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Design and evaluation protocol for ‘DEALTS 2’: a simulation-based dementia education intervention for acute care settings

Published online by Cambridge University Press:  03 January 2019

Michelle Heward Open the ORCID record for Michelle Heward [Opens in a new window] ,
Michele Board ,
Ashley Spriggs  and
Jane Murphy
Michelle Heward*
Affiliation:
Ageing and Dementia Research Centre, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset, UK Department of Human Sciences and Public Health, Royal London House, Lansdowne Campus, Bournemouth University, Dorset, UK
Michele Board
Affiliation:
Ageing and Dementia Research Centre, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset, UK Department of Nursing and Clinical Science, Bournemouth House, Lansdowne Campus, Bournemouth University, Dorset, UK
Ashley Spriggs
Affiliation:
Ageing and Dementia Research Centre, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset, UK Department of Nursing and Clinical Science, Bournemouth House, Lansdowne Campus, Bournemouth University, Dorset, UK
Jane Murphy
Affiliation:
Ageing and Dementia Research Centre, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset, UK Department of Human Sciences and Public Health, Royal London House, Lansdowne Campus, Bournemouth University, Dorset, UK
*
Correspondence should be addressed to: Dr Michelle Heward, Ageing and Dementia Research Centre, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset, UK. Phone: +44 (0)1202 962536; Fax: +44 (0)1202 962736. Email: mheward@bournemouth.ac.uk.
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Abstract

Background:

There is a paucity of simulation-based dementia education programmes for acute care settings that support the development of interpersonal skills pertinent to good care. Moreover, few studies measure the effectiveness of such programmes by evaluating the persistence of practice change beyond the immediate timeframe of the workshops. We were commissioned by Health Education England (HEE) to develop and evaluate ‘DEALTS 2’, a national simulation-based education toolkit informed by the Humanisation Values Framework, developed at Bournemouth University and based on an experiential learning approach to facilitate positive impacts on practice. This paper describes the process of developing DEALTS 2 and the protocol for evaluating the impact of this intervention on practice across England.

Methods:

Intervention development: Following an initial scoping exercise to explore the barriers and enablers of delivering the original DEALTS programme, we developed, piloted, and rolled out DEALTS 2 across England through a Train the Trainer (TTT) model. Key stakeholders were asked to critically feedback during the development process.

Evaluation design:

Mixed methods approach underpinned by Kirkpatrick Model for evaluating effectiveness of training; assessing reaction, learning, behaviour, and results. Evaluation forms and telephone interviews (quantitative and qualitative) with trainers that attended TTT workshops (n = 196) and, once implemented in individual Trusts, the staff that the trainers train.

Conclusions:

Evaluation of implementation and impact on care delivery for people with dementia will provide evidence of effectiveness. This will support the future development of simulation-based education programmes, amidst the current complexity of pressure in resource limited healthcare settings.

Keywords

simulation-based educationdementiainterventionevaluationexperiential learningtrain the trainerimplementationHumanisation Values Framework
Type
Original Research Article
Information
International Psychogeriatrics , Volume 32 , Special Issue 12: Issue Theme: Implementation Science , December 2020 , pp. 1439 - 1448
Copyright
© International Psychogeriatric Association 2019

