Using drama to improve person-centred dementia care

Int J Older People Nurs. 2010 Jun;5(2):159-68. doi: 10.1111/j.1748-3743.2010.00221.x.

Abstract

Aims and objectives: We implemented a 12-week drama-based educational intervention to introduce to dementia practitioners person-centred care that emphasizes the notion of embodied selfhood (defined as non-verbal self-expression).

Background: Person-centred dementia care guidelines emphasize the assessment of individual needs, and where appropriate, the use of non-pharmacological interventions before resorting to pharmacological management. However, dementia care is not consistent with these guidelines suggesting conceptual limitations and reliance on passive knowledge translation strategies.

Design and methods: Focus groups and semi-structured interviews with practitioners (n = 24) in two nursing homes in central Canada were undertaken to assess the effectiveness of the drama-based components of the intervention.

Results: Our findings suggest that drama was effective as an educational modality, and helped implement the person-centred approach into practice. Significant practice outcomes included: new awareness that residents' body movements and dispositions can convey meaning; seeking biographical information from families; increased time efficiency; and supporting residents' independence.

Conclusions: Our findings make an important contribution to person-centred dementia care by broadening the notion of personhood, and by facilitating implementation using drama.

Implications for practice: As an enhancement of person-centred care, the support of embodied selfhood may significantly improve residents' quality of life, quality of care, and practitioners' care-giving experience.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel
  • Canada
  • Dementia / nursing*
  • Drama*
  • Female
  • Focus Groups
  • Geriatric Nursing*
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Nursing Homes
  • Nursing Staff / education
  • Patient-Centered Care*
  • Personhood
  • Role Playing