{"id":{"repo_id":"oxford-brookes","oai_identifier":"tle:37f32d64-5af9-44d9-a895-9446dcbb1c77:d6bd9758-527a-46cd-bfe2-c433766e8fca:1"},"canonical_url":"https://search.dev.ndltd.org/etd/oxford-brookes/tle:37f32d64-5af9-44d9-a895-9446dcbb1c77:d6bd9758-527a-46cd-bfe2-c433766e8fca:1","repository":{"repo_id":"oxford-brookes","name":"Oxford Brookes University","base_url":"https://radar.brookes.ac.uk/radar/oai"},"display":{"title":"Care needs of people with dementia in perioperative environments from the perspective of healthcare professionals : exploring professional experiences of person-centred dementia care","abstract":"People living with dementia represent a growing patient population within surgical services, yet their complex care needs are often unmet in the high-pressure perioperative environment. Research on dementia in surgical contexts remains fragmented, with limited guidance for practice, poor representation of people with dementia in studies, and significant ethical and methodological barriers. These gaps contribute to higher risks of adverse outcomes and a lack of consistent, person-centred care. This doctoral thesis examines the care needs of people living with dementia throughout the perioperative pathway, to identify barriers and enablers to high-quality care, and to develop practical recommendations for clinical practice, education, policy, and research ethics. To achieve this, the doctoral research comprised three integrated components: a systematic literature review of perioperative care for people with dementia; the development of a practical checklist for inclusive dementia research and consent processes; and an empirical qualitative study using thirty semi-structured interviews with a multidisciplinary sample of perioperative healthcare professionals, analysed using reflexive thematic analysis. The literature review confirmed elevated postoperative risks, poor recognition of dementia in perioperative assessments, and a lack of standardised interventions. The ethical work produced a practical checklist for upholding participation, accountability, non-discrimination, empowerment, and legality when involving people with dementia in research. The qualitative study identified three overarching themes in dementia perioperative care: patient-level factors such as distress, delirium, communication needs and reliance on family support; professional-level factors including knowledge gaps, challenges in consent and pain assessment, and inconsistent dementia training; and institutional-level factors such as time pressures, unsuitable environments, and limited resources. Taken together, these findings reveal systemic shortcomings in perioperative dementia care but also highlight opportunities for improvement. This thesis provides new evidence on perioperative dementia care and offers a human rights-based ethical framework for more inclusive research. It argues for urgent system-wide change to improve safety, dignity, and outcomes for people with dementia. Recommendations include routine cognitive screening, dementia-friendly environmental adaptations, integration of caregivers, tailored staff training, delirium prevention, and multidisciplinary perioperative pathways. These contributions inform policy, practice, and future co-designed research to ensure equitable surgical care for people living with dementia.","abstract_html":"People living with dementia represent a growing patient population within surgical services, yet their complex care needs are often unmet in the high-pressure perioperative environment. Research on dementia in surgical contexts remains fragmented, with limited guidance for practice, poor representation of people with dementia in studies, and significant ethical and methodological barriers. These gaps contribute to higher risks of adverse outcomes and a lack of consistent, person-centred care. This doctoral thesis examines the care needs of people living with dementia throughout the perioperative pathway, to identify barriers and enablers to high-quality care, and to develop practical recommendations for clinical practice, education, policy, and research ethics. To achieve this, the doctoral research comprised three integrated components: a systematic literature review of perioperative care for people with dementia; the development of a practical checklist for inclusive dementia research and consent processes; and an empirical qualitative study using thirty semi-structured interviews with a multidisciplinary sample of perioperative healthcare professionals, analysed using reflexive thematic analysis. The literature review confirmed elevated postoperative risks, poor recognition of dementia in perioperative assessments, and a lack of standardised interventions. The ethical work produced a practical checklist for upholding participation, accountability, non-discrimination, empowerment, and legality when involving people with dementia in research. The qualitative study identified three overarching themes in dementia perioperative care: patient-level factors such as distress, delirium, communication needs and reliance on family support; professional-level factors including knowledge gaps, challenges in consent and pain assessment, and inconsistent dementia training; and institutional-level factors such as time pressures, unsuitable environments, and limited resources. Taken together, these findings reveal systemic shortcomings in perioperative dementia care but also highlight opportunities for improvement. This thesis provides new evidence on perioperative dementia care and offers a human rights-based ethical framework for more inclusive research. It argues for urgent system-wide change to improve safety, dignity, and outcomes for people with dementia. Recommendations include routine cognitive screening, dementia-friendly environmental adaptations, integration of caregivers, tailored staff training, delirium prevention, and multidisciplinary perioperative pathways. These contributions inform policy, practice, and future co-designed research to ensure equitable surgical care for people living with dementia.","abstract_has_math":false,"creators":["Diaz-Gil, Alicia"],"institution":"Oxford Brookes University","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Kozlowska, Olga","Pendlebury, Sarah"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":null,"date_issued":"","date_published":null,"updated_at":"2026-07-24T03:41:58Z","subjects":[],"languages":["en"],"rights":["All rights reserved"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://doi.org/10.24384/k82g-k319","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Diaz-Gil, Alicia","Kozlowska, Olga","Pendlebury, Sarah"]},{"key":"dc:creator","label":"Author","values":["Diaz-Gil, Alicia"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:publisher","label":"Institution","values":["Oxford Brookes University"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["All rights reserved"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://doi.org/10.24384/k82g-k319","https://radar.brookes.ac.uk/radar/file/37f32d64-5af9-44d9-a895-9446dcbb1c77/1/Diaz-Gil2026CareNeeds.