The Impact Of Implementing A Namaste Care Intervention In Uk Care Homes For People Living With Advanced Dementia, Staff And Families

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH(2020)

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摘要
Care homes can struggle to provide optimal care for residents with advanced dementia. Namaste Care provides a structured daily programme of physical, sensory and emotional care delivered by regular care workers. A three-year, mixed method process study of implementation and impact created a manualised Namaste Care Intervention for UK care homes (NCI-UK). This article reports on the impact of NCI-UK delivered consistently in five care homes for 12-24 weeks. Impact for residents was assessed using, pre-post data, showing significant positive effects for QUALID (t= 2.92,p= 0.01,n= 31) and CMAI (t= 3.31,p= 0.002,n= 32), alongside many qualitative examples of positive impacts on wellbeing, responsiveness and communication. Pre-post staff questionnaire data (n= 20) were not significant. Qualitative data indicated that NCI-UK is a positive staff experience, providing sense of purpose, improved wellbeing and relationships. The care homes reported benefiting from implementing NCI-UK in terms of reputation and quality improvement. Family interviews were also positive, relating to seeing the difference, improving relationships and being involved. NCI-UK can therefore be recommended as an impactful intervention for residents, staff and families.
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关键词
care homes, long term care, advanced dementia, namaste care, implementation, change, psychosocial intervention
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