A knowledge translation project to create a dementia friendly acute care hospital
Review TypeNone: Sigma Grant Recipient Report
Repository Posting Date2020-03-31T20:21:59Z
Author DetailsCarole White, PhD, RN, FAAN Professor and Nancy Smith Hurd Chair in Geriatric Nursing and Aging Studies School of Nursing, UT Health San Antonio Tel: 210-567-5831 firstname.lastname@example.org Charles C. Reed PhD, RN, CNRN VP/ACNO Center for Clinical Excellence & Ancillary Services University Health System 4502 Medical Drive San Antonio, Texas 78229 Bridgett Piernik-Yoder, PhD, OTR Associate Professor & Chair Distinguished Teaching Professor Department of Occupational Therapy UT Health San Antonio
Lead Author Sigma AffliationDelta Alpha at-Large
Lead Author AffliationUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
Level of EvidenceQuality Improvement
Research ApproachTranslational Research/Evidence-based Practice
Background: The overall purpose of this evidence-based project was to improve the safety and quality of care for persons with dementia admitted to acute care, through a dementia friendly hospital initiative. Methods: A multi-faceted intervention was implemented, including a staff education program, development of a diversional activities program for patients with dementia in collaboration with occupational therapy, and hospital-wide dementia awareness events. Using pre-post designs, we measured staff knowledge, attitudes, and confidence in providing care to hospitalized patients with dementia, need for sitter inventions to evaluate the effectiveness of the diversional activities program, and numbers attending the dementia awareness events, satisfaction and completion of dementia friendly training. Results: To date, 61 education classes, informed from the findings from the focus groups, have been held with 366 patient technicians and 841 nurses. The Diversional Activity Program has served a total of 241 patients. A pilot study (n=6) was undertaken with the initiation of the diversional activity program to examine its effect on the use of video monitor technicians (VMT) for patients with an admitting diagnosis of dementia. There was a 53% lower rate of VMT intervention overall when diversional activities were used. Two one-half day dementia awareness events were held, with over 400 participants. The majority of participants were highly satisfied with the events (98%) and reported a better understanding of dementia (76%) and learned specific actions to support someone with dementia (70%). Conclusion: This multi-faceted intervention has raised awareness about education in this acute care hospital and has resulted in University Health System playing a leadership role in Dementia Friendly San Antonio. We are continuing to build on the project with a focus on evaluating outcomes including adverse events, length of stay, and qualitative feedback from families on the diversional activities program.
Funder(s)Sigma Theta Tau International
NotesThe Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the Sigma grant. No further peer-review has taken place upon the completion of the Sigma grant final report and its appearance in this repository.
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