Facilitators and barriers to implement nurse-led interventions in long-term dementia care: a qualitative interview study with Swiss nursing experts and managers

Abstract Background To support the implementation of nurse-led interventions in long-term dementia care, in-depth knowledge specific supporting factors and barriers is required. Conditions structures caring for people with differ widely, depending on country care context. Our study aimed to describe experiences opinions nursing experts managers regard facilitators care. Methods We conducted a qualitative descriptive using individual interviews based vignettes as useful stimulus generate narrations allowing peoples’ perceptions beliefs. The took place homes German-speaking part Switzerland Principality Liechtenstein purposive sampling. intended conduct face-to-face quiet room according participant’s choice. However, due lockdown during COVID-19 pandemic spring 2020, we performed by video. analysed data thematically following Braun Clarke achieve detailed, nuanced description. verify our interpretation ensure congruence participants’ perspectives, member checks. Standards Reporting Qualitative Research (SRQR) served structure manuscript. Results Six dyads home from six ( n = 12). thematic analysis yielded seven themes reflecting implementing care: «A common attitude cohesion within organization», «Commitment several levels», needs-oriented implementation», «The effect public perception intervention», structured guided process», «Supporting competencies», well «Resources intervention». Conclusions active commitment-building seems essential. It necessary that value intervention perceptible.Commitment-building precondition reach persons involved, such managers, staff, residents relatives. Furthermore, nurses should precisely inform about intervention. perceptible. In addition, adjust situational needs dementia, thus. Therefore, it important dementia-specific competencies Findings indicate barrier determined its – not behaviour person dementia.