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["People living with dementia represent a growing patient population within surgical services, yet their complex care needs are often unmet in the high-pressure perioperative environment. Research on dementia in surgical contexts remains fragmented, with limited guidance for practice, poor representation of people with dementia in studies, and significant ethical and methodological barriers. These gaps contribute to higher risks of adverse outcomes and a lack of consistent, person-centred care. This doctoral thesis examines the care needs of people living with dementia throughout the perioperative pathway, to identify barriers and enablers to high-quality care, and to develop practical recommendations for clinical practice, education, policy, and research ethics. To achieve this, the doctoral research comprised three integrated components: a systematic literature review of perioperative care for people with dementia; the development of a practical checklist for inclusive dementia research and consent processes; and an empirical qualitative study using thirty semi-structured interviews with a multidisciplinary sample of perioperative healthcare professionals, analysed using reflexive thematic analysis. The literature review confirmed elevated postoperative risks, poor recognition of dementia in perioperative assessments, and a lack of standardised interventions. The ethical work produced a practical checklist for upholding participation, accountability, non-discrimination, empowerment, and legality when involving people with dementia in research. The qualitative study identified three overarching themes in dementia perioperative care: patient-level factors such as distress, delirium, communication needs and reliance on family support; professional-level factors including knowledge gaps, challenges in consent and pain assessment, and inconsistent dementia training; and institutional-level factors such as time pressures, unsuitable environments, and limited resources. Taken together, these findings reveal systemic shortcomings in perioperative dementia care but also highlight opportunities for improvement. This thesis provides new evidence on perioperative dementia care and offers a human rights-based ethical framework for more inclusive research. It argues for urgent system-wide change to improve safety, dignity, and outcomes for people with dementia. Recommendations include routine cognitive screening, dementia-friendly environmental adaptations, integration of caregivers, tailored staff training, delirium prevention, and multidisciplinary perioperative pathways. These contributions inform policy, practice, and future co-designed research to ensure equitable surgical care for people living with dementia."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Care needs of people with dementia in perioperative environments from the perspective of healthcare professionals : exploring professional experiences of person-centred dementia care"]}]}],"canonical_facts":{"dc:contributor":["Diaz-Gil, Alicia","Kozlowska, Olga","Pendlebury, Sarah"],"dc:creator":["Diaz-Gil, Alicia"],"dc:description":["People living with dementia represent a growing patient population within surgical services, yet their complex care needs are often unmet in the high-pressure perioperative environment. Research on dementia in surgical contexts remains fragmented, with limited guidance for practice, poor representation of people with dementia in studies, and significant ethical and methodological barriers. These gaps contribute to higher risks of adverse outcomes and a lack of consistent, person-centred care. This doctoral thesis examines the care needs of people living with dementia throughout the perioperative pathway, to identify barriers and enablers to high-quality care, and to develop practical recommendations for clinical practice, education, policy, and research ethics. To achieve this, the doctoral research comprised three integrated components: a systematic literature review of perioperative care for people with dementia; the development of a practical checklist for inclusive dementia research and consent processes; and an empirical qualitative study using thirty semi-structured interviews with a multidisciplinary sample of perioperative healthcare professionals, analysed using reflexive thematic analysis. The literature review confirmed elevated postoperative risks, poor recognition of dementia in perioperative assessments, and a lack of standardised interventions. The ethical work produced a practical checklist for upholding participation, accountability, non-discrimination, empowerment, and legality when involving people with dementia in research. The qualitative study identified three overarching themes in dementia perioperative care: patient-level factors such as distress, delirium, communication needs and reliance on family support; professional-level factors including knowledge gaps, challenges in consent and pain assessment, and inconsistent dementia training; and institutional-level factors such as time pressures, unsuitable environments, and limited resources. Taken together, these findings reveal systemic shortcomings in perioperative dementia care but also highlight opportunities for improvement. This thesis provides new evidence on perioperative dementia care and offers a human rights-based ethical framework for more inclusive research. It argues for urgent system-wide change to improve safety, dignity, and outcomes for people with dementia. Recommendations include routine cognitive screening, dementia-friendly environmental adaptations, integration of caregivers, tailored staff training, delirium prevention, and multidisciplinary perioperative pathways. These contributions inform policy, practice, and future co-designed research to ensure equitable surgical care for people living with dementia."],"dc:format":["application/pdf"],"dc:identifier":["https://doi.org/10.24384/k82g-k319","https://radar.brookes.ac.uk/radar/file/37f32d64-5af9-44d9-a895-9446dcbb1c77/1/Diaz-Gil2026CareNeeds.pdf"],"dc:language":["en"],"dc:publisher":["Oxford Brookes University"],"dc:rights":["All rights reserved"],"dc:title":["Care needs of people with dementia in perioperative environments from the perspective of healthcare professionals : exploring professional experiences of person-centred dementia care"],"dc:type":["thesis"]},"updated_at":"2026-07-24T03:41:58Z"}