Junior doctor dementia champions in a district general hospital (innovative practice).
Dementia is a common condition in the UK with around 25% of patients in acute hospitals having dementia. In the UK, there is national guidance on the assessment of cognitive impairment in acute hospitals. This article is a qualitative study of junior doctors' experiences as part of a dementia and delirium team involved in changing the care of patients with dementia in a hospital in the UK. It draws on data from a focus group and follow-up questionnaire in two hospital trusts. We examine what drives doctors to become involved in such projects and the effects of this experience upon them. We suggest a typology for getting junior doctors involved in projects generating change when working with patients with dementia. Being more actively involved in caring for and developing services for patients with dementia may represent the crossing of an educational threshold for these junior doctors.
Surrey and Sussex Healthcare NHS Trust, Redhill, UK iainwilkinson@doctors.org.uk.
Iain
I
Wilkinson
Surrey and Sussex Healthcare NHS Trust, Redhill, UK.
Anna
A
Coates
King's College Hospital NHS Foundation Trust, London, UK.
Sophie
S
Merrick
Kingston Hospital NHS Foundation Trust, Kingston-Upon-Thames, UK.
Chooi
C
Lee
D003704:Dementia / Q000628:therapy*; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008505:Medical Staff, Hospital / Q000193:education; D010819:Physician's Role; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D006113:United Kingdom
CQUIN; care; dementia; junior doctors; threshold concepts