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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Related Experiment Video

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A dementia communication training intervention based on the VERA framework for pre-registration nurses: Part I

Corina Naughton1, Chloe Beard2, Vasiliki Tzouvara2

  • 1School of Nursing and Midwifery, College of Medicine and Health, University College Cork, Brookfield Health Sciences Complex, College Road, Cork T12 AK54, Ireland.

Nurse Education Today
|February 7, 2018
PubMed
Summary

This study developed and tested the VERA dementia communication training for student nurses. The VERA framework (Validation, Emotion, Reassurance, Activity) was found useful by students, highlighting the need for ongoing dementia communication skills development.

Keywords:
Dementia communicationIntervention designSkillsStudent nurseTrainingVERA framework

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Area of Science:

  • Nursing Education
  • Gerontology
  • Communication Studies

Background:

  • Individuals with dementia face increasing communication challenges.
  • Healthcare professionals, including student nurses, need training in dementia communication strategies.
  • Current pre-registration nursing curricula lack standardized foundational dementia communication training.

Purpose of the Study:

  • To describe the theoretical basis and development of a foundational dementia communication skills training program.
  • To introduce the VERA (Validation, Emotion, Reassurance, Activity) framework for dementia communication.
  • To refine the training through quality improvement cycles and stakeholder feedback.

Main Methods:

  • Utilized behavioral change theory (COM-B model) and Gagné's 9 Events of Instruction.
  • Implemented a multicomponent teaching strategy based on the VERA framework.
  • Employed Plan-Do-Study-Act cycles with feedback from people with dementia, facilitators, and student nurses.
  • Collected data via questionnaires (n=51) and focus groups (n=19), analyzed using descriptive and thematic analysis.

Main Results:

  • A 2.5-hour face-to-face training session with follow-up reflection was delivered to 51 students.
  • All students found the training useful and recommended it.
  • Valued components included expressing concerns, role-playing the VERA framework, and understanding realistic expectations.
  • Students recognized the need for continued training, particularly for complex cases.

Conclusions:

  • Integrating behavior change and education theory with stakeholder input enhanced the VERA framework.
  • VERA provides a strong foundation for dementia communication training for pre-registration nurses.
  • The study underscores the importance of practical, theory-informed communication skills training in dementia care.