Dementia Care Mapping: Care home managers and staff need more support to improve care

2020 ◽  
Keyword(s):  
Care Home ◽  
Dementia Care ◽  
Care Mapping ◽  
Dementia Care Mapping

scholarly journals Staff experiences of implementing Dementia Care Mapping to improve the quality of dementia care in care homes: a qualitative process evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alys Wyn Griffiths ◽  
Olivia C. Robinson ◽  
Emily Shoesmith ◽  
Rachael Kelley ◽  
Claire A. Surr
Keyword(s):  
Process Evaluation ◽  
Controlled Trial ◽  
Care Home ◽  
Dementia Care ◽  
Practice Change ◽  
Care Homes ◽  
Complex Nature ◽  
Care Home Staff ◽  
Care Mapping ◽  
Dementia Care Mapping

Abstract Background Dementia Care Mapping™ (DCM) is a widely used, staff-led, psychosocial intervention to support the implementation of person-centred care. Efficacy evaluations in care homes have produced mixed outcomes, with implementation problems identified. Understanding the experiences of staff trained to lead DCM implementation is crucial to understanding implementation challenges, yet this has rarely been formally explored. This study aimed to examine the experiences of care home staff trained to lead DCM implementation, within a large cluster randomised controlled trial. Methods Process evaluation including, semi-structured interviews with 27 trained mappers from 16 intervention allocated care homes. Data were analysed using template variant of thematic analysis. Results Three main themes were identified 1) Preparedness to lead - While mappers overwhelmingly enjoyed DCM training, many did not have the personal attributes required to lead practice change and felt DCM training did not adequately equip them to implement it in practice. For many their expectations of the mapper role at recruitment contrasted with the reality once they began to attempt implementation; 2) Transferring knowledge into practice – Due to the complex nature of DCM, developing mastery required regular practice of DCM skills, which was difficult to achieve within available time and resources. Gaining engagement of and transferring learning to the wider staff team was challenging, with benefits of DCM largely limited to the mappers themselves, rather than realised at a care home level; and 3) Sustaining DCM - This required a perception of DCM as beneficial, allocation of adequate resources and support for the process which was often not able to be provided, for the mapper role to fit with the staff member’s usual duties and for DCM to fit with the home’s ethos and future plans for care. Conclusions Many care homes may not have staff with the requisite skills to lead practice change using DCM, or the requisite staffing, resources or leadership support required for sustainable implementation. Adaptations to the DCM tool, process and training may be required to reduce its complexity and burden and increase chances of implementation success. Alternatively, models of implementation not reliant on care home staff may be required.

scholarly journals Cost-Effectiveness of Dementia Care Mapping in Care-Home Settings: Evaluation of a Randomised Controlled Trial

2019 ◽  
Vol 18 (2) ◽  
pp. 237-247 ◽  
Author(s):  
David M. Meads ◽  
Adam Martin ◽  
Alys Griffiths ◽  
Rachael Kelley ◽  
Byron Creese ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Care Home ◽  
Dementia Care ◽  
Randomised Controlled ◽  
Care Mapping ◽  
Dementia Care Mapping

Die Dementia Care Mapping Methode (DCM)

Pflege ◽  
2005 ◽  
Vol 18 (01) ◽  
pp. 0067-0067
Author(s):  
Christina Anthea
Keyword(s):  
Dementia Care ◽  
Care Mapping ◽  
Dementia Care Mapping

Dementia Care Mapping Survey

2001 ◽  
Author(s):  
Carolinda Douglass ◽  
Arlene Keddie ◽  
Dawn Brooker ◽  
Claire Surr
Keyword(s):  
Dementia Care ◽  
Care Mapping ◽  
Dementia Care Mapping
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