Factors affecting the quality of dementia care at acute care hospitals: A cross‐sectional study

Author(s):  
Shoko Urashima ◽  
Chieko Greiner ◽  
Hirochika Ryuno ◽  
Yuko Yamaguchi
2017 ◽  
Vol 18 (2) ◽  
pp. 276-285 ◽  
Author(s):  
Pei-Chao Lin ◽  
Mei-Hui Hsieh ◽  
Meng-Chin Chen ◽  
Yung-Mei Yang ◽  
Li-Chan Lin

Author(s):  
Darja Jarošová ◽  
Elena Gurková ◽  
Renáta Zeleníková ◽  
Ilona Plevová ◽  
Eva Janíková

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231346 ◽  
Author(s):  
Brita Roy ◽  
Judith R. L. M. Wolf ◽  
Michelle D. Carlson ◽  
Reinier Akkermans ◽  
Bradley Bart ◽  
...  

2013 ◽  
Vol 8 (1) ◽  
pp. 23 ◽  
Author(s):  
Sayf Gazala ◽  
Yvonne Tul ◽  
Adrian Wagg ◽  
Sandy L Widder ◽  
Rachel G Khadaroo ◽  
...  

2021 ◽  
Vol 84 (4) ◽  
pp. 552-558
Author(s):  
Gülsüm Şahin Bodur ◽  
Alev Keser ◽  
Zeynep Şıklar ◽  
Merih Berberoğlu

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Burcu Akpınar Söylemez ◽  
Özlem Küçükgüçlü ◽  
Merve Aliye Akyol ◽  
Ahmet Turan Işık

Abstract Background Quality of life (QoL) is a growing area of interest in dementia research. However, it remains a controversial topic. This study aimed to determine the QoL of people with Alzheimer’s disease (PwAD) and investigate the factors affecting patients’ and caregivers’ QoL scores. Methods A cross-sectional study design was used. A total of 98 home-dwelling PwADs and their primary caregivers were recruited in the study. Sociodemographic characteristics and QoL scores, activities of daily living (ADL) and instrumental ADL (IADL), Mini-mental State Examination (MMSE) scores, neuropsychiatric inventory (NPI), and NPI–distress were determined to assess the relevant outcomes. All statistical analyses were performed using SPSS version 22.0. Descriptive statistics, t-test, Pearson correlation, and multinomial regression were used for analysis. Results The patients’ ratings of their QoL were higher than those of the caregivers. Caregiver education, patients’ ADL, and IADL were associated with the patients’ score on the Quality of Life in Alzheimer’s Disease (QoL-AD) scale. In addition to these variables, MMSE, NPI, and NPI–distress were associated with the caregiver scores on QoL-AD. Conclusion From a clinical point of view, the proxy-rated scores of QoL cannot replace the self-ratings of the patients. This study suggests that both self- and proxy-rated QoL scores should be applied whenever possible. Focusing on the management of behavioral problems and supporting functionality and cognitive functions may be modifiable factors that may represent targets for intervention to improve the QoL. The findings of this study should also be used to design caregiver educational programs about the determinants of QoL.


2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Kanako Yamamoto ◽  
Yuki Yonekura ◽  
Kazuhiro Nakayama

Abstract Background In acute-care hospitals, patients treated in an ICU for surgical reasons or sudden deterioration are treated in an outpatient ward, ICU, and other multiple departments. It is unclear how healthcare providers are initiating advance care planning (ACP) for such patients and assisting them with it. The purpose of this study is to clarify healthcare providers’ perceptions of the ACP support provided to patients receiving critical care in acute-care hospitals. Methods A cross-sectional study was conducted using questionnaires. In this study, 400 acute-care hospitals with ICUs in Japan were randomly selected, and 1490 subjects, including intensivists, surgeons, ICU nurses, surgical floor nurses, and surgical outpatient nurses, participated. Survey items examined whether ICU patients received ACP support, the participants’ degree of confidence in providing ACP support, the patients’ treatment preferences, and the decision-making process, and whether any discussion was conducted on change of values. Results Responses were obtained from 598 participants from 157 hospitals, 41.4% of which reportedly supported ACP provision to ICU patients. The subjects with the highest level of ACP understanding were surgeons (45.8%), and differences in understanding were observed across specialties (P < 0.001). Among the respondents, physicians and nurses expressed high levels of confidence in providing ACP support to patients requiring critical care. However, 15.2% of all the subjects mentioned that they would not attempt to resuscitate the patients. In addition, 25.7% of the participants handed over patients’ values to other departments or hospitals, whereas 25.3% handed over the decision-making process. Conclusions Among the participating hospitals, 40% provided ACP support to patients receiving critical care. The low number is possibly because support providers lack understanding of the content of patients’ ACP or about how to support and use ACP. Second, it is sometimes too late to start providing ACP support after ICU admission. Third, healthcare providers differ in their perception of ACP, widely considered an ambiguous concept. Finally, in acute-care hospitals with different healthcare settings, it is necessary to confirm and integrate the changes in feelings and thoughts of patients.


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