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SYSTEMATIC REVIEW article

Front. Psychiatry
Sec. Public Mental Health
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1523501
This article is part of the Research Topic The Intersection of Psychology, Healthy Behaviors, and its Outcomes View all 52 articles

Barriers and facilitators to implementing person-centred dementia care in long-term care facilities in Western and Asian countries: a scoping review

Provisionally accepted
  • 1 China Medical University, Shenyang, China
  • 2 The University of Hong Kong, Pokfulam, Hong Kong, SAR China
  • 3 University of Bradford, Bradford, United Kingdom

The final, formatted version of the article will be published soon.

    Background: There is a gap between the principles of person-centred dementia care and their actual implementation. However, scoping reviews of the barriers and facilitators to implementing person- centred dementia care in long-term care facilities for Western countries and Asian countries are lacking.Objective: To identify and compare the barriers and facilitators to implementing person-centred dementia care in long-term care facilities between Western and Asian countries.In line with Arksey and O'Malley's methodology, a scoping review was conducted and is reported following PRISMA-ScR guidelines. Nine English language databases and three Chinese databases were searched to identify qualitative and quantitative research studies published in English and Chinese. Thematic analysis was used to summarise and characterize the barriers and facilitators to implementing person-centred dementia care in long-term care facilities for Western and Asian countries.Results: Thirty-three studies were included. Over half were conducted in Western countries (n =20).Barriers and facilitators were grouped under four high level themes: Nursing and care staff factors, people living with dementia and family factors, organizational factors, and resource factors.Inadequate knowledge of person-centred care, staffing shortages, time constraints, and low wages were the principal barriers to implementing person-centred dementia care in both Western and Asian countries.The findings indicate that staff encounter numerous obstacles and needs in implementing person-centred care for people living with dementia in long-term care settings.Educational levels of nursing staff in Western countries were generally higher compared to Asian countries. Additionally, work-related injuries and stigma associated with dementia care presented unique challenges for nursing staff in Asia and were not cited in Western studies. Conversely, family-related factors were more frequently and elaborately cited as influencing person-centred dementia care in Western long-term care facilities. Moreover, Asian studies identified a significant lack of educational training support for person-centred dementia care, as well as shortages in staffing and poor availability of personalized, home-like environments

    Keywords: Staff1, Dementia2, Person-centred care3, Barriers4, facilitators5, long-term care6, Scoping review7

    Received: 06 Nov 2024; Accepted: 23 Dec 2024.

    Copyright: © 2024 GUAN, DUAN, XIN, Oyebode and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    XIN GUAN, China Medical University, Shenyang, China
    Yu Liu, China Medical University, Shenyang, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.