Eriksson Catharina, Saveman Britt-Inger
Department of Health and Behavioural Sciences, University of Kalmar, S-39182 Kalmar, Sweden.
Scand J Caring Sci. 2002 Mar;16(1):79-85. doi: 10.1046/j.1471-6712.2002.00061.x.
Nurses caring for patients with dementia in acute care settings often lack specialized education in geriatric nursing. The acute care settings do not have an environment made for dementia care. The staff often had a high workload, which makes the situation stressful and the nurses who take care of these patients might end up in difficult situations. The aim of this study was to describe nurses' experiences of difficulties related to caring for patients with dementia in acute care settings. Interviews were performed with 12 nurses. Qualitative thematic content analyses were carried out in several steps. The results show that the nurses experienced various difficulties in meeting patients with dementia in acute care settings. This gave rise to for example frustration. Most commonly reported was lack of time to treat these patients satisfactorily. The difficulties were mostly related to the often disorderly conduct of these patients, the ethical problems that appeared in the care of these patients, and the medical care organization. The problematic situations described sometimes led to abuse and neglect of these patients.
在急症护理环境中照顾痴呆症患者的护士往往缺乏老年护理方面的专业教育。急症护理环境没有适合痴呆症护理的环境。工作人员的工作量往往很大，这使得情况变得紧张，照顾这些患者的护士可能会陷入困境。本研究的目的是描述护士在急症护理环境中照顾痴呆症患者时遇到的困难经历。对12名护士进行了访谈。分几个步骤进行了定性主题内容分析。结果表明，护士在急症护理环境中照顾痴呆症患者时遇到了各种困难。这导致了例如沮丧等情绪。最常报告的是没有足够时间令人满意地治疗这些患者。困难主要与这些患者常常无序的行为、在照顾这些患者时出现的伦理问题以及医疗护理组织有关。所描述的问题情况有时会导致对这些患者的虐待和忽视。
