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Title: Staff training to improve pain care in dementia : a feasibility study in care homes
Author: Sweeney, F. M.
ISNI:       0000 0004 8502 5097
Awarding Body: UCL (University College London)
Current Institution: University College London (University of London)
Date of Award: 2015
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This thesis examines the problem of pain under-treatment in older adults, particularly those with dementia, and explores the role of staff training in improving pain care practices. Part 1 is a literature review of educational interventions to improve pain management in residential care settings. This review explores the impact of educational interventions on pain care at three levels: staff competence; clinical practice; and patient outcomes. There is also consideration of the relevant barriers to implementation of staff training interventions. The main body of the thesis is Part 2, which is an empirical study examining the feasibility of a training intervention for care staff. The training focuses on enhancing beliefs of personhood in dementia alongside education in current best practice for assessing pain. The effects of the intervention on pain care practices and residents' pain are examined, in addition to evaluating the influence on staff knowledge and beliefs. Acceptability of the intervention design and feasibility of study processes are also explored. The empirical paper is followed by Part 3, which is a critical appraisal of the work undertaken. A reflection on the process of delivering the training intervention is provided, with further consideration given to the barriers to change in pain care practices and wider challenges to conducting research in care homes. Successful strategies for mitigating barriers are discussed, and recommendations for future research are provided.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available