Department of Nursing, Cheju Halla College, Jeju Special Self-Governing Province, South Korea.
Int J Older People Nurs. 2011 Jun;6(2):143-52. doi: 10.1111/j.1748-3743.2010.00254.x. Epub 2010 Oct 28.
To identify and describe Korean nurses' attitudes towards older people with dementia in acute care settings and to examine the effect of selected socio-demographics and nursing work characteristics on attitudes.
In Korea, older people receive health care services in acute care settings because long-term care settings are not the norm. Culturally, it is considered shameful to place parents or relatives in a long-term care facility.
A descriptive survey design.
Attitudes towards older people with dementia were measured in Korean registered nurses (n = 100) working in acute care settings of two hospitals in southern Korea in 2009. The Attitudes toward the Elderly with Dementia (AED) and the Approaches to Dementia Questionnaire (ADQ) were administered to participants.
Moderately positive attitudes towards older people with dementia in the acute care setting were found. Two-thirds of the nurse participants (n = 65, 65.7%) working in medical wards demonstrated significantly more positive attitudes than those working in surgical wards (n = 34, 34.3%). Demographics including years of experience in the current unit and in the service, and nurses' position did not correlate significantly with their attitudes.
The environment, work routine and technology may influence the likelihood of negative attitude towards people with dementia. IMPLICATIONS FOR PRACTICE. There may be conflict between nurses' cultural values and care practices in acute care settings. Therefore, there is a need for ongoing education of nurses in dementia care that may reduce the potential of such conflicts.
识别和描述韩国急性护理环境中护士对痴呆老年人的态度,并研究选定的社会人口统计学和护理工作特征对态度的影响。
在韩国,老年人在急性护理环境中接受医疗保健服务,因为长期护理环境并非常态。从文化上讲,将父母或亲属安置在长期护理机构中被认为是不光彩的。
描述性调查设计。
2009 年,在韩国南部的两家医院的急性护理环境中,对 100 名韩国注册护士对痴呆老年人的态度进行了测量。参与者接受了老年痴呆症态度量表(AED)和痴呆症态度问卷(ADQ)的评估。
在急性护理环境中,对痴呆老年人的态度呈中度积极。在从事内科病房工作的护士中,有三分之二(n=65,65.7%)的护士表现出比从事外科病房工作的护士(n=34,34.3%)更为积极的态度。包括在当前科室和服务中的工作年限以及护士的职位在内的人口统计学特征与他们的态度没有显著相关性。
环境、工作常规和技术可能会影响对痴呆症患者产生负面态度的可能性。
在急性护理环境中,护士的文化价值观和护理实践之间可能存在冲突。因此,需要对护士进行持续的痴呆症护理教育,以减少这种冲突的可能性。