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References

Adefila, A., Graham, S., Clouder, L., Bluteau, P. and Ball, S. (2016). myShoes – the future of experiential dementia training? The Journal of Mental Health Training, Education and Practice, 11, 91–101. doi: 10.1108/JMHTEP-10-2015-0048.CrossRefGoogle Scholar
Alzheimer’s Society. (2009). Counting the Cost: Caring for People with Dementia on Hospital Wards. London: Alzheimer’s Society.Google Scholar
Alzheimer’s Society. (2016). Fix dementia care: hospitals. Available at: https://www.alzheimers.org.uk/site/scripts/download_info.php?fileID=2907; last accessed 30 September 2016.Google Scholar
Annear, M., Toye, C., Elliot, K., McInerney, F., Eccleston, C. and Robinson, A. (2017). Dementia knowledge assessment scale (DKAS): confirmatory factor analysis and comparative subscale scores among an international cohort. BMC Geriatrics, 17, 168. doi: 10.1186/s12877-017-0552-y.CrossRefGoogle ScholarPubMed
ASPiH and HEE. (2016). Standards framework and guidance on simulation-based education in healthcare. Available at: https://worldspanmedia.s3.amazonaws.com/media/aspihdjango/uploads/documents/standards-consultation/standards-framework.pdf; last accessed 9 February 2017.Google Scholar
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi: 10.1191/1478088706qp063oa.CrossRefGoogle Scholar
Care Quality Commission. (2014). Cracks in the Pathway. London: Care Quality Commission.Google Scholar
Clarke, S. (2014). Dementia Education and Learning Through Simulation (DEALTS) - Course Resource File. Wessex, Thames Valley: Health Education England.Google Scholar
Clarke, S. (2015). Dementia Education and Learning Through Simulation (DEALTS) Train the Trainer Course - Project Report for National Roll out of DEALTS Course. Portsmouth: Health Education England.Google Scholar
Cook, D., Hatala, R. and Brydges, R. (2011). Technology-enhanced simulation for health professions education a systematic review and meta-analysis. Journal of the American Medical Association, 306, 978–988.Google ScholarPubMed
Cowdell, F. (2010). Care of older people with dementia in an acute hospital setting. Nursing Standard, 24, 42–48.CrossRefGoogle Scholar
Department of Health. (2009). Living Well with Dementia: A National Dementia Strategy. London: Department of Health.Google Scholar
Dewing, J. and Djik, S. (2014). What is the current state of care for older people with dementia in general hospitals? A literature review. Dementia, 15, 106–124. doi: 10.1177/1471301213520172.CrossRefGoogle ScholarPubMed
Downs, M. and Collins, L. (2015). Person-centred communication in dementia care. Nursing Standard, 30, 37–41.CrossRefGoogle ScholarPubMed
Griffiths, A., Knight, A., Harwood, R. and Gladman, J. R. (2014). Preparation to care for confused older patients in general hospitals: a study of UK health professionals. Age and Ageing, 43, 521–527.CrossRefGoogle ScholarPubMed
Handley, M., Bunn, F. and Goodman, C. (2017). Dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals: a realist review. BMJ Open, 7, e015257. doi: 10.1136/bmjopen-2016-015257.CrossRefGoogle ScholarPubMed
Hemingway, A., Scammell, J. and Heaslip, V. (2012). Humanising values at the heart of nurse education. Nursing Times, 108, 26–28.Google ScholarPubMed
Kirkpatrick, D. (1959). Techniques for evaluating training programs. Journal of ASTD, 11, 1–13.Google Scholar
Kitwood, T. (1997). Dementia Reconsidered: The Person Comes First. Buckingham: Open University Press.Google Scholar
Kolb, D. A. (1984). Experiential Learning: Experience as the Source of Learning and Development. Upper Saddle River, NJ: Prentice Hall.Google Scholar
Lateef, F. (2010). Simulation-based learning: Just like the real thing. Journal of Emergency Trauma Shock, 3, 348–352. doi: 10.4103/0974-2700.70743.CrossRefGoogle ScholarPubMed
Lave, J. and Wenger, E. (1991). Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Leah, V., Combes, J., McMillan, M., Russell, L. and McCune, K. (2017). Experiences of using simulation in dementia education. Nursing Older People, 29, 27–34.CrossRefGoogle ScholarPubMed
Lincoln, Y. and Guba, E. (1985). Naturalistic Inquiry. Newbury Park, CA: Sage Publications.CrossRefGoogle Scholar
Machiels, M., Metzelthin, S., Hamers, J. and Zwakhalen, S. (2017). Review: interventions to improve communication between people with dementia and nursing staff during daily nursing care: A systematic review. International Journal of Nursing Studies, 66, 37–46.CrossRefGoogle ScholarPubMed
