Authors: Griffith Health Institute, Griffith University, Nathan Campus, Brisbane, Queensland, Australia.
J Clin Nurs. 2011 Feb;20(3-4):420-8. doi: 10.1111/j.1365-2702.2010.03521.x. Epub 2010 Oct 5.
This Australian study explored management for older people with dementia in an acute hospital setting.
As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff.
A descriptive qualitative approach was used.
Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital.
Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy.
Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach. Staff education and environmental resources may improve the current situation so that people with dementia receive care that takes into account their individual needs and human dignity.
Nurses can assist older people with dementia by encouraging evidence-based care practices to become the part of hospital policy.
这项澳大利亚研究探讨了在急性医院环境中对老年痴呆症患者的管理。
随着人口老龄化，越来越多的老年痴呆症患者被安置在急性护理医院，以治疗除痴呆症以外的疾病。这些人需要特殊的护理，考虑到困惑的老年人的独特需求。目前的护理和医学文献为最佳实践管理提供了一些指导；然而，很少有研究从医院工作人员的角度来研究这种管理。
采用描述性定性方法。
使用半结构化的音频采访，对在澳大利亚东南部昆士兰一家大型医院的急性内科或外科病房工作的 13 名工作人员进行了跨部门采访。
数据分析显示了五个子主题，其中一个主题是矛盾的护理，即护理方法不一致，强调安全，而忽视了幸福感和尊严。采用风险管理方法，而不是将预防伤害作为整体策略的一个方面。
使用未经培训的工作人员坐下来观察痴呆症患者作为一种风险管理策略，并不能鼓励采用基于证据的方法。工作人员教育和环境资源可能会改善当前的情况，以便痴呆症患者得到考虑到他们个人需求和人类尊严的护理。
护士可以通过鼓励将基于证据的护理实践作为医院政策的一部分，来帮助老年痴呆症患者。
