Abstract:
BACKGROUND:Managing hearing communication for residents living with hearing loss and dementia in long-term care settings is challenging. This paper explores how care can be effective in optimising hearing communication for residents living with dementia. We argue that the underlying notion of permission or authorisation allows care staff to do what they know will be effective in providing person-centred care that enhances hearing communication. The paper also indicates that this notion of permission can usefully be applied to other areas of care home practice. METHODS:To address hearing-related communication in care homes, we conducted a realist synthesis (RS). As a theory-driven approach to reviewing literature, it also uses expert opinion to understand complex health situations. Using RS, we developed a theory surrounding the management of hearing-related communication in care homes. Applying formal processes to the literature search and data extraction, the analysis uncovered relevant mechanisms and contexts to help confirm, refute or refine our understanding of how hearing communication could be improved. RESULTS:Forty-three papers were selected for the realist synthesis. The documents were analysed to construct five context-mechanism-outcome configurations (CMOCs). The CMOCs represent possible care interventions to optimise hearing-related communication in care homes for person living with dementia and hearing loss (PLWDHL). They include leadership promoting positive regard and empathy through person-centred care, communication training for staff, 'knowing the person' and relationship building for responsive awareness of residents' hearing needs, maintaining and monitoring hearing communication through care planning, and managing noise in the care home environment. CONCLUSIONS:Leadership that provides appropriate training and resources is likely to enhance knowledge and skills, leading to staff feeling able and equipped to respond to the hearing-related communication needs of PLWDHL. Collaboration with local hearing services is likely to raise awareness of hearing loss among care home staff. Importantly, care staff require a sense of permission from leadership, to work with knowledge and autonomy in the interest of residents living with dementia and hearing loss.
journal_name
BMC Medjournal_title
BMC medicineauthors
Crosbie B,Ferguson M,Wong G,Walker DM,Vanhegan S,Dening Tdoi
10.1186/s12916-019-1286-9subject
Has Abstractpub_date
2019-03-04 00:00:00pages
54issue
1issn
1741-7015pii
10.1186/s12916-019-1286-9journal_volume
17pub_type
杂志文章相关文献
BMC Medicine文献大全abstract::Malaria at international borders presents particular challenges with regards to elimination. International borders share common malaria ecologies, yet neighboring countries are often at different stages of the control-to-elimination pathway. Herein, we present a case study on malaria, and its control, at the border be...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-018-1081-z
更新日期:2018-06-26 00:00:00
abstract:BACKGROUND:Reliable data on the distribution of causes of death (COD) in a population are fundamental to good public health practice. In the absence of comprehensive medical certification of deaths, the only feasible way to collect essential mortality data is verbal autopsy (VA). The Tariff Method was developed by the ...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-015-0527-9
更新日期:2015-12-08 00:00:00
abstract:BACKGROUND:Cognitive impairment is very common in late-life depression, principally affecting executive skills and information processing speed. The aim of the study was to examine the effect of antidepressant treatment on cognitive performances over a 10-year period. METHODS:The community-based cohort included 7381 p...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-017-0847-z
更新日期:2017-04-19 00:00:00
abstract:BACKGROUND:Publication bias and other reporting bias have been well documented for journal articles, but no study has evaluated the nature of results posted at ClinicalTrials.gov. We aimed to assess how many randomized controlled trials (RCTs) with results posted at ClinicalTrials.gov report statistically significant r...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-016-0740-1
更新日期:2016-11-30 00:00:00
abstract::Migraine is a highly prevalent neurological disorder imparting a major burden on health care around the world. The primary pathology may be a state of hyperresponsiveness of the nervous system, but the molecular mechanisms are yet to be fully elucidated. We could now be at a watershed moment in this respect, as the ge...
