Abstract
ABSTRACTObjectives: To investigate whether community-based (CO) day care with carer support according to the proven effective Meeting Centres Support Programme model is associated with higher satisfaction of people with dementia (PwD) and their informal caregivers (CG) and with a higher job satisfaction among care staff compared to traditional nursing home-based (NH) day care.Method: Data were collected in 11 NH day care centres and 11 CO day care centres. User satisfaction of PwD and CG was evaluated in the 11 NH day care centres (nPwD = 41, nCG = 39) and 11 CO day care centres (nPwD = 28, nCG = 36) with a survey after six months of participation. Job satisfaction was measured only in the six NH day care centres that recently transformed to CO day care, with two standard questionnaires before (nSTAFF = 35), and six months after the transition (nSTAFF = 35).Results: PwD were more positive about the communication and listening skills of staff and the atmosphere and activities at the CO day care centre. Also, CG valued the communication with, and expertise of, staff in CO day care higher, and were more satisfied with the received emotional, social and practical support. After the transition, satisfaction of staff with the work pace increased, but satisfaction with learning opportunities decreased.Conclusion: PwD and CG were more satisfied about the communication with the staff and the received support in CO day care than in NH day care. Overall job satisfaction was not higher, except satisfaction about work pace.
Highlights
Day care centres for community-dwelling people with dementia are seen as an important service to support people with dementia to live longer in their own home (Manthorpe & Moriarty, 2014)
The function of psychogeriatric day care centres shifted from providing interim care towards providing respite care to informal carers and supporting people with dementia to live at home as long as possible by providing meaningful activities
We explored if there are differences in satisfaction between users and staff of nursing home-based (NH) day care centres, as opposed to CO day care centres with carer support that work according to the proven effective Meeting Centres Support Programme (MCSP) (Dro€es et al, 2000; Dro€es et al, 2004; Dro€es, Meiland, Schmitz, & van Tilburg, 2006)
Summary
Day care centres for community-dwelling people with dementia are seen as an important service to support people with dementia to live longer in their own home (Manthorpe & Moriarty, 2014). There have been psychogeriatric day care centres for community-dwelling people with dementia in the Netherlands for over 35 years. These day care centres were developed in order to provide care to people with dementia while waiting for admission to a nursing home (de Jong & Boersma, 2009). The function of psychogeriatric day care centres shifted from providing interim care towards providing respite care to informal carers and supporting people with dementia to live at home as long as possible by providing meaningful activities. Little research has been performed on needs and wishes of people with dementia and their carers regarding day care activities (Brataas, Bjugan, Wille, & Hellzen, 2010; Van der Roest et al, 2009)
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