{"id":{"repo_id":"bradford","oai_identifier":"oai:bradscholars.brad.ac.uk:10454/20700"},"canonical_url":"https://search.dev.ndltd.org/etd/bradford/oai:bradscholars.brad.ac.uk:10454/20700","repository":{"repo_id":"bradford","name":"University of Bradford","base_url":"https://bradscholars.brad.ac.uk/oai/request"},"display":{"title":"Leading change in residential care: A qualitative study to develop Dementia Care Mapping for future implementation","abstract":"Background: Dementia Care Mapping (DCM) is an observational tool used to deliver person-centred care (PCC) for people living with dementia. While the research to date has demonstrated the positive impact of DCM in care homes, more needs to be understood about the implementation and uptake of DCM, and staff understanding of PCC in practice. Aim: The main aim of this thesis is to improve the implementation of DCM in residential care settings. Methods: A realist review was conducted to develop a theoretical understanding of factors influencing the successful implementation of DCM in care settings. This was followed by a constructivist grounded theory study with fifteen health and social care staff who have trained in DCM to explore their perspective, experiences and understanding of DCM and PCC. Practical recommendations were developed with coproduction used to develop DCM in practice. Findings: This thesis found that many factors influencing the implementation of DCM in practice are common among PCC interventions. The review emphasised the importance of leadership support in driving practice change. Interviews with participants found a conflict between the concept of PCC in practice and theory. Practical guidelines and a roadmap were developed for the DCM education team and organisations that aim to implement and use DCM. Conclusion: This PhD thesis aimed to improve the implementation of DCM, contributing to both its practical development and understanding of factors that influence the implementation of DCM. The findings provide insights into PCC in care homes, particularly regarding care plan formulation and practical application of PCC.","abstract_html":"Background: Dementia Care Mapping (DCM) is an observational tool used to deliver person-centred care (PCC) for people living with dementia. While the research to date has demonstrated the positive impact of DCM in care homes, more needs to be understood about the implementation and uptake of DCM, and staff understanding of PCC in practice. Aim: The main aim of this thesis is to improve the implementation of DCM in residential care settings. Methods: A realist review was conducted to develop a theoretical understanding of factors influencing the successful implementation of DCM in care settings. This was followed by a constructivist grounded theory study with fifteen health and social care staff who have trained in DCM to explore their perspective, experiences and understanding of DCM and PCC. Practical recommendations were developed with coproduction used to develop DCM in practice. Findings: This thesis found that many factors influencing the implementation of DCM in practice are common among PCC interventions. The review emphasised the importance of leadership support in driving practice change. Interviews with participants found a conflict between the concept of PCC in practice and theory. Practical guidelines and a roadmap were developed for the DCM education team and organisations that aim to implement and use DCM. Conclusion: This PhD thesis aimed to improve the implementation of DCM, contributing to both its practical development and understanding of factors that influence the implementation of DCM. The findings provide insights into PCC in care homes, particularly regarding care plan formulation and practical application of PCC.","abstract_has_math":false,"creators":["de Paiva, Andreia F."],"institution":"University of Bradford","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Barbosa, Ana","Collins, Lindsey","Windle, Karen"],"committee_chairs":[],"committee_members":[],"year":null,"date_issued":"","date_published":null,"updated_at":"2026-07-24T01:15:08Z","subjects":["Residential care","Dementia care mapping (DCM)","Person-centred care","Practice development","Workforce development","Long-term care","Implementation"],"languages":["en"],"rights":["\"Creative
The University of Bradford theses are licenced under a Creative Commons Licence."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://bradscholars.brad.ac.uk/handle/10454/20700","outbound_label":"Repository record","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Barbosa, Ana","Collins, Lindsey","Windle, Karen"]},{"key":"dc:creator","label":"Author","values":["de Paiva, Andreia F."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-12-10T14:17:58Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-12-10T14:17:58Z"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Centre for Applied Dementia Studies. Faculty of Health Studies"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Bradford"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["doctoral"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["PhD"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Residential care","Dementia care mapping (DCM)","Person-centred care","Practice development","Workforce development","Long-term care","Implementation"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["\"Creative
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The University of Bradford theses are licenced under a Creative Commons Licence."],"dc:subject":["Residential care","Dementia care mapping (DCM)","Person-centred care","Practice development","Workforce development","Long-term care","Implementation"],"dc:title":["Leading change in residential care: A qualitative study to develop Dementia Care Mapping for future implementation"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["doctoral"],"dc:type.qualificationname":["PhD"]},"updated_at":"2026-07-24T01:15:08Z"}