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3 results on '"Holle, Daniela"'

2. European Academy of Nursing Science 2016 Summer Conference

Author

Sermeus, Walter, Cullum, Nicky, Balzer, Katrin, Schröder, Rhian, Junghans, Anne, Stahl, Ute, Träder, Jens Martin, Köpke, Sascha, Dichter, Martin N., Palm, Rebecca, Halek, Margareta, Bartholomeyczik, Sabine, Meyer, Gabriele, Holle, Daniela, Graf, Rabea, Rosier, Ute, Reuther, Sven, Roes, Martina, Gouveia, Bruna R., Jardim, Helena G., Martins, Maria M., Freitas, Duarte L., Maia, José A., Rose, Debra J., Gouveia, Élvio R., Bruyneel, Luk, Lesaffre, Emmanuel, Ball, J. E., Bruyneel, L., Aiken, L., Tishelman, C., Griffiths, P., Papastavrou, Evridiki, Andreou, Panayiota, Sasso, Loredana, Bagnasco, Annamaria, Zanini, Milko P., Catania, Gianluca, Aleo, Giuseppe, Spandonaro, Federico, Icardi, Giancarlo, Watson, Roger, Fleischer, Steffen, Burckhardt, Marion, Berg, Almuth, Van Hecke, Ann, Malfait, Simon, Van Daele, Johan, Eeckloo, Kristof, Deschodt, Mieke, Van Grootven, Bastiaan, Milisen, Koen, Flamaing, Johan, Rahn, Anne C., Backhus, Imke, Kasper, Jürgen, Krützelmann, Anna, Kleiter, Ingo, Mühlhauser, Ingrid, and Heesen, Christoph

Subjects
Nursing(all), RN4CAST, Meeting Abstracts
Published
2016

3. Fidelity of dementia specific case conferences in nursing homes - Results of a process evaluation conducted parallel to a stepped- wedged cluster randomized controlled trial.

Author

Holle, Daniela, Graf, Rabea, Rosier, Ute, Reuther, Sven, Roes, Martina, and Halek, Margareta

Subjects
*CONFERENCES & conventions, *MEDICAL quality control, *NURSING, *PHILOSOPHY of nursing
Abstract

Background Fidelity can act as a potential mediator of the relationship between interventions and their intended outcome. Within the FallDem-study the fidelity of dementia-specific case conferences (DSCC) was assessed as part of a process evaluation to explain the effects of DSCC on residents' challenging behavior (primary outcome). Fidelity was assessed both in relation to the core elements of the DSCC (duration, frequency, process- and role structure, location) and potential adaptations, as well as the reach of the target populations (residents and nursing staff). Materials and methods Fidelity of DSCC was evaluated during the entire trial period using quantitative and qualitative methods. Standardized protocols of DSCC, attendance lists and written documentations of interventionists (trainers) as well as semi-structured interviews with participants of DSCC were conducted. Quantitative data were analysed using descriptive statistics, qualitative data were analysed using documentary analysis and content analysis. The concept of DSCC as well as the curriculum of delivering DSCC provided the basis for a systematic coding scheme for qualitative analysis. Results Results indicate a moderate fidelity of the core elements of DSCC. While the duration, role structure and location of DSCC was mostly followed, the frequency of DSCC was reduced by more than one third and adaptations were made regarding the process structure of DSCC. The reach of the target population indicates that 57% of expected residents (112/192) directly received the intervention, whereas the reach of the nursing staff was good, but characterized by a high turnover and limited continuity during the 7 months of intervention phase. Conclusion The moderate fidelity of DSCC as well as the high turnover and limited continuity of nursing staff might be influencing factors on the effects of DSCC on residents' challenging behavior and should be carefully considered in the overall interpretation of the FallDem study results. A detailed analysis of the reasons for the moderate fidelity and the adaptations will be the next step of analysis. Trial registration Current Controlled Trials identifier: ISRCTN20203855, registered on 10th July 2013. [ABSTRACT FROM AUTHOR]

Published
2016

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