Translating relational theories into dementia care using research-informed drama

Abstract

ABSTRACT Culture change initiatives in older adult and dementia care have called for a new care paradigm informed by a relational ontology and relational theories. Yet translating these humanizing principles into practice has proven difficult; traditional approaches to knowledge translation have not had a sustained impact. One of the most significant impediments to transforming the culture of care has been the lack of understanding of what it means to be and act relational in practice. A growing body of research is demonstrating the potential of critical arts-based inquiry/pedagogy (CABI/P) for translating theory in accessible and relevant ways for diverse audiences and for shifting images, understandings and actions in healthcare in more effective ways. As part of a larger longitudinal project, this paper explores the immediate impacts of a research-informed drama called ‘Cracked: new light on dementia,’ and how it might enhance understandings of relational caring for staff working in long-term care (LTC) homes. Data from post-performance focus group/interview discussions with staff working in two different LTC settings point to the effectiveness of Cracked in translating key principles of relational theories into older adult and dementia care and the possibilities of CABI/P in gerontological education more broadly. Although organizational and broader system change is needed to achieve sustained impact of relational caring practices, CABI/P, such as Cracked, has the potential to expose and challenge entrenched assumptions, policies, practices, and to imagine and effect more compassionate, humane, and equitable care.