Staff Perspectives on Dementia Care in Nursing Homes: A Pre-Implementation, Content Analysis Study Guided by the Practical, Robust Implementation and Sustainability Model.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2024-02-01 DOI:10.3928/00989134-20231215-01

Natalie F Douglas, Abigail Snell, Joan G Carpenter

{"title":"Staff Perspectives on Dementia Care in Nursing Homes: A Pre-Implementation, Content Analysis Study Guided by the Practical, Robust Implementation and Sustainability Model.","authors":"Natalie F Douglas, Abigail Snell, Joan G Carpenter","doi":"10.3928/00989134-20231215-01","DOIUrl":null,"url":null,"abstract":"Purpose: To assess implementation context prior to the implementation of Dementia Collaborative Coaching (DCC), a person-centered, communication coaching intervention for speech-language pathologists, certified nursing assistants, and people living with dementia in nursing homes.Methods: This was a pre-implementation, content analysis of focus groups. Focus group questions and subsequent analysis were guided by the Practical, Robust Implementation and Sustainability Model.Results: Employees (N = 27) from three nursing homes participated in five focus groups. Five themes from directed content analysis included (a) Dementia Care Needs Improvement; (b) Dementia Collaborative Coaching Appears Promising; (c) Awareness of Necessary Implementation and Sustainability Plans; (d) Regulations Need Accurate Interpretation and Local Dissemination; and (e) Appropriate Staffing Concerns.Conclusion/implications: Key factors related to the implementation of DCC included a perceived tension for change from staff to improve dementia care, concerns about appropriate staffing, and the need for explicit implementation and sustainability plans. The importance of continuing education with specific attention to temporary staff was also found to be a necessary element to support better uptake of the person-centered intervention. [Journal of Gerontological Nursing, 50(2), 5-9.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 2","pages":"5-9"},"PeriodicalIF":1.1000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11043962/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20231215-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To assess implementation context prior to the implementation of Dementia Collaborative Coaching (DCC), a person-centered, communication coaching intervention for speech-language pathologists, certified nursing assistants, and people living with dementia in nursing homes.

Methods: This was a pre-implementation, content analysis of focus groups. Focus group questions and subsequent analysis were guided by the Practical, Robust Implementation and Sustainability Model.

Results: Employees (N = 27) from three nursing homes participated in five focus groups. Five themes from directed content analysis included (a) Dementia Care Needs Improvement; (b) Dementia Collaborative Coaching Appears Promising; (c) Awareness of Necessary Implementation and Sustainability Plans; (d) Regulations Need Accurate Interpretation and Local Dissemination; and (e) Appropriate Staffing Concerns.

Conclusion/implications: Key factors related to the implementation of DCC included a perceived tension for change from staff to improve dementia care, concerns about appropriate staffing, and the need for explicit implementation and sustainability plans. The importance of continuing education with specific attention to temporary staff was also found to be a necessary element to support better uptake of the person-centered intervention. [Journal of Gerontological Nursing, 50(2), 5-9.].

查看原文本刊更多论文

养老院员工对痴呆症护理的看法：以实用、稳健的实施和可持续性模式为指导的实施前内容分析研究。

目的：评估痴呆症协作辅导（DCC）实施前的实施背景，DCC 是一种以人为本的沟通辅导干预措施，适用于养老院中的言语病理学家、认证护理助理和痴呆症患者：这是一项实施前的焦点小组内容分析。焦点小组的问题和后续分析均以实用、稳健的实施和可持续性模式为指导：来自三家疗养院的员工（N = 27）参加了五个焦点小组。指导性内容分析的五个主题包括：（a）痴呆症护理需要改进；（b）痴呆症协作辅导似乎大有可为；（c）对必要的实施和可持续性计划的认识；（d）法规需要准确的解释和本地传播；以及（e）适当的人员配备问题：与实施 DCC 有关的关键因素包括：员工对改善痴呆症护理的变革感到紧张、对适当人员配备的担忧，以及需要制定明确的实施和可持续发展计划。研究还发现，继续教育的重要性，特别是对临时员工的关注，是支持更好地采取以人为本的干预措施的必要因素。[老年护理杂志》，50（2），5-9]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.