Abstract
The care of people with dementia (PwD) living at home is mainly provided by family carers who intend to maintain care at home for as long as possible. In the DZNE-SoCA project, amiddle range theory of stability of home-based care arrangements for people living with dementia (SoCA-Dem theory) has been developed. The theory helps to understand the complex phenomenon of stability, provides atheoretical framework that can guide future research and can be used for the (further) development of home care structures. The aim of this substudy of the SoCA project was to examine whether the SoCA-Dem theory can guide German health and social care practice in dealing with family carers of PwD. The two guidelines for healthcare professionals, the concept of the Centre for Quality in Care (ZQP) "Quality framework for counselling in care" and the DEGAM guidelines for general practitioners "Family carers of adults", were evaluated using acontent analysis with respect to the SoCA-Dem theory. Most concepts that constitute stability are addressed in both guidelines. The SoCA-Dem theory illustrates the importance of the interaction between the different concepts for the stability of home-based care arrangements. In the guidelines, the dynamic interplay remains unclear. The SoCA-Dem theory seems to be compatible with the German health care context and can support afuture shift from astress-oriented view of giving care to amore comprehensive one.
Highlights
The care of people with dementia (PwD) living at home is mainly provided by family carers who intend to maintain care at home for as long as possible
Schlussfolgerung: Die SoCA-Dem-Theorie ist anschlussfähig an den deutschen Versorgungskontext und kann zukünftig dahingehend unterstützen, den Blick von einer eher belastungsorientierten Sicht auf Versorgung hin zu einer umfassenden Betrachtung der Situation zu wenden
The SoCA-Dem theory seems to be compatible with the German health care context and can support a future shift from a stress-oriented view of giving care to a more comprehensive one
Summary
Adressieren Handlungsempfehlungen der Versorgungspraxis die Stabilität von häuslichen Versorgungsarrangements von Menschen mit Demenz? – Eine Dokumentenanalyse. Adressieren Handlungsempfehlungen der Versorgungspraxis die Stabilität von häuslichen Versorgungsarrangements von Menschen mit Demenz? Iris Hochgraeber1,2 · Jan Dreyer1,2 · Kerstin Köhler1,2 · Christiane Pinkert1,2 · Bernhard Holle
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