Helping staff to implement psychosocial interventions in care homes: augmenting existing practices and meeting needs for support

被引:32
作者
Lawrence, Vanessa [1 ]
Fossey, Jane [2 ]
Ballard, Clive [3 ]
Ferreira, Nicola [1 ]
Murray, Joanna [1 ]
机构
[1] Kings Coll London, Inst Psychiat Psychol & Neurol, London, England
[2] Oxford Hlth NHS Fdn Trust, Oxford, England
[3] Kings Coll London, Wolfson Ctr Age Related Dis, London, England
基金
美国国家卫生研究院;
关键词
care homes; interventions; implementation; qualitative; dementia; staff; QUALITY-OF-LIFE; NURSING-HOMES; DEMENTIA CARE; NONPHARMACOLOGICAL INTERVENTIONS; IMPROVEMENT; PEOPLE; COMMUNICATION; RESIDENTS; SYMPTOMS;
D O I
10.1002/gps.4322
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
ObjectiveTo contribute to an optimised training programme for care staff that supports the implementation of evidence-based psychosocial interventions in long-term care. MethodsQualitative study that involved focus group discussions with 119 care home staff within 16 care homes in the UK. Part of wider clinical trial aimed at developing and evaluating an effective and practical psychosocial intervention and implementation approach for people with dementia in long-term care. Inductive thematic analysis was used to identify themes and interpret the data. ResultsThe findings highlighted that successful training and support interventions must acknowledge and respond to whole home' issues. Three overarching themes emerged as influential: the importance of contextual factors such as staff morale, interpersonal relationships within the home, and experience and perceived value of the proposed intervention. ConclusionsPriority must be given to obtain the commitment of all staff, management and relatives to the training programme and ensure that expectations regarding interaction with residents, participation in activities and the reduction of medication are shared across the care home. Copyright (c) 2015 John Wiley & Sons, Ltd.
引用
收藏
页码:284 / 293
页数:10
相关论文
共 24 条
  • [1] [Anonymous], 2011, OPT TREATM CAR PEOPL
  • [2] Quality improvement implementation in the nursing home
    Berlowitz, DR
    Young, GJ
    Hickey, EC
    Saliba, D
    Mittman, BS
    Czarnowski, E
    Simon, B
    Anderson, JJ
    Ash, AS
    Rubenstein, LV
    Moskowitz, MA
    [J]. HEALTH SERVICES RESEARCH, 2003, 38 (01) : 65 - 83
  • [3] Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work
    Brodaty, H
    Draper, B
    Low, LF
    [J]. JOURNAL OF ADVANCED NURSING, 2003, 44 (06) : 583 - 590
  • [4] Nonpharmacologic interventions for inappropriate behaviors in dementia - A review, summary, and critique
    Cohen-Mansfield, J
    [J]. AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2001, 9 (04) : 361 - 381
  • [5] Effect of enhanced psychosocial care on antipsychotic use in nurshig home residents with severe dementia: cluster randomised trial
    Fossey, J
    Ballard, C
    Juszczak, E
    James, I
    Aldler, N
    Jacoby, R
    Howard, R
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2006, 332 (7544): : 756 - 758A
  • [6] The disconnect between evidence and practice: a systematic review of person-centred interventions and training manuals for care home staff working with people with dementia
    Fossey, Jane
    Masson, Sarah
    Stafford, Jane
    Lawrence, Vanessa
    Corbett, Anne
    Ballard, Clive
    [J]. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2014, 29 (08) : 797 - 807
  • [7] Glaser B. G., 1978, [No title captured]
  • [8] The social and political context of formal dementia care provision
    Innes, A
    [J]. AGEING & SOCIETY, 2002, 22 : 483 - 499
  • [9] It's About Time: Use of Nonpharmacological Interventions in the Nursing Home
    Kolanowski, Ann
    Fick, Donna
    Frazer, Christine
    Penrod, Janice
    [J]. JOURNAL OF NURSING SCHOLARSHIP, 2010, 42 (02) : 214 - 222
  • [10] Improving quality of life for people with dementia in care homes: making psychosocial interventions wore
    Lawrence, Vanessa
    Fossey, Jane
    Ballard, Clive
    Moniz-Cook, Esme
    Murray, Joanna
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 2012, 201 (05) : 344 - 351