evidence base for such care.

show abstract

“…The latest review on nonpharmacological interventions concluded that the feasibility of the investigated interventions is limited because of resource requirements [16]. Recently, a set of 12 quality indicators for psychosocial care in dementia in nursing homes was developed as part of the European Collaboration on Dementia project (EuroCoDe), which was initiated by Alzheimer Europe [17]. The results from the first application draw a different picture than what may was suspected.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal evaluation of dementia care in German nursing homes: the “DemenzMonitor” study protocol

et al. 2013

View full text Add to dashboard Cite

BackgroundIn Germany, the number of people with dementia living in nursing homes is rapidly increasing. Providing adequate care for their special needs is a challenge for institutions and their staff members. Because of the growing number of people with dementia, changes to the conceptual orientation of nursing homes have occurred. These changes include specialized living arrangements and psychosocial interventions recommended for people with dementia. Until now, the provision of dementia care and its association to the residents’ behavior and quality of life is not well investigated in Germany. The purpose of this study is to describe the provision of dementia care and to identify resident- as well as facility-related factors associated with residents behavior and quality of life.Methods/DesignThe DemenzMonitor study is designed as a longitudinal study that is repeated annually. Data will be derived from a convenience sample consisting of nursing homes across Germany. For the data collection, three questionnaires have been developed that measure information on the level of the nursing home, the living units, and the residents. Data collection will be performed by staff members from the nursing homes. The data collection procedure will be supervised by a study coordinator who is trained by the research team. Data analysis will be performed on each data level using appropriate techniques for descriptions and comparisons as well as longitudinal regression analysis.DiscussionThe DemenzMonitor is the first study in Germany that assesses how dementia care is provided in nursing homes with respect to living arrangements and recommended interventions. This study links the acquired data with residents’ outcome measurements, making it possible to evaluate different aspects and concepts of care.

show abstract

The development of quality indicators to improve psychosocial care in dementia

Abstract: Our multidisciplinary and multinational strategy resulted in a set of unique QIs that aims exclusively at assessing the quality of psychosocial dementia care. Following implementation, these QIs will assist dementia care professionals to individualize and tailor psychosocial interventions.

Cited by 24 publications

References 23 publications

Consensus on quality indicators to assess the organisation of palliative cancer and dementia care applicable across national healthcare systems and selected by international experts

Consensus on quality indicators to assess the organisation of palliative cancer and dementia care applicable across national healthcare systems and selected by international experts

Psychosocial interventions for dementia patients in long-term care

Longitudinal evaluation of dementia care in German nursing homes: the “DemenzMonitor” study protocol

Contact Info

Product

Resources

About