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Until recently, older adults with a cognitiveimpairment CI who experienced a hip fracture were filtered from beingadmitted into active rehabilitation units. The increased complexity of carerequired for older adults with a CI may negatively influence the attitudesand job satisfaction of healthcare practitioners working with thispopulation. The current study is a part of a larger intervention studyallowing patients with CI following a hip fracture access to rehabilitationcare and implementing a patient-centred model to facilitate caring for this newpopulation. This new model required a substantial change in the skillset andknowledge of healthcare practitioners. The focus of this study was to explorethe impact on the healthcare practitioners of adopting this new model forproviding care to older adults with a CI following a hip fracture. The attitudes,dementia knowledge, job satisfaction, and work stress of healthcarepractitioners were the focus of evaluation.Key study findings showed that stress due to relationships with coworkers, workloads and scheduling, and the physical design and conditions at work weremoderated post-intervention. Staff responses also improved for jobsatisfaction, biomedical knowledge of dementia, and degree of hopefulness aboutdementia. Although we cannot state conclusively that the our model was solelyresponsible for all the staff improvements observed post-intervention, our findingsprovide further support to the argument that patients with CI should be allowedaccess to rehabilitation care. Rehabilitation units need to provide educationthat utilizes a person-centred approach accepting of patients with CI, andfocuses on areas that can bolster staff’s positive, dementia-sensitiveattitudes. Ultimately, the aim is to create a culture that provides thehighest standard of care for all patients, reduces work-related stress, increases job satisfaction, and leads tothe highest quality of life for patients during and after rehabilitation.

KEYWORDS

Hip Fracture; Cognitive Impairment; Rehabilitation; Patient-Centred; Attitudes; Job Satisfaction; Work Stress

Cite this paper

Wyk, P. , Stewart, S. and McGilton, K. 2014 The effects of a patient-centred rehabilitation model of care targeting older adults with cognitive impairment on healthcare practitioners. Advances in Aging Research, 3, 48-58. doi: 10.4236-aar.2014.31009.





Author: Paula M. van Wyk, Steven Stewart, Katherine S. McGilton

Source: http://www.scirp.org/



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