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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26595
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dc.contributor.authorSpichiger, Frank-
dc.contributor.authorVolken, Thomas-
dc.contributor.authorBosshard, Georg-
dc.contributor.authorZigan, Nicole-
dc.contributor.authorBlanc, Geneviève-
dc.contributor.authorBüscher, Andreas-
dc.contributor.authorNagl-Cupal, Martin-
dc.contributor.authorBernard, Mathieu-
dc.contributor.authorRubli Truchard, Eve-
dc.contributor.authorLarkin, Philip-
dc.contributor.authorKoppitz, Andrea-
dc.date.accessioned2023-01-13T11:55:09Z-
dc.date.available2023-01-13T11:55:09Z-
dc.date.issued2022-12-29-
dc.identifier.issn1472-684Xde_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/26595-
dc.description.abstractBackground: Due to the complexity of the provision of care for people with dementia, pain assessment and management is still considered to be lacking. An optimal way to support frontline staff in providing pain assessment and management for people with dementia living in nursing homes has not yet been identified. The success of supporting interventions seems dependent on contextual factors in the nursing homes. This study, therefore, analyzes the feasibility of a nurse-led training intervention, using repeated on-site case studies, in modifying pain intensity and frequency in people with dementia. Methods: Using a quasi-experimental design, we undertook a multi-center study of nurse-led training in pain management, with subsequent on-site case studies. Healthcare workers from 3 nursing homes assessed pain in 164 residents with dementia over 147 days. We used mixed-effect growth curve models with spline regression to analyze the data. Results: We found that on-site case studies support frontline staff with pain management and assessment. Repeated reflection in case studies led to significantly longer pain free intervals (from 4.7 at baseline to 37.1 days at second follow-up) and decreased frequency of pain events (OR 0.54 at first follow-up and 0.43 at second follow-up). However no trends regarding pain intensity could be found. Therefore, on-site case studies may be valuable for improving pain frequency and pain-free intervals over time. Conclusion: This feasibility study shows the potential of on-site support for frontline nursing home staff. On-site case studies may also affect health outcomes in people with dementia. However, the complexity of dementia care necessitates the management of a broader range of needs.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Palliative Carede_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectNursing homede_CH
dc.subjectPain managementde_CH
dc.subjectPeople with dementiade_CH
dc.subjectWork-based learningde_CH
dc.subjectWork-related learningde_CH
dc.subjectHumande_CH
dc.subjectHealth personnelde_CH
dc.subjectPainde_CH
dc.subjectQuality of lifede_CH
dc.subjectDementiade_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.subject.ddc616.8: Neurologie und Krankheiten des Nervensystemsde_CH
dc.titlePain interventions for people with dementia : a quasi-experimental studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.1186/s12904-022-01118-9de_CH
dc.identifier.doi10.21256/zhaw-26595-
dc.identifier.pmid36581883de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.start228de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume21de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedG: Gesundheit im Alterde_CH
zhaw.funding.zhawSchmerzreduktion bei Menschen mit Demenz im Heim (PID)de_CH
zhaw.author.additionalYesde_CH
zhaw.display.portraitYesde_CH
zhaw.relation.referenceshttps://doi.org/10.5281/zenodo.6359400de_CH
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Spichiger, F., Volken, T., Bosshard, G., Zigan, N., Blanc, G., Büscher, A., Nagl-Cupal, M., Bernard, M., Rubli Truchard, E., Larkin, P., & Koppitz, A. (2022). Pain interventions for people with dementia : a quasi-experimental study. BMC Palliative Care, 21(1), 228. https://doi.org/10.1186/s12904-022-01118-9
Spichiger, F. et al. (2022) ‘Pain interventions for people with dementia : a quasi-experimental study’, BMC Palliative Care, 21(1), p. 228. Available at: https://doi.org/10.1186/s12904-022-01118-9.
F. Spichiger et al., “Pain interventions for people with dementia : a quasi-experimental study,” BMC Palliative Care, vol. 21, no. 1, p. 228, Dec. 2022, doi: 10.1186/s12904-022-01118-9.
SPICHIGER, Frank, Thomas VOLKEN, Georg BOSSHARD, Nicole ZIGAN, Geneviève BLANC, Andreas BÜSCHER, Martin NAGL-CUPAL, Mathieu BERNARD, Eve RUBLI TRUCHARD, Philip LARKIN und Andrea KOPPITZ, 2022. Pain interventions for people with dementia : a quasi-experimental study. BMC Palliative Care. 29 Dezember 2022. Bd. 21, Nr. 1, S. 228. DOI 10.1186/s12904-022-01118-9
Spichiger, Frank, Thomas Volken, Georg Bosshard, Nicole Zigan, Geneviève Blanc, Andreas Büscher, Martin Nagl-Cupal, et al. 2022. “Pain Interventions for People with Dementia : A Quasi-Experimental Study.” BMC Palliative Care 21 (1): 228. https://doi.org/10.1186/s12904-022-01118-9.
Spichiger, Frank, et al. “Pain Interventions for People with Dementia : A Quasi-Experimental Study.” BMC Palliative Care, vol. 21, no. 1, Dec. 2022, p. 228, https://doi.org/10.1186/s12904-022-01118-9.


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