Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesis

Abstract Background Namaste Care is an intervention designed to improve the quality of life for people with advanced dementia by providing individualised stimulation and personalised activities in a group setting. Current evidence indicates there may be benefits from this intervention, but there is...

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Main Authors: Serena Salvi, Nancy Preston, Nicola Cornally, Catherine Walshe, on behalf of the In-Touch Consortium
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Geriatrics
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Online Access:https://doi.org/10.1186/s12877-024-05636-4
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author Serena Salvi
Nancy Preston
Nicola Cornally
Catherine Walshe
on behalf of the In-Touch Consortium
author_facet Serena Salvi
Nancy Preston
Nicola Cornally
Catherine Walshe
on behalf of the In-Touch Consortium
author_sort Serena Salvi
collection DOAJ
description Abstract Background Namaste Care is an intervention designed to improve the quality of life for people with advanced dementia by providing individualised stimulation and personalised activities in a group setting. Current evidence indicates there may be benefits from this intervention, but there is a need to explore the practical realities of its implementation, including potential barriers, enablers, and how it is delivered within the context of nursing care homes. Objective To systematically assess the factors involved in implementing Namaste Care for people with advanced dementia in nursing care homes. To provide pragmatic suggestions on how Namaste Care can be delivered in the context of nursing care homes. Design Systematically constructed review using framework synthesis. Data sources Comprehensive searches were conducted in Medline, CINAHL, and PsycINFO databases for studies published between 2018 and 2024. Search concepts included “Namaste Care,” “advanced dementia,” and related terms. Review methods Studies were included if they focused on the use of Namaste Care for people with advanced dementia in nursing care homes. Data extraction and quality assessment were performed by two independent researchers using standardised forms and critical appraisal tools. A framework synthesis of the results was conducted, which involves systematically combining qualitative and quantitative data within a structured analytical framework to identify overarching themes and insights. Findings Twenty-five studies met the inclusion criteria. Key themes identified were: (1) Frequency and duration of Namaste sessions. (2) Namaste Care environment and personalisation of care. (3) Staff engagement and training needs. (4) Involvement of family members and volunteers. Conclusions Implementing Namaste Care in nursing care homes presents various challenges but also significant opportunities for enhancing the quality of life for residents with advanced dementia. Addressing key themes such as the frequency and duration of sessions, the environment and personalisation of care, staff engagement and training needs, and the involvement of family members and volunteers is crucial. Specifically, providing tailored training programmes for staff, creating dedicated Namaste Care spaces, and encouraging active family and volunteer participation can facilitate effective integration. By incorporating these pragmatic recommendations, Namaste Care can be sustainably integrated into daily care routines, leading to improved resident well-being, reduced behavioural symptoms, and enhanced caregiver-resident interactions.
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spelling doaj-art-eb038e7a6b3340738ebacfe7b3e507022025-01-12T12:38:35ZengBMCBMC Geriatrics1471-23182025-01-0125112410.1186/s12877-024-05636-4Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesisSerena Salvi0Nancy Preston1Nicola Cornally2Catherine Walshe3on behalf of the In-Touch ConsortiumInternational Observatory on End of Life Care, Lancaster UniversityInternational Observatory on End of Life Care, Lancaster UniversitySchool of Nursing and Midwifery, University College CorkInternational Observatory on End of Life Care, Lancaster UniversityAbstract Background Namaste Care is an intervention designed to improve the quality of life for people with advanced dementia by providing individualised stimulation and personalised activities in a group setting. Current evidence indicates there may be benefits from this intervention, but there is a need to explore the practical realities of its implementation, including potential barriers, enablers, and how it is delivered within the context of nursing care homes. Objective To systematically assess the factors involved in implementing Namaste Care for people with advanced dementia in nursing care homes. To provide pragmatic suggestions on how Namaste Care can be delivered in the context of nursing care homes. Design Systematically constructed review using framework synthesis. Data sources Comprehensive searches were conducted in Medline, CINAHL, and PsycINFO databases for studies published between 2018 and 2024. Search concepts included “Namaste Care,” “advanced dementia,” and related terms. Review methods Studies were included if they focused on the use of Namaste Care for people with advanced dementia in nursing care homes. Data extraction and quality assessment were performed by two independent researchers using standardised forms and critical appraisal tools. A framework synthesis of the results was conducted, which involves systematically combining qualitative and quantitative data within a structured analytical framework to identify overarching themes and insights. Findings Twenty-five studies met the inclusion criteria. Key themes identified were: (1) Frequency and duration of Namaste sessions. (2) Namaste Care environment and personalisation of care. (3) Staff engagement and training needs. (4) Involvement of family members and volunteers. Conclusions Implementing Namaste Care in nursing care homes presents various challenges but also significant opportunities for enhancing the quality of life for residents with advanced dementia. Addressing key themes such as the frequency and duration of sessions, the environment and personalisation of care, staff engagement and training needs, and the involvement of family members and volunteers is crucial. Specifically, providing tailored training programmes for staff, creating dedicated Namaste Care spaces, and encouraging active family and volunteer participation can facilitate effective integration. By incorporating these pragmatic recommendations, Namaste Care can be sustainably integrated into daily care routines, leading to improved resident well-being, reduced behavioural symptoms, and enhanced caregiver-resident interactions.https://doi.org/10.1186/s12877-024-05636-4Namaste CareAdvanced dementiaSensory stimulationNursing care homesQuality of lifeSystematic review
spellingShingle Serena Salvi
Nancy Preston
Nicola Cornally
Catherine Walshe
on behalf of the In-Touch Consortium
Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesis
BMC Geriatrics
Namaste Care
Advanced dementia
Sensory stimulation
Nursing care homes
Quality of life
Systematic review
title Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesis
title_full Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesis
title_fullStr Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesis
title_full_unstemmed Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesis
title_short Implementing Namaste Care in nursing care homes for people with advanced dementia: a systematically constructed review with framework synthesis
title_sort implementing namaste care in nursing care homes for people with advanced dementia a systematically constructed review with framework synthesis
topic Namaste Care
Advanced dementia
Sensory stimulation
Nursing care homes
Quality of life
Systematic review
url https://doi.org/10.1186/s12877-024-05636-4
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