"Dementia-friendly hospitals: care not crisis": an educational program designed to improve the care of the hospitalized patient with dementia.

Alzheimer Disease and Associated Disorders
James E GalvinJanis McGillick

Abstract

Approximately 3.2 million hospital stays annually involve a person with dementia, leading to higher costs, longer lengths of stay, and poorer outcomes. Older adults with dementia are vulnerable when hospitals are unable to meet their special needs. We developed, implemented, and evaluated a training program for 540 individuals at 4 community hospitals. Pretest, posttest, and a 120-day delayed posttest were performed to assess knowledge, confidence, and practice parameters. The mean age of the sample was 46 years; 83% were White, 90% were female, and 60% were nurses. Upon completion, there were significant gains (P's <0.001) in knowledge and confidence in recognizing, assessing, and managing dementia. Attendees reported gains in communication skills and strategies to improve the hospital environment, patient safety, and behavioral management. At 120 days, 3 of 4 hospitals demonstrated maintenance of confidence. In the hospital that demonstrated lower knowledge and confidence scores, the sample was older and had more nurses and more years in practice. We demonstrate the feasibility of training hospital staff about dementia and its impact on patient outcomes. At baseline, there was low knowledge and confidence in the ability to ca...Continue Reading

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Citations

Apr 28, 2012·Zeitschrift für Gerontologie und Geriatrie·H SchulzM Meyer
Jul 25, 2013·Gerontology & Geriatrics Education·Abraham A Brody, James E Galvin
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Apr 2, 2017·Zeitschrift für Gerontologie und Geriatrie·Nigel GillChris Fox
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Jan 13, 2021·Zeitschrift für Gerontologie und Geriatrie·Thomas Johann GehrSabine Alexandra Engel
May 28, 2021·Journal of Gerontological Nursing·Precious OsuohaCarole L White

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