A multicentre survey of acute hospital nursing staff training in dementia care

Coffey, Alice; Tyrrell, Mark; Buckley, Mary; Manning, Edmund; Browne, Vanessa; Barrett, Aoife; Timmons, Suzanne

doi:10.5430/cns.v2n4p39

Cited by 24 publications

(27 citation statements)

References 18 publications

(27 reference statements)

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“…An element highlighted from this review was health care professionals' lack of preparation to care for and support acutely unwell patients with cognitive impairment . This is consistent with previous findings, as nurses and doctors have both reported receiving insufficient education and training to support acutely unwell patients with dementia . Traditionally, undergraduate health professional programmes have focused on the medical model of the provision of short‐term interventions related to positive outcomes from an acute medical condition, rather than more complex psychosocial care related to long‐term conditions that also impact on cognition, such as dementia .…”

Section: Discussionsupporting

confidence: 77%

“…32 This is consistent with previous findings, as nurses and doctors have both reported receiving insufficient education and training to support acutely unwell patients with dementia. 42,43 Traditionally, undergraduate health professional programmes have focused on the medical model of the provision of short-term interventions related to positive outcomes from an acute medical condition, rather than more complex psychosocial care related to long-term conditions that also impact on cognition, such as dementia. 16 However, a number of undergraduate programmes have been developed to focus on person-centred care and long-term conditions 44 and more recently in the UK mandatory inclusion of dementia training in all undergraduate health care programmes.…”

Section: Understanding the Current Workforcementioning

confidence: 99%

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Elements of a sustainable, competent, and empathetic workforce to support patients with dementia during an acute hospital stay: A comprehensive literature review

Brooke

Ojo

2017

Health Planning & Management

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Internationally, there has been a focus on the development of acute hospital workforces to support and care for people with dementia. Recommendations and initiatives to improve person-centred care in acute hospitals have included: education and training, dementia-specific roles, clinical leads, and environment changes. The aim of this literature review is to understand the elements of a sustainable, competent, and empathetic acute hospital workforce providing person-centred care for patients with dementia. The following databases were searched for literature published in English from January 1, 2006, to August 1, 2016: CINHAL, MEDLINE, PsychINFO, PubMed, and Science Direct. A thematic analysis was applied to develop a meta-synthesis of the data. A total of 12 papers with a range of methodological approaches from various countries were included. Emergent themes were as follows: understanding the current workforce, implementation and evaluation of training, and exploration of new and existing roles. An important element was the sustainability of acute hospital workforces competent in dementia care, as studies highlighted an ageing nursing population and a high turnover of staff. Dementia awareness training was sustainable, although there was a lack of consistency in the length, content, and delivery, which had a viable impact on the provision of empathetic and person-centred care. The lack of consistency of training and specialist dementia roles restricts recommendations from a robust evidence base.

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Section: Discussionsupporting

confidence: 77%

Section: Understanding the Current Workforcementioning

confidence: 99%

Elements of a sustainable, competent, and empathetic workforce to support patients with dementia during an acute hospital stay: A comprehensive literature review

Brooke

Ojo

2017

Health Planning & Management

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“…As the initial Barbara's Story was mandatory, its importance to the organisation was conveyed and ensured that staff had to be released to attend. Previous studies have highlighted difficulties in staff being released for non-mandatory training and the need for organisational support and prioritisation (Smythe et al, 2014;Coffey et al, 2014). In the current project, the chief nurse's leadership of Barbara's Story confirmed its high priority in the Trust.…”