journal_title:BMC medicine
pub_type: 杂志文章,评审
doi:10.1186/1741-7015-9-116
更新日期:2011-10-25 00:00:00
abstract:BACKGROUND:Polymorphism in antigens is a common mechanism for immune evasion used by many important pathogens, and presents major challenges in vaccine development. In malaria, many key immune targets and vaccine candidates show substantial polymorphism. However, knowledge on antigenic diversity of key antigens, the im...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-014-0183-5
更新日期:2014-10-16 00:00:00
abstract:BACKGROUND:The objectives of this study were to understand the differences in mortality rate, risk factors for mortality, and cause of death distribution in three neonatal age sub-groups (0-2, 3-7, and 8-27 days) and assess the change in mortality rate with previous assessments to inform programmatic decision-making in...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-019-1372-z
更新日期:2019-07-19 00:00:00
abstract:BACKGROUND:In July 2014, an outbreak of Ebola virus disease (EVD) started in Pujehun district, Sierra Leone. On January 10th, 2015, the district was the first to be declared Ebola-free by local authorities after 49 cases and a case fatality rate of 85.7%. The Pujehun outbreak represents a precious opportunity for impro...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-015-0524-z
更新日期:2015-11-26 00:00:00
abstract::Migraine is a common, chronic disorder of the brain causing much disability, as well as personal, familial and societal impact. Several oral preventive agents are available in different countries for the prevention of migraine, but none have performed better than 50% improvement in 50% of patients in a clinical trial....
journal_title:BMC medicine
pub_type: 杂志文章,评审
doi:10.1186/s12916-015-0522-1
更新日期:2015-11-10 00:00:00
abstract:BACKGROUND:Wide implementation of mammography screening has resulted in increased numbers of women diagnosed with breast carcinoma in situ. We aimed to determine the risk of invasive breast cancer in relatives of patients with breast carcinoma in situ in comparison to the risk in relatives of patients with invasive bre...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-020-01772-x
更新日期:2020-11-05 00:00:00
abstract:BACKGROUND:Although a number of risk factors are known to predict mortality within the first years after myocardial infarction, little is known about interactions between risk factors, whereas these could contribute to accurate differentiation of patients with higher and lower risk for mortality. This study explored th...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-014-0242-y
更新日期:2014-12-17 00:00:00
abstract:BACKGROUND:The term 'lower value services' concerns healthcare that is of little or no value to the patient and consequently should not be provided routinely, or not be provided at all. De-adoption of lower value care may occur through explicit recommendations in clinical guidelines. The present study aimed to generate...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-016-0747-7
更新日期:2016-11-25 00:00:00
abstract::Although strong evidence exists that the benefits of vaccination by far outweigh potential adverse events, controversy still exists. This has led opponents of vaccination to question its safety, efficacy and necessity. In an interview with Professor Elizabeth Miller, we discuss the continuum of beliefs held by vaccine...
journal_title:BMC medicine
pub_type: 面试
doi:10.1186/s12916-015-0508-z
更新日期:2015-10-16 00:00:00
abstract:BACKGROUND:While step counter use has become popular among type 2 diabetes (T2D) patients, its effectiveness in increasing physical activity (PA) and improving glycemic control has been poorly defined. The aim of this meta-analysis of randomized controlled trials (RCTs) was to evaluate the association of step counter u...
journal_title:BMC medicine
pub_type: 杂志文章,meta分析
doi:10.1186/1741-7015-12-36
更新日期:2014-02-27 00:00:00
abstract::Psychiatric nosology is widely criticized, but solutions are proving elusive. Planned revisions of diagnostic criteria will not resolve heterogeneity, comorbidity, fuzzy boundaries between normal and pathological, and lack of specific biomarkers. Concern about these difficulties reflects a narrow model that assumes mo...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-10-5
更新日期:2012-01-13 00:00:00
abstract:BACKGROUND:Atrazine (2-chloro-4-ethytlamino-6-isopropylamine-1,3,5-triazine; ATR), is the most commonly applied broad-spectrum herbicide in the world. Unintentional overspray of ATR poses an immune function health hazard. The biomolecular mechanisms responsible for ATR-induced immunotoxicity, however, are little unders...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-9-117
更新日期:2011-10-27 00:00:00
abstract:BACKGROUND:Recently, some US cohorts have shown a moderate association between red and processed meat consumption and mortality supporting the results of previous studies among vegetarians. The aim of this study was to examine the association of red meat, processed meat, and poultry consumption with the risk of early d...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-11-63
更新日期:2013-03-07 00:00:00
