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A model for implementing guidelines for person-centered care in a nursing home setting
Sofia Vikström1, Per-Olof Sandman2, Ewa Stenwall3
1Department of Neurobiology,Caring Sciences and Society,Division of Occupational Therapy,Karolinska Institutet,Huddinge,Sweden.
International Psychogeriatrics
|August 20, 2014
Summary
Implementing evidence-based guidelines in dementia care nursing homes benefits staff and residents. However, time constraints and workload challenges hinder sustainable evidence-based practice adoption.
Area of Science:
- Gerontology
- Nursing Home Care
- Knowledge Translation
Background:
- Systematic evaluations of knowledge translation interventions in nursing homes are limited.
- Lack of studies on sustainable evidence-based practice in residential dementia care.
Purpose of the Study:
- Describe a model for implementing national evidence-based guidelines for dementia care in nursing homes.
- Outline nursing home staff experiences during the first year of implementation.
Main Methods:
- Participatory action research approach with educational activities (seminars, poster exhibitions).
- Quality improvement strategy applied and evaluated on 24 units.
- Qualitative content analysis of data from reflective seminars and poster presentations.
Main Results:
- Guideline implementation perceived as beneficial for staff and residents.
- Barriers identified in sourcing evidence and achieving sustainable implementation.
- Staff reported challenges with time-logistics and workload impacting knowledge utilization.
Conclusions:
- Dementia nursing homes can benefit from becoming knowledge-driven.
- Sustainable evidence-based practice is challenged by practical workload and time constraints.
- Further strategies are needed to overcome implementation barriers in nursing homes.
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