Dementia-friendly community initiatives: An integrative review.
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
20
08
2018
revised:
22
10
2018
accepted:
30
11
2018
pubmed:
17
12
2018
medline:
4
6
2019
entrez:
17
12
2018
Statut:
ppublish
Résumé
To synthesise international research conducted on dementia-friendly community initiatives. The number of people living with dementia is increasing as a result of population ageing. Impairments related to neurological changes, together with environmental challenges, result in disability for people who have dementia. Led by the World Health Organization and Alzheimer's Disease International, initiatives have been undertaken internationally to promote social inclusion for people who have dementia. Communities where people with dementia are able to remain socially included are known as dementia-friendly communities. An integrative review of the literature. Scopus, MEDLINE, Web of Science and CINAHL Plus via Ebsco databases were searched for relevant articles. The PRISMA framework guided the article search and screening; reporting is in accordance with the PRISMA guideline. Eight eligible studies were identified. The methodological quality of the eligible studies was evaluated using the MMAT checklist. The matrix method was used to extract, abstract and analyse the data. Of the eight studies reviewed, five were from the UK and one each from Australia, New Zealand and Canada. Four major concepts were identified in the literature, and these are characteristics of dementia-friendly communities, facilitators and barriers to community engagement for people with dementia, strategies for developing dementia-friendly communities and challenges encountered when developing dementia-friendly communities. People with dementia are at the centre of dementia-friendly initiatives, and these foster social inclusion. Collaborations and partnerships enhance development of dementia-friendly communities; however, lack of resources and difficulty ensuring representation of marginalised groups provide challenges. An understanding of the impact of marginalisation and inequality on community participation for people with dementia is important for practitioners, enabling them to support those people. Senior nurses with this understanding can ensure services are able to meet the needs of a growing population with dementia.
Sections du résumé
AIM
OBJECTIVE
To synthesise international research conducted on dementia-friendly community initiatives.
BACKGROUND
BACKGROUND
The number of people living with dementia is increasing as a result of population ageing. Impairments related to neurological changes, together with environmental challenges, result in disability for people who have dementia. Led by the World Health Organization and Alzheimer's Disease International, initiatives have been undertaken internationally to promote social inclusion for people who have dementia. Communities where people with dementia are able to remain socially included are known as dementia-friendly communities.
DESIGN
METHODS
An integrative review of the literature.
METHODS
METHODS
Scopus, MEDLINE, Web of Science and CINAHL Plus via Ebsco databases were searched for relevant articles. The PRISMA framework guided the article search and screening; reporting is in accordance with the PRISMA guideline. Eight eligible studies were identified. The methodological quality of the eligible studies was evaluated using the MMAT checklist. The matrix method was used to extract, abstract and analyse the data.
RESULTS
RESULTS
Of the eight studies reviewed, five were from the UK and one each from Australia, New Zealand and Canada. Four major concepts were identified in the literature, and these are characteristics of dementia-friendly communities, facilitators and barriers to community engagement for people with dementia, strategies for developing dementia-friendly communities and challenges encountered when developing dementia-friendly communities.
CONCLUSION
CONCLUSIONS
People with dementia are at the centre of dementia-friendly initiatives, and these foster social inclusion. Collaborations and partnerships enhance development of dementia-friendly communities; however, lack of resources and difficulty ensuring representation of marginalised groups provide challenges.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
An understanding of the impact of marginalisation and inequality on community participation for people with dementia is important for practitioners, enabling them to support those people. Senior nurses with this understanding can ensure services are able to meet the needs of a growing population with dementia.
Types de publication
Journal Article
Review
Langues
eng
Pagination
2035-2045Subventions
Organisme : Hope-Selwyn foundation scholarship in ageing and an institutional faculty contestable travel grant
Informations de copyright
© 2018 John Wiley & Sons Ltd.