Dementia care in acute hospitals: A framework for practice development and theory‐based evaluation

Karrer, Melanie; Zeller, Adelheid; Mayer, Hanna

doi:10.1002/nop2.1389

Cited by 4 publications

(2 citation statements)

References 41 publications

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“…A framework for implementing dementia care in acute hospitals reveals that a person-centred hospital culture with person-centred structures and processes has already to be in place. This proves to be the precondition for a successful implementation of optimal dementia care [15]. [29] underline the importance of workplace cultures for realizing personcentred care.…”

Section: Discussionmentioning

confidence: 95%

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Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Adlbrecht

Karrer

Helfenberger

et al. 2023

Preprint

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Background: Implementing dementia care interventions in an acute hospital poses multiple challenges. To understand factors influencing the implementation, in-depth knowledge about specific facilitators and barriers is necessary. The aim of this study was to identify facilitators and barriers to implementing a multicomponent, interprofessional concept of a specialized unit for persons with cognitive impairment in an acute geriatric hospital. Methods:We conducted a process evaluation as part of a participatory action research study. For data collection, semi-structured individual interviews with fifteen professionals involved in the implementation of the specialized unit. We further conducted two focus groups with twelve professionals working on other units of the geriatric hospital. We performed a qualitative content analysis following Kuckartz’s content-structuring analysis scheme. Results: We identified the following barriers to implementing the concept: uncontrollable contextual changes (e.g., COVID-19 pandemic), staff turnover in key functions, high fluctuation in the nursing team, traditional work culture, entrenched structures, inflexible and efficiency-oriented processes, monoprofessional attitude, neglect of project-related communication, and fragmentation of interprofessional cooperation. An established culture of interprofessionalism, an interprofessionally composed project group, cooperation with a research partner, as well as the project groups’ motivation and competence of managing change facilitated the implementation. Conclusions: The implementation faced numerous barriers that can be described using the key constructs of the i-PARIHS framework: context, recipients, innovation, and facilitation. Overcoming these barriers requires an organizational development approach, extended project duration and increased process orientation. Furthermore, strategically planned, precise and ongoing communication towards all persons involved seems crucial. Differences between the work cultures of the professions involved deserve particular attention with regard to project-related roles and processes.

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Section: Discussionmentioning

confidence: 95%

“…To address this demanding situation, recent research emphasizes the need for multicomponent and interprofessional interventions, including comprehensive organizational development in the acute hospital [15].…”

mentioning

confidence: 99%

Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Adlbrecht

Karrer

Helfenberger

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

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Dementia care in acute hospitals: A framework for practice development and theory‐based evaluation

2022

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Aim The aim was to generate a framework for dementia care in acute hospitals. Design Framework development with logic modelling. Methods In phase one, we identified relevant elements of the framework by analysing several sources and by critically discussing them within the research team. We created the framework with logic modelling. In phase two, we adapted the framework in expert workshops and by reanalysing the included sources. We used the first stage of CReDECI 2 checklist for reporting. Results The framework describes necessary activities within four main bundles of measures: “developing structures and processes,” “developing competences and attitudes,” “building relationships” and “ensuring a social environment and adequate stimulation.” The overarching outcome is a person‐centred hospital culture, manifesting itself on different levels. The framework illustrates the necessity of an organization‐wide person‐centred culture for achieving positive outcomes for people with dementia, their relatives and health professionals.

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Professionelle Pflege als soziales Handeln in komplexen Systemen

Mayer

2023

Pflege

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Dementia care in acute hospitals: A framework for practice development and theory‐based evaluation

Cited by 4 publications

References 41 publications

Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Facilitators and barriers to implementing a specialized care unit for persons with cognitive impairment in an acute geriatric hospital: A process evaluation

Dementia care in acute hospitals: A framework for practice development and theory‐based evaluation

Professionelle Pflege als soziales Handeln in komplexen Systemen

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