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J Am Med Dir Assoc. 2014 Jan;15(1):77.e1-9. doi: 10.1016/j.jamda.2013.08.013. Epub 2013 Oct 2.

Feasibility and acceptability of a delirium prevention program for cognitively impaired long term care residents: a participatory approach.

Author information

1
Faculty of Nursing Sciences, Laval University, Quebec City, Quebec, Canada; Centre for Excellence in Aging-Research Unit, Quebec City, Quebec, Canada. Electronic address: philippe.voyer@fsi.ulaval.ca.
2
St Mary's Research Centre, St Mary's Hospital, Montreal, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
3
Department of Psychiatry, St Mary's Hospital, Montreal, Quebec, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
4
Division of Geriatric Medicine, Jewish General Hospital and Donald Berman Maimonides Geriatric Center, Montreal, Quebec, Canada.
5
Département de médecine familiale, Institut Universitaire de Gériatrie de Montréal, Université de Montréal, Montreal, Quebec, Canada.
6
Division of Geriatric Medicine, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Université de Montréal, Montreal, Quebec, Canada.
7
St Mary's Research Centre, St Mary's Hospital, Montreal, Quebec, Canada; Department of Psychiatry, St Mary's Hospital, Montreal, Quebec, Canada.
8
St Mary's Research Centre, St Mary's Hospital, Montreal, Quebec, Canada.
9
Centre for Excellence in Aging-Research Unit, Quebec City, Quebec, Canada.

Abstract

In this participatory action research study, researchers conducted a total of 3 implementation cycles to evaluate the feasibility and acceptability of a new delirium prevention program (DPP) for cognitively impaired residents in long term care (LTC) settings. Researchers interviewed 95 health care staff to obtain feedback on their use of the DPP and then modified the DPP and tested the changes in the next implementation cycle. Our results indicated that the DPP was feasible and that health care staff would accept it under certain conditions. We found there were 4 keys to successful implementation of the DPP: support for the program from both the administration and the users; effective clinician leadership to ensure proper delivery of the DPP (format, content and values) and its appropriate adaptation to the LTC facility's internal culture and policies; a sense of ownership among the DPP users; and, last, practical hands-on training as well as theoretical training for staff.

KEYWORDS:

Delirium; cognitive impairment; long term care; prevention

PMID:
24094898
DOI:
10.1016/j.jamda.2013.08.013
[Indexed for MEDLINE]

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