Table 2 Determinants of person-centred dementia care and support
Level | Enablers | Barriers |
|---|---|---|
Patient or Carer | • Developing daily routine • Perceived or tangible benefits • Memory aids • Positive past experience | • Lack of practical or emotional support from their carer to routinize activity • Reluctance to be helped • Family conflict • Children geographically or socially distant from affected parent • Children feeling like unwanted intruder |
Healthcare worker | • Mutual support from colleague • Job satisfaction • Experiential learning • Awareness of family dynamic problems • Maintaining neutral disposition • Following family lead • Creating a safe environment in which to offer help | • Variable knowledge/understanding of PCC • Attitudes about dementia • Perceived lack of control/time • Perceived low status within organization |
Organization | • Leadership style that promotes PCCS • How managers support and value staff • Risk management • Opinion leaders who advocate and model PCCS • PCC integrated in policy documents | • Inadequate staffing • Resource constraints • Pressurized environment |