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A four-stage process for intervention description and guide development of a practice based intervention: refining the Namaste Care intervention implementation specification for people with advanced dementia prior to a feasibility cluster randomised trial
(2019-10-21)
Background Some interventions are developed from practice, and implemented before evidence of effect is determined, or the intervention is fully specified. An example is Namaste Care, a multi-component intervention for ...
Using non-participant observation to uncover mechanisms: insights from a realist evaluation
(2019-08-08)
This article outlines how a realist evaluation of dementia care in hospitals used non-participant observation to support the refinement and testing of mechanisms likely to lead to the use of person-centred care. We found ...
Supporting general hospital staff to provide dementia sensitive care: A realist evaluation
(2019-08-01)
Background: There are an increasing number of interventions to improve hospital care for patients with dementia. Evidence for their impact on staff actions and patient outcomes is, however, limited and context dependent. ...
Palliative care for people with dementia living at home: a systematic review of interventions
(2019-07-01)
Background: The European Association for Palliative Care White Paper defined optimal palliative care in dementia based on evidence and expert consensus. Yet, we know little on how to achieve this for people with dementia ...
Improving living and dying for people with advanced dementia living in care homes: a realist review of Namaste Care and other multisensory interventions
(2018-12-06)
Background: Seventy percent of people with advanced dementia live and die in care homes. Multisensory approaches, such as Namaste Care, have been developed to improve the quality of life and dying for people with advanced ...
Namaste Care in nursing care homes with people with advanced dementia: protocol for a feasibility randomised controlled trial
(2018-11-25)
Introduction Many people living with advanced dementia live and die in nursing care homes. The quality of life, care and dying experienced by these people is variable. Namaste Care is a multisensory programme of care ...
Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis
(National Institute for Health Research (NIHR), 2018-08-22)
Background: Health care systems are increasingly moving towards more integrated approaches. Shared decision making (SDM) is central to these models but may be complicated by the need to negotiate and communicate decisions ...
The impact of dementia on service use by individuals with a comorbid health condition: a comparison of two cross-sectional analyses conducted approximately ten-years apart
(2018-07-24)
Background The presence of concomitant medical conditions in people with dementia is common. Dementia may be related to differential use of health, social and informal care. Methods Data from two large UK population-based ...
Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis
(2018-07-18)
Background Health care systems are increasingly moving towards more integrated approaches. Shared decision making (SDM) is central to these models but may be complicated by the need to negotiate and communicate decisions ...
Shared decision-making for people living with dementia in extended care settings: a systematic review
(2018-06-09)
Background Shared decision-making is recognised as an important element of person-centred dementia care. Objectives The aim of this review was to explore how people living with dementia and cognitive impairment can be ...