Dementia care in acute hospitals: A framework for practice development and theory-based evaluation

Area of Science:

• Healthcare Management
• Geriatric Care
• Patient Experience

Background:

• Acute hospital settings present unique challenges for dementia care.
• Existing care models may not adequately address the complex needs of individuals with dementia in hospitals.
• A structured framework is needed to guide the implementation of effective dementia care strategies in acute care.

Purpose of the Study:

• To generate a comprehensive framework for delivering person-centred dementia care within acute hospital environments.
• To provide a structured approach for healthcare organizations to enhance dementia care practices.
• To support positive outcomes for people with dementia, their relatives, and healthcare professionals.

Main Methods:

• A two-phase framework development process utilizing logic modelling.
• Phase one involved source analysis and expert team discussions to identify framework elements.
• Phase two included expert workshops and re-analysis of sources for framework adaptation, adhering to the CReDECI 2 checklist.

Main Results:

• The developed framework comprises four key measure bundles: structures and processes, competences and attitudes, relationships, and social environment/stimulation.
• The overarching outcome identified is the establishment of a person-centred hospital culture.
• The framework highlights the critical role of an organization-wide, person-centred culture in achieving optimal results.

Conclusions:

• A structured, person-centred framework is essential for effective dementia care in acute hospitals.
• Implementing this framework can foster a supportive hospital environment for individuals with dementia.
• The framework provides a roadmap for organizations aiming to improve the quality of care and experiences for all stakeholders.