Petra Boersma1,2, Julia C M van Weert3, Birgit I Lissenberg-Witte4, Berno van Meijel1,2,5, Rose-Marie Dröes6. 1. Research Group Mental Health Nursing, Inholland University of Applied Sciences, Amsterdam, the Netherlands. 2. VU University Medical Center, Department of Psychiatry, EMGO Institute for Health and Care Research, Amsterdam, the Netherlands. 3. Amsterdam School of Communication Research/ASCoR, University of Amsterdam, the Netherlands. 4. VU University Medical Center, Department of Epidemiology and Biostatistics, Amsterdam, the Netherlands. 5. Parnassia Psychiatric Institute, The Hague, the Netherlands. 6. VU University Medical Centre, Department of Psychiatry, Alzheimer Centre, EMGO Institute for Health and Care Research, Amsterdam, the Netherlands.
Abstract
BACKGROUND AND OBJECTIVES: There is a lack of research on implementation of person-centered care in nursing home care. The purpose of this study was to assess the implementation of the Veder contact method (VCM), a new person-centered method using theatrical, poetic and musical communication for application in 24-hr care. RESEARCH DESIGN AND METHODS: Caregivers (n = 136) and residents (n = 141) participated in a 1-year quasi-experimental study. Foundation Theater Veder implemented VCM on six experimental wards and rated implementation quality. Six control wards delivered care-as-usual. Before and after implementation, caregiver behavior was assessed during observations using the Veder-observation list and Quality of Caregivers' Behavior-list. Caregiver attitude was rated with the Approaches to Dementia Questionnaire. Quality of life, behavior, and mood of the residents were measured with QUALIDEM, INTERACT and FACE. Residents' care plans were examined for person-centered background information. RESULTS: Significant improvements in caregivers' communicative behavior (i.e., the ability to apply VCM, establishing positive interactions) and some aspects of residents' behavior and quality of life (i.e., positive affect, social relations) were found on the experimental wards with a high implementation score, as compared to the experimental wards with a low implementation score, and the control wards. No significant differences were found between the groups in caregivers' attitudes, residents' care plans, or mood. DISCUSSION AND IMPLICATIONS: The positive changes in caregivers' behavior and residents' well-being on the high implementation score wards confirm the partly successful VCM implementation. Distinguishing between wards with a high and low implementation score provided insight into factors which are crucial for successful implementation.
BACKGROUND AND OBJECTIVES: There is a lack of research on implementation of person-centered care in nursing home care. The purpose of this study was to assess the implementation of the Veder contact method (VCM), a new person-centered method using theatrical, poetic and musical communication for application in 24-hr care. RESEARCH DESIGN AND METHODS: Caregivers (n = 136) and residents (n = 141) participated in a 1-year quasi-experimental study. Foundation Theater Veder implemented VCM on six experimental wards and rated implementation quality. Six control wards delivered care-as-usual. Before and after implementation, caregiver behavior was assessed during observations using the Veder-observation list and Quality of Caregivers' Behavior-list. Caregiver attitude was rated with the Approaches to Dementia Questionnaire. Quality of life, behavior, and mood of the residents were measured with QUALIDEM, INTERACT and FACE. Residents' care plans were examined for person-centered background information. RESULTS: Significant improvements in caregivers' communicative behavior (i.e., the ability to apply VCM, establishing positive interactions) and some aspects of residents' behavior and quality of life (i.e., positive affect, social relations) were found on the experimental wards with a high implementation score, as compared to the experimental wards with a low implementation score, and the control wards. No significant differences were found between the groups in caregivers' attitudes, residents' care plans, or mood. DISCUSSION AND IMPLICATIONS: The positive changes in caregivers' behavior and residents' well-being on the high implementation score wards confirm the partly successful VCM implementation. Distinguishing between wards with a high and low implementation score provided insight into factors which are crucial for successful implementation.
Authors: Sara Clemens; Katelynn Aelick; Jessica Babineau; Monica Bretzlaff; Cathleen Edwards; Josie-Lee Gibson; Debbie Hewitt Colborne; Andrea Iaboni; Dee Lender; Denise Schon; Ellen Snowball; Katherine S McGilton; Jennifer Bethell Journal: Health Sci Rep Date: 2022-07-20
Authors: Tove Karin Vassbø; Ådel Bergland; Marit Kirkevold; Marie Lindkvist; Qarin Lood; Per-Olof Sandman; Karin Sjögren; David Edvardsson Journal: Nurs Open Date: 2020-07-23
Authors: Wiebke Mohr; Anika Rädke; Adel Afi; Franka Mühlichen; Moritz Platen; Bernhard Michalowsky; Wolfgang Hoffmann Journal: Int J Environ Res Public Health Date: 2022-06-22 Impact factor: 4.614