A scoping review of dementia education programs to assess for the inclusion of culture.

Wendy Hulko, Noeman Mirza, Tracy Christianson, Mahtab Nazemi, Alicia Vicic, Emily Bartle
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Abstract

This scoping review examined literature on dementia education programs (DEPs) for healthcare providers and students. The search was conducted using the Discover! search engine that includes 63 databases. The review included a total of 25 articles that met the eligibility criteria. There were numerous DEPs that varied by frequency and duration, mode of delivery, content, target population, program evaluation measures, and outcomes. Most involved nursing staff and students and took place in Canada, the US, and the UK. The most common delivery mode was a one-time in-person session and a wide variety of topics were covered, both general (e.g., understanding dementia) and specific (e.g., driving, delirium). Twenty different tools were used to measure primarily changes in knowledge and attitudes, with little attention paid to performance and care provision. Only three studies on DEPs focused on culture in terms of race and ethnicity. The implications of this scoping review for education are that DEPs need to meaningfully address culture and culturally safe care in order to respond to the increasing diversity of older adults and care providers. In terms of future research on DEPs, program evaluation must attend to the importance of consistent measures, translation of knowledge to practice, and sustainability.

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对痴呆症教育计划进行范围审查,以评估其是否包含文化内容。
本范围综述研究了针对医疗服务提供者和学生的痴呆症教育计划 (DEP) 的文献。检索使用的是包含 63 个数据库的 Discover!搜索引擎。综述共收录了 25 篇符合资格标准的文章。有大量的老年痴呆症教育计划,其频率和持续时间、授课方式、内容、目标人群、计划评估措施和结果各不相同。其中大多数涉及护理人员和学生,并在加拿大、美国和英国开展。最常见的授课方式是一次性面授,涵盖的主题多种多样,既有一般性的(如了解痴呆症),也有特殊性的(如驾驶、谵妄)。研究使用了 20 种不同的工具,主要测量知识和态度方面的变化,而很少关注表现和护理服务的提供。只有三项关于 DEPs 的研究关注种族和民族文化。本次范围界定审查对教育的影响在于,为了应对老年人和护理提供者日益增长的多样性,护理实践需要有意义地解决文化和文化安全护理问题。就 DEPs 的未来研究而言,项目评估必须关注一致措施的重要性、知识向实践的转化以及可持续性。
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Exploring the effectiveness and experiences of people living with dementia interacting with digital interventions: A mixed methods systematic review. A scoping review of dementia education programs to assess for the inclusion of culture. Evolving dementia care: An explorative study on the lived experience of older adults living with dementia in nursing homes using observational and biometric sensor data. Community health workers supporting diverse family caregivers of persons with dementia: Preliminary qualitative results from a randomized home-based study. Participation of persons living with dementia in research: A means to address epistemic injustice.
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