Leading change in residential care: A qualitative study to develop Dementia Care Mapping for future implementation
de Paiva, Andreia F.
de Paiva, Andreia F.
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The University of Bradford theses are licenced under a Creative Commons Licence.
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Accepted for publication
Institution
University of Bradford
Department
Centre for Applied Dementia Studies. Faculty of Health Studies
Awarded
2024
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Abstract
Background: Dementia Care Mapping (DCM) is an observational tool used to deliver person-centred care (PCC) for people living with dementia. While the research to date has demonstrated the positive impact of DCM in care homes, more needs to be
understood about the implementation and uptake of DCM, and staff understanding of PCC in practice.
Aim: The main aim of this thesis is to improve the implementation of DCM in residential care settings.
Methods: A realist review was conducted to develop a theoretical understanding of factors influencing the successful implementation of DCM in care settings. This was followed by a constructivist grounded theory study with fifteen health and social care staff who have trained in DCM to explore their perspective, experiences and understanding of DCM and PCC. Practical recommendations were developed with coproduction used to develop DCM in practice.
Findings: This thesis found that many factors influencing the implementation of DCM in practice are common among PCC interventions. The review emphasised the importance of leadership support in driving practice change. Interviews with
participants found a conflict between the concept of PCC in practice and theory. Practical guidelines and a roadmap were developed for the DCM education team and organisations that aim to implement and use DCM.
Conclusion: This PhD thesis aimed to improve the implementation of DCM, contributing to both its practical development and understanding of factors that influence the implementation of DCM. The findings provide insights into PCC in care homes, particularly regarding care plan formulation and practical application of PCC.
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Type
Thesis
Qualification name
PhD