A narrative review of staff views about dementia care in hospital through the lens of a systems framework
Authors: Duah-Owusu White, M. and Kelly, F.
Journal: Journal of Research in Nursing
Volume: 28
Issue: 2
Pages: 120-140
eISSN: 1744-988X
ISSN: 1744-9871
DOI: 10.1177/17449871221142104
Abstract:Background: Significant numbers of people with dementia are admitted into acute settings. They are likely to face poor health outcomes during hospitalisation. There is the need to fully understand the care provided to people with dementia through novel methods such as a systems approach (i.e. human interactions, policy, environment and equipment). Aim: The aim of this literature review is to explore hospital practitioners’ views on dementia care and to analyse findings using a systems approach. Methods: We conducted a narrative review of primary studies that examined dementia care in acute settings. We analysed a total of 33 papers using Thomas and Harden’s thematic synthesis guidelines. Results: Thirty-three papers met the inclusion criteria for the review. The findings were as follows: (1) staff-patient relationships (e.g. coping with difficult behaviour), (2) staff–family relationships (e.g. the benefits of involving families in patient care), (3) staff–staff relationships (e.g. building a robust multidisciplinary team), (4) staff–patient care decisions (e.g. decisions directly related to the patient), (5) the environment (e.g. difficulty in adjusting to the hospital environment), (6) policies (e.g. hospital bureaucratic processes) and (7) equipment (e.g. pain assessment tools). Conclusion: The paper revealed multidimensional challenges in the provision of dementia care within hospitals. We conclude that training programmes, hospital policies and processes aimed at improving outcomes for patients with dementia should adopt a systems approach which focuses on the relational, environmental, procedural and instrumental aspects of the hospital system.
https://eprints.bournemouth.ac.uk/37946/
Source: Scopus
A narrative review of staff views about dementia care in hospital through the lens of a systems framework.
Authors: Duah-Owusu White, M. and Kelly, F.
Journal: J Res Nurs
Volume: 28
Issue: 2
Pages: 120-140
eISSN: 1744-988X
DOI: 10.1177/17449871221142104
Abstract:BACKGROUND: Significant numbers of people with dementia are admitted into acute settings. They are likely to face poor health outcomes during hospitalisation. There is the need to fully understand the care provided to people with dementia through novel methods such as a systems approach (i.e. human interactions, policy, environment and equipment). AIM: The aim of this literature review is to explore hospital practitioners' views on dementia care and to analyse findings using a systems approach. METHODS: We conducted a narrative review of primary studies that examined dementia care in acute settings. We analysed a total of 33 papers using Thomas and Harden's thematic synthesis guidelines. RESULTS: Thirty-three papers met the inclusion criteria for the review. The findings were as follows: (1) staff-patient relationships (e.g. coping with difficult behaviour), (2) staff-family relationships (e.g. the benefits of involving families in patient care), (3) staff-staff relationships (e.g. building a robust multidisciplinary team), (4) staff-patient care decisions (e.g. decisions directly related to the patient), (5) the environment (e.g. difficulty in adjusting to the hospital environment), (6) policies (e.g. hospital bureaucratic processes) and (7) equipment (e.g. pain assessment tools). CONCLUSION: The paper revealed multidimensional challenges in the provision of dementia care within hospitals. We conclude that training programmes, hospital policies and processes aimed at improving outcomes for patients with dementia should adopt a systems approach which focuses on the relational, environmental, procedural and instrumental aspects of the hospital system.
https://eprints.bournemouth.ac.uk/37946/
Source: PubMed
A narrative review of staff views about dementia care in hospital through the lens of a systems framework
Authors: White, M.D.-O. and Kelly, F.
Journal: JOURNAL OF RESEARCH IN NURSING
Volume: 28
Issue: 2
Pages: 120-140
eISSN: 1744-988X
ISSN: 1744-9871
DOI: 10.1177/17449871221142104
https://eprints.bournemouth.ac.uk/37946/
Source: Web of Science (Lite)
A narrative review of staff views about dementia care in hospital through the lens of a systems framework
Authors: Duah-Owusu White, M. and Kelly, F.
