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Dementia Care

Italian Dementia-Friendly Hospital Trial (IDENTITÀ): efficacy of a dementia care intervention for hospital staff

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Pages 921-929 | Received 06 Sep 2021, Accepted 16 May 2022, Published online: 30 Jun 2022

References

  • Allegri, N., Rosi, A., Del Signore, F., Cremascoli, R., Cappa, S., Tassorelli, C., & Govoni, S. (2022). Dementia-friendly intervention for hospitalized older adults with cognitive impairments: Results of the Italian Dementia-Friendly Hospital Trial (IDENTITÀ). Aging & Mental Health, 26(4), 716–719. https://doi.org/10.1080/13607863.2021.19011
  • Alzheimer’s Association. (2017). Alzheimer’s disease facts and figures. Alzheimer’s & Dementia, 13, 325–373. https://doi.org/10.1016/j.jalz.2017.02.001
  • Baillie, L., Sills, E., & Thomas, N. (2016). Educating a health service workforce about dementia: A qualitative study. Quality in Ageing and Older Adults, 17(2), 119–130. https://doi.org/10.1108/QAOA-11-2015-0051
  • Ballard, C., Fossey, J., Chithramohan, R., Howard, R., Burns, A., Thompson, P., Tadros, G., & Fairbairn, A. (2001). Quality of care in private sector and NHS facilities for people with dementia: Cross sectional survey. BMJ (Clinical Research ed.), 323(7310), 426–427. https://doi.org/10.1136/bmj.323.7310.426
  • Bellelli, G., Morandi, A., Davis, D. H. J., Mazzola, P., Turco, R., Gentile, S., Ryan, T., Cash, H., Guerini, F., Torpilliesi, T., Del Santo, F., Trabucchi, M., Annoni, G., & MacLullich, A. M. J. (2014). Validation of the 4AT, a new instrument for rapid delirium screening: A study in 234 hospitalized older people. Age and Ageing, 43(4), 496–502. https://doi.org/10.1093/ageing/afu021
  • Bickel, H., Hendlmeier, I., Heßler, J. B., Junge, M. N., Leonhardt-Achilles, S., Weber, J., & Schäufele, M. (2018). The prevalence of dementia and cognitive impairment in hospitals: Results from the General Hospital Study (GHoSt). Deutsches Arzteblatt International, 115(44), 733–740. https://doi.org/10.3238/arztebl.2018.0733
  • Boltz, M., Chippendale, T., Resnick, B., & Galvin, J. E. (2015). Testing family-centered, function-focused care in hospitalized persons with dementia. Neurodegenerative Disease Management, 5(3), 203–215. https://doi.org/10.2217/nmt.15.10
  • Brody, A. A., & Galvin, J. E. (2013). A review of interprofessional dissemination and education interventions for recognizing and managing dementia. Gerontology & Geriatrics Education, 34(3), 225–256. https://doi.org/10.1080/02701960.2013.801342
  • Carvello, M., Vitale, E., Babini, M., Conte, L., Lupo, R., & Rubbi, I. (2022). The personhood in patients with dementia assessed in Italian healthcare professionals: An explorative study. Journal of Gerontology and Geriatrics, 70(1), 50–57. https://doi.org/10.361/2499-6564-N400
  • Cowdell, F. (2010). The care of older people with dementia in acute hospitals. International Journal of Older People Nursing, 5(2), 83–92. https://doi.org/10.1111/j.1748-3743.2010.00208.x
  • Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A., & Gornbein, J. (1994). The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia. Neurology, 44(12), 2308–2308. https://doi.org/10.1212/wnl.44.12.2308
  • Dewing, J., & Dijk, S. (2016). What is the current state of care for older people with dementia in general hospitals? A literature review. Dementia (London, England), 15(1), 106–124. https://doi.org/10.1177/1471301213520172
  • Di Fiandra, T., Canevelli, M., Di Pucchio, A., & Vanacore, N., Italian Dementia National Plan Working Group. (2015). The Italian dementia national plan. Annali Dell’Istituto Superiore di Sanita, 51(4), 261–264. https://doi.org/10.4415/ANN_15_04_02
  • Draper, B., Karmel, R., Gibson, D., Peut, A., & Anderson, P. (2011). The hospital dementia services project: Age differences in hospital stays for older people with and without dementia. International Psychogeriatrics, 23(10), 1649–1658. https://doi.org/10.1017/S1041610211001694
  • Elvish, R., Burrow, S., Cawley, R., Harney, K., Graham, P., Pilling, M., Gregory, J., Roach, P., Fossey, J., & Keady, J. (2014). Getting to Know Me’: The development and evaluation of a training programme for enhancing skills in the care of people with dementia in general hospital settings. Aging & Mental Health, 18(4), 481–488. https://doi.org/10.1080/13607863.2013.856860
  • Elvish, R., Burrow, S., Cawley, R., Harney, K., Pilling, M., Gregory, J., & Keady, J. (2018). Getting to Know Me’: The second phase roll-out of a staff training programme for supporting people with dementia in general hospitals. Dementia, 17(1), 96–109. https://doi.org/10.17/1471301216634926
  • Evripidou, M., Charalambous, A., Middleton, N., & Papastavrou, E. (2019). Nurses’ knowledge and attitudes about dementia care: Systematic literature review. Perspectives in Psychiatric Care, 55(1), 48–60. https://doi.org/10.1111/ppc.12291
  • Field, A. (2009). Discovering statistics using SPSS. Sage Publication.
