Exploring the role of a facilitator in supporting family carers when embedding the iSupport for Dementia programme in care services: A qualitative study

Author:

Yu Ying12ORCID,Hunter Sarah C.12,Xiao Lily12ORCID,Meyer Claudia1345,Chapman Michael67,Tan Kai Ping7ORCID,Chen Langduo18ORCID,McKechnie Sue9,Ratcliffe Julie12,Ullah Shahid10,Kitson Alison12,Andrade Andre Q.11,Whitehead Craig8

Affiliation:

1. College of Nursing and Health Sciences Flinders University Bedford Park South Australia Australia

2. Caring Future Institutes Flinders University Bedford Park South Australia Australia

3. Bolton Clarke Research Institute Melbourne Victoria Australia

4. Rehabilitation, Ageing and Independent Living Research Centre Monash University Clayton Victoria Australia

5. Centre for Health Communication and Participation La Trobe University Melbourne Victoria Australia

6. Australian National University Canberra Australian Capital Territory Australia

7. Department of Palliative Care Canberra Health Services Garran Australian Capital Territory Australia

8. Southern Adelaide Local Health Network Adelaide South Australia Australia

9. Community Services Resthaven Incorporated Bartley Crescent Wayville South Australia Australia

10. College of Medicine and Public Health Flinders University Bedford Park South Australia Australia

11. Clinical and Medical Sciences, Quality Use of Medicines and Pharmacy Research Centre University of South Australia Adelaide South Australia Australia

Abstract

AbstractAimsTo explore stakeholders' perceptions of a facilitator's role in supporting carers when embedding iSupport for Dementia psychoeducation program, in care services.MethodsA qualitative descriptive study design was applied. Data were collected from workshops and interviews with carers of people living with dementia (PLWD)and with health and social care professionals from two tertiary hospitals and two community aged care organisations across three Australian states between October 2021 and March 2022. A thematic analysis was used to analyse data. The COREQ guideline was followed to report our findings.ResultsA total of 30 family carers and 45 health and social care professionals participated in the study. Three main themes and seven subthemes were identified from the data. We described the main themes as (1) the facilitator's role at the time of dementia diagnosis, (2) the facilitator's role throughout the everyday dementia care journey and (3) the facilitator's role during transition moments.ConclusionsCaring for family members with dementia is demanding and stressful for carers. Embedding a facilitator‐enabled iSupport for Dementia program in hospital and community aged care settings has the potential to mitigate sources of stress associated with care recipient factors, carer factors and care service factors, and improve the health and well‐being of carers and those for whom they care.Relevance to Clinical PracticeOur findings will inform the establishment of iSupport facilitators appointed by dementia care providers in hospital and community care settings and help determine their roles and responsibilities in delivering the iSupport program. Our findings relate to nurse‐led and coordinated dementia care in hospital and community aged care settings.Patient or Public ContributionThis study was co‐designed with stakeholders from two aged care organisations and two tertiary hospitals. The study participants were staff employed by these organisations and carers of PLWD who were service users.

Funder

National Health and Medical Research Council

Publisher

Wiley

Subject

General Medicine,General Nursing

Reference40 articles.

1. Informal caregiving for dementia patients: the contribution of patient characteristics and behaviours to caregiver burden

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3. Australian Institute of Health and Welfare. (2021).Dementia in Australia 2021 Summary report Cat. no. DEM 3. Retrieved 22nd March fromhttps://www.aihw.gov.au/getmedia/13eeb292‐dc65‐445c‐9ba0‐874ef2f54996/aihw‐dem‐3.pdf.aspx?inline=true

4. Australian Institute of Health and Welfare 2019. (2019).Hospital care for people with dementia 2016–17. Australian Institute of Health and Welfare. Retrieved March 22 2022 fromhttps://www.aihw.gov.au/getmedia/34d3dd23‐56be‐4809‐b61f‐62b7697b9dc4/aihw‐age‐94.pdf.aspx?inline=true

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