Cooke Heather A, Chaudhury Habib
Centre on Aging, University of Victoria, Canada.
Dementia (London). 2013 Nov;12(6):790-805. doi: 10.1177/1471301212446111. Epub 2012 May 21.
This paper offers a critique of Dementia Care Mapping (DCM) as a practice development and research tool by examining the psychometric properties and efficacy of DCM as a method for evaluating and enhancing care quality and quality of life. Based on a review and analysis of the published empirical studies utilizing DCM, it becomes apparent that there is mixed support for the tool's validity and reliability. More importantly, there is a need for additional studies specifically examining the range of related assessments to provide conclusive evidence for DCM's relevance, applicability and reliability as a practice and research tool in dementia care. The paper identifies methodological issues of implementation and use of DCM, i.e., coding practices, mapping duration. Also, a summary of the tool's strengths and limitations in practice and research settings, areas for improvement and future research avenues is provided.
本文通过考察痴呆症护理图谱(DCM)作为一种评估和提升护理质量及生活质量的方法的心理测量特性和功效,对其作为一种实践发展和研究工具进行了批判。基于对利用DCM的已发表实证研究的回顾和分析,很明显,对于该工具的有效性和可靠性存在不同的支持观点。更重要的是,需要有更多专门研究相关评估范围的研究,以提供确凿证据,证明DCM作为痴呆症护理实践和研究工具的相关性、适用性和可靠性。本文指出了DCM实施和使用中的方法学问题,即编码实践、图谱绘制时长。此外,还总结了该工具在实践和研究环境中的优势与局限、改进领域以及未来的研究方向。