Abstract:
BACKGROUND:People with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the most effective approaches to supporting acute hospital staff to deliver more person-centred care. OBJECTIVES:This study aimed to evaluate the efficacy of a specialist training programme for acute hospital staff regarding improving attitudes, satisfaction and feelings of caring efficacy, in provision of care to people with dementia. DESIGN:A repeated measures design, with measures completed immediately prior to commencing training (T1), after completion of Foundation level training (T2: 4-6 weeks post-baseline), and following Intermediate level training (T3: 3-4 months post-baseline). SETTING:One NHS Trust in the North of England, UK. PARTICIPANTS:40 acute hospital staff working in clinical roles, the majority of whom (90%) were nurses. METHODS:All participants received the 3.5 day Person-centred Care Training for Acute Hospitals (PCTAH) programme, comprised of two levels, Foundation (0.5 day) and Intermediate (3 days), delivered over a 3-4 months period. Staff demographics and previous exposure to dementia training were collected via a questionnaire. Staff attitudes were measured using the Approaches to Dementia Questionnaire (ADQ), satisfaction in caring for people with dementia was captured using the Staff Experiences of Working with Demented Residents questionnaire (SEWDR) and perceived caring efficacy was measured using the Caring Efficacy Scale (CES). RESULTS:The training programme was effective in producing a significant positive change on all three outcome measures following intermediate training compared to baseline. A significant positive effect was found on the ADQ between baseline and after completion of Foundation level training, but not for either of the other measures. CONCLUSIONS:Training acute hospital staff in Intermediate level person-centred dementia care is effective in producing significant improvements in attitudes towards and satisfaction in caring for people with dementia and feelings of caring efficacy. Foundation level training is effective in changing attitudes but does not seem to be sufficient to bring about change in satisfaction or caring efficacy.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Surr CA,Smith SJ,Crossland J,Robins Jdoi
10.1016/j.ijnurstu.2015.09.009subject
Has Abstractpub_date
2016-01-01 00:00:00pages
144-51eissn
0020-7489issn
1873-491Xpii
S0020-7489(15)00294-1journal_volume
53pub_type
杂志文章abstract:OBJECTIVES:To examine the use of the multi-rater Kappa measure of agreement (Nonparametric Statistics for the Behavioural Sciences, McGraw Hill, New York, 1988) in team based, mixed method, qualitative nursing research. DESIGN:The article presents an illustrative description of the application of the qualitative codin...
journal_title:International journal of nursing studies
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doi:10.1016/j.ijnurstu.2003.03.001
更新日期:2004-01-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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abstract:BACKGROUND:Women with breast cancer demand informed shared decision-making. Guidelines support these claims. OBJECTIVES:To investigate whether an informed shared decision-making intervention for women with 'ductal carcinoma in situ' comprising an evidence-based decision aid with nurse-led decision coaching enhances th...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.01.002
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2002-08-01 00:00:00
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更新日期:2012-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
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更新日期:2015-06-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(03)00055-5
更新日期:2003-11-01 00:00:00
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journal_title:International journal of nursing studies
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doi:10.1016/j.ijnurstu.2013.10.013
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journal_title:International journal of nursing studies
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更新日期:2008-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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更新日期:2008-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1987-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2005.01.007
更新日期:2005-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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更新日期:2015-09-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2006-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2011-11-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00