Crynodeb
Background
In Wales, the Mental Health Measure outlines the care that Mental Health Service Users (MHSU) are legally entitled to; Part 2 requires MHSU’s in secondary care to have a Care and Treatment Plan (CTP) (WG 2010). The CTP sets out 8 domains that the nurse/assessor should complete. Domain 7 refers to social/cultural/spiritual needs. A small local audit suggested that Domain 7 may not be completed regularly for dementia patients thus; their spiritual needs may potentially go unmet. This is of concern given the Francis (2013) and Andrews (2014) reports’ findings that older people with dementia were not receiving respectful, compassionate, and dignified care. These NHS values are closely aligned to the notion of spiritual care, which is at the heart of healthcare guidance (e.g. DH 2009, WG 2015).
A study was completed, from January 2016 to January 2017 to ascertain how the spiritual needs of persons with dementia are met within the Care and Treatment Plans (CTS) in three health boards in Wales.
Method
The study was conducted in three phases and used a mixed methods approach. This included a literature review (phase one). In phase two qualitative and quantitative analysis of the CTPs and qualitative, thematic analysis of the focus groups with staff (phase three).
Results
One hundred and fifty CTPs were collected from the older persons’ mental health services; fifty from each participating Health Board. These comprised of a mix of CTPs from in patient services and from community mental health teams. Eleven care co-ordinators took part in two focus groups. Analysis conducted was primarily for domain 7 of the CTP, which revealed that social aspects of care were well documented in particular staff encouraged patients to engage in meaningful activities and helped patients maintain social connections. Spiritual needs were mainly documented with reference to patients’ religious affiliation and associated religious rituals/practices. Person centred was also well documented throughout the whole CTP rather than being specific to one of the domains.
Focus groups with staff further supported the findings from the analysis of the written CTP. Completing the spiritual aspects of domain 7 was challenging and thus in the main staff documented the person’s religious affiliation and/or beliefs.
Conclusion
The study found that spiritual needs were mainly documented on the CTPs with references to the persons’ religious affiliation and associated religious rituals/practices. From the focus groups staff recognised that spirituality was broader than a person’s religious affiliation, but capturing this on the CTP was difficult. Staff agreed that training in completing the CTP would be welcome, but especially to complete domain 7 as this was the least completed of all the 8 domains. A more detailed analysis of the whole CTP rather than just domain 7 is necessary to give a true picture of the person centred dementia care that staff are delivering in the older persons’ mental health services in our three participating Health Boards.
In Wales, the Mental Health Measure outlines the care that Mental Health Service Users (MHSU) are legally entitled to; Part 2 requires MHSU’s in secondary care to have a Care and Treatment Plan (CTP) (WG 2010). The CTP sets out 8 domains that the nurse/assessor should complete. Domain 7 refers to social/cultural/spiritual needs. A small local audit suggested that Domain 7 may not be completed regularly for dementia patients thus; their spiritual needs may potentially go unmet. This is of concern given the Francis (2013) and Andrews (2014) reports’ findings that older people with dementia were not receiving respectful, compassionate, and dignified care. These NHS values are closely aligned to the notion of spiritual care, which is at the heart of healthcare guidance (e.g. DH 2009, WG 2015).
A study was completed, from January 2016 to January 2017 to ascertain how the spiritual needs of persons with dementia are met within the Care and Treatment Plans (CTS) in three health boards in Wales.
Method
The study was conducted in three phases and used a mixed methods approach. This included a literature review (phase one). In phase two qualitative and quantitative analysis of the CTPs and qualitative, thematic analysis of the focus groups with staff (phase three).
Results
One hundred and fifty CTPs were collected from the older persons’ mental health services; fifty from each participating Health Board. These comprised of a mix of CTPs from in patient services and from community mental health teams. Eleven care co-ordinators took part in two focus groups. Analysis conducted was primarily for domain 7 of the CTP, which revealed that social aspects of care were well documented in particular staff encouraged patients to engage in meaningful activities and helped patients maintain social connections. Spiritual needs were mainly documented with reference to patients’ religious affiliation and associated religious rituals/practices. Person centred was also well documented throughout the whole CTP rather than being specific to one of the domains.
Focus groups with staff further supported the findings from the analysis of the written CTP. Completing the spiritual aspects of domain 7 was challenging and thus in the main staff documented the person’s religious affiliation and/or beliefs.
Conclusion
The study found that spiritual needs were mainly documented on the CTPs with references to the persons’ religious affiliation and associated religious rituals/practices. From the focus groups staff recognised that spirituality was broader than a person’s religious affiliation, but capturing this on the CTP was difficult. Staff agreed that training in completing the CTP would be welcome, but especially to complete domain 7 as this was the least completed of all the 8 domains. A more detailed analysis of the whole CTP rather than just domain 7 is necessary to give a true picture of the person centred dementia care that staff are delivering in the older persons’ mental health services in our three participating Health Boards.
| Iaith wreiddiol | Saesneg |
|---|---|
| Statws | Cyhoeddwyd - 8 Maw 2018 |
| Digwyddiad | Public Health Wales Research & Development Conference 2018 Showcase Conference : Public Health Policy & Practice: Research with Impact - Cardiff University, Cardiff, Y Deyrnas Unedig Hyd: 8 Maw 2018 → 8 Maw 2018 |
Cynhadledd
| Cynhadledd | Public Health Wales Research & Development Conference 2018 Showcase Conference |
|---|---|
| Gwlad/Tiriogaeth | Y Deyrnas Unedig |
| Dinas | Cardiff |
| Cyfnod | 8/03/18 → 8/03/18 |
NDC y CU
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