Using drama to improve person-centred dementia care

• Published in: International journal of older people nursing 2010-06, Vol.5 (2), p.159-168
• Main Authors: Kontos, Pia C., Mitchell, Gail J., Mistry, Bhavnita, Ballon, Bruce
• Format: Article
• Language: English
• Subjects: Adult; Aged; Attitude of Health Personnel; Body movement; Canada; Clinical guidelines; Dementia; Dementia - nursing; Drama; educational intervention; embodied selfhood; Female; Focus Groups; Geriatric Nursing; Humans; Interviews as Topic; Male; Middle Aged; Nursing Homes; Nursing Staff - education; Patient centredness; Patient-Centered Care; person-centred care; Personhood; Role Playing; role-play
• ISSN: 1748-3735; 1748-3743
• DOI: 10.1111/j.1748-3743.2010.00221.x

kontos p.c., mitchell g.j., mistry b. & ballon b. (2010) Using drama to improve person‐centred dementia care. International Journal of Older People Nursing 5, 159–168 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.