Factors affecting dementia care practitioners’ decision‐making on moves to a care home for persons living with dementia
A factorial survey
Bibliographic Data
| ID | 12289551 |
|---|---|
| Authors | Laura Cole (0000-0001-7194-5616, Geller Institute of Ageing and Memory University of West London London UK), Alessandra Bisquera (0000-0002-6639-2057, Unit for Medical Statistics King’s College London London UK), Kritika Samsi (0000-0001-5961-6086, NIHR Policy Research Unit in Health and Social Care Workforce King’s College London London UK, corresponding author), Jill Manthorpe (0000-0001-9006-1410, NIHR Policy Research Unit in Health and Social Care Workforce King’s College London London UK) |
| Year | 2021 |
| Volume | 30 |
| Issue | 5 |
| Pages | e1651-e1661 |
| Publication date | 2021-10-06 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hsc.13591 |
| PMID | 34617362 |
| OpenAlex | W3203025076 |
| Language | EN |
| References cited | 23 |
Deciding if and when might be the 'optimal' time for a person living with dementia to move to a care home is often difficult for the individual, family and practitioners. In this study, we describe the outcome of a factorial survey conducted with 100 dementia care practitioners (a frontline health or social care worker who works with people living with dementia) in England, which investigated factors used in deciding when a person living with dementia moves to a care home. Using findings from qualitative interviews with older people living with dementia, family carers, care home managers and social workers, we identified four factors that appeared to influence the decision to move to a care home: (1) Family carers' ability to support the person with daily activities, (2) amount of support provided by home care workers, (3) level of risk of harm and (4) the person living with dementia's wishes. These factors were then randomised within skeleton vignettes that told the story of a fictitious woman (Jane) living with dementia at home with her husband. Fifty-four variations of the vignettes were produced and randomly assigned to 100 surveys. A total of 100 volunteer dementia care practitioners (78% female, 54% over 50 years of age) received their own personalised online survey link via email and were asked to read each vignette and decide whether to suggest Jane (a) move to a care home or (b) continue living at home. Results indicated that Jane's wishes principally drove most dementia care practitioners' decision on whether to suggest a move to a care home or stay living at home (odds ratio = 6.5-19.5). Findings will inform a better understanding of the factors that contribute toward a decision to move to a care home and be of relevance to policy, practice, training and support
Dementia · Disease · Harm · Health care · Vignette · Geriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving · Medicine · Migration, Aging, and Tourism Studies · Nursing · Psychology · Social Psychology · Gerontology
| Highly cited | No |
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