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Key issues in evolving dementia care: international theory-based policy and practice
- Authors:
- INNES Anthea, KELLY Fiona, MCCABE Louise, (eds.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2012
- Pagination:
- 264p.
- Place of publication:
- London
This book focuses on theoretical, policy and practice issues which are predicted to become fundamental priorities in the near future, and how dementia care works across the globe. It explores the theory underpinning dementia care, the applications of theory in dementia care research, and how this research is influencing and shaping practice. The contributors are practitioners, policy influencers and researchers who analyse case studies from the UK, the USA, Canada, Australia, India, France and Malta with the aim of encouraging a dialogue and exchange of interdisciplinary initiatives and ideas. Their insights into how policy and national dementia strategies are developed, and the range of approaches that can be taken in practice, will provide a positive step towards ensuring that the needs of those with dementia are met, both now and in the future. This book is designed for practitioners, researchers, policy makers and students in the field of dementia care.
Service provision for people with dementia in rural Scotland: difficulties and innovations
- Authors:
- INNES Anthea, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 5(2), May 2006, pp.249-270.
- Publisher:
- Sage
The provision of health and social care services to people with dementia and their carers living in remote and rural areas has been neglected globally. Meeting the needs of people with dementia poses many challenges for service providers. Such challenges may be compounded by the difficulties of providing and accessing services in rural areas. This article explores the views of Scottish service providers drawn from the voluntary, statutory and private sectors. The findings highlight the difficulties relating to dementia and rurality faced by service providers in Scotland. The study also considers innovative measures reported by service providers. Such measures indicate that not only can the distinct challenges of dementia service provision be overcome, but also challenges posed by providing services to people with dementia and their carers in rural and remote areas. These findings extend the literature on rural dementia service provision. The article concludes with a consideration of the practice and policy implications of providing dementia services in remote and rural Scotland.
Discovering what works well: exploring quality dementia care in hospital wards using an appreciative inquiry approach
- Authors:
- SCERRI Anthony, INNES Anthea, SCERRI Charles
- Journal article citation:
- Journal of Clinical Nursing, 24(13-14), 2015, pp.1916-1925.
- Publisher:
- John Wiley and Sons
Aims and objectives: To explore the quality dementia care in two geriatric hospital wards using appreciative inquiry with formal care workers and family members of inpatients with dementia. Background: Care models such as person-centred and relationship-centred care have been developed to explain what ‘quality’ dementia care should be. However, their usefulness and relevance to clinicians has been questioned. Design: Using an exploratory qualitative design within an appreciative inquiry framework, 33 care workers working in a geriatric hospital and 10 family members of patients with dementia were interviewed. Methods: Open-ended questions were asked to encourage care workers to narrate positive care experiences when the care was perceived to be at its best and to identify what made these experiences possible. Interviews were audio-taped and transcribed whilst data were analysed thematically using a qualitative data analysis software to assist in data management. Results: Positive care experiences can be understood within five care processes, namely building a relationship between the ‘extended’ dementia care triad, providing ‘quality time’ and ‘care in time’, going the ‘extra mile’, attending to the psychosocial needs and attending to the physical needs with a ‘human touch’. Factors facilitating these positive care experiences included personal attributes of care workers, and organisational, environmental and contextual factors. Conclusions: This study provides an alternative and pragmatic approach to understanding quality dementia care and complements the body of knowledge on factors influencing dementia care practices in hospitals. Relevance to clinical practice: By understanding the components of quality dementia care and how these can be achieved from different stakeholders, it is possible to develop strategies aimed at improving the care offered to patients with dementia in hospitals. (Publisher abstract)