abstract:BACKGROUND:The nature of symptoms in the prodromal period of first episode psychosis (FEP) remains unclear. The objective was to determine the patterns of symptoms recorded in primary care in the 5 years before FEP diagnosis. METHODS:The study was set within 568 practices contributing to a UK primary care health recor...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-019-1462-y
更新日期:2019-12-04 00:00:00
abstract:BACKGROUND:Populations exposed to humanitarian emergencies are particularly vulnerable to mental health problems, including new onset, relapse and deterioration of psychotic disorders. Inadequate care for this group may lead to human rights abuses and even premature death. The WHO Mental Health Gap Action Programme Int...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-017-0960-z
更新日期:2017-12-11 00:00:00
abstract:BACKGROUND:Australia was one of the first countries to introduce a publicly funded national human papillomavirus (HPV) vaccination program that commenced in April 2007, using the quadrivalent HPV vaccine targeting 12- to 13-year-old girls on an ongoing basis. Two-year catch-up programs were offered to 14- to 17- year-o...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-11-227
更新日期:2013-10-22 00:00:00
abstract:BACKGROUND:Chronic fatigue syndrome (CFS) is a complex multifactorial disorder. This paper reports the prevalence of chronic fatigue (CF) and CFS in an ethnically diverse population sample and tests whether prevalence varies by social adversity, social support, physical inactivity, anxiety and depression. METHODS:Anal...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-9-26
更新日期:2011-03-21 00:00:00
abstract:BACKGROUND:Prescription of non-steroidal anti-inflammatory drugs (NSAIDs) should be based on the assessment of both gastrointestinal (GI) and cardiovascular (CV) risk for the individual patient. We aimed to assess the GI/CV risk profile and the pharmacological management of patients with osteoarthritis (OA) in clinical...
journal_title:BMC medicine
pub_type: 杂志文章,多中心研究
doi:10.1186/1741-7015-9-38
更新日期:2011-04-14 00:00:00
abstract:BACKGROUND:We update a previous systematic review to inform new World Health Organization HIV self-testing (HIVST) recommendations. We compared the effects of HIVST to standard HIV testing services to understand which service delivery models are effective for key populations. METHODS:We did a systematic review of rand...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-020-01835-z
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:The RTS,S/AS01 malaria vaccine candidate recently completed Phase III trials in 11 African sites. Recommendations for its deployment will partly depend on predictions of public health impact in endemic countries. Previous predictions of these used only limited information on underlying vaccine properties and...
journal_title:BMC medicine
pub_type: 杂志文章,多中心研究
doi:10.1186/s12916-015-0408-2
更新日期:2015-07-29 00:00:00
abstract:BACKGROUND:In animal models, lack of thyroid hormone is associated with cone photoreceptor preservation, while administration of high doses of active thyroid hormone leads to deterioration. The association between thyroid function and age-related macular degeneration (AMD) has not been investigated in the general popul...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-015-0329-0
更新日期:2015-04-23 00:00:00
abstract:BACKGROUND:Hepatitis C virus (HCV) elimination is being seriously considered globally. Current elimination models require a combination of highly effective HCV treatment and harm reduction, but high treatment costs make such strategies prohibitively expensive. Vaccines should play a key role in elimination but their be...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-015-0440-2
更新日期:2015-08-20 00:00:00
abstract:BACKGROUND:Colorectal cancer (CRC), which frequently metastasizes to the liver, is one of the three leading causes of cancer-related deaths worldwide. Growing evidence suggests that a subset of cells exists among cancer stem cells. This distinct subpopulation is thought to contribute to liver metastasis; however, it ha...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-10-85
更新日期:2012-08-07 00:00:00
abstract:BACKGROUND:Alopecia areata (AA) is one of the most common autoimmune diseases and targets the hair follicles, with high impact on the quality of life and self-esteem of patients due to hair loss. Clinical management and outcomes are challenged by current limited immunosuppressive and immunomodulating regimens. METHODS...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/s12916-015-0331-6
更新日期:2015-04-20 00:00:00
abstract:BACKGROUND:Skin toxicity is a common side effect of radiotherapy for solid tumors. Its management can cause treatment gaps and thus can impair cancer treatment. At present, in many countries no standard recommendation for treatment of skin during radiotherapy exists. In this study, we explored the effect of topically-a...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-4-28
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Israeli citizens have been exposed to intense and ongoing terrorism since September 2000. We previously studied the mental health impact of terrorism on the Israeli population (Bleich et al., 2002), however the long-term impact of ongoing terrorism has not yet been examined. The present study evaluated the p...
journal_title:BMC medicine
pub_type: 杂志文章
doi:10.1186/1741-7015-4-21
更新日期:2006-08-27 00:00:00