The feasibility and validity of care mapping in the clinical neurosciences

Neuropsychol Rehabil. 2015;25(6):818-40. doi: 10.1080/09602011.2014.978873. Epub 2014 Nov 10.

Abstract

Dementia Care Mapping (DCM) is an observational tool and process that is widely used in dementia care in measuring and improving person-centred care (PCC). DCM was previously piloted on a neurorehabilitation ward, where it was found to be feasible and acceptable in this setting. Following this, a new modified tool and accompanying manual were developed: Care Mapping - Neurorehabilitation (DCM-NR). The current study aimed to assess the feasibility and validity of DCM-NR by piloting its use in a range of clinical neuroscience settings. A mixed-methods design was used employing both quantitative and qualitative techniques. The new DCM-NR was found to be feasible for use both in terms of the suitability of its coding system and the implementation process. DCM-NR was shown to have a moderate level of concurrent validity with participants' self-report of PCC. Participants' subjective reports on their experiences of care provided validation for the areas of psychological need observed in DCM-NR. The results of this study indicate that DCM-NR is feasible and valid for use in a range of clinical neuroscience settings. Further longitudinal research is required to evaluate the impact of DCM-NR on PCC practices over time.

Keywords: Client-centred care; Dementia Care Mapping (DCM); Neurorehabilitation; Patient-centred care; Person-centred care.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Dementia / rehabilitation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neurosciences
  • Outcome and Process Assessment, Health Care* / statistics & numerical data
  • Patient Participation
  • Patient-Centered Care* / statistics & numerical data
  • Qualitative Research
  • Quality of Health Care* / statistics & numerical data
  • Young Adult