Banks Pauline, Waugh Anna, Henderson Jenny, Sharp Barbara, Brown Margaret, Oliver Joanne, Marland Glenn
University of the West of Scotland, UK
University of the West of Scotland, UK.
Dementia (London). 2014 Nov;13(6):717-36. doi: 10.1177/1471301213485084. Epub 2013 May 1.
Admission to hospital has been found to have a negative impact on people with dementia. The Scottish Dementia Champions programme was developed to prepare health and social service Dementia Champions working in acute settings as Change Agents. The programme was initially delivered to a cohort of 100 health professionals via blended learning, and comprised five study days, a half day spent in a local community setting, and e-learning. In order to complete the programme and graduate, participants were required to complete and submit reports relating to three work-based activities. The evaluation of the project adopted a two-pronged approach: Impact on programme participants was assessed by scores derived from the Approaches to Dementia Questionnaire (ADQ) (Lintern, 1996) completed at Study Days 1 and 5, and analysis of qualitative data derived from the three written assignments. Participants were asked to evaluate course materials and input for each of the five study days, as well as satisfaction with delivery. Analysis of data derived from the ADQ and 100 reflective reports of the community experience indicate that participants' perceptions of people with dementia shifted significantly during the Programme. Participants identified a range of issues which should be addressed with a view to improving the experiences of people with dementia in acute settings, and put in place actions to bring about change. The format of the programme provided a cost effective means to prepare NHS and Social Service Dementia Champions as Change Agents for practice within a relatively short period of time, and would be transferrable to other staff groups as well as different organisational structures in other countries.
已发现住院对痴呆症患者有负面影响。苏格兰痴呆症倡导者计划旨在培养在急症环境中工作的卫生和社会服务痴呆症倡导者，使其成为变革推动者。该计划最初通过混合式学习向100名卫生专业人员提供，包括五个学习日、在当地社区环境中度过的半天以及电子学习。为了完成该计划并毕业，参与者需要完成并提交与三项基于工作的活动相关的报告。该项目的评估采用了双管齐下的方法：通过在学习日1和学习日5完成的痴呆症问卷调查方法（ADQ）（林滕，1996年）得出的分数以及对三项书面作业得出的定性数据进行分析，来评估对项目参与者的影响。要求参与者对五个学习日中的每一个的课程材料和投入以及对授课的满意度进行评估。对来自ADQ的数据和100份社区体验反思报告的分析表明，在该计划期间，参与者对痴呆症患者的看法发生了显著变化。参与者确定了一系列问题，应加以解决，以改善痴呆症患者在急症环境中的体验，并采取行动实现变革。该计划的形式提供了一种具有成本效益的方式，在相对较短的时间内将国民保健服务和社会服务痴呆症倡导者培养成为实践中的变革推动者，并且可以推广到其他员工群体以及其他国家的不同组织结构。
