Background
Dementia, a progressive, devastating and incurable disease affects millions of older Americans and their caregivers. Effective dementia-training programs for caregivers and healthcare professionals (HP) can lead to improved patient outcomes. Simulation-educational experiences are innovative with long-lasting impact. Currently, there are no simulation hands-on experiences focused on dementia care to train HP or hired caregivers (HC). Objective: To evaluate the educational effectiveness of a Dementia Immersion Simulation Experience (DISE) intervention among HP and HC.
Methods
DISE is a face-to-face 2-hour intervention that includes virtual reality, hands-on simulation with multiple sensory experiences, group debriefing led by dementia-caregiving expert. Program evaluation and pre/post knowledge assessments were administered.
Results
Nf110. HP, Nf72; HC, Nf25. Pre/post mean score of knowledge assessment (scale 0–12) for all was 8.3/9.7 (p < 0.0001). Participants were also grouped by whether they were “well-informed” (achieving 10 or better on knowledge assessment) or had “knowledge gap” (9 or fewer). 25% were well-informed on dementia before DISE; 63% after DISE (p < 0.0001). DISE program evaluation showed 98% participants highly rated experience across all categories. Evaluation scores further support an effective program. Furthermore, number of clinical referrals seeking expertise from a dementia specialist/team increased by 50% two months post-intervention.
Conclusion
DISE is a successful tool to teach, support and empower HP and HC, effectively changing care provided to individuals with dementia by using hands-on simulation training. Further studies are needed to evaluate the effectiveness of DISE in improving behavioral symptoms, training family caregivers, and decreasing other dementia-related undesirable outcomes such as nursing home placement.
A farmacoeconomia auxilia na determinação e acompanhamento de condutas que promovam os melhores resultados com os recursos investidos na assistência à saúde. As ações voltadas a esse contexto podem auxiliar na maximização de eficiência tanto assistencial quanto financeira. Sendo assim, o presente estudo pretende identificar a partir de um indicador composto o impacto financeiro produzido através das intervenções farmacêuticas e aplicação de protocolos clínicos e indicadores em um hospital privado do interior de Pernambuco. Para tanto, foi realizado um estudo descritivo, retrospectivo, de abordagem quantitativa, com análise de dados próprios no período de janeiro de 2020 a dezembro de 2021 com foco nos resultados associados ao indicador de farmacoeconomia da instituição, relacionados ao uso racional de anestésicos, antimicrobianos, protetores gástricos, assim como do uso de medicamentos não padronizados na unidade e da conformidade das condutas terapêuticas, de modo geral. Esperando-se assim, demonstrar que as intervenções farmacêuticas e a instituição de protocolos e indicadores direcionados, podem, em conjunto, auxiliar na promoção da segurança e qualidade na assistência ao passo que promovem impacto financeiro positivo dentro das unidades de saúde.
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