Outcomes of Person-centered Care for Persons with Dementia in the Acute Care Setting: A Pilot Study.

Chenoweth, L; Williams, A; Fry, M; Endean, E; Liu, Z

Outcomes of Person-centered Care for Persons with Dementia in the Acute Care Setting: A Pilot Study.

Chenoweth, L Williams, A Fry, M

Endean, E Liu, Z

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Publisher:: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: Clinical gerontologist, 2021, pp. 1-15
Issue Date:: 2021-07-07

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Field	Value	Language
dc.contributor.author	Chenoweth, L
dc.contributor.author	Williams, A
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.contributor.author	Endean, E
dc.contributor.author	Liu, Z
dc.date.accessioned	2021-12-17T01:04:25Z
dc.date.available	2021-12-17T01:04:25Z
dc.date.issued	2021-07-07
dc.identifier.citation	Clinical gerontologist, 2021, pp. 1-15
dc.identifier.issn	0731-7115
dc.identifier.issn	1545-2301
dc.identifier.uri	http://hdl.handle.net/10453/152377
dc.description.abstract	<h4>Objectives</h4>This pilot study assessed clinical outcomes and quality care for persons with dementia in an acute hospital with PCC, compared with usual care.<h4>Methods</h4>Forty-seven consented persons 60 years and over with dementia were assigned to PCC (n = 26) or usual care (control) (n = 21). Hospital nurses and allied health staff received 3 h of face-to-face education in PCC, and practice support by four PCC-trained nurse champions. Control group staff received 3 h of face-to-face education on dementia and delirium care clinical guidelines. Primary outcomes behavioral/neuropsychiatric symptoms and care quality were analyzed based on repeated measures at baseline (Time 1), 4-5 days after baseline (Time 2) and day 8-10 after baseline (Time 3) where available.<h4>Results</h4>Compared with controls, at Time 2 PCC produced statistically significant improvements in behavioral/neuropsychiatric symptoms (adjusted <i>p</i> = .036) and care quality (adjusted <i>p</i> = .044). Where length of stay exceeded 8 days after baseline (Time 3), there was a sustained improvement in quality care (<i>p</i> = .007), but not in behavioral/neuropsychiatric symptoms (<i>p</i> = .27).<h4>Conclusions</h4>PCC can improve care quality for persons with dementia; nursing; agitation; paid caregivers with dementia and reduce behavioral/neuropsychiatric symptoms during short hospital stays.<h4>Clinical implications</h4>Hospital systems need to support PCC to reduce behavioral/neuropsychiatric symptoms in dementia during long hospital stays.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
dc.relation.ispartof	Clinical gerontologist
dc.relation.isbasedon	10.1080/07317115.2021.1946233
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1701 Psychology
dc.subject.classification	Geriatrics
dc.title	Outcomes of Person-centered Care for Persons with Dementia in the Acute Care Setting: A Pilot Study.
dc.type	Journal Article
utslib.location.activity	United States
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
dc.date.updated	2021-12-17T01:04:22Z
pubs.publication-status	Published

Abstract:

Objectives

This pilot study assessed clinical outcomes and quality care for persons with dementia in an acute hospital with PCC, compared with usual care.

Methods

Forty-seven consented persons 60 years and over with dementia were assigned to PCC (n = 26) or usual care (control) (n = 21). Hospital nurses and allied health staff received 3 h of face-to-face education in PCC, and practice support by four PCC-trained nurse champions. Control group staff received 3 h of face-to-face education on dementia and delirium care clinical guidelines. Primary outcomes behavioral/neuropsychiatric symptoms and care quality were analyzed based on repeated measures at baseline (Time 1), 4-5 days after baseline (Time 2) and day 8-10 after baseline (Time 3) where available.

Results

Compared with controls, at Time 2 PCC produced statistically significant improvements in behavioral/neuropsychiatric symptoms (adjusted p = .036) and care quality (adjusted p = .044). Where length of stay exceeded 8 days after baseline (Time 3), there was a sustained improvement in quality care (p = .007), but not in behavioral/neuropsychiatric symptoms (p = .27).

Conclusions

PCC can improve care quality for persons with dementia; nursing; agitation; paid caregivers with dementia and reduce behavioral/neuropsychiatric symptoms during short hospital stays.

Clinical implications

Hospital systems need to support PCC to reduce behavioral/neuropsychiatric symptoms in dementia during long hospital stays.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/152377