Discovering what works well: exploring quality dementia care in hospital wards using an appreciative inquiry approach.

@article{Scerri2015DiscoveringWW,
  title={Discovering what works well: exploring quality dementia care in hospital wards using an appreciative inquiry approach.},
  author={Anthony Scerri and Anthea Innes and Charles Scerri},
  journal={Journal of clinical nursing},
  year={2015},
  volume={24 13-14},
  pages={
          1916-25
        }
}
AIMS AND OBJECTIVES To explore the quality dementia care in two geriatric hospital wards using appreciative inquiry with formal care workers and family members of inpatients with dementia. [] Key MethodDESIGN Using an exploratory qualitative design within an appreciative inquiry framework, 33 care workers working in a geriatric hospital and 10 family members of patients with dementia were interviewed.
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42 Citations
Highly Influential Citations
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Methods Citations
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Results Citations
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42 Citations

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Citation Type

Using appreciative inquiry to implement person-centred dementia care in hospital wards
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Dementia care in hospitals can be enhanced by empowering staff to take small but concrete actions after they engage in appreciative inquiry workshops, during which they are listened to and appreciated for what they can contribute.
Facilitators for person-centred care of inpatients with dementia: A meta-synthesis of registered nurses’ experiences
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The findings indicate that care received by inpatients with dementia is dependent on individual registered nurses knowledge, personal aptitude and ability to compensate for structural flaws, and consistent organisational support in the form of educational interventions and allocation of resources is crucial.
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Orthopaedic nurses find it challenging and professionally difficult to provide person-centred care for patients with dementia during an acute orthopedic hospital admission, and should work to adopt a positive attitude, and person-Centred approach, towards dementia care.
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TLDR
Whether the patient’s hospital experience was positive or negative was powerfully influenced by family involvement and ward staff actions and communication, and a requirement for a ward based activity service for patients with cognitive impairment was identified.
The experience of people with dementia and nurses in hospital: an integrative review
TLDR
Current hospital culture requires wider system review to mitigate against stigmatisation of patients with dementia, and hospitals must focus on genuine caring concurrently with rapid discharge requirements, risk mitigation and fiscal restraint.
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TLDR
While many occasions of person-centred care occurred, there was variability in staff expertise, interest and aptitude for dementia care work, and hospitals must address workplace cultures and procedures that favour organisational systems over person-Centred services.
Notes from the hospital bedside: reflections on researcher roles and responsibilities at the end of life in dementia
TLDR
This case study stimulates debate in a much overlooked area, including the role of ethics committees, in how healthcare professionals and informal carers recognised, assessed and managed pain in patients living with dementia in a range of acute settings.
Nurses' Experiences Providing Care for People with Dementia: An Integrative Literature Review
TLDR
The experience of registered nurses providing care for dementia patients including theoretical perspectives that have been used to provide care for people with dementia are reviewed, finding that a lack of knowledge of dementia and the need for improved effective communication when they provided care for a group of patients and their family members are identified.
Importance of personal and professional experience for hospital staff in person-centred dementia care: a cross-sectional interview study using freelisting in a UK hospital ward
TLDR
It is recommended that personal experience and the novice curiosity of hospital staff be considered as valuable resources that exist within multidisciplinary staff teams that could enhance staff training to improve the hospital care for patients with dementia.
Dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals: a realist review
TLDR
It is suggested that strategies such as dementia awareness training alone will not improve dementia care or outcomes for patients with dementia, and how staff are supported to implement learning and resources by senior team members with dementia expertise is a key component for improving care practices and patient outcomes.
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