BACKGROUND In institutional dementia care, person-centered care improves care processes and the quality of life of residents. However, communication gaps impede the implementation of person-centered care in favor of routinized care. OBJECTIVE We evaluated whether self-organizing knowledge management reduces communication gaps and improves the quality of person-centered dementia care. METHOD We implemented a self-organizing knowledge management system. Eight significant others of residents with severe dementia and six professional caregivers used a mobile application for six months. We conducted qualitative interviews and focus groups afterward. MAIN FINDINGS Participants reported that the system increased the quality of person-centered care, reduced communication gaps, increased the task satisfaction of caregivers and the wellbeing of significant others. CONCLUSIONS Based on our findings, we develop the following hypotheses: self-organizing knowledge management might provide a promising tool to improve the quality of person-centered care. It might reduce communication barriers that impede person-centered care. It might allow transferring content-maintaining tasks from caregivers to significant others. Such distribution of tasks, in turn, might be beneficial for both parties. Furthermore, shared knowledge about situational features might guide person-centered interventions.

中文翻译：

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自组织知识管理可能会提高以人为中心的痴呆症护理质量：一项定性研究。

背景技术在机构性痴呆症护理中，以人为中心的护理改善了护理过程和居民的生活质量。但是，沟通方面的差距阻碍了以人为本的护理的实施，而有利于常规护理。目的我们评估了自我组织的知识管理是否能够缩小沟通差距并提高以人为中心的痴呆症护理质量。方法我们实施了一个自组织的知识管理系统。其他八名严重痴呆症居民和六名专业护理人员使用了移动应用程序六个月。之后我们进行了定性访谈和焦点小组。主要发现参与者报告说，该系统提高了以人为本的护理质量，减少了沟通差距，提高了看护者的工作满意度和重要他人的幸福感。结论基于我们的发现，我们得出以下假设：自组织知识管理可能会提供一种有前途的工具来提高以人为中心的护理质量。它可以减少阻碍以人为中心的护理的沟通障碍。它可能允许将内容维护任务从看护者转移到其他重要任务。反过来，这种任务分配可能对双方都有利。此外，关于情境特征的共享知识可能会指导以人为中心的干预。它可以减少阻碍以人为中心的护理的沟通障碍。它可能允许将内容维护任务从看护者转移到其他重要任务。这样的任务分配反过来可能对双方都有利。此外，关于情境特征的共享知识可能会指导以人为中心的干预。它可以减少阻碍以人为中心的护理的沟通障碍。它可能允许将内容维护任务从看护者转移到其他重要任务。反过来，这种任务分配可能对双方都有利。此外，关于情境特征的共享知识可能会指导以人为中心的干预。