NHS Digital. (2018). Quality Outcomes Framework (QOF) recorded dementia diagnoses. Available at: https://digital.nhs.uk/data-and-information/publications/statistical/recorded-dementia-diagnoses/may-2018; last accessed 15 August 2018.Google Scholar
Oliver, M. and Trigwell, K. (2005). Can ‘Blended Learning’ be redeemed? E–Learning, 2, 17–26.CrossRefGoogle Scholar
Pearce, J., Mann, M., Jones, C., van Buschbach, S., Olff, M. and Bisson, J. (2012). The most effective way of delivering a train-the-trainers program: a systematic review. Journal of Continuing Education in the Health Professions, 32, 215–226.CrossRefGoogle ScholarPubMed
Pound, C., Sloan, C., Ellis-Hill, C., Cowdell, F., Todres, L. and Galvin, K. (2016). The humanising care toolkit. Available at: http://www.btfn.org.uk/library/directory_listings/337/Humanising%20Care%20Toolkit.pdf; last accessed 9 February 2018.Google Scholar
Prince, M. et al. (2014). Dementia UK: Update. London: Alzheimer’s Society.Google Scholar
Reynish, E., Hapca, S., De Souza, N., Cvoro, V., Donnan, P. and Guthrie, B. (2017). Epidemiology and outcomes of people with dementia, delirium, and unspecified cognitive impairment in the general hospital: prospective cohort study of 10,014 admissions. BMC Medicine, 15, 140.10.1186/s12916-017-0899-0CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists. (2013). National Audit of Dementia Care in General Hospitals 2012-13: Second Round Audit Report and Update. London: HQIP.Google Scholar
Ryall, T., Judd, B. and Gordon, C. (2016). Simulation-based assessments in health professional education: a systematic review. Journal of Multidisciplinary Healthcare, 9, 69–82. doi: 10.2147/JMDH.S92695 Google ScholarPubMed
Sampson, E., Vickerstaff, V., Lietz, S. and Orrell, M. (2017). Improving the care of people with dementia in general hospitals: evaluation of a whole-system train-the-trainer model. International Psychogeriatrics, 29, 605–614. doi: 10.1017/S1041610216002222.CrossRefGoogle ScholarPubMed
Scerri, A., Innes, A. and Scerri, C. (2017). Dementia training programmes for staff working in general hospital settings – a systematic review of the literature. Aging and Mental Health, 21, 783–796. doi: 10.1080/13607863.2016.1231170 CrossRefGoogle ScholarPubMed
Skills for Health, Health Education England and Skills for Care. (2015). Dementia core skills education and training framework. Available at: http://www.skillsforhealth.org.uk/images/projects/dementia/Dementia%20Core%20Skills%20Education%20and%20Training%20Framework.pdf; last accessed 30 August 2017.Google Scholar
Skills for Health, Health Education England, and Skills for Care. (2018). Dementia training standards framework. Available at: http://www.skillsforhealth.org.uk/services/item/176-dementia-core-skills-education-and-training-framework; last accessed 15 August 2018.Google Scholar
Straus, S. et al. (2009). The knowledge-to-action cycle. Knowledge Translation in Health Care. Chichester, West Sussex: Wiley-Blackwell.CrossRefGoogle Scholar
Surr, C. and Gates, C. (2017). What works in delivering dementia education or training to hospital staff? A critical synthesis of the evidence. International Journal of Nursing Studies, 75, 172–188. doi: 10.1016/j.ijnurstu.2017.08.002.CrossRefGoogle ScholarPubMed
Surr, C. et al. (2017). Effective dementia education and training for the health and social care workforce: a systematic review of the literature. Review of Educational Research, 87, 966–1002. doi: 10.3102/0034654317723305.CrossRefGoogle ScholarPubMed
Thompson, S. (2012). Sampling: Third Edition. London: Wiley.CrossRefGoogle Scholar
Todres, L., Galvin, K. and Holloway, I. (2009). The humanisation of healthcare: a value framework for qualitative research. International Journal of Qualitative Studies on Health and Well-being, 4, 68–77.10.1080/17482620802646204CrossRefGoogle Scholar
Wang, Y., Dongxia Xiao, L., Ullah, S., He, G. and De Bellis, A. (2017). Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: a cluster randomized controlled trial. Nurse Education Today, 49, 1–7.CrossRefGoogle ScholarPubMed
WHO. (2017). Global Action Plan on the Public Health Response to Dementia 2017–2025. Switzerland: World Health Organization.Google Scholar
Young, J., Hood, C., Woolley, R. J., Gandesha, A. and Souza, R. (2011). Report of the National Audit of Dementia Care in General Hospitals. London: Health Quality Improvement Partnership.Google Scholar