Article type
Abstract
"Objectives:
Patients with dementia are affected by cognitive, sensory, and physical impairments. People living with dementia require health and social care environments that are safe, secure and easy to move around, so that they are to make the best of their remaining abilities.
Methods:
The project was implemented using the JBI Practical Application of Clinical Evidence System. Three audit criteria representing the best-practice recommendations for dementia-friendly environmental assessment and management in patients with dementia in the community were used. JBI evidence implementation seven steps model was used. Based on the gap analysis, this project used multiple strategies to build standard care procedures for using DFED, dementia-friendly environmental strategies, and develop education courses for nurses caring for patients with dementia.
Results:
Six home-care managers and 43 staffs from six home care institutions participated in this study. Post-implementation audit compliance rates improved for the following criteria: Home accessibility, size, layout and general esthetics are considered when developing a dementia-friendly environment (from 16.67 to 66.7%). Strategies for developing a dementia-friendly environment are individualized to the adult with dementia (from 66.7 to 100%). Strategies for developing a dementia-friendly environment are modified accordingly, when there are changing needs for the adult with dementia (from 50 to 100%). In addition, the average score of home care nurses' perception of dementia-friendly environment for patients with dementia increased significantly.
Conclusions:
Leadership, knowledge sharing, multiple learning-by-doing teaching strategies, and open communication were the key factors in the successful implementation of this study.
"
Patients with dementia are affected by cognitive, sensory, and physical impairments. People living with dementia require health and social care environments that are safe, secure and easy to move around, so that they are to make the best of their remaining abilities.
Methods:
The project was implemented using the JBI Practical Application of Clinical Evidence System. Three audit criteria representing the best-practice recommendations for dementia-friendly environmental assessment and management in patients with dementia in the community were used. JBI evidence implementation seven steps model was used. Based on the gap analysis, this project used multiple strategies to build standard care procedures for using DFED, dementia-friendly environmental strategies, and develop education courses for nurses caring for patients with dementia.
Results:
Six home-care managers and 43 staffs from six home care institutions participated in this study. Post-implementation audit compliance rates improved for the following criteria: Home accessibility, size, layout and general esthetics are considered when developing a dementia-friendly environment (from 16.67 to 66.7%). Strategies for developing a dementia-friendly environment are individualized to the adult with dementia (from 66.7 to 100%). Strategies for developing a dementia-friendly environment are modified accordingly, when there are changing needs for the adult with dementia (from 50 to 100%). In addition, the average score of home care nurses' perception of dementia-friendly environment for patients with dementia increased significantly.
Conclusions:
Leadership, knowledge sharing, multiple learning-by-doing teaching strategies, and open communication were the key factors in the successful implementation of this study.
"