166Dementia Friendly Hospitals from a Universal Design Approach: Research and Guidelines to Support People with Dementia, Accompanying Persons and Visitors

Understanding the knowledge and engagement of facilities management with dementia-friendly design in Irish hospitals: an exploratory study

“…Respondents were also asked about their views on the importance of their engagement in hospital development and refurbishment projects. DFD in the Hospital : This section on the survey involved questions to gauge respondent awareness of DFD. The respondents were asked to provide their impressions relating to the importance of DFD across a number of spatial scales, ranging from: hospital approach, site and access; site design and on-site circulation; building entry and internal circulation; internal environment (patient spaces, such as waiting areas and public spaces, such as cafes); external spaces; and individual building components. Barriers and Facilitators to Making Changes to the Hospital Environment to Support PLWD: As noted above, this scoping study resulted from a large-scale research project on DFD in hospital environments (Grey et al , 2018). One of the key findings, which emerged over the course of the engagement process with medical and clinical staff in hospitals, was the identification of a number of facilitators and barriers to supporting DFD.…”

“…This exploratory study stems from research conducted between 2015–2018 focussing on dementia-friendly design (DFD) in hospitals (Grey et al , 2018). Specifically, this paper focusses on one part of the overall stakeholder engagement process, an exploratory study conducted with hospital facilities management (FM) staff in Irish hospitals to gain a preliminary understanding of the level of knowledge and engagement of FM in the implementation of dementia-friendly hospital (DFH) design.…”

“…In response to the above challenges, research and guidelines have been produced that typically focus on hospital service users (PWLD and their families and friends) (Grey et al , 2018; Fleming and Bennett, 2014; van Hoof and O’Brien, 2014; Livingston et al , 2017) clinicians of many disciplines (Jansen et al , 2017; Handley et al , 2019) and administrators (Grey, 2018a; Leggett et al , 2019); however, there has been little in terms of FM. Given that FM has responsibility for many key issues in the physical hospital environment, their perspective is invaluable to reinforce the development of DFH.…”

Designing Dementia Care Pathways to Transform Non Dementia-Friendly Hospitals: Scoping Review

“…National and international guidelines found were mostly based on the implementation and practical information when designing a dementia care pathway. Relevant guidelines were found such as the ones by Grey [66] and Halsall & Mcdonald [67] designed for healthcare centers and other living spaces for PwD and paying special attention to users' feedback and architectonical elements. However other institutions have published information focused not only on the design but in the care process such as by the National Collaborating Centre for Mental Health [68].…”

Stakeholder perspectives of the dementia-friendly hospital: A qualitative descriptive focus group study

“…Some of these suboptimal outcomes are described as negative patterns of resistance (Featherstone et al, 2019), increased confusion (Allwood et al, 2017), and a lack of dignity in care (Innes et al, 2016). A broad array of political requirements has resulted in several dementia-friendly hospital strategies and initiatives worldwide (Dementia Action Alliance, n.d; Grey et al, 2018; Ministry of Health and Care, 2016; The Scottish Government, 2017), and the Danish national dementia strategy includes a focus on the development of dementia-friendly hospitals (Ministry of Health, 2017).…”