The “Golden Angels”: effects of trained volunteers on specialling and readmission rates for people with dementia and delirium in rural hospitals

Blair, Annaliese; Anderson, Katrina; Bateman, Catherine

doi:10.1017/s1041610218000911

Cited by 21 publications

(56 citation statements)

References 19 publications

(31 reference statements)

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“…Person‐centred volunteer programme: One nonrandomised trial evaluated this therapy. It found no statistically significant difference in BPSD levels between a historical control of patient data and the intervention …”

Section: Resultsmentioning

confidence: 89%

“…Person‐centred volunteer programme: One non‐RCT evaluated this intervention. It reported no statistically significant reduction in number of falls, whereas this intervention did statistically significantly improve 28‐day readmission rates.…”

Section: Resultsmentioning

confidence: 99%

“…Multidisciplinary postoperative programme: One non‐RCT evaluated this intervention . Person‐centred volunteer intervention: One non‐RCT evaluated this intervention. Music therapy: One case‐control study measured the impact of this intervention .…”

Section: Resultsmentioning

confidence: 99%

“…They may also be associated with unmet needs, and an acute hospital admission may worsen BPSD, which can be distressing for both staff and carers . The acute illness, the environment, and care practices “such as imposing hospital routines on the person,” which do not meet the needs of the person living with dementia, can result in distress, resistance to care, dehydration and malnourishment, restraint, or inappropriate treatment with psychotropic medication and can result in poor quality care and management . BPSD have been described as a key challenge in the hospital environment, and hospital staff report they struggle to adequately manage these symptoms …”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11] The acute illness, the environment, and care practices "such as imposing hospital routines on the person," which do not meet the needs of the person living with dementia, can result in distress, resistance to care, dehydration and malnourishment, restraint, or inappropriate treatment with psychotropic medication and can result in poor quality care and management. 12 BPSD have been described as a key challenge in the hospital environment, and hospital staff report they struggle to adequately manage these symptoms. 13,14 A National UK audit of NHS staff caring for people living with dementia highlighted the need for improvements in the environment, personalised care, and staff knowledge improve the management and care of people living with dementia.…”

mentioning

confidence: 99%

See 4 more Smart Citations

The effectiveness of interventions to improve the care and management of people with dementia in general hospitals: A systematic review

Feast

White

Candy

et al. 2020

Int J Geriat Psychiatry

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Background People with dementia are at greater risk of being admitted to hospital where care may not be tailored to their needs. Interventions improving care and management are vital. Aim Assess the effectiveness of interventions designed to improve the care and management of people with dementia in hospital. Method Six medical and trial registry, and grey literature databases were searched (1999‐1998/2018). Search terms included “Dementia,” “Hospital,” and “Intervention” and limited to experimental designs. Interventions designed to improve the care and management of people with dementia in the general hospital setting were examined. Outcomes included behavioural and psychological symptoms of dementia (BPSD), psychosocial, clinical, staff knowledge, and length of hospital stay. The CASP tools, Cochrane risk of bias tool, and GRADE system assessed methodological quality and certainty of evidence. Results 9003 unique citations were identified; 24 studies were included. Studies were limited in study design and their conduct was at a risk of bias. There is very low‐quality evidence that multisensory behaviour therapy reduces BPSD. There is low‐quality evidence that a multidisciplinary programme reduces postoperative complications and that robot‐assisted therapy, music therapy, multimodal‐comprehensive care, person‐centred care, and family‐centred function‐focused care interventions improved staff knowledge, competence, efficacy, and communication. No studies reported reduced length of stay. Conclusions Whilst we found that these interventions improved the care and management of people with dementia in hospital, it was low‐ to very low‐quality evidence. New clinical recommendations cannot be made based on current evidence, and robust trial designs are necessary to inform evidence‐based care.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

The effectiveness of interventions to improve the care and management of people with dementia in general hospitals: A systematic review

Feast

White

Candy

et al. 2020

Int J Geriat Psychiatry

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‘If you want something to happen, you have to do it yourself’: Understanding rural Australian's perspectives of health volunteering

Polson,

Crozier,

Dollman

et al. 2023

Health Prom J of Aust

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Issue AddressedRurality is associated with poorer health outcomes and access to health services, yet a strength of rural living includes community cohesion indicated by high rates of volunteering. While volunteerism is an effective means to target health needs in resource‐restricted contexts, research on volunteerism to address rural Australian health needs is limited. This research aimed to explore rural adults' perspectives of volunteerism in local activities and programs that had a direct health related benefit (health volunteering).MethodsEight people from the Murray Mallee region of South Australia participated during April 2021, ranging in age from 32 to 75 years. Participants were invited to one‐on‐one interviews that occurred via a phone call or teleconference meeting, which were audio‐recorded and transcribed verbatim to facilitate thematic analysis.ResultsSeven main themes emerged. Participants identified that (1) health volunteering takes many forms, (2) health volunteering affords local ownership and accessibility, (3) health volunteers have particular skills and values, but also (4) gain social benefits and learn new skills. Rural health volunteering was also associated with (5) a variety of personal costs, and (6) there are several environmental barriers and (7) facilitators to rural health volunteering that should be considered when designing health programs.ConclusionResults provide insight into how rural communities can enhance the development and application of volunteering roles to support health volunteering.So What?Including local champions, reducing the financial burden and developing support networks for volunteers are practical suggestions to enhance levels of volunteering for health in rural settings.

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Social aspects of dementia and dementia practice

Haapala

Biggs

Kurrle

2018

Int. Psychogeriatr.

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Social aspects of dementia are becoming increasingly important as part of a wider shift in emphasis from cure to care. This is partly because approaches based on finding a cure have proved far more difficult and complex than originally imagined (WHO, 2016). New evidence on the effectiveness of public health measures, that while incidence is growing as the proportion of older people in society increases its prevalence amongst older adults is actually falling, has also lead to increased interest in social dimensions of prevention, lifestyle change, and practical intervention in community settings (Prince et al., 2016; Kivipelto et al., 2017). This, in turn, has led to a rediscovery of the role of supports to people living with dementia in their daily lives, the needs of informal carers, and professional activities that can maintain the social engagement of each party (Winblad et al., 2016). The expansion of practice around person-centered care, beyond traditional institutional settings, has also contributed to a socialized view of how interactions in dementia care are thought about (Bartlett et al., 2017), as has an increased awareness of the effects of the social construction of dementia in the public mind (Biggs, 2018). Most recently, people living with dementia, and particularly with respect to younger onset dementia, have begun to find a voice and to make connections to the wider disability movement (Dementia Alliance International, 2017). Each of these developments, in their different ways, have led to a re-emphasis on psycho-social elements of dementia, its experience, and how that might translate into clinical practice and service delivery.

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The “Golden Angels”: effects of trained volunteers on specialling and readmission rates for people with dementia and delirium in rural hospitals

Cited by 21 publications

References 19 publications

The effectiveness of interventions to improve the care and management of people with dementia in general hospitals: A systematic review

The effectiveness of interventions to improve the care and management of people with dementia in general hospitals: A systematic review

‘If you want something to happen, you have to do it yourself’: Understanding rural Australian's perspectives of health volunteering

Social aspects of dementia and dementia practice

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