http://hdl.handle.net/10379/1907 2017-10-29T23:47:48Z 2017-10-29T23:47:48Z Dempsey, Laura Dowling, Maura Larkin, Philip Murphy, Kathy http://hdl.handle.net/10379/5920 2016-08-09T07:32:11Z 2015-03-01T00:00:00Z

The unmet palliative care needs of those dying with dementia Dempsey, Laura; Dowling, Maura; Larkin, Philip; Murphy, Kathy An estimated 33.9 million people are living with dementia worldwide. The overall estimated median survival time from onset of dementia to death is 4.1 years for men and 4.6 years for women, with longer survival times in those with early-onset dementia. Much has been discussed about the needs of this vulnerable group of people particularly in terms of their health-care and end-of-life care (EoLC) needs. However, the literature suggests that people with end-stage dementia are still not receiving adequate or appropriate EoLC. Difficulty diagnosing dementia, a stigma surrounding the disease, lack of education of the dementia disease process and the ability to identify complications encountered at end-stage dementia by health-care providers, families and carers are some of the factors preventing those with dementia receiving effective EoLC. Great strides have been made to improve dementia palliative care; however, this cohort of patients still receive fewer referrals to appropriate palliative care services than other terminally ill patients. Journal article

2015-03-01T00:00:00Z Houghton, Catherine Murphy, Kathy Brooker, Dawn Casey, Dympna http://hdl.handle.net/10379/5893 2016-06-23T01:00:15Z 2016-06-09T00:00:00Z

Healthcare staffs' experiences and perceptions of caring for people with dementia in the acute setting: qualitative evidence synthesis Houghton, Catherine; Murphy, Kathy; Brooker, Dawn; Casey, Dympna Background: Dementia is a global issue, with increasing prevalence rates impacting on health services internationally. People with dementia are frequently admitted to hospital, an environment that may not be suited to their needs. While many initiatives have been developed to improve their care in the acute setting, there is a lack of cohesive understanding of how staff experience and perceive the care they give to people with dementia in the acute setting. Objectives: The aim of this qualitative synthesis was to explore health care staffs’ experiences and perceptions of caring for people with dementia in the acute setting. Qualitative synthesis can bring together isolated findings in a meaningful way that can inform policy development. Settings: A screening process, using inclusion/exclusion criteria, identified qualitative studies that focused on health care staff caring for people with dementia in acute settings. Participants: Twelve reports of nine studies were included for synthesis. Data extraction was conducted on each report by two researchers. Methods: Framework synthesis was employed using VIPS framework, using Values, Individualised, Perspective and Social and psychological as concepts to guide synthesis. The VIPS framework has previously been used for exploring approaches to caring for people with dementia. Quality appraisal was conducted using Critical Appraisal Skills Programme (CASP) and NVivo facilitated sensitivity analysis to ensure confidence in the findings. Results: Key themes, derived from VIPS, included a number of specific subthemes that examined: infrastructure and care pathways, person-centred approaches to care, how the person interacts with their environment and other patients, and family involvement in care decisions. The synthesis identified barriers to appropriate care for the person with dementia. These include ineffective pathways of care, unsuitable environments, inadequate resources and staffing levels and lack of emphasis on education and training for staff caring for people with dementia. Conclusions: This review has identified key issues in the care of people with dementia in the acute setting: improving pathways of care, creating suitable environments, addressing resources and staffing levels and placing emphasis on the education for staff caring for people with dementia. Recommendations are made for practice consideration, policy development and future research. Leadership is required to instil the values needed to care for this client group in an effective and personcentred way. Qualitative evidence synthesis can inform policy and in this case, recommends VIPS as a suitable framework for guiding decisions around care for people with dementia in acute settings.

2016-06-09T00:00:00Z Sinead Hahessy, (corresponding author), Eimear Burke, Evelyn Byrne, Frances Farrelly, Marcella Kelly, Brona Mooney, Pauline Meskell http://hdl.handle.net/10379/5226 2015-10-15T13:02:31Z 2014-01-01T00:00:00Z

Indicators of Student Satisfaction in Postgraduate Blended Learning Programmes: Key Messages from a Survey Study Sinead Hahessy, (corresponding author), Eimear Burke, Evelyn Byrne, Frances Farrelly, Marcella Kelly, Brona Mooney, Pauline Meskell This survey reports on an evaluation of student satisfaction after undertaking blended learning postgraduate programmes in a school of nursing and midwifery. There is little data available in Ireland that considers the student experience of online learning in this student cohort. An anonymous pre-validated survey was sent to students after completion of their respective programme of study. Satisfaction with undertaking a programme through blended learning revealed that students are most satisfied with the flexible nature of programme delivery, the communication processes between them and instructors and the overall learning achieved in relation to the development of their personal and professional skills. Students indicated that they are less satisfied with the communication associated with assessment and feedback procedures.

2014-01-01T00:00:00Z Hahessy, Sinéad http://hdl.handle.net/10379/5144 2015-10-15T13:02:32Z 2007-05-01T00:00:00Z

Inter-professional working: power and politics in the operating department Hahessy, Sinéad No abstract available

2007-05-01T00:00:00Z