A Community of Practice on Environmental Design for Long-Term Care Residents with Dementia

Can J Aging. 2023 Sep;42(3):404-415. doi: 10.1017/S0714980823000028. Epub 2023 Feb 17.


The use of communities of practice (CoP) to support the application of knowledge in improved geriatric care practice is not widely understood. This case study's aim was to gain a deeper understanding of the knowledge-to-action (KTA) processes of a CoP focused on environmental design, to improve how persons with dementia find their way around in long-term care (LTC) homes. Qualitative data were collected (key informant interviews, observations, and document review), and analysed using emergent coding. CoP members contributed extensive knowledge to the KTA process characterized by the following themes: team dynamics, employing a structured process, technology use, varied forms of knowledge, and a clear initiative. The study's CoP effectively synthesized and translated knowledge into practical tools to inform changes in practice, programs, and policy on dementia care. More research is needed on how to involve patients and caregivers in the KTA processes, and to ensure that practical application of knowledge has financial and policy support.

Keywords: aging; communauté de pratique; community of practice; conversion des connaissances en action; dementia; knowledge to action; long-term care; soins de longue durée; troubles neurocognitifs; vieillissement.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Caregivers
  • Community Health Services
  • Dementia* / therapy
  • Health Services for the Aged*
  • Humans
  • Long-Term Care

Grants and funding