The feasibility and validity of care mapping in the clinical neurosciences.
Dementia Care Mapping (DCM) is an observational tool and process that is widely used in dementia care in measuring and improving person-centred care (PCC). DCM was previously piloted on a neurorehabilitation ward, where it was found to be feasible and acceptable in this setting. Following this, a new modified tool and accompanying manual were developed: Care Mapping - Neurorehabilitation (DCM-NR). The current study aimed to assess the feasibility and validity of DCM-NR by piloting its use in a range of clinical neuroscience settings. A mixed-methods design was used employing both quantitative and qualitative techniques. The new DCM-NR was found to be feasible for use both in terms of the suitability of its coding system and the implementation process. DCM-NR was shown to have a moderate level of concurrent validity with participants' self-report of PCC. Participants' subjective reports on their experiences of care provided validation for the areas of psychological need observed in DCM-NR. The results of this study indicate that DCM-NR is feasible and valid for use in a range of clinical neuroscience settings. Further longitudinal research is required to evaluate the impact of DCM-NR on PCC practices over time.
a North West London Hospitals NHS Trust , London , UK.
Katie
K
O'Hanlon
Andrew
A
Leigh
Russell
R
Sheldrick
Claire
C
Surr
Dougal Julian
DJ
Hare
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009488:Neurosciences; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D010358:Patient Participation; D018802:Patient-Centered Care / Q000706:statistics & numerical data; D036301:Qualitative Research; D011787:Quality of Health Care / Q000706:statistics & numerical data; D055815:Young Adult
Client-centred care; Dementia Care Mapping (DCM); Neurorehabilitation; Patient-centred care; Person-centred care