What are the barriers to care integration for those at the advanced stages of dementia living in care homes in the UK? Health care professional perspective
People with advanced dementia are frequently bed-bound, doubly incontinent and able to speak only a few words. Many reside in care homes and may often have complex needs requiring efficient and timely response by knowledgeable and compassionate staff. The aim of this study is to improve our understa...
Gespeichert in:
| Veröffentlicht in: | Dementia (London, England) England), 2018-02, Vol.17 (2), p.164-179 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 179 |
|---|---|
| container_issue | 2 |
| container_start_page | 164 |
| container_title | Dementia (London, England) |
| container_volume | 17 |
| creator | Kupeli, Nuriye Leavey, Gerard Harrington, Jane Lord, Kathryn King, Michael Nazareth, Irwin Moore, Kirsten Sampson, Elizabeth L Jones, Louise |
| description | People with advanced dementia are frequently bed-bound, doubly incontinent and able to speak only a few words. Many reside in care homes and may often have complex needs requiring efficient and timely response by knowledgeable and compassionate staff. The aim of this study is to improve our understanding of health care professionals’ attitudes and knowledge of the barriers to integrated care for people with advanced dementia. In-depth, interactive interviews conducted with 14 health care professionals including commissioners, care home managers, nurses and health care assistants in the UK. Barriers to care for people with advanced dementia are influenced by governmental and societal factors which contribute to challenging environments in care homes, poor morale amongst care staff and a fragmentation of health and social care at the end of life. Quality of care for people with dementia as they approach death may be improved by developing collaborative networks to foster improved relationships between health and social care services. |
| doi_str_mv | 10.1177/1471301216636302 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5802544</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1471301216636302</sage_id><sourcerecordid>1826664151</sourcerecordid><originalsourceid>FETCH-LOGICAL-c434t-414680830eb44a93c6e4b8efe8d5ff32bdc78b1045cde6ba9b26dcf048288b013</originalsourceid><addsrcrecordid>eNp1UU1vFSEUJUZja3XvyrB0M8rXMLyNxjRqTZu4adMlAebyhmZmGIH3En-Lf1YmUxs16Qq45ws4CL2m5B2lXfeeio5yQhmVkktO2BN0SjtBGyaVeFr3FW5W_AS9yPmOEEaUUs_RCZM73iouTtGv28EUbBLgMgC2JqUAKeMSsVuHYS6wT6aEOGMfUyXFDLgqVrbpj2Z20ONczB4yjh73MMFcgsFjOIZ5X_WbzxCnSqinVXdz-RFfgBnLsIFLih5yrhlmxEuNX8CVcISX6Jk3Y4ZX9-sZuvny-fr8orn6_vXb-aerxgkuSiOokIooTsAKYXbcSRBWgQfVt95zZnvXKUuJaF0P0pqdZbJ3ngjFlLKE8jP0YfNdDnaC3tUXJDPqJYXJpJ86mqD_ReYw6H086lYR1gpRDd7eG6T44wC56ClkB-NoZoiHrKliUkpB2zWLbFSXYs4J_EMMJXrtVP_faZW8-ft6D4I_JVZCsxFyrUHfxUOqH5kfN_wNDnqsiQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1826664151</pqid></control><display><type>article</type><title>What are the barriers to care integration for those at the advanced stages of dementia living in care homes in the UK? Health care professional perspective</title><source>MEDLINE</source><source>SAGE Complete</source><creator>Kupeli, Nuriye ; Leavey, Gerard ; Harrington, Jane ; Lord, Kathryn ; King, Michael ; Nazareth, Irwin ; Moore, Kirsten ; Sampson, Elizabeth L ; Jones, Louise</creator><creatorcontrib>Kupeli, Nuriye ; Leavey, Gerard ; Harrington, Jane ; Lord, Kathryn ; King, Michael ; Nazareth, Irwin ; Moore, Kirsten ; Sampson, Elizabeth L ; Jones, Louise</creatorcontrib><description>People with advanced dementia are frequently bed-bound, doubly incontinent and able to speak only a few words. Many reside in care homes and may often have complex needs requiring efficient and timely response by knowledgeable and compassionate staff. The aim of this study is to improve our understanding of health care professionals’ attitudes and knowledge of the barriers to integrated care for people with advanced dementia. In-depth, interactive interviews conducted with 14 health care professionals including commissioners, care home managers, nurses and health care assistants in the UK. Barriers to care for people with advanced dementia are influenced by governmental and societal factors which contribute to challenging environments in care homes, poor morale amongst care staff and a fragmentation of health and social care at the end of life. Quality of care for people with dementia as they approach death may be improved by developing collaborative networks to foster improved relationships between health and social care services.