TY - JOUR
T1 - DEMENTIA PALLIATIVE CARE: A MULTI-SITE SURVEY OF LONG TERM CARE STAFFS EDUCATION NEEDS AND READINESS TO CHANGE
T2 - A multi-site survey of long term care STAFF'S education needs and readiness to change
AU - Coffey, Alice
AU - Timmons, S.
AU - O'Loughlin, C.
AU - Buckley, C.
AU - Cornally, N.
AU - Hartigan, I.
AU - Lehane, E.
AU - Finn, C.
N1 - Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/3
Y1 - 2021/3
N2 - Many people with dementia reside in long-term care, where limited staff knowledge of dementia palliative care has been identified, along with poor awareness that a palliative approach can assist in identifying unmet care needs. Evidence-based guidance in palliative care for people with dementia is available however, implementing this guidance requires staff engagement and a tailored educational approach. This pre-implementation situational analysis informed a tailored staff education intervention to support the implementation of national guidance on dementia palliative care in long term care. Using a cross-sectional study design, underpinned by the Consolidated Framework for Implementation Research, survey data were collected on site profile, staff demographics, learning needs, and readiness-to change at three residential care sites for older people in Ireland. In total, 69 staff (predominantly nurses and healthcare attendants) completed the surveys. Medication management and management of pain were the most frequently identified learning needs. Staff were confident in their ability to implement change but de-motivation and powerlessness were substantial factors as only one-third of staff were “ready for change”. Staffing levels, managing risk during change and perceived reluctance in others were common barriers. These results informed an educational intervention to address the specific care context, staff learning needs and barriers to change prior to implementation.
AB - Many people with dementia reside in long-term care, where limited staff knowledge of dementia palliative care has been identified, along with poor awareness that a palliative approach can assist in identifying unmet care needs. Evidence-based guidance in palliative care for people with dementia is available however, implementing this guidance requires staff engagement and a tailored educational approach. This pre-implementation situational analysis informed a tailored staff education intervention to support the implementation of national guidance on dementia palliative care in long term care. Using a cross-sectional study design, underpinned by the Consolidated Framework for Implementation Research, survey data were collected on site profile, staff demographics, learning needs, and readiness-to change at three residential care sites for older people in Ireland. In total, 69 staff (predominantly nurses and healthcare attendants) completed the surveys. Medication management and management of pain were the most frequently identified learning needs. Staff were confident in their ability to implement change but de-motivation and powerlessness were substantial factors as only one-third of staff were “ready for change”. Staffing levels, managing risk during change and perceived reluctance in others were common barriers. These results informed an educational intervention to address the specific care context, staff learning needs and barriers to change prior to implementation.
KW - Dementia
KW - Long term care
KW - Nursing home
KW - Palliative care
KW - Residential care
KW - Staff learning needs
UR - http://www.scopus.com/inward/record.url?scp=85102011050&partnerID=8YFLogxK
U2 - 10.1016/j.nepr.2021.103006
DO - 10.1016/j.nepr.2021.103006
M3 - Article
C2 - 33690020
AN - SCOPUS:85102011050
SN - 1471-5953
VL - 52
SP - -
JO - Nurse Education in Practice
JF - Nurse Education in Practice
M1 - 103006
ER -