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dc.contributor.advisorArmitage, Gerry R.
dc.contributor.advisorCapstick, Andrea
dc.contributor.authorShaw, Courtney J.
dc.date.accessioned2019-11-14T12:59:10Z
dc.date.available2019-11-14T12:59:10Z
dc.identifier.urihttp://hdl.handle.net/10454/17445
dc.description.abstractThis project provides the first comprehensive investigation into the experiences of people with dementia (PWD), their carers, and the staff who provide care in emergency departments (ED) in the UK. This is a mixed methods study which used a national survey (N=403) followed by ED observation (32 hours) and qualitative interviews with health professionals (N=29), in an iterative and sequential design to present a holistic evaluation of the current experiences of the key parties- patients, carers, and ED staff involved in receiving and providing care. The theoretical perspective of the Human Factors Approach to patient safety underpins this work. The project included people with dementia and carers as collaborators and co-designers in both the development of the research tools and in shaping the project outputs. This research explores the barriers and facilitators to safe and effective care, concluding that here are a number of barriers (poor integration of communication systems, inappropriate physical environments, misalignment of staff training and workplace staffing models), which may affect the healthcare team’s ability to provide effective dementia care. These systemic challenges both give rise to and exacerbate poor organisational and safety cultures. However, despite these challenges, there are examples of safe and effective care (positive deviants) where uncommonly good outcomes for this patient population are achieved. Examining these examples offers valuable insight into potential adaptions, which could be used to improve existing care.en_US
dc.language.isoenen_US
dc.publisherUniversity of Bradforden_US
dc.rights<a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>.en_US
dc.subjectDementiaen_US
dc.subjectEmergency medicineen_US
dc.subjectPatient safetyen_US
dc.subjectQuality improvementen_US
dc.subjectContributory factorsen_US
dc.subjectPerson centred courseen_US
dc.subjectNursesen_US
dc.subjectDoctorsen_US
dc.subjectCarersen_US
dc.subjectPatientsen_US
dc.titleTowards Dementia Friendly Emergency Departments: A mixed method exploratory study identifying opportunities to improve the quality and safety of care for people with dementia in emergency departmentsen_US
dc.type.qualificationleveldoctoralen_US
dc.publisher.institutionUniversity of Bradfordeng
dc.publisher.departmentFaculty of Health Studiesen_US
dc.typeThesiseng
dc.type.qualificationnamePhDen_US
dc.date.awarded2018
refterms.dateFOA2019-11-14T12:59:10Z


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