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@ARTICLE{Schmdderich:276342,
      author       = {Schmüdderich, Kathrin and Fahsold, Anne and Dörner, Jonas
                      and Roes, Martina and Palm, Rebecca and Holle, Bernhard},
      title        = {{P}rovision of dementia-specific care in nursing homes in
                      {N}orth {R}hine-{W}estphalia ({G}ermany) - analysis of
                      person-centered practices and related problems within a
                      holistic multiple case study.},
      journal      = {BMC nursing},
      volume       = {24},
      number       = {1},
      issn         = {1472-6955},
      address      = {London},
      publisher    = {BioMed Central},
      reportid     = {DZNE-2025-00290},
      pages        = {116},
      year         = {2025},
      abstract     = {To ensure high-quality care for residents living with
                      dementia, recommendations for dementia-specific care do
                      exist internationally as well as in Germany. Nevertheless,
                      it remains unclear how dementia-specific care is currently
                      provided and what can be derived from this for the
                      improvement of dementia-specific care. Therefore, this study
                      aimed to investigate the provision of dementia-specific care
                      and related problems in German nursing homes.We used a
                      holistic multiple case design with a total of four cases.
                      The cases were defined as care units in which residents
                      living with dementia were cared for. For data collection, we
                      used problem-centered face-to-face interviews, document
                      analysis, and context questionnaires and analyzed all
                      qualitative data inductively and deductively using content
                      structuring qualitative analysis. To identify case-specific
                      and cross-case patterns and themes, we focused on
                      similarities and differences between the cases. The
                      reporting followed the EQUATOR reporting guideline for
                      organizational case studies.We interviewed 21 professionals,
                      14 relatives and 8 residents living with dementia. Despite
                      context-specific differences, we identified a variation of
                      care practices and problems in applying person-centered,
                      dementia-specific care in German nursing homes. In all
                      cases, these belong to the following topics: 1) handling
                      neuropsychiatric symptoms, 2) dealing with communication
                      difficulties, 3) providing person-centered interaction and
                      communication, 4) dealing with stress caused by experiencing
                      dementia-specific symptoms and 5) using and sharing
                      knowledge. Even though the problems were identified in all
                      cases, we also found differences in the extent and
                      perception of these problems across the analyzed
                      cases.Despite existing conceptual recommendations and
                      described care practices in our study, the identified
                      problems showed that current care practices are perceived as
                      problematic and partly are not person-centered. This
                      highlights that person-centered requirements in
                      dementia-specific care are not yet adequately addressed and
                      that there is a need to give greater consideration to the
                      identified problems when developing interventions to improve
                      quality of care. Furthermore, the identified
                      context-specific differences in the extent and perception of
                      these problems show that the designs of new care models
                      should allow for more flexibility, so that written
                      recommendations can be implemented in practice and adapted
                      to given contexts.},
      keywords     = {Advancing nursing care (Other) / Case studies (Other) /
                      Delivery of healthcare (Other) / Dementia-specific care
                      (Other) / Needs assessment (Other) / Person-centered care
                      (Other) / Qualitative research (Other) / Residential
                      facilities (Other)},
      cin          = {AG Holle / AG Roes},
      ddc          = {610},
      cid          = {I:(DE-2719)1610002 / I:(DE-2719)1610003},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39893497},
      doi          = {10.1186/s12912-025-02726-5},
      url          = {https://pub.dzne.de/record/276342},
}