Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethical Considerations
2.2. Participants
2.3. Data Collection
2.4. Data Analysis
3. Results
3.1. Interview Findings
3.2. V (Valuing)
3.2.1. Core Concept—Confidence in Staff’s Expertise in Care and Treatment Provision
3.2.2. Core Concept—Safe, Secure and Comforting Care and Treatment Regimens
3.3. I (Individualised)
3.3.1. Core Concept—Staff Interest in and Attention to the Person’s Treatment Preferences and Unique Care Needs
3.3.2. Core Concept—Perceived Preservation of the Person’s Self-Esteem, Dignity and Identity
3.4. P (Person’s Perspective)
3.4.1. Core Concept—Acknowledgement of the Person’s Fears, Issues and Concerns
3.4.2. Core Concept—Supporting the Person’s Memories, Strengths and Health Aspirations
3.5. S (Social and Psychological)
3.5.1. Core Concept—Friendliness of Staff and Attempts for a Therapeutic Relationship
3.5.2. Core Concept—Responsive Staff and Treatment and Management Regimens
4. Discussion
4.1. Study Strengths and Limitations
4.2. Future Direction and Research Opportunities
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Participant Characteristics | Age, Sex, MoCA Score, Educational Level, Language Spoken at Home, Main Occupation (Current Or Former), Family/Carer Relationship to Person with Dementia, Support Network/s, Family/Carer Visitation Times, Decision-Making Authority. |
---|---|
VIPS Principles | Interview Questions |
V (Valuing) |
|
I (Individualised) |
|
P (Person’s perspective) |
|
S (Social and psychological) |
|
Open-ended question | Are there any other experiences and/or issues that occurred during the hospital stay that you would like to mention? |
Characteristics | PCC Group n | Control Group n | Total N (%) | |
---|---|---|---|---|
3 | 8 | 11(100) | ||
MoCA score * | 19–25 | 3 | 8 | 11 (100) |
Age | 60–70 | 0 | 1 | 1 (9) |
71–79 | 1 | 1 | 2 (18) | |
80–89 | 2 | 6 | 8 (73) | |
Sex | Female | 1 | 2 | 3 (27) |
Male | 2 | 6 | 8 (73) | |
Educational level | Primary/Secondary school | 0 | 0 | 0 (0) |
Higher School Certificate | 1 | 1 | 2 (18) | |
Technical/further education | 1 | 2 | 3 (27) | |
University degree | 1 | 5 | 6 (55) | |
Language spoken at home | English | 2 | 6 | 8 (73) |
Other language | 1 | 2 | 3 (27) | |
Previous occupation | Professional/Academic | 1 | 3 | 4 (36) |
The Arts/Technical | 1 | 3 | 4 (36) | |
Business/Managerial | 1 | 2 | 3 (27) | |
Discharge destination | Own/family home | 2 | 2 | 4 (26) |
Long-term assisted care | 1 | 6 | 7 (64) | |
Support systems | Family/friends | 2 | 5 | 7 (64) |
Community networks | 1 | 3 | 4 (26) |
Characteristics | PCC Group n (%) | Control Group n (%) | Total N (%) | |
---|---|---|---|---|
20 (56) | 16 (44) | 36 (100) | ||
Age | 18–30 | 0 (0) | 2 (13) | 2 (6) |
31–50 | 4 (20) | 3 (20) | 7 (19) | |
51–70 | 8 (40) | 8 (53) | 16 (44) | |
≥71 | 8 (40) | 3 (30) | 11 (31) | |
Sex | Female | 12 (60) | 10 (63) | 22 (34) |
Male | 8 (40) | 6 (37) | 14 (64) | |
Relationship to person with dementia | Spouse/partner | 7 (35) | 4 (27) | 11 (31) |
Son/daughter | 9 (35) | 8 (35) | 17 (47) | |
Other family | 2 (10) | 2 (13) | 4 (11) | |
Friend | 1 (5) | 2 (12) | 3 (8) | |
Educational level | Primary/Secondary school | 1 (5) | 3 (20) | 4 (11) |
Higher School Certificate | 5 (25) | 2 (13) | 6 (17) | |
Technical/further education | 2 (10) | 4 (21) | 6 (17) | |
University degre | 12 (60) | 8 (53) | 20 (56) | |
Language spoken at home | English | 18 (90) | 13 (87) | 31 (86) |
Other language | 2 (10) | 3 (19) | 5 (14) | |
Main occupation | Professional/Academic | 15 (75) | 12 (80) | 11 (31) |
The Arts/Technical | 8 (40) | 7 (44) | 15 (42) | |
Business/Managerial | 2 (10) | 3 (19) | 5 (14) | |
Homemaker/Farming | 1 (5) | 2 (13) | 3 (8) | |
Support network | Family | 15 (75) | 12 (75) | 27 (75) |
Friends | 13 (65) | 10 (63) | 20 (43) | |
Neighbours | 6 (30) | 3 (19) | 9 (25) | |
Colleagues | 4 (20) | 1 (6) | 5 (14) | |
Time of hospital visits | Morning | 12 (60) | 8 (33) | 13 (23) |
Afternoon | 13 (65) | 6 (38) | 19 (53) | |
Evening | 4 (20) | 4 (25) | 8 (22) | |
All day/night | 2 (10) | 3 (19) | 5 (14) | |
Decision-maker of person’s hospitalisation | Family/carer | 10 (50) | 5 (31) | 15 (42) |
GP/other doctor | 7 (35) | 4 (25) | 11 (31) | |
Nurse/manager | 3 (15) | 5 (31) | 8 (22) | |
Ambulance staff | 4 (20) | 2 (13) | 6 (17) |
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Chenoweth, L.; Cook, J.; Williams, A. Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers. Healthcare 2021, 9, 1176. https://doi.org/10.3390/healthcare9091176
Chenoweth L, Cook J, Williams A. Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers. Healthcare. 2021; 9(9):1176. https://doi.org/10.3390/healthcare9091176
Chicago/Turabian StyleChenoweth, Lynette, Janet Cook, and Anna Williams. 2021. "Perceptions of Care Quality during an Acute Hospital Stay for Persons with Dementia and Family/Carers" Healthcare 9, no. 9: 1176. https://doi.org/10.3390/healthcare9091176