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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Improving caring quality for people with dementia in nursing homes using IPOS‐Dem : a stepped‐wedge cluster randomized controlled trial protocol
Authors: Spichiger, Frank
Koppitz, Andrea Luise
de Wolf-Linder, Susanne
Murtagh, Fliss E. M.
Volken, Thomas
Larkin, Philip
et. al: No
DOI: 10.1111/jan.14953
Published in: Journal of Advanced Nursing
Volume(Issue): 77
Issue: 10
Page(s): 4234
Pages to: 4245
Issue Date: 7-Jul-2021
Publisher / Ed. Institution: Wiley
ISSN: 0309-2402
Language: English
Subjects: Caring; Dementia; Family; Needs; Nursing; Nursing home; Palliative care; Quality of life
Subject (DDC): 362: Health and social services
610.73: Nursing
Abstract: Aims: We aim to evaluate the effectiveness of the Integrated Palliative Care Outcome Scale for people with dementia-based case studies to improve the caring quality for people with dementia in nursing homes by frontline staff and family members. Background: Swiss nursing homes mostly care for people with dementia. This population is at high risk of receiving little to no palliation for their complex needs. The majority of Swiss frontline healthcare staff do not systematically report on the needs of their residents. Additionally, family members do not routinely participate in assessment processes. Design We will conduct a stepped-wedge cluster randomized trial of repeated assessment using the Integrated Palliative Care Outcome Scale for people with dementia (IPOS-Dem) and subsequent case studies. Clusters will consist of Swiss nursing homes randomly assigned to one of three sequential intervention time points. Methods: The study population will consist of people with dementia living in nursing homes with and without specialized dementia care facilities. Over 16 months, staff working at the frontline and family members will assess the needs and concerns of people with dementia using IPOS-Dem. Depending on sequence allocation, facilitated case studies will start after 3, 6 or 9 months. The primary outcome will be caring quality measured by QUALIDEM. The secondary outcome will be symptoms and concerns, as indicated by the IPOS-Dem sum-score. The Zürich Ethics Committee approved the study in 2019 (2019-01847). Impact: The results of this study will contribute to improving the effectiveness of person-centred care for people with dementia. Collaboration between healthcare staff and family members will be systematically developed and built upon thorough assessment using the IPOS-Dem and related case studies. The use of IPOS-Dem will offer all frontline staff a systematic approach to have an independent voice within the nursing process, regardless of their qualification or grade.
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Public Health (IPH)
Institute of Nursing (IPF)
Appears in collections:Publikationen Gesundheit

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