  • Feast, A. R., White, N., Candy, B., Kupeli, N., & Sampson, E. L. (2020). The effectiveness of interventions to improve the care and management of people with dementia in general hospitals: A systematic review. International Journal of Geriatric Psychiatry, 35(5), 463–488. https://doi.org/10.1002/gps.5280
  • Featherstone, K., Northcott, A., Harden, J., Harrison Denning, K., Tope, R., Bale, S., & Bridges, J. (2019). Refusal and resistance to care by people living with dementia being cared for within acute hospital wards: An ethnographic study. Health Services and Delivery Research, 7(11), 1–92. https://doi.org/10.3310/hsdr07110
  • Ferre, F., de Belvis, A. G., Valerio, L., Longhi, S., Lazzari, A., Fattore, G., Ricciardi, W., & Maresso, A. (2014). Italy: Health system review. Health Systems in Transition, 16(4), 1–168. https://apps.who.int/iris/bitstream/handle/10665/141626/HiT-16-4-2014-eng.pdf?sequence=5&isAllowed=y
  • Galvin, J. E., Kuntemeier, B., Al-Hammadi, N., Germino, J., Murphy-White, M., & McGillick, J. (2010). “Dementia-Friendly Hospitals: Care not crisis” An educational program designed to improve the care of the hospitalized patients with dementia. Alzheimer Disease & Associated Disorders, 24(4), 372–379. https://doi.org/10.1097/WAD.0b013e3181e9f829
  • Gkioka, M., Schneider, J., Kruse, A., Tsolaki, M., Moraitou, D., & Teichmann, B. (2020a). Evaluation and effectiveness of dementia staff training programs in general hospital settings: A narrative synthesis with Holton’s three-level model applied. Journal of Alzheimer’s Disease, 78(3), 1089–1108. https://doi.org/10.3233/JAD-200741
  • Gkioka, M., Teichmann, B., Moraitou, D., Papagiannopoulos, S., & Tsolaki, M. (2020b). Effects of a person centered dementia training program in Greek hospital staff—Implementation and evaluation. Brain Sciences, 10(12), 976. https://doi.org/10.3390/brainsci10120976
  • ISTAT. (2021). Le Condizioni di Salute Della Popolazione Anziana in Italia [The health conditions of the elderly population in Italy]. Estimation of the year 2019. Retrieved July 14, 2021, from https://www.istat.it/it/files/2021/07/Report-anziani-2019.pdf
  • Lin, P. C., Hsieh, M. H., & Lin, L. C. (2012). Hospital nurse knowledge of and approach to dementia care. Journal of Nursing Research, 20(3), 197–207. https://doi.org/10.1097/jnr.0b013e318263d8
  • Lintern, T., Woods, R. T., & Phair, L. (2000). Before and after training: A case study of intervention. Journal of Dementia Care, 8, 15–17.
  • Jackson, T. A., Gladman, J. R., Harwood, R. H., MacLullich, A. M., Sampson, E. L., Sheehan, B., & Davis, D. H. (2017). Challenges and opportunities in understanding dementia and delirium in the acute hospital. PLoS Medicine, 14(3), e1002247. https://doi.org/10.1371/journal.pmed.1002247
  • Jurgens, F. J., Clissett, P., Gladman, J. R., & Harwood, R. H. (2012). Why are family carers of people with dementia dissatisfied with general hospital care? A qualitative study. BMC Geriatrics, 12, 57. https://doi.org/10.1186/1471-2318-12-57
  • Kitwood, T. (1997). Dementia reconsidered: The person comes first. Open University Press.
