Implementing Dementia Care Mapping to develop person‐centred care: results of a process evaluation within the <scp>L</scp>eben‐<scp>QD II</scp> trial

Quasdorf, Tina; Riesner, Christine; Dichter, Martin N.; Dortmann, Olga; Bartholomeyczik, Sabine; Halek, Margareta

doi:10.1111/jocn.13522

Cited by 38 publications

(99 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several studies of DCM in nursing home settings reported difficulties similar to ours in fulfilling the DCM-preconditions. These studies concluded that to reach optimal effect of DCM, the implementation requires strong and accurate attention (Brownie & Nancarrow, 2013;Chenoweth et al, 2015;Dichter et al, 2015;Jaycock et al, 2006;Jeon et al, 2012;Quasdorf et al, 2017;Rokstad, Vatne, Engedal, & Selbaek, 2015;Van de Ven, 2014). Increasing the number of realized preconditions is likely to increase the success of the implementation (Chenoweth et al, 2015;Rokstad et al, 2015;Van de Ven et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study

Schaap

Fokkens

Reijneveld

et al. 2018

Research Intellect Disabil

View full text Add to dashboard Cite

Background The number of people with intellectual disability and dementia increases; this combination causes behavioural changes. Dementia Care Mapping (DCM) supports staff in dementia care in nursing homes and may be useful in intellectual disability‐care. This qualitative study examines the feasibility of DCM for older people with intellectual disability and dementia. Methods The present authors obtained data in focus groups and interviews with professional users and analysed using a framework for feasibility studies. With experts in dementia and intellectual disability researches, the present authors determined the overall feasibility. Results DCM was found to be feasible in intellectual disability‐care, regarding five domains of feasibility. Staff reported DCM to be useful and valuable and addresses to their demand for skills and knowledge. All professional users found DCM feasible in intellectual disability‐care, which was confirmed by experts. Conclusions DCM is feasible in intellectual disability‐care. When fully tailored to intellectual disability‐care, DCM is useful and provides opportunities to assess its effectiveness.

show abstract

Section: Discussionmentioning

confidence: 99%

Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study

Schaap

Fokkens

Reijneveld

et al. 2018

Research Intellect Disabil

View full text Add to dashboard Cite

show abstract

“…Table 2 provides a detailed overview of the quality assessments of the studies. On a scale from 0 to 10 (the higher the more quality), five studies scored 5 to 7 points (Borbasi et al, 2011;Kovach et al, 2008;McAiney et al, 2007;Stein-Parbury et al, 2012;Wingenfeld et al, 2011), and ten studies scored 8 to 10 points (Appelhof et al, 2018;Boersma et al, 2016;Bourbonnais et al, 2018;Ellard et al, 2014;Van Haeften-Van Dijk et al, 2015;Latham and Brooker, 2017;Lawrence et al, 2016;Mekki et al, 2017;Quasdorf et al, 2016;Zwijsen et al, 2014b).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Complexity was addressed in ten articles (Boersma et al, 2016;Bourbonnais et al, 2018;Van Haeften-Van Dijk et al, 2015;Kovach et al, 2008;Latham and Brooker, 2017;McAiney et al, 2007;Quasdorf et al, 2016;Stein-Parbury et al, 2012;Wingenfeld et al, 2011;Zwijsen et al, 2014b). Six articles reported that perceived easiness to apply the intervention in everyday working life was a facilitator (Boersma et al, 2016;Bourbonnais et al, 2018;Van Haeften-Van Dijk et al, 2015;McAiney et al, 2007;Stein-Parbury et al, 2012;Wingenfeld et al, 2011).…”

