dementiatrainers buz loveday & associates – working to improve dementia care effective...
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DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Effective Resources for Training Staff in
Person-Centred Dementia Care
Buz Loveday DementiaTrainers
Dave Bell Care Homes Support Team
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Background
• NICE/SCIE Guidelines
• Dementia UK report
• Dementia Strategy
• Everybody’s Business
• National Minimum Standards
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Who is training for?
• 70% of Care Workers have no qualifications – there’s a case for all staff to be trained including Drs and Nurses (Banerjee)
• All staff working with older people should have access to training in dementia care consistent with roles/responsibilities (NICE)
• All staff working in generic, non-specialist areas to better meet the requirements of older people with mental health problems across the board (Everybody’s Business)
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
What should Training Achieve?
• Improve quality of care received by people who have dementia in all areas
• Development of skills and attitudes for staff to better meet needs of clients
• Establish career pathways for staff
• Maintain workforce development/staff retention
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
What makes training effective?
• Part of an organisational strategy
• Reinforced through leadership
• Relevant to needs -what staff need to learn and unlearn
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
there’s nothing that can be done
Hopeless case
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
What makes training effective?
• Part of an organisational strategy
• Reinforced through leadership
• Relevant to needs -what staff need to learn and unlearn
• Inspirational
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
The learning stairway
“Don’t know youdon’t know”
(unconscious ignorance)
“Know youdon’t know”
“Don’t know you know”
“Know youknow”
(conscious ignorance)
(unconscious understanding)
(conscious understanding)
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
What makes training effective?
• Part of an organisational strategy
• Reinforced through leadership
• Relevant to needs -what staff need to learn and unlearn
• Inspirational
• Methods address different learning styles and abilities
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
4 basic learning styles (Honey & Mumford)
Activists
Theorists
ReflectorsPragmatists
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
What makes training effective?
• Part of an organisational strategy
• Reinforced through leadership
• Relevant to needs -what staff need to learn and unlearn
• Inspirational
• Methods address different learning styles and abilities
• Relevant, practical and applicable
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
What makes training effective?
• Part of an organisational strategy
• Reinforced through leadership
• Relevant to needs -what staff need to learn and unlearn
• Inspirational
• Methods address different learning styles and abilities
• Relevant, practical and applicable• Opportunity for discussion and feedback
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
How do we measure the effectiveness of training?
• Assess learning of participants ‘Knowing is not enough; we must apply. Willing is not
enough; we must do’ (Goethe)
• Measure outcomes for people with dementia• Measure outcomes for staff and the
organisation• Observation and anecdote• Inspection reports
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Research reviews
• Kuske B et al (2007) - Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics, 19, 818 – 841.
• McCabe M et al (2007) – Effectiveness of staff training programmes for behavioural problems among older people with dementia. Aging and Mental Health, 11, 505-519.
• NICE/SCIE - Guidelines for Dementia (9.4 Models of Training pp 274-280). British Psychological Society/RCP, London.
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Reported Research (2)• Teri L et al (2005) – STAR: a dementia specific training
programme for staff in assisted living residences. The Gerontologist, 45, 686-693.
• Burgio L et al (2002) – Teaching and maintaining behaviour management skills in the nursing home, The Gerontologist, 42, 487-496.
• McCarthy B & Dalrymple M (2003) – Supervisory feedback sustains change after training in dementia care. Paper from Alzheimer’s Australia National Conference.
• Davison T et al (2007) – Controlled trial of dementia training with a peer support group for aged care staff. International Journal of Geriatric Psychiatry, 22, 868-873
• Bryan K et al (2002) – Working with older people with communication difficulties – an evaluation of care worker training. Aging and mental health, 6, 248-254.
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Resources
• Knowledge and experience of trainer!• Videos• Group exercises – eg case studies• Experiential exercises
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
HOW MUCH LEARNING IS RETAINED?
3 months later
Told Told and shown
Told, shown and experienced
3 weeks later
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
HOW MUCH LEARNING IS RETAINED?
3 months later
Told Told and shown
Told, shown and experienced
3 weeks later
70% 72% 85%
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
HOW MUCH LEARNING IS RETAINED?
3 months later 10% 65% 82%
Told Told and shown
Told, shown and experienced
3 weeks later
70% 72% 85%
‘Tell me and I’ll forget; show me and I may remember; involve me and I’ll understand’ (Chinese proverb)
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
“Try to understand how hard it is for us…it’s just that you can’t see the missing bits that we are having to cope without”
Christine Bryden, 2005 (9 years after her diagnosis of dementia)
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
How would you feel?...You’re away from home in an unfamiliar place. A complete stranger comes into your room, speaks to you in a language you can’t understand and
starts trying to pull you out of bed.
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
How would you feel?...You’re away from home in an unfamiliar place. A complete stranger comes into your room, speaks to you in a language you can’t understand and
starts trying to pull you out of bed.
Photo from ‘Openings’ – John Killick and Carl Cordonnier
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Slide courtesy of Alzheimer’s Society
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Resources
• Knowledge and experience of trainer!• Videos• Group exercises – eg case studies• Experiential exercises
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Resources
• Knowledge and experience of trainer!• Videos• Group exercises – eg case studies• Experiential exercises• Role plays
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
PAT COOPER
Pat Cooper has been a service user for 2 years. Pat has dementia and arthritis.
Pat’s partner died a number of years ago. Pat has one son who usually visits every week. Recently he has been ill and has not been visiting.
Pat was the deputy head of a large school. Sometimes Pat thinks this is the school.
Before the onset of arthritis, Pat was very fit and active.
Pat does not have any friendships with other service users; some people consider Pat to be a nuisance.
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DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Resources
• Knowledge and experience of trainer!• Videos• Group exercises – eg case studies• Experiential exercises• Role plays
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Resources
• Knowledge and experience of trainer!• Videos• Group exercises – eg case studies• Experiential exercises• Role plays• Discussions and brainstorms
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Resources
• Knowledge and experience of trainer!• Videos• Group exercises – eg case studies• Experiential exercises• Role plays• Discussions and brainstorms• Games and quizzes
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
Resources
• Knowledge and experience of trainer!• Videos• Group exercises – eg case studies• Experiential exercises• Role plays• Discussions and brainstorms• Games and quizzes• Real stories
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care
• What kinds of dementia care training are happening currently?
• What resources do you use?
• What works best????
• What evidence do you have of the effectiveness of your training?