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A Community of Practice on Environmental Design for Long-Term Care Residents with Dementia

Published online by Cambridge University Press:  17 February 2023

Jacobi Elliott*
Affiliation:
School of Public Health Sciences, University of Waterloo, Waterloo, Canada Lawson Health Research Institute, London, Canada School of Health Studies, Western University, London, Canada
Paul Stolee
Affiliation:
School of Public Health Sciences, University of Waterloo, Waterloo, Canada
Katie Mairs
Affiliation:
School of Public Health Sciences, University of Waterloo, Waterloo, Canada
Anita Kothari
Affiliation:
School of Health Studies, Western University, London, Canada
James Conklin
Affiliation:
Department of Applied Human Sciences, Concordia University, Montreal, Canada Bruyère Research Institute, Ottawa, Ontario, Canada
*
Corresponding author: La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Jacobi Elliott, Ph.D., Lawson Health Research Institute, 750 Base Line Rd E, London ON, N6C 2R5, Canada (jacobi.elliott@sjhc.london.on.ca)

Abstract

The use of communities of practice (CoP) to support the application of knowledge in improved geriatric care practice is not widely understood. This case study’s aim was to gain a deeper understanding of the knowledge-to-action (KTA) processes of a CoP focused on environmental design, to improve how persons with dementia find their way around in long-term care (LTC) homes. Qualitative data were collected (key informant interviews, observations, and document review), and analysed using emergent coding. CoP members contributed extensive knowledge to the KTA process characterized by the following themes: team dynamics, employing a structured process, technology use, varied forms of knowledge, and a clear initiative. The study’s CoP effectively synthesized and translated knowledge into practical tools to inform changes in practice, programs, and policy on dementia care. More research is needed on how to involve patients and caregivers in the KTA processes, and to ensure that practical application of knowledge has financial and policy support

Résumé

Résumé

L’utilisation de communautés de pratique (CdP) pour soutenir l’application des connaissances dans la pratique améliorée des soins gériatriques n’est pas largement comprise. L’objectif de cette étude de cas consistait à mieux comprendre les processus de conversion des connaissances en action (KTA) d’une CdP axée sur la conception de l’environnement pour améliorer la façon dont les personnes atteintes d’un trouble neurocognitif s’orientent dans les établissements de soins de longue durée (SLD). Des données qualitatives ont été recueillies (entrevues avec des informateurs clés, observations et examen de documents) et analysées à l’aide d’un codage émergent. Les membres de la CdP ont apporté de solides connaissances au processus de KTA qui se caractérise par les thèmes suivants : dynamique d’équipe, utilisation d’un processus structuré, utilisation de la technologie, formes variées de connaissances et initiative claire. La CdP de l’étude a efficacement synthétisé et traduit les connaissances en outils pratiques pour éclairer les changements dans la pratique, les programmes et les politiques sur les soins aux personnes vivant avec un trouble neurocognitif. Des recherches supplémentaires sont nécessaires sur la manière d’impliquer les patients et les soignants dans les processus de KTA et de garantir que l’application pratique des connaissances bénéficie d’un soutien financier et politique.

Type
Article
Copyright
© Canadian Association on Gerontology 2023

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