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“Dementia-friendly hospitals: care not crisis”: an educational program designed to improve the care of the hospitalized patient with dementia


Galvin, James E., Kuntemeier, Barbara, Al-Hammadi, Noor, Germino, Jessica, Murphy-White, Maggie, McGillick, Janis


Alzheimer Disease And Associated Disorders, Volume: 24, No.: 4, Pages.: 372-379

Year of Publication



Background: Approximately 3.2 million hospital stays annually involve a person with dementia, leading to higher costs, longer lengths of stay, and poorer outcomes. Older adults with dementia are vulnerable when hospitals are unable to meet their special needs.; Methods: We developed, implemented, and evaluated a training program for 540 individuals at 4 community hospitals. Pretest, posttest, and a 120-day delayed posttest were performed to assess knowledge, confidence, and practice parameters.; Results: The mean age of the sample was 46 years; 83% were White, 90% were female, and 60% were nurses. Upon completion, there were significant gains (P’s <0.001) in knowledge and confidence in recognizing, assessing, and managing dementia. Attendees reported gains in communication skills and strategies to improve the hospital environment, patient safety, and behavioral management. At 120 days, 3 of 4 hospitals demonstrated maintenance of confidence. In the hospital that demonstrated lower knowledge and confidence scores, the sample was older and had more nurses and more years in practice.; Conclusions: We demonstrate the feasibility of training hospital staff about dementia and its impact on patient outcomes. At baseline, there was low knowledge and confidence in the ability to care for dementia patients. Training had an immediate impact on knowledge, confidence, and attitudes with lasting impact in 3 of 4 hospitals. We identified targets for intervention and the need for ongoing training and administrative reinforcement to sustain behavioral change. Community resources, such as local chapters of the Alzheimer Association, may be key community partners in improving care outcomes for hospitalized persons with dementia.;

Bibtex Citation

@article{Galvin_2010, doi = {10.1097/wad.0b013e3181e9f829}, url = {}, year = 2010, publisher = {Ovid Technologies (Wolters Kluwer Health)}, volume = {24}, number = {4}, pages = {372--379}, author = {James E. Galvin and Barbara Kuntemeier and Noor Al-Hammadi and Jessica Germino and Maggie Murphy-White and Janis McGillick}, title = {{textquotedblleft}Dementia-friendly Hospitals}, journal = {Alzheimer Disease {&} Associated Disorders} }


aged, attitude of health personnel, confidence, curriculum, dementia, education, education medical continuing, female, hospitals, humans, knowledge, male, methods, middle aged, nursing staff hospital, outcome and process assessment health care, personnel hospital, program evaluation, quality improvement, staff, standards, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Before and After Study

Type of Outcomes



Hospital Inpatient Care, Hospital Outpatient Care

Type of Interventions

Workforce oriented interventions

Workforce Interventions

Professional Training / Continuing Professional Development