J Korean Acad Nurs.  2010 Oct;40(5):631-641. 10.4040/jkan.2010.40.5.631.

Development of Dementia Care Standards

• Ha JY

• KMID: 1394854
• DOI: http://doi.org/10.4040/jkan.2010.40.5.631

Abstract

PURPOSE
This study was done to develop standards for dementia care as a baseline for professional nurses to provide a framework for dementia care evaluation.
METHODS
The dementia care standards were developed through a literature review and focus group discussions. According to the Delphi method, the data analysis was conducted using the Content Validity Index (CVI).
RESULTS
The final set of 18 standards on dementia care was developed through one round of CVI. The standards included four structural standards: 'Organization of nursing system', 'Operating system', 'Management of human resources', 'Management of material resources', 13 procedural standards: 'Advanced assessment', 'Nursing diagnosis', 'Nursing plan', 'Advanced nursing implementation', 'Evaluation', 'Education', 'Research', 'Consultation', 'Counseling and cooperation', 'Development of specialty', 'Utilizing resources', 'Nursing quality assurance', 'Ethics', and one standard concerning outcome ('Evaluation of nursing tasks in care of patients with dementia'). The final set of 55 criteria on care of patients with dementia was confirmed through two rounds of CVI. The final 171 indicators were confirmed through four rounds of CVI.
CONCLUSION
These dementia care standards provides a framework that allows registered nurses to clarify their roles and tasks in the care of patients with dementia and provides evaluation criteria.

Keyword

Dementia; Standards

MeSH Terms

Dementia/*nursing
Humans
Nursing Care/*standards
Program Evaluation
Questionnaires
Standard of Care

Reference

1. Adamczyk K, Lorencowicz R, Flis D, Zajko A, Niezbecka J. Evaluation of nursing care standard in a neurological ward. Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina. 2001. 56:333–338.

2. 2008 Alzheimer's disease facts. Alzheimer's Association. 2008. Retrieved January 20, 2010. from http://www.alz.org/national/documents/topicsheet_2008_facts_figures.pdf.

3. Quality Dementia Care Standards. Alzheimer's Australia. 2007. Retrieved January 20, 2010. from http://www.alzheimers.org.au/upload/QDC21.pdf.

4. The Prevalence of dementia worldwide. Alzheimer Disease International. 2008. Retrieved January 20, 2010. from http://www.alz.co.uk/adi/pdf/prevalence.pdf.

5. American Nurses Association. Scope and Standards of Advanced Practice Registered Nursing. 1997. 3rd ed. Washington, DC: Author.

6. American Nurses Association. Standards of Clinical Nursing Practice. 1998. 2nd ed. Georgia: Author.

7. American Nurses Association. Scope and standards of gerontological nursing practice. 2001. 2nd ed. Washington, DC: Author.

8. American Nurses Association. Scope and standards of clinical nursing practice. 2005. 2nd ed. Washington, DC: Author.

9. Burn A. Standards in dementia care. 2005. New York, NY: Taylor & Francis Group.

10. Donabedian A. The definition of quality and approaches to its assessment. 1980. Michigan: Health Administration Press.

11. Fitten LJ. Editorial: Management of behavioral and psychiatric symptoms in dementia. The Journal of Nutrition, Health & Aging. 2006. 10:409.

12. Hospital Nurses Association. Nursing Standard. 2006. 2nd ed. Seoul: Author.

13. Jablonski RA, Reed D, Maas ML. Care intervention for older adults with alzheimer's disease and related dementia. Journal of Gerontological Nursing. 2005. 31:38–48.

14. Jang BH. A study on critical care nursing practice and development of standards for critical care nursing practice. 2000. Seoul: Yonsei University;Unpublished master's thesis.

15. Kee CC, Foley BJ, Dudley WN, Jennings BM, Minick P, Harvey SS. Nursing structure, processes, and patient outcomes in army medical centers. Western Journal of Nursing Research. 2005. 27:1040–1058.

16. Korean Nurses Association. Nursing Standard-Nursing Activities-. 2003. Seoul: Parkmungak.

17. Kwon JD, Ko HJ, Lee SH, Yim SE, Kang WS, Lee YS. Dementia and Family. 2002. Seoul: Hakjisa.

18. Lee BS. Development of an evaluation tool for the quality of nursing care in abdominal surgery patients. Journal of Korean Academy of Nursing Administration. 1998. 4:107–127.

19. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986. 35:382–385.

20. Weech-Maldonado R, Meret-Hanke L, Neff MC, Mor V. Nurse staffing patterns and quality of care in nursing homes. Health Care Management Review. 2004. 29:107–116.

21. Ministry for Health, Welfare and Family Affairs. Current status of welfare facilities for older adults. 2008. Seoul: Author.

22. Williams CL, Hyer K, Kelly A, Leger-Krall S, Tappen RM. Development of nurse competencies to improve dementia care. Geriatric Nursing. 2005. 26:98–105.