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Centre for Policy on Ageing | |
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Implementing national guidelines for person-centered care of people with dementia in residential aged care
— effects on perceived person-centeredness, staff strain, and stress of conscience | | Author(s) | David Edvardsson, P O Sandman, Lena Borell |
| Journal title | International Psychogeriatrics, vol 26, no 7, July 2014 |
| Publisher | Cambridge University Press, July 2014 |
| Pages | pp 1171-1179 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Care homes ; Person-centred care ; Evaluation ; Personnel ; Stress. |
| Annotation | Person-centredness has had substantial uptake in the academic literature on care of older people and people with dementia. However challenges exist in interpreting and synthesising the evidence on effects of providing person-centred care, as the person-centred components of some intervention studies are unclear _ targeting very different and highly specific aspects of person-centredness, as well as not providing empirical data to indicate the extent to which care practice was actually perceived to become more person-centred post-intervention. The study employed a quasi-experimental, one-group pre-test_post-test design with a 12-month follow-up to explore intervention effects on person-centredness of care and the environment (primary endpoints), and on staff strain and stress of conscience (secondary endpoints). The intervention resulted in significantly higher scores on person-centredness of care at follow-up, and the facility was rated as being significantly more hospitable at follow-up. A significant reduction of staff stress of conscience was also found at follow-up, which suggests that, to a larger extent, staff could provide the care and activities they wanted to provide after the intervention. These results indicated that an interactive and step-wise action-research intervention consisting of knowledge translation, generation and dissemination, based on national guidelines for care of people with dementia, increased the staff self-reported person-centredness of care practice, perceived hospitality of the setting, and reduced staff stress of conscience by enabling staff to provide the care and activities that they wanted. (JL). |
| Accession Number | CPA-150529305 A |
| Classmark | EA: KW: PAA: 4C: QM: QNH |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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