title: Promoting value in dementia care: staff, resident and family experience of the capabilities model of dementia care.
abstract: OBJECTIVE
  This Australian study examined individual experiences of the implementation of the Capabilities Model of Dementia Care (CMDC) and subsequent outcomes for the care of residents with dementia living in long-term care. Furthermore, this study aimed to explore those factors that facilitated and inhibited the implementation of the new model of care.
  
  
  METHODS
  The CMDC was developed and then tested in a non-randomised clinical trial. Staff, residents and family experiences of their involvement and perceptions of the model were captured at the end of 12 months. Semi-structured interviews and focus groups were conducted with the 25 participants (12 nursing staff, 6 residents with dementia, 7 family members). Questions varied depending on the participant group but were designed to assess experiences of and changes to care during the intervention. Inductive thematic analysis was used to identify the experiences of the implementation of the CMDC.
  
  
  RESULTS
  Five themes included: general reflections on nursing care, implementation of the CMDC intervention, positive outcomes of the CMDC intervention, challenges in the implementation of the CMDC, difficulty sustaining care and tensions between participants' perspectives of care.
  
  
  CONCLUSIONS
  Positive change resulted from implementation of the CMDC, however, staff mentorship was identified as a key to sustaining changes in practice.
authors: Griffith Health Institute, Health Science Building, Griffith University, Nathan Campus, Nathan, QLD, Australia.
authors: Wendy
authors: W
authors: Moyle
authors: Lorraine
authors: L
authors: Venturato
authors: Marie
authors: M
authors: Cooke
authors: Julian
authors: J
authors: Hughes
authors: Sierra
authors: S
authors: van Wyk
authors: Jenni
authors: J
authors: Marshall
mesh_terms: D003704:Dementia / Q000451:nursing*; D005190:Family / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006293:Health Promotion; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008962:Models, Theoretical; D009740:Nursing Staff / Q000523:psychology*; D010346:Patient Care Management; D036301:Qualitative Research; D011793:Queensland; D016896:Treatment Outcome