Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model
Background: There are concerns about the quality of care that people with dementia receive in the general hospital. Staff report a lack of confidence and inadequate training in dementia care. Methods: A train-the-trainer model was implemented across eight acute hospital trusts in London via a large...
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| Format: | Article |
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Cambridge University Press
2016
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| Online Access: | https://eprints.nottingham.ac.uk/38683/ |
| _version_ | 1848795667395248128 |
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| author | Sampson, Elizabeth L. Vickerstaff, Victoria Lietz, Stephanie Orrell, Martin |
| author_facet | Sampson, Elizabeth L. Vickerstaff, Victoria Lietz, Stephanie Orrell, Martin |
| author_sort | Sampson, Elizabeth L. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: There are concerns about the quality of care that people with dementia receive in the general hospital. Staff report a lack of confidence and inadequate training in dementia care.
Methods: A train-the-trainer model was implemented across eight acute hospital trusts in London via a large academic health and science network. Impact was evaluated using mixed methods. Data was collected at (a) Individual level: ‘Sense of Competence in Dementia Care’ (SCID) (b) Ward level: Person Interaction and Environment (PIE) observations (c) Organisation level: use of specific tools i.e. “This Is Me”, (d) Systems level: numbers and types of staff trained per trust. Results were analysed with descriptive statistics and paired t-test with thematic framework analysis for PIE observations.
Results: Number of staff trained per trust ranged from 67 to 650 (total 2,020). 1,688 (85%) baseline questionnaires and 456 (27%) 3 month follow-up questionnaires were completed. Mean SCID score was 43.2 at baseline and 50.7 at follow-up (paired t-test, p<0.001). All sub-scales showed a small increase in competence, the largest being for ‘building relationships’. Organisational level data suggested increased use of carer’s passport, “This Is Me” documentation, dementia information leaflets, delirium screening scales and pathways. PIE observations demonstrated improved staff-patient interactions but little change in hospital environments.
Conclusions: There was a significant improvement in staffs’ sense of competence in dementia care and the quality of interactions with patients. More hospitals adopted person centred tools and pathways. Work is required to investigate if these changes improve hospital outcomes for people with dementia. |
| first_indexed | 2025-11-14T19:35:44Z |
| format | Article |
| id | nottingham-38683 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:35:44Z |
| publishDate | 2016 |
| publisher | Cambridge University Press |
| recordtype | eprints |
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| spelling | nottingham-386832024-08-15T15:21:15Z https://eprints.nottingham.ac.uk/38683/ Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model Sampson, Elizabeth L. Vickerstaff, Victoria Lietz, Stephanie Orrell, Martin Background: There are concerns about the quality of care that people with dementia receive in the general hospital. Staff report a lack of confidence and inadequate training in dementia care. Methods: A train-the-trainer model was implemented across eight acute hospital trusts in London via a large academic health and science network. Impact was evaluated using mixed methods. Data was collected at (a) Individual level: ‘Sense of Competence in Dementia Care’ (SCID) (b) Ward level: Person Interaction and Environment (PIE) observations (c) Organisation level: use of specific tools i.e. “This Is Me”, (d) Systems level: numbers and types of staff trained per trust. Results were analysed with descriptive statistics and paired t-test with thematic framework analysis for PIE observations. Results: Number of staff trained per trust ranged from 67 to 650 (total 2,020). 1,688 (85%) baseline questionnaires and 456 (27%) 3 month follow-up questionnaires were completed. Mean SCID score was 43.2 at baseline and 50.7 at follow-up (paired t-test, p<0.001). All sub-scales showed a small increase in competence, the largest being for ‘building relationships’. Organisational level data suggested increased use of carer’s passport, “This Is Me” documentation, dementia information leaflets, delirium screening scales and pathways. PIE observations demonstrated improved staff-patient interactions but little change in hospital environments. Conclusions: There was a significant improvement in staffs’ sense of competence in dementia care and the quality of interactions with patients. More hospitals adopted person centred tools and pathways. Work is required to investigate if these changes improve hospital outcomes for people with dementia. Cambridge University Press 2016-12-21 Article PeerReviewed Sampson, Elizabeth L., Vickerstaff, Victoria, Lietz, Stephanie and Orrell, Martin (2016) Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model. International Psychogeriatrics, 29 (4). pp. 605-614. ISSN 1741-203X dementia inpatient training education liaison https://www.cambridge.org/core/journals/international-psychogeriatrics/article/div-classtitleimproving-the-care-of-people-with-dementia-in-general-hospitals-evaluation-of-a-whole-system-train-the-trainer-modeldiv/F46E02C1D076A0413A84962C0DD8E80C doi:10.1017/S1041610216002222 doi:10.1017/S1041610216002222 |
| spellingShingle | dementia inpatient training education liaison Sampson, Elizabeth L. Vickerstaff, Victoria Lietz, Stephanie Orrell, Martin Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model |
| title | Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model |
| title_full | Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model |
| title_fullStr | Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model |
| title_full_unstemmed | Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model |
| title_short | Improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model |
| title_sort | improving the care of people with dementia in general hospitals: evaluation of a whole-system train the trainer model |
| topic | dementia inpatient training education liaison |
| url | https://eprints.nottingham.ac.uk/38683/ https://eprints.nottingham.ac.uk/38683/ https://eprints.nottingham.ac.uk/38683/ |