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Validity of dementia care mapping on a neuro-rehabilitation ward: Q-methodology with staff and patients

Westbrook, Jenna L., McIntosh, Catriona J., Sheldrick, Russell, Surr, Claire and Hare, Dougal Julian 2013. Validity of dementia care mapping on a neuro-rehabilitation ward: Q-methodology with staff and patients. Disability & Rehabilitation 35 (19) , pp. 1652-1659. 10.3109/09638288.2012.748839

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Background: Measuring the quality of care for people using neuro-rehabilitation services is a complex area requiring reliable methods that account for variable communication abilities/cognitive functioning. Dementia Care Mapping (DCM) is an observational method widely used in dementia care to improve person-centred care, which may be usefully applied to neuro-rehabilitation settings. Evaluation is vital to determine the tool’s acceptability in this setting. Purpose: To explore the views of staff/patients regarding whether the use of DCM is acceptable in a neuro-rehabilitation setting. Method: DCM was conducted on an acute neuro-rehabilitation ward. Q-methodology, a technique for extracting subjective opinions, was used with 23 staff and 10 patients on the ward to evaluate the acceptability of DCM. Results: Factor analysis was performed separately for staff and patient Q-sorts. Each found a “consensus” factor where all participants indicated positive acceptability for the use of DCM. Further exploratory factors indicated that some staff/patients had additional views/concerns that were not captured by the first consensus factor. Conclusions: The results from this preliminary study are promising and indicate that DCM is potentially an acceptable tool to use in acute neuro-rehabilitation. Further research is needed to explore the acceptability of this tool more widely across neuro-rehabilitation settings.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher: Informa Healthcare
ISSN: 0963-8288
Date of Acceptance: 8 November 2012
Last Modified: 28 Jul 2020 01:25

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