Experiences of advanced dementia care in seven European countries: implications for educating the workforce

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Títol: Experiences of advanced dementia care in seven European countries: implications for educating the workforce
Autors: Lillo-Crespo, Manuel | Riquelme-Galindo, Jorge | MacRae, Rhoda | Abreu, Wilson | Hanson, Elizabeth | Holmerová, Iva | Cabañero-Martínez, María José | Ferrer-Cascales, Rosario | Tolson, Debbie
Grups d'investigació o GITE: Enfermería y Cultura de los Cuidados (EYCC) | Calidad de Vida, Bienestar Psicológico y Salud | Psicología Aplicada a la Salud y Comportamiento Humano (PSYBHE)
Centre, Departament o Servei: Universidad de Alicante. Departamento de Enfermería | Universidad de Alicante. Departamento de Psicología de la Salud
Paraules clau: Dementia | Alzheimer disease | Case study | Caregivers | Quality improvement
Àrees de coneixement: Enfermería | Personalidad, Evaluación y Tratamiento Psicológico
Data de publicació: 13-d’agost-2018
Editor: Taylor & Francis
Citació bibliogràfica: Global Health Action. 2018, 11(1): 1478686. doi:10.1080/16549716.2018.1478686
Resum: Background: There is a paucity of robust research concerning the care experiences of people with advanced dementia within Europe. It is essential to understand these experiences if we are to address care inequalities and create impactful dementia policies to improve services that support individuals and enable family caring. Objectives: To identify the strengths and weaknesses in daily life perceived by people with dementia and family caring across Europe by exemplifying experiences and the range of typical care settings for advanced dementia care in seven partner countries. Methods: Twenty two in-depth qualitative case studies were completed in seven European countries across a range of care settings considered typical within that country. Narrative accounts of care illuminated a unique set of experiences and highlighted what was working well (strengths or positive aspects) and not so well (weaknesses or negative aspects) for people with advanced dementia and family caring. A constant comparative method of analysis through thematic synthesis was used to identify the common themes. Results: Eight key themes were identified; Early diagnosis, good coordination between service providers, future planning, support and education for carers, enabling the person with dementia to live the best life possible and education on advanced dementia for professional and family caregivers were all significant and recurring issues considered important for care experiences to be positive. Conclusion: People with advanced dementia may have limited opportunities for self-realization and become increasingly reliant on the support of others to maximize their health and well-being. Careful attention must be given to their psychosocial well-being, living environment and family caring to enable them to live the best life possible. Building on what the case studies tell us about what works well, we discuss the potential for integrating the findings into interprofesional learning solutions for the professional workforce across Europe to champion practice-based change.
Patrocinadors: The project was funded by the EU Erasmus+ programme with 290.000€ and coordinated by the University of the West of Scotland, Scotland. The research was conducted within the project’s interprofessional experiential learning (IPE) solutions: equipping the qualified dementia workforce to champion evidence on informed improvement to advanced dementia care and family caring (Palliare) (2014-1-UK01-KA203-001819).
URI: http://hdl.handle.net/10045/78427
ISSN: 1654-9716 (Print) | 1654-9880 (Online)
DOI: 10.1080/16549716.2018.1478686
Idioma: eng
Tipus: info:eu-repo/semantics/article
Drets: © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Revisió científica: si
Versió de l'editor: https://doi.org/10.1080/16549716.2018.1478686
Apareix a la col·lecció: INV - PCC-HOI - Artículos de Revistas
INV - PSYBHE - Artículos de Revistas
INV - CV, BP Y S - Artículos de Revistas
INV - EYCC - Artículos de Revistas

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