A feasibility study of dementia communication training based on the VERA framework for pre-registration nurses: Part II impact on student experience

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dc.check.date2019-01-31
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorNaughton, Corina
dc.contributor.authorBeard, Chloe
dc.contributor.authorTzouvara, Vasiliki
dc.contributor.authorPegram, Anne
dc.contributor.authorVerity, Rebecca
dc.contributor.authorEley, Rhiannon
dc.contributor.authorHingley, David
dc.contributor.funderGeneral Nursing Council for England and Walesen
dc.date.accessioned2018-08-20T14:20:11Z
dc.date.available2018-08-20T14:20:11Z
dc.date.issued2018-01-31
dc.date.updated2018-08-20T11:43:28Z
dc.description.abstractBackground: People living with dementia have complex communication needs, especially during acute hospital admissions. The VERA framework (validation, emotion, reassurance, activity) was designed to promote person centred communication between student nurses and people living with dementia, but there is limited evaluation of its impact. Aim To measure the impact of dementia communication training (based on VERA) plus older adult unit (OAU) placement on students' ability to recognise opportunities for person centred (PC) communication compared to OAU placement alone. Method: A control pre-post-study design was used. Dementia communication training plus follow-up during OAU placement was delivered to 51 students (5 OAU, two hospitals) while 66 students (7 OAUs, five hospitals) acted as controls. The primary outcome was students' ability to recognise PC communication assessed using case vignettes. Data were collected using electronic survey and focus group interviews. Data analysis used independent non-parametric Mann-Whitney U test and thematic analysis. Results: In total 52 students (response rate 40%) completed surveys at the end of placements (38 intervention, 14 control group students). In the intervention group, participants were significantly more likely to identify PC responses with a mean score of 10.5 (SD 3.0) compared with 7.5 (SD 3.0) in the control group (p = 0.006). In focus group interviews (n = 19 students), the main themes were connecting with patients, VERA in practice, communication challenges, and learning environment. VERA was described as a flexible approach that added to participants' communication toolkit. The learning environment, complexity of patients and organisational resources were important contextual factors. Conclusion: The VERA framework has potential as a foundation level dementia communication training intervention, but it requires more rigorous testing. Nursing can lead the way in developing and embedding evidence-based, interdisciplinary dementia communication training in preregistration curricula.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationNaughton, C., Beard, C., Tzouvara, V., Pegram, A., Verity, R., Eley, R. and Hingley, D. (2018) 'A feasibility study of dementia communication training based on the VERA framework for pre-registration nurses: Part II impact on student experience', Nurse Education Today, 63, pp. 87-93. doi: 10.1016/j.nedt.2018.01.024en
dc.identifier.doi10.1016/j.nedt.2018.01.024
dc.identifier.endpage93en
dc.identifier.issn0260-6917
dc.identifier.journaltitleNurse Education Todayen
dc.identifier.startpage87en
dc.identifier.urihttps://hdl.handle.net/10468/6626
dc.identifier.volume63en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttp://www.sciencedirect.com/science/article/pii/S0260691718300510
dc.rights© 2018 Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 licenseen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectDementia communicationen
dc.subjectPerson centred communicationen
dc.subjectStudent nurseen
dc.subjectCurriculumen
dc.subjectQuasi-experimental designen
dc.titleA feasibility study of dementia communication training based on the VERA framework for pre-registration nurses: Part II impact on student experienceen
dc.typeArticle (peer-reviewed)en
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