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Implementation of Mental Health Huddles on Dementia Care Units*

Published online by Cambridge University Press:  07 August 2014

Laura M. Wagner ,
Maria Huijbregts ,
Lisa G. Sokoloff ,
Renee Wisniewski ,
Leenah Walsh ,
Sid Feldman  and
David K. Conn
Laura M. Wagner*
Affiliation:
Department of Community Health Systems, University of California, San Francisco School of Nursing, San Francisco, CA Kunin-Lunenfeld Applied and Evaluative Research Unit-Baycrest, Toronto
Maria Huijbregts
Affiliation:
Research, Evaluation & Planning, Family Service Toronto
Lisa G. Sokoloff
Affiliation:
Departments of Health Disciplines and Academic Education, Baycrest, University of Toronto Department of Speech Pathology, Faculty of Medicine, University of Toronto
Renee Wisniewski
Affiliation:
New York University
Leenah Walsh
Affiliation:
Halton Region Emergency Medical Services, Ontario
Sid Feldman
Affiliation:
Department of Family and Community Medicine, University of Toronto
David K. Conn
Affiliation:
Department of Psychiatry, Baycrest and Faculty of Medicine, University of Toronto
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Laura M. Wagner, R.N., Ph.D.UCSF School of Nursing 2 Koret Way Room N505, Box 0608 San Francisco, CA 94143 ([email protected])
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Abstract

Client-responsive behaviours occur commonly among residents in long-term care (LTC) settings; direct-care staff, however, receive little education, support, or opportunities to discuss and collaborate on managing such behaviours. Our participatory action project introduced mental health huddles to support staff in discussing and managing client-responsive behaviours in long-term care. This research project engaged direct-care staff (e.g., personal support workers, registered practical nurses, housekeeping staff, and registered nurses) in learning how to use these huddles. Staff workers used huddles as a forum to stay informed, review work, problem solve, and develop person-centered action plans. Fifty-six huddles occurred over a 12-week period; two to seven direct-care staff participated in each huddle. Focus groups indicated improved staff collaboration, teamwork, support, and communication when discussing specific responsive behaviours. Huddles provided LTC staff with the opportunity to collaborate and discuss strategies to optimize resident care. Further research on how huddles affect resident care outcomes is needed.

Résumé

Les comportements réactifs sont communs chez les résidents des unités de soins de longue durée (SLD), mais le personnel en soins directs reçoit peu de formation, de support ou d’opportunités de discuter et de collaborer pour gérer ces comportements. Pour ce projet de recherche-action participative, nous avons utilisé la technique du caucus de santé mentale pour faciliter la discussion et la gestion des comportements réactifs. Nous avons impliqué des membres du personnel en soins directs (p. ex., travailleurs de soutien personnel, infirmières autorisées et auxiliaires autorisées, personnel d’entretient) dans l’apprentissage de l’utilisation des caucus. Ces caucus ont servi de forums pour informer le personnel, résoudre des problèmes et développer des plans d’action centrés sur le client. Cinquante-six caucus ont eu lieu sur une période de 12 semaines, chacun impliquant de deux à sept membres du personnel en soins directs. Des groupes de discussion auxquels ont pris part nos participants ont indiqué une amélioration de la collaboration, du travail d’équipe, du support et de la communication au sein du personnel lors de la discussion de comportements réactifs spécifiques. Les caucus de santé mentale ont offert au personnel en SLD l’opportunité de collaborer et d’aborder des stratégies pour optimiser les soins du client. Des études supplémentaires sur l’impact des caucus sur les soins du client sont nécessaires.

Keywords

agingresponsive behaviourscognitive impairmentAlzheimer’s diseasemental healthlong-term carevieillissementcomportements réactifsdéficits cognitifsmaladie d’Alzheimersanté mentalesoins de longue durée
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 33 , Issue 3 , September 2014 , pp. 235 - 245
Copyright
Copyright © Canadian Association on Gerontology 2014 

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Footnotes

*

This project was funded by a grant from the Ontario Ministry of Health and Long-Term Care (MOHLTC) Academic Health Sciences Centres (AHSC) Alternate Funding Plan (AFP) Innovation Fund.

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