Janssen Leah M, Kinney Jennifer M, Farfsing Kathleen M
Miami University, Oxford, OH, USA.
Xavier University, Cincinnati, OH, USA.
J Appl Gerontol. 2021 Sep;40(9):1105-1109. doi: 10.1177/0733464820938270. Epub 2020 Jul 7.
Montessori methods are used with individuals with dementia to create meaningful, inclusive, failure-free activities that enhance quality of life. This research qualitatively explored the barriers to implementing a Montessori-based intervention for people living with dementia in a 24-hr memory care setting. A lens comprised of key Montessori values and principles guided a content analysis of field note data to create an overall framework for understanding implementation barriers, which are rarely addressed in the literature. Interestingly, the four themes that emerged as barriers-the absence of respect, interdependence, meaningful activity, and structure-permeated implementation efforts and represent the opposite of Montessori principles. These findings confirm literature that identifies similar barriers across diverse interventions. Findings underscore the need for formal documentation of implementation barriers and extensive pre-implementation work to accomplish culture change in long-term care.
蒙台梭利方法被用于痴呆症患者，以开展有意义、包容性强且无失败的活动，从而提高生活质量。本研究定性探索了在24小时记忆护理环境中，对痴呆症患者实施基于蒙台梭利理念的干预措施时所面临的障碍。由蒙台梭利关键价值观和原则构成的视角指导了对实地记录数据的内容分析，以创建一个理解实施障碍的总体框架，而这些障碍在文献中很少被提及。有趣的是，作为障碍出现的四个主题——缺乏尊重、相互依赖、有意义的活动和结构——贯穿于实施过程中，并且与蒙台梭利原则相悖。这些发现证实了文献中所指出的不同干预措施中存在的类似障碍。研究结果强调了正式记录实施障碍以及在长期护理中进行广泛的实施前工作以实现文化变革的必要性。
