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

Journal article

Skingley, A. and Marshall, J. 2018. Challenges of implementing and embedding a programme to improve care for people with dementia on hospital wards. Nursing Older People. 30 (7), pp. 29-33. https://doi.org/10.7748/nop.2018.e1120

Publication dates
Authors	Skingley, A. and Marshall, J.
Abstract	We recently took part in a national research project which evaluated an intervention to enhance person-centred care for people with dementia in hospital. The PIE (Person, Interactions, Environment) 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 current context of the NHS. Sustaining the programme following the research required key 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 a tool which is used to improve care in this area of practice.
Keywords	Change programme; dementia care; hospital wards; implementation theory; observations of practice
Year	2018
Journal	Nursing Older People
Journal citation	30 (7), pp. 29-33
Publisher	RCN Publishing
ISSN	1472-0795
Digital Object Identifier (DOI)	https://doi.org/10.7748/nop.2018.e1120
Related URL	https://journals.rcni.com/nursing-older-people
Online	06 Nov 2018
Publication process dates
Deposited	18 Sep 2018
Accepted	12 Sep 2018
Accepted author manuscript	17612.pdf
Output status	Published
References	References Bray J, Evans S, Bruce M et al (2015). Improving activity and engagement for patients with dementia. Nursing Older People 27, 8, 22-26. Caffrey L, Wolfe C and McKevitt C (2016). Embedding research in health systems: lessons from complexity theory. Health Research Policy and Systems 14:54: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4957897/ Department of Health (2015). Prime Minister’s Challenge on Dementia 2020. Department of Health: London: www.gov.uk/government/publications/prime-ministers-challenge-on-dementia-2020 Dewing J, and Dijk S, (2016). What is the current state of care for older people with dementia in general hospitals? A literature review. Dementia 15, 1, 106-124. Evans S, Brooker D, Thompson R et al (2015). Introduction to the transforming dementia care in hospitals series. Nursing Older People 27, 6, 18-24. Godfrey M, Young J, Shannon R, et al (2018). The Person, Interactions & Environment Programme (PIE) to improve care for people with dementia admitted to hospital: a multi-site study. Health Services and Delivery Research 6, 23, issn 2050-4349: https://www.journalslibrary.nihr.ac.uk/hsdr/hsdr06230/#/abstract Hunter B (2013). Implementing research evidence into practice: some reflections and challenges. Evidence Based Midwifery 11, 3, 76-81. Kristensen N, Nymann C and Konradsen H (2016). Implementing research results in clinical practice: the experiences of healthcare professionals. BMC Health Services Research 16: 48. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-0... May C and Finch T (2009). Implementing, embedding and integrating practices: an outline of normalization process theory. Sociology, 43, 3, 535–554. NHS Commissioning Board (2012). Compassion in Practice. Department of Health: Leeds: https://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-... NICE (2018). Dementia: assessment, management and support for people living with dementia and their carers. NICE Guideline 97: https://www.nice.org.uk/guidance/ng97 Royal College of Psychiatrists (201. Report of the national audit of dementia care in general hospitals. Royal College of Psychiatrists: London. Wye L and McClenahan J (2000). Getting better with evidence: experiences of putting evidence into practice. King’s Fund: London.

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

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