  • Morandi, A., Di Santo, S. G., Zambon, A., Mazzone, A., Cherubini, A., Mossello, E., Bo, M., Marengoni, A., Bianchetti, A., Cappa, S., Fimognari, F., Antonelli Incalzi, R., Gareri, P., Perticone, F., Campanini, M., Penco, I., Montorsi, M., Di Bari, M., Trabucchi, M., … & Bellelli, G., Italian Study Group on Delirium (ISGoD). (2019). Delirium, dementia, and in-hospital mortality: The results from the Italian Delirium Day 2016, a national multicenter study. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 74(6), 910–916. https://doi.org/10.1093/gerona/gly154
  • Mossello, E., Tesi, F., Di Santo, S. G., Mazzone, A., Torrini, M., Cherubini, A., Bo, M., Musicco, M., Bianchetti, A., Ferrari, A., Ferrara, N., Trabucchi, M., Morandi, A., & Bellelli, G., Italian Study Group on Delirium. (2018). Recognition of delirium features in clinical practice: Data from the “Delirium Day 2015” national survey. Journal of the American Geriatrics Society, 66(2), 302–308. https://doi.org/10.1111/jgs.15211
  • Mullan, M. A., & Sullivan, K. A. (2016). Positive attitudes and person-centred care predict of sense of competence in dementia care staff. Aging & Mental Health, 20(4), 407–414. https://doi.org/10.1080/13607863.2015.1018865
  • Palmer, J. L., Lach, H. W., McGillick, J., Murphy-White, M., Carroll, M. B., & Armstrong, J. L. (2014). The Dementia Friendly Hospital Initiative education program for acute care nurses and staff. The Journal of Continuing Education in Nursing, 45(9), 416–424. https://doi.org/10.3928/00220124-20140825-20
  • Perry, M., Drasković, I., van Achterberg, T., Borm, G. F., van Eijken, M. I. J., Lucassen, P., Vernooij-Dassen, M. J. F. J., & Olde Rikkert, M. G. M. (2008). Can an EASYcare based dementia training programme improve diagnostic assessment and management of dementia by general practitioners and primary care nurses? The design of a randomised controlled trial. BMC Health Services Research, 8(1), 71. https://doi.org/10.1186/1472-6963-8-71
  • Pucci, E., Angeleri, F., Borsetti, G., Brizioli, E., Cartechini, E., Giuliani, G., & Solari, A. (2004). General practitioners facing dementia: Are they fully prepared? Neurological Sciences, 24(6), 384–389. https://doi.org/10.1007/s10072-003-0193-0
  • Riquelme-Galindo, J., & Lillo-Crespo, M. (2021). Designing dementia care pathways to transform non dementia-friendly hospitals: Scoping review. International Journal of Environmental Research and Public Health, 18(17), 9296. https://doi.org/10.3390/ijerph18179296
  • Sampson, E. L., Blanchard, M. R., Jones, L., Tookman, A., & King, M. (2009). Dementia in the acute hospital: Prospective cohort study of prevalence and mortality. The British Journal of Psychiatry, 195(1), 61–66. https://doi.org/10.1192/bjp.bp.108.055335
  • Sampson, E. L., Vickerstaff, V., Lietz, S., & Orrell, M. (2017). Improving the care of people with dementia in general hospitals: Evaluation of a whole-system train-the-trainer model. International Psychogeriatrics, 29(4), 605–614. https://doi.org/10.1017/S1041610216002222
  • Scerri, A., Innes, A., & Scerri, C. (2017). Dementia training programmes for staff working in general hospital settings – A systematic review of the literature. Aging & Mental Health, 21(8), 783–796. https://doi.org/10.1080/13607863.2016.1231170
  • Scerri, A., & Scerri, C. (2019). Outcomes in knowledge, attitudes and confidence of nursing staff working in nursing and residential care homes following a dementia training programme. Aging & Mental Health, 23(8), 919–928. https://doi.org/10.1080/13607863.2017.1399342
  • Shanahan, N., Orrell, M., Schepers, A. K., & Spector, A. (2013). The development and evaluation of the DK-20: A knowledge of dementia measure. International Psychogeriatrics, 25(11), 1899–1907. https://doi.org/10.1017/S1041610213001142
  • Shepherd, H., Livingston, G., Chan, J., & Sommerlad, A. (2019). Hospitalisation rates and predictors in people with dementia: A systematic review and meta-analysis. BMC Medicine, 17(1), 13. https://doi.org/10.1186/s12916-019-1369-7
