Creating a toolkit with stakeholders for leveraging tablet computers to support person-centred dementia care in hospitals

Author:

Shadarevian John1ORCID,Chan Cheryl2,Berndt Annette3,Son Cathy4,Gregorio Mario3,Horne Neil3,Mann Jim3,Wallsworth Christine3,Chow Bryan1,O’Neill Ryan1,Hung Lillian5

Affiliation:

1. Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada

2. School of Nursing, University of Victoria, Victoria, BC, Canada

3. Community Engagement Advisory Network, Vancouver, BC, Canada

4. School of Nursing, Trinity Western University, Langley, BC, Canada

5. Gerontology Research Centre, Simon Fraser University, Vancouver, BC, Canada

Abstract

Introduction People with dementia may refuse care because they feel overwhelmed by an unfamiliar environment. Everyday technology such as tablets have the potential to support person-centred dementia care in hospitals. Aims We aimed to identify barriers and enabling factors in order to develop a toolkit to support the use of tablets in engaging individual and group activities, especially to play family videos, for hospitalized older people with dementia. Methods A participatory action research approach was employed. We facilitated staff focus groups and conducted interviews with stakeholders. A toolkit was developed based on participants’ perspectives on how to support successful adoption. Results Our analysis identified two enabling factors: users’ engagement in developing a toolkit for support and adapting implementation to meet local needs. Barriers included staff and family inexperience, mechanical instability of hardware, issues around privacy and data access, technology use and personalization of messages. The toolkit includes short videos, a brochure for family caregivers, and a pocket card for staff. Discussion and implications: Staff, family and patients start with varying levels of experience with the use of tablets, making education and support vitally important to implementation. Health organizations should involve staff, patients, and families to find practical solutions.

Funder

Alzheimer Society

Woodward Foundation

Richmond Hospital Foundation

Publisher

SAGE Publications

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