The provision of accredited higher education on dementia in six European countries: An exploratory study

Hvalič-Touzery, Simona; Skela-Savič, Brigita; MacRae, Rhoda; Jack-Waugh, Anna; Tolson, Debbie; Hellström, Amanda; Abreu, Wilson; Pesjak, Katja

doi:10.1016/j.nedt.2017.10.010

Cited by 29 publications

(30 citation statements)

References 21 publications

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“…We uncovered descriptions of collaborative working for the benefit of the patient and broad concern for patients, that are consistent with recent definitions of physiotherapy including: health and wellbeing promotion activities emphasising the importance of physical Asghar-Ali, 2015), suggest that 'investment in inter-professional evidence-based education is required if we are to respond effectively and compassionately to the needs of people living with dementia and their families' (Hvalič-Touzery et al, 2018). Our research highlighted a need for dialogue to occur between referrers and providers of physiotherapy around the role.…”

Section: Implications For Practicesupporting

confidence: 61%

“…Pragmatically, we suggest that attention is given to the provision of education to physiotherapists to enhance their skills, abilities and confidence when managing complexities associated with working in nursing homes with residents with dementia. Those noting failures in healthcare education regarding dementia across Europe (Hvalič‐Touzery et al, ) and the United States (Adler, Lawrence, Ounpraseuth, & Asghar‐Ali, ), suggest that ‘investment in inter‐professional evidence‐based education is required if we are to respond effectively and compassionately to the needs of people living with dementia and their families’ (Hvalič‐Touzery et al, ). Our research highlighted a need for dialogue to occur between referrers and providers of physiotherapy around the role.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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How is the emerging role of domiciliary physiotherapists who treat residents with dementia in nursing homes perceived by allied health professionals? A phenomenological interview study

McCarroll

Riet²,

Halter

2019

Health Soc Care Community

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Dementia affects majority of older residents in nursing homes and physiotherapists are regularly involved with this population. However, little is known about the role of physiotherapists who treat residents with dementia in nursing homes. The aim of this paper was to report on an interpretivist qualitative exploration of the perceptions of both the providers of and referrers to domiciliary physiotherapy for residents with dementia in nursing homes in London. In 2015, we conducted semi‐structured interviews with 10 purposively sampled participants – two were providers of physiotherapy for residents with dementia in nursing homes, five were referrers to these providers and three occupied dual roles. A thematic analysis of the verbatim transcripts identified three main themes. First were perceptions of a multifaceted but unclear role, focused on both conventional ‘physical’ physiotherapy interventions and specialist care, the latter being reliant on knowledge and confidence that physiotherapists did not always feel they possessed. Second were the stated challenges to the role, including the focus and organisation of the nursing home setting, with perceived lack of emphasis on rehabilitation; the progressive and demanding nature of dementia itself; a lack of continuity of nursing home and visiting health professional staff with associated need to entrust physiotherapy intervention to multiple others and the final challenge was the difficulty measuring impact. Third, despite the challenges, enablers of the role were experienced, namely collaborative working and positive previous experiences of referrers. Joining these themes were underpinning concepts of complexity and uncertainty in relation to the physiotherapy role in this setting. This paper highlights a need for enhanced collaborative working in clinical practice, enabled at organisational level, to help address some of the uncertainties expressed around the physiotherapists’ role with residents with dementia in nursing homes and thereby enable improvements to processes and outcomes of their interventions.

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Section: Implications For Practicesupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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How is the emerging role of domiciliary physiotherapists who treat residents with dementia in nursing homes perceived by allied health professionals? A phenomenological interview study

McCarroll

Riet²,

Halter

2019

Health Soc Care Community

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“…The first professional preparation of many health and social care staff to work with and care for people with dementia and their families could be considered inadequate and inconsistent, with many undergraduate programmes having no or limited content on dementia care (Pulsford et al, 2007, Collier et al, 2015. There is a particular lack of dementia education amongst professionals who work outside of mental health, this is an international concern (Hvalič-Touzery et al, 2017). Post-qualifying education has been the predominant strategy to equip staff with knowledge about dementia and improve the quality of dementia care in hospitals across the UK.…”

Section: Introductionmentioning

confidence: 99%

Assessing the educational impact of the dementia champions programme in Scotland: Implications for evaluating professional dementia education

Jack-Waugh

Ritchie

MacRae

2018

Nurse Education Today

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Increasing numbers of people with dementia are living longer with a higher likelihood of requiring hospital care for physical conditions including falls, infections and stroke (Boaden 2016). However, the literature is replete with descriptions of poor care and hospital care experiences that have fallen well below the expectations of people with dementia, their families and friends. Although poor care is unacceptable, it is unsurprising given that dementia education for health and social care professionals is often inadequate and inconsistent. This results in most healthcare staff being ill-equipped and lacking the confidence to work with people living with dementia. The first of Scotland's National Dementia Strategies committed to "improve the response to dementia in general hospital settings including alternatives to admission and better planning for discharge" (Scottish Government, 2010). The educational response was the commissioning of the Dementia Champions programme. Since 2011, the programme has developed over 800 health and social care professionals working in general hospital and related settings to be change agents in dementia care. This article will outline the theoretical underpinning of the programme and present pooled results from four cohorts (2014-2017) (n= 524). A repeated measure design (pre and post programme) was used to measure attitudes towards people with dementia; self-efficacy and knowledge of dementia. The findings suggest that the education had a statistically significant positive effect on all intended outcomes, indicating the potential for practice change. We discuss these findings in relation to the literature, and respond to the calls for high quality evaluation to measure the effectiveness of dementia education, the challenges and potential directions for measuring educational effectiveness and capturing transfer of learning.

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“…Developed through consultation with people with dementia and their carers/family members and across HEDN members, the document mapped existing provision as well as identifying additional core content and learning outcomes. Despite these strides forward, coverage of dementia within pre-qualifying or preparatory educational programmes for the health and social care workforce remains patchy (Hvalič-Touzery et al, 2018). We feel it is also unclear with what quality or depth learning outcomes are being covered where programmes do provide dementia content.…”

Section: Dementia Education Guidancementioning

confidence: 99%

Perspectives: Dementia education in Higher Education Institutions, now and in the future: the role of the professional regulatory bodies in the UK

Knifton

MacRae

Jack-Waugh

et al. 2019

Journal of Research in Nursing

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The provision of accredited higher education on dementia in six European countries: An exploratory study

Cited by 29 publications

References 21 publications

How is the emerging role of domiciliary physiotherapists who treat residents with dementia in nursing homes perceived by allied health professionals? A phenomenological interview study

How is the emerging role of domiciliary physiotherapists who treat residents with dementia in nursing homes perceived by allied health professionals? A phenomenological interview study

Assessing the educational impact of the dementia champions programme in Scotland: Implications for evaluating professional dementia education

Perspectives: Dementia education in Higher Education Institutions, now and in the future: the role of the professional regulatory bodies in the UK

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