Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Health Soc Care Community. 2022 Nov;30(6):e5875-e5884. doi: 10.1111/hsc.14018. Epub 2022 Sep 15.
Small-scale models of dementia care are a progressive approach to improve care for people living with dementia. These models intend to provide a home-like environment with a small number of residents in each living unit, easy access to services and facilities, a dedicated team of staff and flexible routines. This study was undertaken during the construction phase of a new village and provided a unique opportunity to explore expectations of the village among the local community. Twelve community members participated in two sequential online focus groups over a 2-month period. Focus group discussions were recorded, transcribed and analysed using a reflexive thematic analysis approach. Knowledge of the village varied and was informed by familiarity with other village developments and local marketing about the new village. The findings indicate that the community expect the village to provide residents with optimum dementia care, a safe and enabling physical environment and a vibrant daily life where they are engaged in 'normal' activities. While participants expected the village to be self-contained, they also anticipated strong connections with the wider community. Participants acknowledged that the community need dementia education to ensure these interactions are positive. Community expectations of a new village development for people living with dementia are largely positive and often idealistic. Organisations need to consider these expectations when developing new small-scale facilities and be mindful of how they market these developments to foster realistic expectations. While community enthusiasm about dementia care is encouraging, education is needed to ensure the success of the model.
小规模的痴呆症护理模式是改善痴呆症患者护理的一种渐进方法。这些模式旨在提供一个类似家庭的环境,每个居住单元居住的居民人数较少,方便使用服务和设施,有专门的员工团队和灵活的日常生活安排。本研究是在一个新村庄的建设阶段进行的,为探索当地社区对村庄的期望提供了一个独特的机会。12 名社区成员在两个月的时间里参加了两次连续的在线焦点小组。使用反思性主题分析方法对焦点小组讨论进行记录、转录和分析。对村庄的了解程度各不相同,这是通过熟悉其他村庄的发展和当地关于新村庄的营销来了解的。研究结果表明,社区希望村庄为居民提供最佳的痴呆症护理、安全且有利的物理环境以及充满活力的日常生活,让他们参与“正常”活动。虽然参与者期望村庄是自给自足的,但他们也期望与更广泛的社区建立紧密联系。参与者承认,社区需要痴呆症教育,以确保这些互动是积极的。社区对专为痴呆症患者设计的新村庄开发的期望大多是积极的,而且往往是理想化的。当组织开发新的小规模设施时,需要考虑这些期望,并注意如何对这些开发进行营销,以培养现实的期望。虽然社区对痴呆症护理的热情令人鼓舞,但需要进行教育以确保该模式取得成功。