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Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study
- Authors:
- SCHAAP Feija D., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(6), 2018, pp.1071-1082.
- Publisher:
- Wiley
Background: The number of people with intellectual disability and dementia increases; this combination causes behavioural changes. Dementia Care Mapping (DCM) supports staff in dementia care in nursing homes and may be useful in intellectual disability‐care. This qualitative study examines the feasibility of DCM for older people with intellectual disability and dementia. Methods: The present authors obtained data in focus groups and interviews with professional users and analysed using a framework for feasibility studies. With experts in dementia and intellectual disability researches, the present authors determined the overall feasibility. Results: DCM was found to be feasible in intellectual disability‐care, regarding five domains of feasibility. Staff reported DCM to be useful and valuable and addresses to their demand for skills and knowledge. All professional users found DCM feasible in intellectual disability‐care, which was confirmed by experts. Conclusions: DCM is feasible in intellectual disability‐care. When fully tailored to intellectual disability‐care, DCM is useful and provides opportunities to assess its effectiveness. (Publisher abstract)
It isn't something to yodel about, but it exists! Faeces, nurses, social relations and status within a mental hospital
- Author:
- DONGEN E Van
- Journal article citation:
- Aging and Mental Health, 5(3), August 2001, pp.205-215.
- Publisher:
- Taylor and Francis
In medical settings, emotion-provoking work creates a hierarchy among health care professionals. Emotions like disgust, contempt or aversion that are evoked by 'body work' with elderly patients often remain invisible, but they play an important role in morality and shape the social relations between the patients and the professionals. With the help of ethnographic data from the nursing wards of a mental hospital in the Netherlands, the author shows how feelings about excrement are determined not only by their nature, but also by the nature of the relationships among the nurses and the relationships between the nurses and the elderly patients. Body care and the emotions that are evoked are connected to morality and moral care. Dealing with bodily and moral 'dirt' gives nurses a special position within the hospital as a whole, which will have effects on the care for elderly.
Effects of Dementia Care Mapping on job satisfaction and caring skills of staff caring for older people with intellectual disabilities: a quasi‐experimental study
- Authors:
- SCHAAP Feija D., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 32(5), 2019, pp.1228-1240.
- Publisher:
- Wiley
Background: The ageing of people with intellectual disabilities, involving consequences like dementia, creates a need for methods to support care staff. One promising method is Dementia Care Mapping (DCM). This study examined the effect of DCM on job satisfaction and care skills of ID‐care staff. Methods: This study performed a quasi‐experimental study in 23 group homes for older people with intellectual disabilities in the Netherlands. This study assessed job satisfaction and care skills among staff as primary outcomes and work experience measures as secondary outcomes (N = 227). Results: Dementia Care Mapping achieved no significantly better effect than care as usual (CAU) for primary outcomes on job satisfaction (MWSS‐HC) and working skills (P‐CAT). Effect sizes varied from −0.18 to −0.66. This study also found no differences for any of the secondary outcomes. Conclusion: Dementia Care Mapping does not increase job satisfaction and care skills of staff caring for older people with intellectual disabilities. This result differs from previous findings and deserves further study. (Edited publisher abstract)
The influence of organizational factors on the attitudes of residential care staff toward the sexuality of residents with dementia
- Authors:
- ROELOFS Tineke S. M., et al
- Journal article citation:
- BMC Geriatrics, 19(8), 2019, Online only
- Publisher:
- BioMed Central Ltd
Background: The attitudes of care staff toward the sexuality of residents with dementia they care for is assumed to influence the residents’ expression of their sexuality in the way they want. This paper examines the effect of organisational factors, person-cantered care, and the culture of the organisation on the attitudes of care staff toward the sexuality of residents with dementia in residential care facilities (RCF). Methods: Care staff in different functions at six RCF organisations (N = 187) participated. Using a survey, information were gathered on demographics and care-staff careers, attitudes toward resident sexuality, the culture of the organisation, person-cantered care, and knowledge of resident sexuality. Ordinary least square (OLS) hierarchical analyses were performed to analyse results. Results: Care staff attitudes were found to be positively affected by person-cantered care, and marginally positively affected by a supportive culture in the organisation, Moreover, knowledge of resident sexuality positively affected care staff ‘attitudes toward resident sexuality, and the presence of policy regarding resident sexuality affected them negatively. Conclusions: Despite different study limitations, these results give a first insight in a broad perspective on care staff attitudes toward resident sexuality. In addition to improving knowledge of the care staff, enhancing person-centred care and a supportive culture in the organisation will improve care-staff attitudes toward resident sexuality. (Edited publisher abstract)
Common experiences of staff working in integrated health and social care organisations: a European perspective
- Author:
- COXON Kirsite
- Journal article citation:
- Journal of Integrated Care, 13(2), April 2005, pp.13-21.
- Publisher:
- Emerald
Presents a comparison of the views of staff working in 18 integrated care settings, undertaken as part of the PROCARE study of integrated health and social care. The data reveals commonalities across the nine European countries (Austria, France, Germany, Italy, Finland, UK, Denmark, Greece and the Netherlands). Increased job satisfaction was an advantage of integrated working, but respondents also reported difficulties in working with hospitals or medical professionals, and continued barriers to integrated working generally. Single standalone organisations such as home care teams reported the clearest benefits from integrated working, while cross-agency models continued to encounter significant barriers to health and social care integration.
Elderly care: a world perspective
- Editor:
- TOUT Ken
- Publisher:
- Chapman and Hall
- Publication year:
- 1993
- Pagination:
- 240p.,bibliog.
- Place of publication:
- London
Contains examples of successful service provision for older people from 40 countries. The case studies are organised into the following sections: care at home; community support; empowerment; participation; fitness and well-being; income generation; environment; integrated services; mental health; training for elder care; organisation of services; and older women.