Challenges for professional care of advanced dementia
The research purpose of this study was clear, as it was intended to report on the challenges for health professionals in caring for people with advanced dementia living in long term care facilities. This study used a qualitative methodology based on action research. “Action research collects information from key stakeholders and provides ongoing feedback to participants, thereby facilitating change that improves practice.” (Chang et al., 2009, p. 42). The essence of the study aimed to expose the challenges for key professional providers of care for people with advanced dementia. “Descriptions of these challenges provide professional carers and policy makers with insights into the unique needs of the person with advanced dementia”. (Chang et al., 2009, p. 42) Participants were selected from professional providers in Australia from 2003-2006. All of the participants cared for patients with advanced dementia in their profession. They brought a comparative perspective to the success of the study. There were several focus groups compiled that included general practitioners, palliative care speciality staff, palliative care volunteer managers and volunteers, aged or dementia specialist health care professionals, and residential aged care facility staff. All participants were highly qualified with all having more than ten years experience in their field. The sample was non-random, interviewing 13 participants that were recruited from staff of 10 residential aged care facilities. There was a total of 20 in-depth interviews. Within the sample, five of them large high care facilities, two medium-sized high care (51-74 beds), one small high care (< 50 beds), one medium sized low care (hostel) facility and one small low care facility. The Director of Nurses nominated the the staff for the interviews. “The sampling was purposive, with expertise in palliative dementia care of the selection criterion”. (Chang et al.,...
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