Development of Guidelines for Dementia Care in Geriatric Health Service Facilities

  • Hara Sachiko
    School of Nursing, Faculty of Medicine, Shimane University
  • Mikane Sakae
    Faculty of Health and Welfare Science, Okayama Prefectural University

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Other Title
  • 介護老人保健施設における認知症ケアガイドラインの開発
  • カイゴロウジン ホケン シセツ ニ オケル ニンチショウ ケアガイドライン ノ カイハツ

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Abstract

The purpose of this study was to develop dementia care guidelines that can be applied in geriatric health service facilities. Questionnaires were distributed to 594 nurses and professional caregivers working in geriatric health service facilities, from which 380 valid responses were obtained and analyzed. A second-order factor model was used in this study, comprising "creating an environment where residents can feel safe and at home," "support for residents in maintaining the lifestyle that they had at home," "helping residents maximize their remaining abilities," "helping residents remain connected to society," "consistent and coordinated care including cooperation with residents’ families," "support for shifting to home care" as first-order factors, and "care for demented elderly people" as a second-order factor. The construct validity of the guidelines was assessed in terms of the relationship between the factor model and an external criterion (job satisfaction) using structural equation modeling. As a result, the fitness of the factor model comprising six factors and 29 items to the data and the relationship between dementia care practice and job satisfaction were statistically supported. These results suggest that the dementia care guidelines developed in this study are effective in ensuring the quality of dementia care in geriatric health service facilities.

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