TY - JOUR
T1 - Staff Compliance With Protocols to Improve the Management of Behavioral and Psychological Symptoms of Dementia
AU - Bird, M.J.
AU - Mellor, D.
AU - McCabe, M.
AU - Bird, M.
AU - Davison, T.
AU - MacPherson, S.
AU - Hallford, D.
AU - Seedy, M.
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Using data from a larger study investigating
the eff ectiveness of a structured clinical protocol
to manage individuals in residential facilities who experience
behavioral and psychological symptoms of dementia (BPSD), the
current study investigated whether external clinical support in using
the protocol with specifi c residents increased compliance in its use, over
and above only providing a generic workshop about the protocol and management
of BPSD. Results indicated that provision of the workshop, in addition
to clinical support, was associated with signifi cantly higher compliance.
However, compliance was only found to be related to positive outcomes when
staff received the generic workshop and not clinical support. When clinical
support was provided, compliance was not related to outcomes or worse
outcomes. These fi ndings, when considered in the context of the results
of the larger trial, suggest that the relationship among clinical support,
compliance with BPSD protocols, and clinical outcomes
for residents and staff is complex and needs further
investigation.
AB - Using data from a larger study investigating
the eff ectiveness of a structured clinical protocol
to manage individuals in residential facilities who experience
behavioral and psychological symptoms of dementia (BPSD), the
current study investigated whether external clinical support in using
the protocol with specifi c residents increased compliance in its use, over
and above only providing a generic workshop about the protocol and management
of BPSD. Results indicated that provision of the workshop, in addition
to clinical support, was associated with signifi cantly higher compliance.
However, compliance was only found to be related to positive outcomes when
staff received the generic workshop and not clinical support. When clinical
support was provided, compliance was not related to outcomes or worse
outcomes. These fi ndings, when considered in the context of the results
of the larger trial, suggest that the relationship among clinical support,
compliance with BPSD protocols, and clinical outcomes
for residents and staff is complex and needs further
investigation.
M3 - Article
VL - 41
SP - 44
EP - 52
JO - Journal of Gerontological Nursing
JF - Journal of Gerontological Nursing
IS - 2
ER -