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@ARTICLE{Hoffmann:272083,
      author       = {Hoffmann, Anna-Louisa and Rommerskirch-Manietta, Mike and
                      Bergmann, Johannes Michael and Roes, Martina and Holle,
                      Bernhard and Palm, Rebecca},
      title        = {{D}escribing the status quo of person-centred dementia care
                      in different types of care units in {G}erman nursing homes:
                      {A} convergent mixed methods study.},
      journal      = {International journal of nursing studies advances},
      volume       = {7},
      issn         = {2666-142X},
      address      = {Amsterdam},
      publisher    = {Elsevier},
      reportid     = {DZNE-2024-01126},
      pages        = {100233},
      year         = {2024},
      abstract     = {The policies and mission statements of nursing homes
                      support the implementation of person-centred dementia care.
                      The Dementia Policy Questionnaire assesses the content of
                      person-centred dementia care in policies. To date, it is
                      unknown whether these policies exist exclusively in dementia
                      care units and whether the policies are consistent with the
                      mission statements of nursing homes.We aimed to (1)
                      investigate nursing home care unit types regarding the
                      existence of policies measured by the Dementia Policy
                      Questionnaire, (2) explore whether these policies are
                      addressed in the mission statements of the nursing homes,
                      and (3) integrate both results.This is a convergent mixed
                      methods study performed with a quantitative and qualitative
                      dataset that was collected in the BeStaDem survey (2020).The
                      BeStaDem survey included licensed nursing homes in Germany.A
                      total of 134 nursing home administrators provided informed
                      consent to participate in the BeStaDem survey.For
                      quantitative data, we performed Fisher's exact test to
                      identify differences in the Dementia Policy Questionnaire
                      item distribution of several types of care units (aim 1). To
                      support the results of Fisher's exact test, we additionally
                      applied logistic regression analysis. For qualitative data,
                      we analyzed the mission statements deductively with the
                      qualitative content analysis method (aim 2). For
                      integration, we used a convergent triangulation approach
                      (aim 3).The quantitative data collected from 134 German
                      nursing homes show significant associations among
                      person-centred dementia care policies, such as behavior
                      assessment, and nursing homes with dementia care units.
                      Regarding the qualitative data, of the 60 mission statements
                      in total, eight mission statements of nursing homes with
                      dementia care units exclusively address aspects such as
                      dementia-specific interventions. The convergent
                      triangulation approach shows that the answers given by the
                      nursing homes in the quantitative survey are not always
                      consistent with what they address in their mission
                      statements.Nursing homes with dementia care units provide
                      more person-centred dementia care policies than other care
                      unit types do but mostly do not address these aspects in
                      their mission statements. The implementation of
                      person-centredness benefits from the existence of policies
                      and mission statements if nursing homes clearly address what
                      is meant by person-centred dementia care in their nursing
                      home.},
      keywords     = {Convergent mixed methods design (Other) / Dementia (Other)
                      / Mission statements (Other) / Nursing homes (Other) /
                      Person-centred care (Other) / Policy (Other)},
      cin          = {AG Holle / AG Roes / AG Teupen},
      ddc          = {610},
      cid          = {I:(DE-2719)1610002 / I:(DE-2719)1610003 /
                      I:(DE-2719)5000076},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39253304},
      pmc          = {pmc:PMC11381747},
      doi          = {10.1016/j.ijnsa.2024.100233},
      url          = {https://pub.dzne.de/record/272083},
}