Knowledge, attitudes and skills of dementia care in general practice: a cross-sectional study in primary health settings in Beijing, China

Wang, Meirong; Xu, Xiaojingyuan; Huang, Yu‐Chen; Shao, Shuang; Chen, Xiaolei; Li, Jing; Du, Juan

doi:10.1186/s12875-020-01164-3

Cited by 35 publications

(46 citation statements)

References 27 publications

(30 reference statements)

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“…For example, almost 99% of PwD living at home consult their GP at least once a year [ 14 ]. Despite empirical evidence reporting that GPs acknowledge dementia care as a relevant topic and show positive attitudes towards the care of PwD, GPs find many aspects of dementia care to be challenging [ 15 ]. The vast majority of previous research has focused on examining and improving primary care for dementia at an individual level of GPs.…”

Section: Introductionmentioning

confidence: 99%

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

et al. 2021

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Background General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the role of the German Dementia Guideline in primary care remains unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices. Methods A cross-sectional analysis of data obtained from the DemTab study was conducted. Descriptive analyses of sociodemographic and clinical characteristics for GPs (N = 28) and PwD (N = 91) were conducted. Adherence to the German Dementia Guideline of GPs was measured at the level of PwD. Linear Mixed Models were used to analyze the associations between adherence to the German Dementia Guideline and GP factors at individual (age, years of experience as a GP, frequency of utilization of guideline, perceived usefulness of guideline) and structural (type of practice, total number of patients seen by a participating GP, and total number of PwD seen by a participating GP) levels as well as between adherence to the German Dementia Guideline and PwD’s quality of life. Results Self-reported overall adherence of GPs was on average 71% (SD = 19.4, range: 25–100). Adherence to specific recommendations varied widely (from 19.2 to 95.3%) and the majority of GPs (79.1%) reported the guideline as only partially or somewhat helpful. Further, we found lower adherence to be significantly associated with higher numbers of patients (γ10 = − 5.58, CI = − 10.97, − 0.19, p = .04). No association between adherence to the guideline and PwD’s quality of life was found (γ10 = −.86, CI = − 4.18, 2.47, p = .61). Conclusion The present study examined the role of adherence to the German Dementia Guideline recommendations in primary care. Overall, GPs reported high levels of adherence. However, major differences across guideline recommendations were found. Findings highlight the importance of guidelines for the provision of care. Dementia guidelines for GPs need to be better tailored and addressed. Further, structural changes such as more time for PwD may contribute to a sustainable change of dementia care in primary care. Trial registration The DemTab trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN15854413). Registered 01 April 2019.

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Section: Introductionmentioning

confidence: 99%

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

et al. 2021

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“…Most of the patients with AD or any other chronic condition are taken care of at home, not hospitals or long-term care facilities, 13,29 so hospital nurses do not encounter many patients with AD.…”

Section: Discussionmentioning

confidence: 99%

“…Different studies that addressed this issue and used ADKS found unsatisfactory knowledge levels among nurses. 9,12,13 A recent systematic review that covered both qualitative and quantitative studies found that nurses had low to satisfactory knowledge regarding AD. 14 This means it is a prevalent problem among nurses that can hinder the caring process.…”

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confidence: 99%

Nurses' knowledge and attitude toward people with Alzheimer's disease: An exploratory study

Aljezawi

2021

Nursing Forum

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Background: Alzheimer's disease (AD) constitutes a significant health problem that affects mainly older people and causes a significant decline in cognitive abilities, thus affecting the quality of life and independence.Aim: The current study aimed at exploring knowledge and attitude toward people with AD among Jordanian nurses.Method: A cross-sectional survey utilizing a self-administered questionnaire was conducted in three Jordanian hospitals. Nurses' attitude was measured using the Dementia Attitude Scale (DAS). Knowledge was measured using the Alzheimer's Disease Knowledge Scale (ADKS).Results: A total of 207 nurses agreed to participate and completed the questionnaire. Most nurses demonstrated poor knowledge of AD with an ADKS score of 17.8 out of 30. In contrast, nurses had a positive attitude toward people with AD, with a total DAS mean score of 83.8 out of 140. Conclusion:Nurses lacked knowledge regarding AD, which could be attributed to insufficient education during university studies or after employment. Attitude toward people with Alzheimer's was positive in general; this implies that nurses have the potential to learn more about AD to enhance the care provided for people with the condition.

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“…For example, almost 99% of PwD living at home consult their GP at least once a year (14). Despite empirical evidence reporting that GPs acknowledge dementia care as a relevant topic and show positive attitudes towards the care of PwD, GPs nd many aspects of dementia care to be challenging (15). The vast majority of previous research has focused on examining and improving primary care for dementia at an individual level of GPs.…”

Section: Introductionmentioning

confidence: 99%

Dementia Care and the Role of Guideline Adherence in Primary Care: Cross-Sectional Findings From the DemTab Study

Lech

O’Sullivan

Drewelies³

et al. 2021

Preprint

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Background: General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the role of the German Dementia Guideline in primary care remains unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices.Methods: A cross-sectional analysis of data obtained from the DemTab study was conducted. Descriptive analyses of sociodemographic and clinical characteristics for GPs (N = 28) and PwD (N = 91) were conducted. Adherence to the German Dementia Guideline of GPs was measured at the level of PwD. Linear Mixed Models were used to analyze the associations between adherence to the German Dementia Guideline and GP factors at individual (age, years of experience as a GP, frequency of utilization of guideline, perceived usefulness of guideline) and structural (type of practice, total number of patients seen by a participating GP, and total number of PwD seen by a participating GP) levels as well as between adherence to the German Dementia Guideline and PwD’s quality of life. Results: Self-reported overall adherence of GPs was on average 71% (SD = 19.4, range: 25 – 100). Adherence to specific recommendations varied widely (from 19.2% to 95.3%) and the majority of GPs (79.1%) reported the guideline as only partially or somewhat helpful. Further, we found lower adherence to be significantly associated with higher numbers of patients (γ10 = -5.58, CI = -10.97, -0.19, p = .04). No association between adherence to the guideline and PwD’s quality of life was found (γ10 = -.86, CI = -4.18, 2.47, p = .61). Conclusion: The present study examined the role of adherence to the German Dementia Guideline recommendations in primary care. Overall, GPs reported high levels of adherence. However, major differences across guideline recommendations were found. Findings highlight the importance of guidelines for the provision of care. Dementia guidelines for GPs need to be better tailored and addressed. Further, structural changes such as more time for PwD may contribute to a sustainable change of dementia care in primary care.Trial registration: The DemTab trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN15854413). Registered 01 April 2019, https://doi.org/10.1186/ISRCTN15854413

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Knowledge, attitudes and skills of dementia care in general practice: a cross-sectional study in primary health settings in Beijing, China

Cited by 35 publications

References 27 publications

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

Dementia care and the role of guideline adherence in primary care: cross-sectional findings from the DemTab study

Nurses' knowledge and attitude toward people with Alzheimer's disease: An exploratory study

Dementia Care and the Role of Guideline Adherence in Primary Care: Cross-Sectional Findings From the DemTab Study

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