A dementia communication training intervention based on the VERA framework for pre-registration nurses: Part I developing and testing an implementation strategy

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dc.contributor.author Hirigley, David
dc.contributor.author Naughton, Corina
dc.contributor.author Beard, Chloe
dc.contributor.author Tzouvara, Vasiliki
dc.contributor.author Pegram, Anne
dc.contributor.author Verity, Rebecca
dc.contributor.author Eley, Rhiannon
dc.date.accessioned 2018-08-20T14:01:38Z
dc.date.available 2018-08-20T14:01:38Z
dc.date.issued 2018-01-31
dc.identifier.citation Naughton, C., Beard, C., Tzouvara, V., Pegram, A., Verity, R., Eley, R. and Hingley, D. (2018) 'A dementia communication training intervention based on the VERA framework for pre-registration nurses: Part I developing and testing an implementation strategy', Nurse Education Today, 63, pp. 94-100. doi: 10.1016/j.nedt.2018.01.023 en
dc.identifier.volume 63 en
dc.identifier.startpage 94 en
dc.identifier.endpage 100 en
dc.identifier.issn 0260-6917
dc.identifier.uri http://hdl.handle.net/10468/6625
dc.identifier.doi 10.1016/j.nedt.2018.01.023
dc.description.abstract Background: People living with dementia experience progressive difficulty in expressing physical and emotional needs. Health care staff including student nurses require training to develop compensatory communication strategies. However, there is no standardised foundation level dementia communication training within pre-registration curricula. Aim: This article describes the theoretical underpinnings and development of a foundation level dementia communication skills training based on the VERA (Validation, Emotion, Reassurance, Activity) framework. Method: The training strategies drew on behavioural change theory using the COM-B model and Gagné's 9 Events of Instruction. The VERA framework was operationalised using a multicomponent teaching strategy. The intervention was refined based on quality improvement Plan-Do-Study-Act cycles with feedback from people living with dementia, facilitators and student nurses. Data collection used semi-structured questionnaires (n = 51) and four focus group (n = 19) interviews with students. Data analysis involved descriptive statistics and thematic analysis. Results: The intervention was a 2.5-hour face-to-face training session delivered at the start of students' older adult unit placement with follow-up reflection sessions during placement. Training was delivered to 51 students, all students described the training as useful and would recommend it to their peers. Elements of the training that were highly valued were: opportunities to express concerns in caring for people with dementia, applying the VERA framework using role play and outlining realistic expectations of VERA. Students recognised the need for on-going training especially for more complex patients. Conclusion: Combining behaviour change and education theory with stakeholder feedback strengthened the development of VERA as a foundation level dementia communication training for pre-registration nurses. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier en
dc.relation.uri http://www.sciencedirect.com/science/article/pii/S0260691718300509
dc.rights © 2018 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Dementia communication en
dc.subject Skills en
dc.subject Training en
dc.subject Intervention design en
dc.subject Student nurse en
dc.subject VERA framework en
dc.title A dementia communication training intervention based on the VERA framework for pre-registration nurses: Part I developing and testing an implementation strategy en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Corina Naughton, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: corina.naughton@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2019-01-31
dc.date.updated 2018-08-20T11:41:21Z
dc.description.version Accepted Version en
dc.internal.rssid 432558313
dc.internal.wokid WOS:000427669800016
dc.contributor.funder General Nursing Council for England and Wales en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Nurse Education Today en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress corina.naughton@ucc.ie en


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© 2018 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license Except where otherwise noted, this item's license is described as © 2018 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
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