Optimisation of dementia care in care homes: Dementia care framework (innovative practice)

Royston, Claire; Mitchell, Gary; Sheeran, Colin; Strain, Joanne; Goldsmith, Sue

doi:10.1177/1471301217740009

Cited by 6 publications

(10 citation statements)

References 8 publications

(12 reference statements)

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“…Of the 30 studies included in the review, 16 were qualitative descriptive studies,(13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28) 11 were cross-sectional studies,(28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38) 2 were mixed methods studies,(39, 40) and 1 was a cohort study. (41) Participants included people living with dementia, relatives, staff working in nursing homes, experts in dementia care, administrators and lawyers.…”

Section: Resultsmentioning

confidence: 99%

“…Settings were described as nursing homes (n=20), residential care facilities (n=3), dementia care unit (n=3), care homes (n=2), assisted living facility (n=1) and hospital or nursing homes specialised in palliative care (n=1). Studies were conducted in Australia (n = 8),(15, 16, 17, 26, 28, 30, 40, 42) USA (n = 6),(14, 20, 24, 33, 37, 43) UK (n = 5),(19, 20, 21, 39, 42) Norway (n = 4),(18, 23, 27, 29) the Netherlands (n = 2),(31, 35) Denmark (n = 2),(22, 25) New Zealand (n=1)(42) Sweden (n = 2),(34, 36) Canada (n = 1),(32) Northern Ireland (n = 1),(31) Indonesia (n=1)(13), South Africa (n=1),(42) and Malaysia (n = 1). (41) Two of these studies were conducted in multiple jurisdictions.…”

Section: Resultsmentioning

confidence: 99%

“…This vignette provides examples of quality dementia care from a staff member's point of view. It covers the following themes: determinant of care quality, (13,16,39) personcentred care, (13,16,39) cultural impact, (28,42) meaningful engagement, (19,20) eating and meals, (30,32) the role of family members, (14,15,17,30,31,35,42) care planning, (28,29) activities, (15,18,25,28) end of life care, (31) and staffing. (16,17,28,32,33) Sarah is a nurse working in a nursing home registered to accommodate a maximum of 35 residents.…”

Section: Staffmentioning

confidence: 99%

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Good practice in the provision of care for people living with dementia in nursing homes: a systematic review

Behan,

O’Brien,

Dunbar

et al. 2024

Preprint

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Background The number of people living with dementia across the world is rising, and there is a high and ever increasing proportion of people with dementia living in nursing homes. It is increasingly important that care provision in these services accounts for the specific needs of this cohort. Manifestations of dementia are modifiable with high quality dementia specific care, as such, we need to understand what good practice looks like specifically in these settings. Aim To synthesise empirical research to identify the characteristics of quality in the provision of care for people living with dementia in nursing homes. Methods Four electronic academic databases were searched: Business Complete, CINAHL, MEDLINE and APA PsychInfo. Qualitative, quantitative or mixed-methods studies published between the years of 2020-2023, that aimed to identify determinants of high quality care for people with dementia living in nursing homes, were included. Themes relating to good practices were identified and narratively summarised. Vignettes illustrating good practice were constructed from the perspective of a provider, a staff member, a resident and a family member. Results After screening of 3,356 records, 30 articles were included. This included 16 qualitative descriptive studies, 11 cross-sectional studies, 2 mixed methods studies, and 1 cohort study. Sixteen themes were identified: determinants of care quality, outcomes, person-centred care, cultural impact, care planning, meaningful engagement, eating and meals, the role of family members, restrictive practices, psychotropic medications, activities, materials, health care, end of life care, staffing and staff training. Conclusions The literature identifies what constitutes high quality care for residents with dementia in nursing homes. These findings will guide those delivering care in nursing homes in their daily work and in the implementation of quality improvement processes. It will also direct regulators, policymakers and researchers when conducting future work in this important area.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Staffmentioning

confidence: 99%

See 1 more Smart Citation

Good practice in the provision of care for people living with dementia in nursing homes: a systematic review

Behan,

O’Brien,

Dunbar

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…Other antipsychotic medications that may be prescribed for people with dementia are done so on an 'off-label' basis, meaning that medical practitioners can prescribe these if they believe they have strong evidence to do so. Indeed many practice development programmes over the past number of years have focused on nurse-led interventions which seek to reduce the amount of antipsychotic medications which are administered to people living with dementia in their units (Royston et al 2016, Royston et al 2017. In short, antipsychotic medication should be an absolutely last resort for people living with dementia.…”

Section: Antipsychotic Medicationmentioning

confidence: 99%

Medicines management for people with dementia

Mitchell

Rooney²,

Sheeran

et al. 2018

Nursing Standard

Self Cite

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Provision of dementia care has been evolving over the past number of years. The rise in person-centred approaches to care continues to flourish, particularly the enhancement of wellbeing and alleviation of distress through non-pharmacological interventions. While this is an important facet of dementia care, healthcare professionals must also have a good knowledge base about medications which are important for symptom management in dementia. This CPD article presents an overview of some of the most common medications which may be inappropriately prescribed and used within dementia care, such as antipsychotic, anxiolytic and sedative medications. Furthermore, this article will also consider some common medications which may be more appropriate for people living with dementia, such as cognitive enhancers and analgesia. This CPD article will aid healthcare professionals, who care for people living with dementia, in guiding shared decision-making about appropriate prescriptions of medications with people living with dementia, their family members and the extended multidisciplinary healthcare team.

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“…Nurses, and nursing students, occupy an important role for people with dementia throughout the course of their disease [21]. As the largest single group of healthcare professionals globally, they have an important role in primary, secondary, and tertiary care, and are likely to support the person from pre-diagnosis to end-of-life care [22][23][24]. Whilst there are many types of dementia education, this study sought to explore the experiences of nurses and nursing students that received dementia education using an artist-produced photobook which depicts the journey of a person living with dementia.…”

Section: Introductionmentioning

confidence: 99%

Exploring nurse and nursing student experience of using an artist-produced photobook to learn about dementia

et al. 2022

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Background Improving understanding about dementia in nursing is a priority area for educators and policymakers. This is due to poor professional understanding about dementia and suboptimal healthcare practice. While many educational interventions exist, there has been a paucity of research which has considered the use of artist-produced photobooks to improve knowledge and understanding about dementia. The aim of this study is to understand the impact of an artist-produced photobook on nurses’ attitudes and beliefs about dementia. Results Following a thematic analysis of four focus group interviews with 22 nurses and nursing students from Northern Ireland, three themes emerged. Theme one was about how the artist-produced photobook helped participants to humanise the person living with dementia. Theme two related to how the artist-produced photobook supported participants to actively construct their own meanings about dementia based on their previous professional and personal experiences. Theme three explored how an artist-produced photobook could be successfully used to complement existing dementia education in the future. Conclusions Using an artist-produced photobook was an innovative way to learn about dementia for nurses and nursing students. The photobook functioned as a tool underpinned by arts-based pedagogy (ABP), supporting nurses to understand the person behind the dementia disease. As such, an artist-produced photobook has the potential to be a useful complementary resource for supporting professional education about dementia.

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Optimisation of dementia care in care homes: Dementia care framework (innovative practice)

Cited by 6 publications

References 8 publications

Good practice in the provision of care for people living with dementia in nursing homes: a systematic review

Good practice in the provision of care for people living with dementia in nursing homes: a systematic review

Medicines management for people with dementia

Exploring nurse and nursing student experience of using an artist-produced photobook to learn about dementia

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