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Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place.

Publication ,  Journal Article
Hebert, CA; Trudeau, SA; Sprinkle, W; Moo, LR; McConnell, ES
Published in: Health & social care in the community
January 2020

Older adults' preference to age in place, coupled with an increasing prevalence of dementia, creates an imperative to address home safety risks that occur due to cognitive impairment. Providing caregivers with home safety items and education can facilitate ageing in place for older adults living with dementia. In 2015-2017, we examined barriers and facilitators within 17 policy documents and dementia guidelines of the United States (US) Veterans Health Administration pertinent to implementation of a home safety toolkit (HST) for Veterans living with dementia. The documents were issued from 2000 to 2015. Directed qualitative content analysis of these documents guided by themes from stakeholder interviews revealed two key implementation barriers: a focus on physical rather than cognitive risks when determining medical necessity for home equipment, and a focus on rehabilitation and treatment rather than prevention. Mandates for person-centred care planning, including comprehensive assessment, interdisciplinary collaboration, staff education and a focus on population health in primary care facilitate HST implementation. Content analysis can identify policy-level barriers that slow innovation and facilitators that can increase access to care that support ageing in place.

Duke Scholars

Published In

Health & social care in the community

DOI

EISSN

1365-2524

ISSN

0966-0410

Publication Date

January 2020

Volume

28

Issue

1

Start / End Page

182 / 194

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Safety Management
  • Policy
  • Patient-Centered Care
  • Patient Care Team
  • Nursing
  • Male
  • Inservice Training
 

Citation

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ICMJE
MLA
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Hebert, C. A., Trudeau, S. A., Sprinkle, W., Moo, L. R., & McConnell, E. S. (2020). Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place. Health & Social Care in the Community, 28(1), 182–194. https://doi.org/10.1111/hsc.12852
Hebert, Catherine A., Scott A. Trudeau, Whitney Sprinkle, Lauren R. Moo, and Eleanor S. McConnell. “Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place.Health & Social Care in the Community 28, no. 1 (January 2020): 182–94. https://doi.org/10.1111/hsc.12852.
Hebert CA, Trudeau SA, Sprinkle W, Moo LR, McConnell ES. Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place. Health & social care in the community. 2020 Jan;28(1):182–94.
Hebert, Catherine A., et al. “Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place.Health & Social Care in the Community, vol. 28, no. 1, Jan. 2020, pp. 182–94. Epmc, doi:10.1111/hsc.12852.
Hebert CA, Trudeau SA, Sprinkle W, Moo LR, McConnell ES. Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place. Health & social care in the community. 2020 Jan;28(1):182–194.
Journal cover image

Published In

Health & social care in the community

DOI

EISSN

1365-2524

ISSN

0966-0410

Publication Date

January 2020

Volume

28

Issue

1

Start / End Page

182 / 194

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Safety Management
  • Policy
  • Patient-Centered Care
  • Patient Care Team
  • Nursing
  • Male
  • Inservice Training