Association for Dementia Studies, University of Worcester, Worcester WR2 6AJ, UK.
Int J Environ Res Public Health. 2020 Aug 18;17(16):6004. doi: 10.3390/ijerph17166004.
Care homes can struggle to provide optimal care for residents with advanced dementia. Namaste Care provides a structured daily programme of physical, sensory and emotional care delivered by regular care workers. A three-year, mixed method process study of implementation and impact created a manualised Namaste Care Intervention for UK care homes (NCI-UK). This article reports on the impact of NCI-UK delivered consistently in five care homes for 12-24 weeks. Impact for residents was assessed using, pre-post data, showing significant positive effects for QUALID ( = 2.92, = 0.01, = 31) and CMAI ( = 3.31, = 0.002, = 32), alongside many qualitative examples of positive impacts on wellbeing, responsiveness and communication. Pre-post staff questionnaire data ( = 20) were not significant. Qualitative data indicated that NCI-UK is a positive staff experience, providing sense of purpose, improved wellbeing and relationships. The care homes reported benefiting from implementing NCI-UK in terms of reputation and quality improvement. Family interviews were also positive, relating to seeing the difference, improving relationships and being involved. NCI-UK can therefore be recommended as an impactful intervention for residents, staff and families.
养老院在为患有晚期痴呆症的居民提供最佳护理方面可能会遇到困难。Namaste Care 提供了一个结构化的日常身体、感官和情感护理计划，由常规护理人员提供。一项为期三年的、采用混合方法的实施和影响研究为英国养老院创建了一个规范化的 Namaste Care 干预措施（NCI-UK）。本文报告了在五家养老院中持续进行 12-24 周的 NCI-UK 的影响。使用前后数据评估了对居民的影响，结果显示 QUALID（=2.92，=0.01，=31）和 CMAI（=3.31，=0.002，=32）有显著的积极影响，同时还有许多关于幸福感、反应能力和沟通能力的积极影响的实例。前后员工问卷调查数据（=20）没有显著差异。定性数据表明，NCI-UK 是一种积极的员工体验，提供了目标感、改善了幸福感和人际关系。养老院报告说，在声誉和质量改进方面受益于实施 NCI-UK。家庭访谈也很积极，涉及到看到差异、改善关系和参与。因此，NCI-UK 可以被推荐为对居民、员工和家庭都有影响的干预措施。