Section: Barriers and Facilitatorsmentioning

confidence: 99%

“…Structural characteristics were addressed by eight articles (Appelhof et al, 2018;Boersma et al, 2016;Bourbonnais et al, 2018;Ellard et al, 2014;Van Haeften-Van Dijk et al, 2015;Latham and Brooker, 2017;Quasdorf et al, 2016;Zwijsen et al, 2014b). Facilitating factors were a well-functioning and stable team, a less hierarchical structure and flexible organizational structures, being specialized in dementia care (Quasdorf et al, 2016), and having a small-scale care setting and rural environment (Boersma et al, 2016). Barriers regarding high patient-to-caregiver ratios (Bourbonnais et al, 2018), and multiple levels of management made access to resources challenging (Latham and Brooker, 2017).…”

Section: Domain 3 Inner Settingmentioning

confidence: 99%

“…Half of the articles found staff turnover/ absenteeism/fluctuations, shortages, and changing positions to be an impeding factor (Appelhof et al, 2018;Boersma et al, 2016 Networks and communications was mentioned by all but three articles (Borbasi et al, 2011;McAiney et al, 2007;Wingenfeld et al, 2011). Facilitators were communication and contact between staff members and across disciplines (Van Haeften-Van Dijk et al, 2015; Kovach et al, 2008;Stein-Parbury et al, 2012), an open communication climate (Quasdorf et al, 2016), and support within the team (Boersma et al, 2016;Latham and Brooker, 2017;Mekki et al, 2017). Implementation benefitted from regular multidisciplinary meetings (Appelhof et al, 2018), whereas lack of (formal) meetings between staff hindered implementation (Bourbonnais et al, 2018;Ellard et al, 2014;Zwijsen et al, 2014b).…”

Section: Domain 3 Inner Settingmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review on barriers and facilitators of complex interventions for residents with dementia in long-term care

Kormelinck

Janus

Smalbrugge

et al. 2020

Int. Psychogeriatr.

View full text Add to dashboard Cite

Objectives: Psychotropic drugs are frequently and sometimes inappropriately used for the treatment of neuropsychiatric symptoms of people with dementia, despite their limited efficacy and side effects. Interventions to address neuropsychiatric symptoms and psychotropic drug use are multifactorial and often multidisciplinary. Suboptimal implementation of these complex interventions often limits their effectiveness. This systematic review provides an overview of barriers and facilitators influencing the implementation of complex interventions targeting neuropsychiatric symptoms and psychotropic drug use in long-term care. Design: To identify relevant studies, the following electronic databases were searched between 28 May and 4 June: PubMed, Web of Science, PsycINFO, Cochrane, and CINAHL. Two reviewers systematically reviewed the literature, and the quality of the included studies was assessed using the Critical Appraisal Skills Programme qualitative checklist. The frequency of barriers and facilitators was addressed, followed by deductive thematic analysis describing their positive of negative influence. The Consolidated Framework for Implementation Research guided data synthesis. Results: Fifteen studies were included, using mostly a combination of intervention types and care programs, as well as different implementation strategies. Key factors to successful implementation included strong leadership and support of champions. Also, communication and coordination between disciplines, management support, sufficient resources, and culture (e.g. openness to change) influenced implementation positively. Barriers related mostly to unstable organizations, such as renovations to facility, changes toward self-directed teams, high staff turnover, and perceived work and time pressures. Conclusions: Implementation is complex and needs to be tailored to the specific needs and characteristics of the organization in question. Champions should be carefully chosen, and the application of learned actions and knowledge into practice is expected to further improve implementation.

show abstract

Organizational interventions for promoting person-centred care for people with dementia

Dichter

Reuther

Trutschel

et al. 2019

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Implementing Dementia Care Mapping to develop person‐centred care: results of a process evaluation within the Leben‐QD II trial

Abstract: The identified facilitating factors can guide Dementia Care Mapping implementation strategy development.

Cited by 38 publications

References 26 publications

Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study

Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study

Systematic review on barriers and facilitators of complex interventions for residents with dementia in long-term care

Organizational interventions for promoting person-centred care for people with dementia

Contact Info

Product

Resources

About