Journal: Journal of Research in Nursing
Publisher: SAGE
ISSN: 1361-4096
https://eprints.bournemouth.ac.uk/37946/
https://journals.sagepub.com/doi/10.1177/17449871221142104
Source: Manual
A narrative review of staff views about dementia care in hospital through the lens of a systems framework.
Authors: Duah-Owusu White, M. and Kelly, F.
Journal: Journal of research in nursing : JRN
Volume: 28
Issue: 2
Pages: 120-140
eISSN: 1744-988X
ISSN: 1744-9871
DOI: 10.1177/17449871221142104
Abstract:Background
Significant numbers of people with dementia are admitted into acute settings. They are likely to face poor health outcomes during hospitalisation. There is the need to fully understand the care provided to people with dementia through novel methods such as a systems approach (i.e. human interactions, policy, environment and equipment).Aim
The aim of this literature review is to explore hospital practitioners' views on dementia care and to analyse findings using a systems approach.Methods
We conducted a narrative review of primary studies that examined dementia care in acute settings. We analysed a total of 33 papers using Thomas and Harden's thematic synthesis guidelines.Results
Thirty-three papers met the inclusion criteria for the review. The findings were as follows: (1) staff-patient relationships (e.g. coping with difficult behaviour), (2) staff-family relationships (e.g. the benefits of involving families in patient care), (3) staff-staff relationships (e.g. building a robust multidisciplinary team), (4) staff-patient care decisions (e.g. decisions directly related to the patient), (5) the environment (e.g. difficulty in adjusting to the hospital environment), (6) policies (e.g. hospital bureaucratic processes) and (7) equipment (e.g. pain assessment tools).Conclusion
The paper revealed multidimensional challenges in the provision of dementia care within hospitals. We conclude that training programmes, hospital policies and processes aimed at improving outcomes for patients with dementia should adopt a systems approach which focuses on the relational, environmental, procedural and instrumental aspects of the hospital system.https://eprints.bournemouth.ac.uk/37946/
Source: Europe PubMed Central
A narrative review of staff views about dementia care in hospital through the lens of a systems framework
Authors: Duah-Owusu White, M. and Kelly, F.
Journal: Journal of Research in Nursing
Publisher: SAGE
ISSN: 1361-4096
Abstract:Background: Significant numbers of people with dementia are admitted into acute settings. They are likely to face poor health outcomes during hospitalisation. There is the need to fully understand the care provided to people with dementia through novel methods such a systems approach (i.e. human interactions, policy, environment and equipment).
Aim: The aim of this literature review is to explore hospital practitioners’ views on dementia care and to analyse findings using a systems approach.
Methods: We conducted a narrative review of primary studies that examined dementia care in acute settings. We analysed a total of 33 papers using Thomas and Harden’s thematic synthesis guidelines.
Results: Thirty-three papers met the inclusion criteria for the review. The findings were as follows: (1) staff-patient relationships (e.g. coping with difficult behaviour), (2) staff–family relationships (e.g. the benefits of involving families in patient care), (3) staff–staff relationships (e.g. building a robust multidisciplinary team), (4) staff–patient care decisions (e.g. decisions directly related to the patient), (5) the environment (e.g. difficulty in adjusting to the hospital environment), (6) policies (e.g. hospital bureaucratic processes) and (7) equipment (e.g. pain assessment tools).
Conclusion: The paper revealed multidimensional challenges in the provision of dementia care within hospitals. We conclude that training programmes, hospital policies and processes aimed at improving outcomes for patients with dementia should adopt a systems approach which focuses on the relational, environmental, procedural and instrumental aspects of the hospital system.
https://eprints.bournemouth.ac.uk/37946/
Source: BURO EPrints