Section: Discussionmentioning

confidence: 69%

Educating a health service workforce about dementia: a qualitative study

Baillie

Sills

Thomas

2016

Quality in Ageing and Older Adults

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PurposePeople who are living with dementia are core health service users but there are ongoing concerns about the quality of their care and the need for improved education of healthcare staff. This paper reports on a qualitative study that investigated staff perspectives of an ethnodrama ('Barbara's Story') which was used to educate an entire health service workforce and promote a person-centred approach to care. Design/Methodology/ApproachThe study used a qualitative, longitudinal design with focus groups held with clinical (nurses, allied health professionals, medical) and non-clinical staff. In Phase 1 there were 10 focus groups (n=67 participants) and one individual interview. In Phase 2 there were 16 focus groups (n=77 participants) and three individual interviews. FindingsBarbara's Story raised awareness of dementia, engaged staff emotionally and prompted empathetic responses and improved interactions. The project's senior leadership, whole organisation and mandatory approach were well-supported, with a perceived impact on organisational culture. The project helped to embed practice developments and initiatives to support person-centred care. Barbara's story is now well integrated into the organisation, thus supporting sustainability. Originality/valueWhilst there are increasing resources for educating about dementia, there are fewer evaluations, particularly for large-scale initiatives, and there is a lack of focus on long-term effects. The study findings indicate that education about dementia can be delivered to a whole work force in a sustainable manner, to prompt empathy, raise awareness, support person-centred care and impact on individual behaviour and organisational culture.

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“…Furthermore, limited knowledge and understanding of dementia among general hospital staff, coupled with organisational constraints on a busy hospital ward and traditional task approaches to care within acute settings, can contribute to negative attitudes towards people living with dementia and challenges to the ability to provide person-centered care (10,12,19,20). Previous studies have shown that, despite availability of a national education programme specifically for acute hospital staff, the provision and uptake of such education in Irish acute hospitals is poor (14,21) and that staffing levels and lack of resources may be a barrier to staff attending dementia training (14). The Irish National Dementia Strategy (9) has proposed some actions to address the needs of people with dementia in a more responsive and individualised manner.…”

Section: Introductionmentioning

confidence: 99%

Acute hospital staff’s attitudes towards dementia and perceived dementia knowledge: a cross-sectional survey in Ireland

Keogh

Daly

et al. 2020

Preprint

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Background: Little is known about staff’s attitudes in Irish acute hospital settings towards people living with dementia and their perceived dementia knowledge. The objective of this study was to understand the general level of dementia knowledge and attitudes towards dementia in different types of hospital staff, as well as to explore the potential influence of previous dementia training and experience (having a family member with dementia) and the potential moderating effects of personal characteristics. Methods: A cross-sectional survey was carried out among a diverse range of hospital staff (n = 1795) in three urban acute general hospitals in Ireland, including doctors, nurses, healthcare attendants, allied professionals, and general support staff. Participants’ perceived dementia knowledge and attitudes were assessed as well as their previous dementia training and experience. To measure participant’s attitude towards dementia, the validated Approaches to Dementia Questionnaire (ADQ) was used. Results : Hospital staff demonstrated positive attitudes towards people living with dementia, and believed they had a fair to moderate understanding of dementia. Both ‘having previous dementia training’ and ‘having a relative living with dementia’ predicted attitude towards dementia and perceived dementia knowledge. Interestingly, certain personal staff characteristics did impact dementia training in predicting attitude towards dementia and perceived dementia knowledge. Conclusion : This study provides a baseline of data regarding the attitudes towards dementia and perceived dementia knowledge for hospital staff in Irish acute hospitals. The results can inform educational initiatives that target different hospital staff, in order to increase awareness and knowledge to improve quality of dementia care in Irish hospitals.

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A multicentre survey of acute hospital nursing staff training in dementia care

Cited by 24 publications

References 18 publications

Elements of a sustainable, competent, and empathetic workforce to support patients with dementia during an acute hospital stay: A comprehensive literature review

Elements of a sustainable, competent, and empathetic workforce to support patients with dementia during an acute hospital stay: A comprehensive literature review

Educating a health service workforce about dementia: a qualitative study

Acute hospital staff’s attitudes towards dementia and perceived dementia knowledge: a cross-sectional survey in Ireland

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