دورية أكاديمية

Dementia palliative care: A multi-site survey of long term care STAFF'S education needs and readiness to change.

التفاصيل البيبلوغرافية
العنوان: Dementia palliative care: A multi-site survey of long term care STAFF'S education needs and readiness to change.
المؤلفون: Timmons S; University College Cork, College Road, Cork, T12 K8AF, Ireland., O'Loughlin C; University of Limerick, Limerick, V94 X5K6, Ireland., Buckley C; University College Cork, College Road, Cork, T12 K8AF, Ireland., Cornally N; University College Cork, College Road, Cork, T12 K8AF, Ireland., Hartigan I; University College Cork, College Road, Cork, T12 K8AF, Ireland., Lehane E; University College Cork, College Road, Cork, T12 K8AF, Ireland., Finn C; University College Cork, College Road, Cork, T12 K8AF, Ireland., Coffey A; University of Limerick, Limerick, V94 X5K6, Ireland. Electronic address: alice.coffey@ul.ie.
المصدر: Nurse education in practice [Nurse Educ Pract] 2021 Mar; Vol. 52, pp. 103006. Date of Electronic Publication: 2021 Feb 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: Scotland NLM ID: 101090848 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5223 (Electronic) Linking ISSN: 14715953 NLM ISO Abbreviation: Nurse Educ Pract Subsets: MEDLINE
أسماء مطبوعة: Publication: [Edinburgh] : Elsevier Ltd.
Original Publication: [Edinburgh] : Churchill Livingstone,
مواضيع طبية MeSH: Dementia*/therapy , Long-Term Care*, Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Humans ; Ireland ; Nursing Homes ; Palliative Care
مستخلص: Many people with dementia reside in long-term care, where limited staff knowledge of dementia palliative care has been identified, along with poor awareness that a palliative approach can assist in identifying unmet care needs. Evidence-based guidance in palliative care for people with dementia is available however, implementing this guidance requires staff engagement and a tailored educational approach. This pre-implementation situational analysis informed a tailored staff education intervention to support the implementation of national guidance on dementia palliative care in long term care. Using a cross-sectional study design, underpinned by the Consolidated Framework for Implementation Research, survey data were collected on site profile, staff demographics, learning needs, and readiness-to change at three residential care sites for older people in Ireland. In total, 69 staff (predominantly nurses and healthcare attendants) completed the surveys. Medication management and management of pain were the most frequently identified learning needs. Staff were confident in their ability to implement change but de-motivation and powerlessness were substantial factors as only one-third of staff were "ready for change". Staffing levels, managing risk during change and perceived reluctance in others were common barriers. These results informed an educational intervention to address the specific care context, staff learning needs and barriers to change prior to implementation.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Dementia; Long term care; Nursing home; Palliative care; Residential care; Staff learning needs
تواريخ الأحداث: Date Created: 20210310 Date Completed: 20210519 Latest Revision: 20210519
رمز التحديث: 20240628
DOI: 10.1016/j.nepr.2021.103006
PMID: 33690020
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-5223
DOI:10.1016/j.nepr.2021.103006