Leading change in residential care: A qualitative study to develop Dementia Care Mapping for future implementation

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.

Grantor dc:publisher.institution

University of Bradford

Author dc:creator

• de Paiva, Andreia F.

Advisors dc:contributor.advisor

• Barbosa, Ana
• Collins, Lindsey
• Windle, Karen

• Residential care
• Dementia care mapping (DCM)
• Person-centred care
• Practice development
• Workforce development
• Long-term care
• Implementation

Statement dc:rights

• <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>.

Language dc:language.iso

en

Repository record dc:identifier.uri

https://bradscholars.brad.ac.uk/handle/10454/20700

OAI identifier oai:identifier

oai:bradscholars.brad.ac.uk:10454/20700