</description><identifier>ISSN: 1471-3012</identifier><identifier>EISSN: 1741-2684</identifier><identifier>DOI: 10.1177/1471301216636302</identifier><identifier>PMID: 26935834</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Attitude of Health Personnel ; Delivery of Health Care, Integrated ; Dementia - nursing ; Health Personnel - psychology ; Humans ; Interviews as Topic ; Nursing Homes ; Qualitative Research ; Severity of Illness Index ; Terminal Care - psychology ; United Kingdom</subject><ispartof>Dementia (London, England), 2018-02, Vol.17 (2), p.164-179</ispartof><rights>The Author(s) 2016</rights><rights>The Author(s) 2016 2016 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-414680830eb44a93c6e4b8efe8d5ff32bdc78b1045cde6ba9b26dcf048288b013</citedby><cites>FETCH-LOGICAL-c434t-414680830eb44a93c6e4b8efe8d5ff32bdc78b1045cde6ba9b26dcf048288b013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1471301216636302$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1471301216636302$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26935834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kupeli, Nuriye</creatorcontrib><creatorcontrib>Leavey, Gerard</creatorcontrib><creatorcontrib>Harrington, Jane</creatorcontrib><creatorcontrib>Lord, Kathryn</creatorcontrib><creatorcontrib>King, Michael</creatorcontrib><creatorcontrib>Nazareth, Irwin</creatorcontrib><creatorcontrib>Moore, Kirsten</creatorcontrib><creatorcontrib>Sampson, Elizabeth L</creatorcontrib><creatorcontrib>Jones, Louise</creatorcontrib><title>What are the barriers to care integration for those at the advanced stages of dementia living in care homes in the UK? Health care professional perspective</title><title>Dementia (London, England)</title><addtitle>Dementia (London)</addtitle><description>People with advanced dementia are frequently bed-bound, doubly incontinent and able to speak only a few words. Many reside in care homes and may often have complex needs requiring efficient and timely response by knowledgeable and compassionate staff. The aim of this study is to improve our understanding of health care professionals’ attitudes and knowledge of the barriers to integrated care for people with advanced dementia. In-depth, interactive interviews conducted with 14 health care professionals including commissioners, care home managers, nurses and health care assistants in the UK. Barriers to care for people with advanced dementia are influenced by governmental and societal factors which contribute to challenging environments in care homes, poor morale amongst care staff and a fragmentation of health and social care at the end of life. Quality of care for people with dementia as they approach death may be improved by developing collaborative networks to foster improved relationships between health and social care services.</description><subject>Attitude of Health Personnel</subject><subject>Delivery of Health Care, Integrated</subject><subject>Dementia - nursing</subject><subject>Health Personnel - psychology</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Nursing Homes</subject><subject>Qualitative Research</subject><subject>Severity of Illness Index</subject><subject>Terminal Care - psychology</subject><subject>United Kingdom</subject><issn>1471-3012</issn><issn>1741-2684</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><recordid>eNp1UU1vFSEUJUZja3XvyrB0M8rXMLyNxjRqTZu4adMlAebyhmZmGIH3En-Lf1YmUxs16Qq45ws4CL2m5B2lXfeeio5yQhmVkktO2BN0SjtBGyaVeFr3FW5W_AS9yPmOEEaUUs_RCZM73iouTtGv28EUbBLgMgC2JqUAKeMSsVuHYS6wT6aEOGMfUyXFDLgqVrbpj2Z20ONczB4yjh73MMFcgsFjOIZ5X_WbzxCnSqinVXdz-RFfgBnLsIFLih5yrhlmxEuNX8CVcISX6Jk3Y4ZX9-sZuvny-fr8orn6_vXb-aerxgkuSiOokIooTsAKYXbcSRBWgQfVt95zZnvXKUuJaF0P0pqdZbJ3ngjFlLKE8jP0YfNdDnaC3tUXJDPqJYXJpJ86mqD_ReYw6H086lYR1gpRDd7eG6T44wC56ClkB-NoZoiHrKliUkpB2zWLbFSXYs4J_EMMJXrtVP_faZW8-ft6D4I_JVZCsxFyrUHfxUOqH5kfN_wNDnqsiQ</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Kupeli, Nuriye</creator><creator>Leavey, Gerard</creator><creator>Harrington, Jane</creator><creator>Lord, Kathryn</creator><creator>King, Michael</creator><creator>Nazareth, Irwin</creator><creator>Moore, Kirsten</creator><creator>Sampson, Elizabeth L</creator><creator>Jones, Louise</creator><general>SAGE Publications</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180201</creationdate><title>What are the barriers to care integration for those at the advanced stages of dementia living in care homes in the UK? Health care