Dementia Care Mapping - Staff members within the implementation

Results
Dementia Care Mapping
Background
Dementia Care Mapping (DCM) is an observational
Mean score for the work satisfaction scale was 62. 6 (SD
17.5) on a scale from 0 to 100 (fig.1)
- Staff members within the implementation process -
method to implement person centred care and support
quality of life (QoL) for people with dementia (PwD) used
Work Satisfaction (fig. 1)
Mean score for the ADQ total scale was 67.9 (SD 7.5) on
Attitudes towards PwD (fig. 2)
a scale from 19 to 95. (fig. 2)
in several countries since 1992.[1]
Responses to team communication items show that staff
The Implementation of complex interventions, like
members are mainly satisfied with communication
DCM, into care practice is influenced by diverse
processes (fig. 3)
facilitators and barriers.[2]
Responses for the perceived burden items were varying
The Characteristics of individuals, who are involved
(fig. 4)
in the implementation process, have a high impact on it‘s
No significant differences between the project groups
success and thus should be assessed before and during
could be identified for ADQ and COPSOQ (fig. 1 & fig. 2).
implementation.[2,3]
Results for Communication and Perceived Burden items
Kruskal_Wallis-Test
chi-square
df
asymptotic significance
LebenQD – Strengthening Quality of Life
for People with Dementia
Kruskal-Wallis-Test
chi-square
df
asymptotic significance
3,260
2
,196
1,332
2
,514
also indicate comparable groups (fig. 3 & fig. 4).
Discussion and Conclusion
ongoing quasi-experimentall trial to investigate the
For the upcoming implementation process, it seems that
effects and the implementation of DCM in German
conditions are comparable with respect to the
Communication within the team (fig. 3)
nursing homes
I always have the chance to
discuss difficulties in dealing
with PwD within the team (n=85)
9 participating nursing homes, each with one ward: 3
wards are implementing DCM within the project
(intervention group), 3 wards did already start using DCM
Comparison
group
(DCM)
before (comparison group 1), 3 wards are going to use
an alternative intervention (comparison group 2)
 the following characteristics of staff members, who are
involved in the implementation, were assessed by
Intervention
group
(DCM)
Comparison
group
(QUALIDEM)
characteristics of staff members, which were assessed by
I often feel alone in dealing with
I think that the dialog with
problems with PwD (n=86)
colleagues is very important for
the daily work with PwD (n=86)
Comparison
group
(DCM)
Intervention
group
(DCM)
Comparison
group
(QUALIDEM)
Comparison
group
(DCM)
Intervention
group
(DCM)
Comparison
group
(QUALIDEM)
not true
14%
16%
9%
76%
73%
84%
0%
0%
3%
true
86%
84%
91%
24%
24%
16%
100%
100%
97%
using the staff questionnaire.
However, differences were identified between the three
project groups with regard to other possibly influencing
factors like organizational structure (questionnaire for
organizational structure) and current work situation
(interviews with head nurses).
One main challenge of the LebenQD study will be to
questionnaire at baseline: work satisfaction (using the
identify those factors, which have a relevant influence on
Copenhagen Psychosocial Questionnaire, COPSOQ)[4],
the implementation of DCM.
attitudes to dementia (using the Approaches to Dementia
Questionnaire, ADQ)[5], communication within the team
(3 items), perceived burden (17 items)
Aim of this poster: to describe the baseline situation
of the project wards with regard to the results of the staff
member questionnaire
Descriptive statistics were applied to the baseline data
(n=95), and the differences of the 3 project groups were
Perceived Burden - Proportions of nurses feeling burdend by (fig. 4)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
which is already using DCM, will take advantage later on.
To obtain broader knowledge about such implementation
processes, we recommend to assess preconditions for
implementation in other studies as well.
References:
investigated by the Kruskal Wallis test (α = 0.05) for
COPSOQ and ADQ
Tina Quasdorf1, Christine Riesner1, Martin Dichter1, Olga Dortmann1,
PD Dr. Horst Christian Vollmar1, Dr. Margareta Halek1
1 German
Center for Neurodegenerative Diseases (DZNE)
Stockumer Str. 12, D-58453 Witten, [email protected]
Furthermore, it will have to be investigated if the group,
Comparison group (DCM)
Intervention group (DCM)
Comparison group (QUALIDEM)
[1] Kitwood, T., & Bredin, K. (1992). Towards a theory of dementia care: personhood
and well-being. Ageing Soc, 12, 269-287.
[2] Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., &
Lowery, J. C. (2009). Fostering implementation of health services research findings
into practice: a consolidated framework for advancing implementation science.
Implement Sci, 4, 50.
[3] Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004).
Diffusion of innovations in service organizations: systematic review and
recommendations. Milbank Q, 82(4), 581-629.
[4] Nübling, M., Stößel, U., Hasselhorn, H.-M., Michaelis, M., & Hofmann, F. (2005).
Methoden zur Erfassung psychischer Belastungen. Erprobung eines
Messinstrumentes (COPSOQ). Dortmund/Berlin/Dresden: Bundesanstalt für
Arbeitsschutz und Arbeitsmedizin (baua).
[5] Lintern, T. C. (2001). Quality in Dementia Care: Evaluating Staff Attidtudes and
Behaviour. University of Wales Bangor.