  • Smyth, W., Fielding, E., Beattie, E., Gardner, A., Moyle, W., Franklin, S., Hines, S., & MacAndrew, M. (2013). A survey-based study of knowledge of Alzheimer’s disease among health care staff. BMC Geriatrics, 13(1), 2–8. https://doi.org/10.1186/1471-2318-13-2
  • Smythe, A., Jenkins, C., Harries, M., Atkins, S., Miller, J., Wright, J., Wheeler, N., Dee, P., Bentham, P., & Oyebode, J. (2014). Evaluation of dementia training for staff in acute hospital settings. Nursing Older People, 26(2), 18–24. https://doi.org/10.7748/nop2014.02.26.2.18.e527
  • Sullivan, K., & O’Conor, F. (2001). Providing education about Alzheimer’s disease. Aging & Mental Health, 5(1), 5–13. https://doi.org/10.1080/13607860020020582
  • Surr, C. A., & Gates, C. (2017). What works in delivering dementia education or training to hospital staff? A critical synthesis of the evidence. International Journal of Nursing Studies, 75, 172–188. https://doi.org/10.1016/j.ijnurstu.2017.08.002
  • Surr, C., Smith, S., Crossland, J., & Robins, J. (2016). Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study. International Journal of Nursing Studies, 53, 144–151. https://doi.org/10.1016/j.ijnurstu.2015.09.009
  • Turner, A., Eccles, F. J., Elvish, R., Simpson, J., & Keady, J. (2017). The experience of caring for patients with dementia within a general hospital setting: A meta-synthesis of the qualitative literature. Aging & Mental Health, 21(1), 66–76. https://doi.org/10.1080/13607863.2015.1109057
  • Vanacore, N., Maggini, M., Raschetti, R. (2005). Epidemiologia della demenza di Alzheimer in Italia. Bollettino Epidemiologico Nazionale. https://www.epicentro.iss.it/ben/2005/febbraio/1
  • Veneziani, F., Panza, F., Solfrizzi, V., Capozzo, R., Barulli, M. R., Leo, A., Lozupone, M., Fontana, A., Arcuti, S., Copetti, M., Cardinali, V., Grasso, A., Tursi, M., Iurillo, A., Imbimbo, B. P., Seripa, D., & Logroscino, G. (2016). Examination of level of knowledge in Italian general practitioners attending an education session on diagnosis and management of the early stage of Alzheimer’s disease: Pass or fail? International Psychogeriatrics, 28(7), 1111–1124. https://doi.org/10.1017/S1041610216000041
  • Vetrano, D. L., Landi, F., De Buyser, S. L., Carfì, A., Zuccalà, G., Petrovic, M., Volpato, S., Cherubini, A., Corsonello, A., Bernabei, R., & Onder, G. (2014). Predictors of length of hospital stay among older adults admitted to acute care wards: A multicentre observational study. European Journal of Internal Medicine, 25(1), 56–62. https://doi.org/10.1016/j.ejim.2013.08.709
  • Waugh, A., Marland, G., Henderson, J., Robertson, J., & Wilson, A. (2011). Improving care of people with dementia in hospital. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 25(32), 44–49. https://doi.org/10.7748/ns2011.04.25.32.44.c8452
  • Yous, M. L., Ploeg, J., Kaasalainen, S., & Martin, L. S. (2020). Healthcare professionals’ perceptions of PIECES education in supporting care delivery for older adults with responsive behaviours of dementia in acute care. Gerontology & Geriatrics Education, 41(1), 32–51. https://doi.org/10.1080/02701960.2019.1572011
  • Zhao, W., Moyle, W., Wu, M. W., & Petsky, H. (2022). Hospital healthcare professionals’ knowledge of dementia and attitudes towards dementia care: A cross-sectional study. Journal of Clinical Nursing, 31(13–14), 1786–1799. https://doi.org/10.1111/jocn.15590
  • Zuliani, G., Gallerani, M., Martellucci, C. A., Reverberi, R., Brombo, G., Cervellati, C., Zuin, M., Pistolesi, C., Pedrini, D., Flacco, M. E., & Manzoli, L. (2022). Dementia and in-hospital mortality: Retrospective analysis of a nationwide administrative database of elderly subjects in Italy. Aging Clinical and Experimental Research, 34(5), 1037–1039. https://doi.org/10.1007/s40520-021-02021-8

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