professional perspective</title><author>Kupeli, Nuriye ; Leavey, Gerard ; Harrington, Jane ; Lord, Kathryn ; King, Michael ; Nazareth, Irwin ; Moore, Kirsten ; Sampson, Elizabeth L ; Jones, Louise</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-414680830eb44a93c6e4b8efe8d5ff32bdc78b1045cde6ba9b26dcf048288b013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Attitude of Health Personnel</topic><topic>Delivery of Health Care, Integrated</topic><topic>Dementia - nursing</topic><topic>Health Personnel - psychology</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Nursing Homes</topic><topic>Qualitative Research</topic><topic>Severity of Illness Index</topic><topic>Terminal Care - psychology</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kupeli, Nuriye</creatorcontrib><creatorcontrib>Leavey, Gerard</creatorcontrib><creatorcontrib>Harrington, Jane</creatorcontrib><creatorcontrib>Lord, Kathryn</creatorcontrib><creatorcontrib>King, Michael</creatorcontrib><creatorcontrib>Nazareth, Irwin</creatorcontrib><creatorcontrib>Moore, Kirsten</creatorcontrib><creatorcontrib>Sampson, Elizabeth L</creatorcontrib><creatorcontrib>Jones, Louise</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Dementia (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kupeli, Nuriye</au><au>Leavey, Gerard</au><au>Harrington, Jane</au><au>Lord, Kathryn</au><au>King, Michael</au><au>Nazareth, Irwin</au><au>Moore, Kirsten</au><au>Sampson, Elizabeth L</au><au>Jones, Louise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What are the barriers to care integration for those at the advanced stages of dementia living in care homes in the UK? Health care professional perspective</atitle><jtitle>Dementia (London, England)</jtitle><addtitle>Dementia (London)</addtitle><date>2018-02-01</date><risdate>2018</risdate><volume>17</volume><issue>2</issue><spage>164</spage><epage>179</epage><pages>164-179</pages><issn>1471-3012</issn><eissn>1741-2684</eissn><abstract>People with advanced dementia are frequently bed-bound, doubly incontinent and able to speak only a few words. Many reside in care homes and may often have complex needs requiring efficient and timely response by knowledgeable and compassionate staff. The aim of this study is to improve our understanding of health care professionals’ attitudes and knowledge of the barriers to integrated care for people with advanced dementia. In-depth, interactive interviews conducted with 14 health care professionals including commissioners, care home managers, nurses and health care assistants in the UK. Barriers to care for people with advanced dementia are influenced by governmental and societal factors which contribute to challenging environments in care homes, poor morale amongst care staff and a fragmentation of health and social care at the end of life. Quality of care for people with dementia as they approach death may be improved by developing collaborative networks to foster improved relationships between health and social care services.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26935834</pmid><doi>10.1177/1471301216636302</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1471-3012 |
| ispartof | Dementia (London, England), 2018-02, Vol.17 (2), p.164-179 |
| issn | 1471-3012 1741-2684 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5802544 |
| source | MEDLINE; SAGE Complete |
| subjects | Attitude of Health Personnel Delivery of Health Care, Integrated Dementia - nursing Health Personnel - psychology Humans Interviews as Topic Nursing Homes Qualitative Research Severity of Illness Index Terminal Care - psychology United Kingdom |
| title | What are the barriers to care integration for those at the advanced stages of dementia living in care homes in the UK? Health care professional perspective |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T20%3A22%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=What%20are%20the%20barriers%20to%20care%20integration%20for%20those%20at%20the%20advanced%20stages%20of%20dementia%20living%20in%20care%20homes%20in%20the%20UK?%20Health%20care%20professional%20perspective&rft.jtitle=Dementia%20(London,%20England)&rft.au=Kupeli,%20Nuriye&rft.date=2018-02-01&rft.volume=17&rft.issue=2&rft.spage=164&rft.epage=179&rft.pages=164-179&rft.issn=1471-3012&rft.eissn=1741-2684&rft_id=info:doi/10.1177/1471301216636302&rft_dat=%3Cproquest_pubme%3E1826664151%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1826664151&rft_id=info:pmid/26935834&rft_sage_id=10.1177_1471301216636302&rfr_iscdi=true |