The intersection of culture in the provision of dementia care: A systematic review

Brooke, Joanne; Cronin, Camille; Stiell, Marlon; Ojo, Omorogieva

doi:10.1111/jocn.13999

Cited by 25 publications

(15 citation statements)

References 52 publications

(146 reference statements)

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“…Although there is an expectation that staff working in New Zealand hospitals attained a minimum IELTS score of 7.0, there always remains the possibility that questions posed, as they are in the ADQ, were misunderstood. Also cultural values in regard to people with dementia vary across cultures (Brooke, Cronin, Stiell, & Ojo, 2017). For example, in the context of the US study – set in care home facilities (Zimmerman et al., 2005) – it was shown that Black and other minority staff were less likely than Whites to report person-centred care.…”

Section: Discussionmentioning

confidence: 99%

Investigation into attitudes towards older people with dementia in acute hospital using the Approaches to Dementia Questionnaire

Vries

Drury-Ruddlesden

McGill³

2019

Dementia

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Background Health care professionals have poor recognition of cognitive impairment among older patients and often have difficulties in providing care for people with dementia in acute hospitals. There are also reported high levels of stigma and negative staff attitudes towards people with dementia. Methodology A one-time survey of staff working on acute medical and orthopaedic wards of five District Health Boards in New Zealand using the ‘Approaches to Dementia Questionnaire’; a 19-item Questionnaire that aims to capture two attitudinal domains (Hope and Person-Centredness), towards people with dementia. A total of 563 questionnaires were distributed. Data were analysed using R. Results Three hundred and four (53.99%) respondents completed the survey. Ninety-four of the respondents (31.1%) were aged 51 years or older, and nearly all (88.4%) were women. One hundred and sixty-four of the respondents (53.9%) were registered nurses, 10 were student nurses (3.3%), 24 (7.9%) were healthcare assistants, 70 (23.0%) were allied health professionals, 27 (8.9%) were doctors and 9 (3%) were pharmacists. The mean total score of 72.7 reflected positive attitudes overall on the part of the respondents. Allied health professionals, student nurses and pharmacists had high scores on both scales whilst healthcare assistants scored lowest on both scales. Conclusion Overall, the Approaches to Dementia Questionnaire is a useful measure, but it can be difficult to differentiate between genuine attitudinal differences and confounding influences such as level of knowledge and education amongst such a diverse group of participants. Differences between staff may be considered as a reflection of the high level of direct care that is expected of some staff and not of others. Further, the Approaches to Dementia Questionnaire may not be the most appropriate measure to accurately understand attitudes to dementia care in acute environments; and that it more usefully reveals knowledge about dementia rather than attitudes related to real-time practice.

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Section: Discussionmentioning

confidence: 99%

Investigation into attitudes towards older people with dementia in acute hospital using the Approaches to Dementia Questionnaire

Vries

Drury-Ruddlesden

McGill³

2019

Dementia

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“…The Workgroup recommends a personcentred, cultural competency framework [45] that addresses: (1) experiences of persons living with dementia and caregivers; (2) their lived environment; and (3) their socio-cultural context. The sociocultural context includes attitudes, values, beliefs, and behaviours of cultures, as well as how these intersect with age, race, ethnicity, gender/gender identity, sexual orientation, and relationship to persons living with dementia, as well as account for educational background, social class, linguistics, religion, and other social and behavioural determinants of health [46,47].…”

Section: Summit Third Theme: Technology Evidence-based Practices Culturally Competent Carementioning

confidence: 99%

Research Recommendations to Address Dementia Workforce Development Needs

Weiss¹,

Tumosa²,

Espinoza³

et al. 2021

OBM Geriatrics

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This policy paper presents workforce development recommendations for research, clinical care and public stakeholders as they plan future research activities to strengthen the workforce to support the healthcare and social needs of persons living with dementia and their families and caregivers. To create these recommendations, the 2020 National Research Summit on Care, Services and Supports for Persons with Dementia and Their Caregivers (2020 Summit) convened a Workforce Development Stakeholder Workgroup. The Stakeholder Workgroup consisted of an interprofessional team of health professionals from academia, professional organizations, and the federal government with expertise in dementia workforce development. The resulting ten workforce development recommendations represent four themes: (1) Accountability by addressing progress towards implementing the 2017 Research Summit on Care, Services, and Supports for Persons with Dementia and their Caregivers (2017 Summit) workforce recommendations; (2) Improving recruitment, retention, and job quality for direct care workers; (3) Creating a tech-savvy and culturally competent workforce; and (4) Developing educational core competencies, domains and milestones. These recommendations will positively impact the ability of persons living with dementia and their caregivers to access person- and family-centred dementia care that promotes independence and quality of life among those navigating their dementia journey.

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“…Ageism can be overcome by understanding the different cultures of older people, how care is provided and ageing perceived. With particular reference to older person care and dementia the provision of culturally appropriate person-centred care has been identified as essential (Brooke et al 2017).…”

Section: Attitudes Predict Behaviourmentioning

confidence: 99%

Using the Relating to Older People Evaluation tool to measure ageism in higher education

Cronin

Brooke

2019

Nursing Older People

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The global population is ageing, and this trend is expected to continue. Cultures around the world socialise with older people differently with distinctive attitudes towards ageing. Ageism is a complex multifaceted concept that includes attitudes and behaviours. In the UK, ageism and discriminatory practices exist within nursing, and nurse educationalists and clinicians need to address ageist attitudes and promote older people care as healthcare needs increase. Within the context of nursing there is a lack of synthesised evidence which measures ageism amongst nursing students. This paper examines the Relating to Older People Evaluation (ROPE) questionnaire which has been used in different student populations in Higher Education (HE) including nursing students. A systematic search across databases was conducted from June 2007 to December 2017 resulting in 6 quantitative studies. Statistical analysis of ROPE was not possible, so a thematic analysis of the narrative was completed identifying two themes: attitudes predict behaviour and socialisation to ageism in HE. There remains a need to explore ageism and ageist attitudes of student nurses in HE. The ROPE is a suitable tool to measure student nurses' ageist attitudes and behaviours.

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The intersection of culture in the provision of dementia care: A systematic review

Abstract: Open access education and training to support communication is required, alongside the development of robust interventions to support the process of acculturation of migrant healthcare professionals and care workers to provide culturally competent person-centred dementia care.

Cited by 25 publications

References 52 publications

Investigation into attitudes towards older people with dementia in acute hospital using the Approaches to Dementia Questionnaire

Investigation into attitudes towards older people with dementia in acute hospital using the Approaches to Dementia Questionnaire

Research Recommendations to Address Dementia Workforce Development Needs

Using the Relating to Older People Evaluation tool to measure ageism in higher education

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