Implementation of Caregiver Training to Decrease Dementia-Related Agitation in Long-Term Care Facilities.

Abstract

Dementia is a substantial public health problem, and the incidence of dementia continues to rise. Dementia is frequently accompanied by increased levels of agitation and can have negative impacts on patients and their caregivers. Nonpharmacologic interventions have been identified as the first line treatment for dementia-related agitation. In collaboration with Hale Kū‘ike, an evidenced-based project was undertaken to utilize nonpharmacologic interventions to reduce dementia-related agitation in patients living in long-term care facilities. Utilizing the Johns Hopkins Nursing Evidence-Based Practice Model as a framework, a caregiver training intervention was developed from ac review of the literature to supplement the organization’s current training protocols. The staff training intervention included six training modules for all nursing staff. Data was collected pre- and post-implementation. Results showed a decrease in patient dementia-related agitation levels, and an increase in staff engagement scores. These results aided the organization in the creation of new training policies and procedures.