Salvi Serena, Preston Nancy, Cornally Nicola, Walshe Catherine
International Observatory on End of Life Care, Lancaster University, Lancaster, UK.
School of Nursing and Midwifery, University College Cork, Cork, Ireland.
BMC Geriatr. 2025 Jan 9;25(1):17. doi: 10.1186/s12877-024-05636-4.
Namaste Care is an intervention designed to improve the quality of life for people with advanced dementia by providing individualised stimulation and personalised activities in a group setting. Current evidence indicates there may be benefits from this intervention, but there is a need to explore the practical realities of its implementation, including potential barriers, enablers, and how it is delivered within the context of nursing care homes.
To systematically assess the factors involved in implementing Namaste Care for people with advanced dementia in nursing care homes. To provide pragmatic suggestions on how Namaste Care can be delivered in the context of nursing care homes.
Systematically constructed review using framework synthesis.
Comprehensive searches were conducted in Medline, CINAHL, and PsycINFO databases for studies published between 2018 and 2024. Search concepts included "Namaste Care," "advanced dementia," and related terms.
Studies were included if they focused on the use of Namaste Care for people with advanced dementia in nursing care homes. Data extraction and quality assessment were performed by two independent researchers using standardised forms and critical appraisal tools. A framework synthesis of the results was conducted, which involves systematically combining qualitative and quantitative data within a structured analytical framework to identify overarching themes and insights.
Twenty-five studies met the inclusion criteria. Key themes identified were: (1) Frequency and duration of Namaste sessions. (2) Namaste Care environment and personalisation of care. (3) Staff engagement and training needs. (4) Involvement of family members and volunteers.
Implementing Namaste Care in nursing care homes presents various challenges but also significant opportunities for enhancing the quality of life for residents with advanced dementia. Addressing key themes such as the frequency and duration of sessions, the environment and personalisation of care, staff engagement and training needs, and the involvement of family members and volunteers is crucial. Specifically, providing tailored training programmes for staff, creating dedicated Namaste Care spaces, and encouraging active family and volunteer participation can facilitate effective integration. By incorporating these pragmatic recommendations, Namaste Care can be sustainably integrated into daily care routines, leading to improved resident well-being, reduced behavioural symptoms, and enhanced caregiver-resident interactions.
合十礼关怀是一种干预措施，旨在通过在集体环境中提供个性化刺激和个性化活动来提高晚期痴呆症患者的生活质量。目前的证据表明，这种干预措施可能有益处，但有必要探索其实施的实际情况，包括潜在障碍、促进因素，以及在养老院护理环境中如何实施。
系统评估在养老院为晚期痴呆症患者实施合十礼关怀所涉及的因素。就如何在养老院环境中提供合十礼关怀提供实用建议。
使用框架综合法进行系统构建的综述。
在Medline、CINAHL和PsycINFO数据库中对2018年至2024年发表的研究进行全面检索。检索概念包括“合十礼关怀”“晚期痴呆症”及相关术语。
纳入的研究需聚焦于在养老院为晚期痴呆症患者使用合十礼关怀。由两名独立研究人员使用标准化表格和批判性评估工具进行数据提取和质量评估。对结果进行框架综合，即在结构化分析框架内系统地整合定性和定量数据，以确定总体主题和见解。
25项研究符合纳入标准。确定的关键主题有：（1）合十礼活动的频率和时长。（2）合十礼关怀环境与护理个性化。（3）工作人员的参与和培训需求。（4）家庭成员和志愿者的参与。
在养老院实施合十礼关怀存在各种挑战，但也为提高晚期痴呆症居民的生活质量提供了重大机遇。解决诸如活动频率和时长、护理环境与个性化、工作人员参与和培训需求以及家庭成员和志愿者参与等关键主题至关重要。具体而言，为工作人员提供量身定制的培训计划、创建专门的合十礼关怀空间以及鼓励家庭成员和志愿者积极参与，可促进有效整合。通过纳入这些实用建议，合十礼关怀可可持续地融入日常护理工作中，从而改善居民福祉、减少行为症状并增强护理人员与居民之间的互动。
