Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature Review
Context: Dementia care mapping (DCM) is a multicomponent intervention to deliver person-centred care (PCC) for people with dementia. While the research has demonstrated the positive impact of DCM in care homes, more needs to be understood about the contexts and underlying mechanisms that may affect...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
LSE Press
2025-02-01
|
| Series: | Journal of Long-Term Care |
| Subjects: | |
| Online Access: | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/270 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825196969757245440 |
|---|---|
| author | Andreia Fonseca de Paiva Ana Barbosa Lindsey Collins Siobhan Reilly |
| author_facet | Andreia Fonseca de Paiva Ana Barbosa Lindsey Collins Siobhan Reilly |
| author_sort | Andreia Fonseca de Paiva |
| collection | DOAJ |
| description |
Context: Dementia care mapping (DCM) is a multicomponent intervention to deliver person-centred care (PCC) for people with dementia. While the research has demonstrated the positive impact of DCM in care homes, more needs to be understood about the contexts and underlying mechanisms that may affect its implementation and uptake.
Objective: This review aims to develop a theoretical understanding of what influences the successful implementation of PCC, specifically DCM in care homes.
Method: A realist review was conducted using an iterative, stakeholder-driven, two-stage approach. Several databases were searched to identify studies published in English from 2000 to 2022. Seven DCM expert mappers took part in the focus group. We followed a descriptive, narrative approach to explain the results.
Findings: We found that an individual’s knowledge and skills of DCM can either be a barrier or a facilitator. Limited managerial support and communication among staff and high staff turnover rates were identified as significant barriers to implementing DCM. Leadership support, open communication channels and supportive relationships between staff members facilitated implementation.
Limitations: There may be documents used in practice in diverse care settings that provide information to build on the review. Literature from other countries could have been missed.
Implications: A successful intervention in care homes requires facilitating mechanisms that can support the staff and wider care team to engage with the intervention. Long-term care policies should prioritise evidence-based practices, leadership development, effective communication, and a deep understanding of staff motivations and organisational culture to successfully implement DCM and other PCC interventions.
|
| format | Article |
| id | doaj-art-da879604e1744fa485812b2660bf6b51 |
| institution | Kabale University |
| issn | 2516-9122 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | LSE Press |
| record_format | Article |
| series | Journal of Long-Term Care |
| spelling | doaj-art-da879604e1744fa485812b2660bf6b512025-02-11T20:29:26ZengLSE PressJournal of Long-Term Care2516-91222025-02-0110.31389/jltc.270Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature ReviewAndreia Fonseca de Paiva0https://orcid.org/0000-0002-2273-5433Ana Barbosa1https://orcid.org/0000-0001-9644-8237Lindsey Collins2https://orcid.org/0000-0003-3924-649XSiobhan Reilly3https://orcid.org/0000-0003-4372-4415Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, BradfordCentre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, BradfordCentre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, BradfordCentre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford Context: Dementia care mapping (DCM) is a multicomponent intervention to deliver person-centred care (PCC) for people with dementia. While the research has demonstrated the positive impact of DCM in care homes, more needs to be understood about the contexts and underlying mechanisms that may affect its implementation and uptake. Objective: This review aims to develop a theoretical understanding of what influences the successful implementation of PCC, specifically DCM in care homes. Method: A realist review was conducted using an iterative, stakeholder-driven, two-stage approach. Several databases were searched to identify studies published in English from 2000 to 2022. Seven DCM expert mappers took part in the focus group. We followed a descriptive, narrative approach to explain the results. Findings: We found that an individual’s knowledge and skills of DCM can either be a barrier or a facilitator. Limited managerial support and communication among staff and high staff turnover rates were identified as significant barriers to implementing DCM. Leadership support, open communication channels and supportive relationships between staff members facilitated implementation. Limitations: There may be documents used in practice in diverse care settings that provide information to build on the review. Literature from other countries could have been missed. Implications: A successful intervention in care homes requires facilitating mechanisms that can support the staff and wider care team to engage with the intervention. Long-term care policies should prioritise evidence-based practices, leadership development, effective communication, and a deep understanding of staff motivations and organisational culture to successfully implement DCM and other PCC interventions. https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/270staff trainingDCMperson-centred careimplementationpractice developmentleadership |
| spellingShingle | Andreia Fonseca de Paiva Ana Barbosa Lindsey Collins Siobhan Reilly Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature Review Journal of Long-Term Care staff training DCM person-centred care implementation practice development leadership |
| title | Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature Review |
| title_full | Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature Review |
| title_fullStr | Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature Review |
| title_full_unstemmed | Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature Review |
| title_short | Implementing Dementia Care Mapping in Dementia Care: A Narrative Realist Literature Review |
| title_sort | implementing dementia care mapping in dementia care a narrative realist literature review |
| topic | staff training DCM person-centred care implementation practice development leadership |
| url | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/270 |
| work_keys_str_mv | AT andreiafonsecadepaiva implementingdementiacaremappingindementiacareanarrativerealistliteraturereview AT anabarbosa implementingdementiacaremappingindementiacareanarrativerealistliteraturereview AT lindseycollins implementingdementiacaremappingindementiacareanarrativerealistliteraturereview AT siobhanreilly implementingdementiacaremappingindementiacareanarrativerealistliteraturereview |