title: An Education Intervention to Enhance Staff Self-Efficacy to Provide Dementia Care in an Acute Care Hospital in Canada: A Nonrandomized Controlled Study.
abstract: Education is needed for enhanced capacity of acute hospitals to provide dementia care. A nonrandomized controlled, repeated-measures design was used to evaluate a dementia education program delivered to an intervention group (IG, n = 468), compared to a wait-listed group (n = 277), representing separate sites of a multisite hospital. Participants completed self-efficacy for dementia and satisfaction measures and provided written descriptions of dementia care collected at baseline, postintervention (IG only), and at 8-week follow-up. Oral narratives were gathered from IG participants 8 weeks postintervention. The IG demonstrated significant improvement in self-efficacy scores from baseline to immediately postintervention (P < .001), sustained at 8 weeks. There were no changes from baseline to 8 weeks postintervention evident in the wait-listed group (P = .21). Intervention group participants described positive impacts including implementation of person-centered care approaches. Implementation of dementia care education programs throughout hospital settings is promising for the enhancement of dementia care.
authors.affiliation: Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada lori.schindelmartin@ryerson.ca.
authors.forename: Lori
authors.initials: L
authors.lastname: Schindel Martin
authors.affiliation: Hamilton Health Sciences Corporation, Hamilton, Ontario, Canada.|School of Nursing, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Leslie
authors.initials: L
authors.lastname: Gillies
authors.affiliation: Hamilton Health Sciences Corporation, Hamilton, Ontario, Canada.|School of Nursing, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Esther
authors.initials: E
authors.lastname: Coker
authors.affiliation: School of Nursing, McMaster University, Hamilton, Ontario, Canada.|Hamilton Niagara Haldimand Brant Community Care Access Centre, Ontario, Canada.
authors.forename: Anne
authors.initials: A
authors.lastname: Pizzacalla
authors.affiliation: Hamilton Health Sciences Corporation, Hamilton, Ontario, Canada.|School of Nursing, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Maureen
authors.initials: M
authors.lastname: Montemuro
authors.affiliation: Registered Nurses Association of Ontario (RNAO), Toronto, Ontario, Canada.
authors.forename: Grace
authors.initials: G
authors.lastname: Suva
authors.affiliation: Advanced Gerontological Education, Hamilton, Ontario, Canada.
authors.forename: Victoria
authors.initials: V
authors.lastname: McLelland
mesh_terms: D002170:Canada; D003704:Dementia / Q000451:nursing*; D005500:Follow-Up Studies; D006801:Humans; D009629:Person-Centered Psychotherapy; D010564:Personnel, Hospital / Q000193:education*; D020377:Self Efficacy
keywords: acute hospital staff; dementia; education; intervention; self-efficacy