Person-centered dementia care strategies and facilitators in low-resource long-term care: staff insights.
Background and Objectives Person-centered care is considered best practice in dementia care, emphasizing autonomy, dignity, and relationship-based individualized care. However, little is known about how person-centered dementia care (PCDC) is implemented in low-resource long-term care (LTC) settings...
| Publicado en: | Gerontologist Vol. 66; no. 7; pp. 1 - 14 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195281428&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195281428 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Jul2026 vid: 66 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195281428 10.1093/geront/gnag099 ppf: 1 ppct: 13 formats: tig: atl: Person-centered dementia care strategies and facilitators in low-resource long-term care: staff insights. aug: au: Kim, Yoon Chung Kusmaul, Nancy Holmes, Sarah Lepore, Michael Wang, Jing Davie, Laura Rataj, Alison C Murray, Briana Corazzini, Kirsten affil: Epidemiology and Public Health (Gerontology), University of Maryland Baltimore, Baltimore, Maryland, United States School of Social Work, University of Maryland Baltimore County, Baltimore, Maryland, United States Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland, United States Elaine Marieb College of Nursing, University of Massachusetts-Amherst, Amherst, Massachusetts, United States College of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States Institute for Health Policy and Practice, University of New Hampshire, Durham, New Hampshire, United States su: United States Corporate culture Teams in the workplace Qualitative research Autonomy (Psychology) Self-efficacy Medical quality control Interviewing Dignity Responsibility Positive psychology Patient-centered care Sound recordings Motivation (Psychology) Communication Social support Treatment of dementia Research funding Secondary analysis Descriptive statistics Thematic analysis Research methodology Resource-limited settings Data analysis software sug: subj: Corporate culture Teams in the workplace Qualitative research Autonomy (Psychology) Self-efficacy Medical quality control Interviewing Dignity Responsibility Positive psychology Patient-centered care Sound recordings Motivation (Psychology) Communication Social support United States Integrated Record Production/Distribution Record Production Sound recording merchant wholesalers Other Individual and Family Services Treatment of dementia Research funding Secondary analysis Descriptive statistics Thematic analysis Research methodology Resource-limited settings Data analysis software keyword: assisted living facilities copyrightHolder:The Gerontological Society of America copyrightYear:2026 dementia Dementia caregiving https://dx.doi.org/10.1093/geront/gnag099 inLanguage:en internship and residency long-term care medical residencies nursing homes Organizational support personhood publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42090467/ Staff competency work teams assisted living facilities copyrightHolder:The Gerontological Society of America copyrightYear:2026 dementia Dementia caregiving https://dx.doi.org/10.1093/geront/gnag099 inLanguage:en internship and residency long-term care medical residencies nursing homes Organizational support personhood publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42090467/ Staff competency work teams ab: Background and Objectives Person-centered care is considered best practice in dementia care, emphasizing autonomy, dignity, and relationship-based individualized care. However, little is known about how person-centered dementia care (PCDC) is implemented in low-resource long-term care (LTC) settings. This study identified PCDC strategies used by staff providing care for residents with dementia in low-resource LTC settings and key facilitators supporting the use of PCDC strategies. Research Design and Methods We conducted a qualitative analysis of semi-structured interviews with 27 staff (20 direct care staff and 7 administrators) from four LTC facilities (nursing homes and assisted living) in urban Maryland and rural New Hampshire. Participants were drawn from a larger study in federally designated medically underserved areas. Template analysis was used to analyze data and identify themes related to PCDC strategies and facilitators. Results LTC staff described PCDC strategies for residents with dementia across three domains: communication-based interactional approaches, preserving dignity and autonomy, and tailoring care to individual preferences. Key facilitators identified included fostering communication, responsiveness to residents' needs, organizational support, and resource optimization. Despite limited resources, information-sharing systems, teamwork, engagement with care partners, positive attitudes, motivation, empowerment, adaptability, and dementia training facilitated PCDC implementation, highlighting that multilevel facilitators are key to delivering quality dementia care. Discussion and Implications Findings emphasize the importance of communication and teamwork, responsiveness to residents' needs, supportive organizational structures, and resource optimization in implementation of PCDC in low-resource settings. Future research should incorporate the perspectives of residents and care partners and examine PCDC implementation across broader contexts. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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