Evaluating the use of participatory action research to implement evidence-based guidance on dementia palliative care in long-term care settings: A creative hermeneutic analysis.
creative hermeneutic analysis
dementia
palliative care
participatory action research
work-based learning
Journal
International journal of older people nursing
ISSN: 1748-3743
Titre abrégé: Int J Older People Nurs
Pays: England
ID NLM: 101267281
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
revised:
21
01
2022
received:
28
05
2021
accepted:
08
03
2022
pubmed:
2
4
2022
medline:
14
9
2022
entrez:
1
4
2022
Statut:
ppublish
Résumé
Dementia affects a large proportion of society and places a significant burden on older people and healthcare systems internationally. Managing symptoms at the end of life for people with dementia is complex. Participatory action research can offer an approach that helps to encourage implementation of evidence-based practices in long-term care settings. Three evidence-based guidance documents (pain assessment and management, medication management, nutrition and hydration management) were introduced in three long-term care settings for older people. Data generated from work-based learning groups were analysed using a critical hermeneutic approach to explore the use of participatory action research to support the implementation of guidance documents in these settings. Engagement and Facilitation emerged as key factors which both enabled and hindered the PAR processes at each study site. This study adds to the body of knowledge that emphasises the value of participatory action research in enabling practice change. It further identifies key practice development approaches that are necessary to enable a PAR approach to occur in care settings for older people with dementia. The study highlights the need to ensure that dedicated attention is paid to strategies that facilitate key transformations in clinical practice.
Sections du résumé
BACKGROUND
BACKGROUND
Dementia affects a large proportion of society and places a significant burden on older people and healthcare systems internationally. Managing symptoms at the end of life for people with dementia is complex. Participatory action research can offer an approach that helps to encourage implementation of evidence-based practices in long-term care settings.
METHODS
METHODS
Three evidence-based guidance documents (pain assessment and management, medication management, nutrition and hydration management) were introduced in three long-term care settings for older people. Data generated from work-based learning groups were analysed using a critical hermeneutic approach to explore the use of participatory action research to support the implementation of guidance documents in these settings.
RESULTS
RESULTS
Engagement and Facilitation emerged as key factors which both enabled and hindered the PAR processes at each study site.
CONCLUSIONS
CONCLUSIONS
This study adds to the body of knowledge that emphasises the value of participatory action research in enabling practice change. It further identifies key practice development approaches that are necessary to enable a PAR approach to occur in care settings for older people with dementia. The study highlights the need to ensure that dedicated attention is paid to strategies that facilitate key transformations in clinical practice.
Identifiants
pubmed: 35362252
doi: 10.1111/opn.12460
pmc: PMC9539682
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12460Subventions
Organisme : Health Research Board Ireland
ID : APA-003-2017
Informations de copyright
© 2022 The Authors. International Journal of Older People Nursing published by John Wiley & Sons Ltd.
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