Challenges of implementing and embedding a programme to improve care for older people with dementia on hospital wards
evidence and practice    

Challenges of implementing and embedding a programme to improve care for older people with dementia on hospital wards

Ann Skingley Principal research fellow, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Folkestone, England
Joy Marshall Dementia specialist lead nurse, East Kent Hospitals University NHS Foundation Trust, Ashford, England

The authors took part in a national research project that evaluated an intervention to enhance person-centred care for people with dementia in hospital. The Person, Interactions, Environment (PIE) programme involves staff observing care on a ward, focusing on these three areas. Findings from observations form the basis for introducing changes to ward practices. Implementing PIE led to improvements in practice but proved challenging in the context of the NHS. Sustaining the programme after the research required important features to be in place, in particular the presence of a ‘driver’ to maintain momentum, the support of the ward manager to encourage ward staff to take part and a degree of flexibility and persistence in the implementation of the programme. Staff expressed satisfaction from taking part in PIE, which continues to be used to improve care in this area of practice.

Nursing Older People. doi: 10.7748/nop.2018.e1120

Citation

Skingley A, Marshall J (2018) Challenges of implementing and embedding a programme to improve care for older people with dementia on hospital wards. Nursing Older People. doi: 10.7748/nop.2018.e1120

Peer review

This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software

Correspondence

ann.skingley@canterbury.ac.uk

Conflict of interest

None declared

Acknowledgements

The authors would like to thank the staff at East Kent Hospitals University NHS Foundation Trust, who were involved in the research and implementation of the project

Published online: 06 November 2018

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