Brooke Joanne, Semlyen Joanna
Faculty of Health and Life Science, Oxford Institute of Nursing, Midwifery and Allied Health Research, Oxford Brookes University, Oxford, UK.
Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Dementia (London). 2019 Feb;18(2):685-700. doi: 10.1177/1471301216689402. Epub 2017 Jan 19.
Dementia-friendly wards are recent developments to improve care for patients with dementia in acute hospitals. This qualitative study used focus groups to understand the impact of dementia friendly ward environments on nurses experiences of caring for acutely unwell patients with dementia. Qualified nurses and health care assistants working in an acute NHS Trust in England discussed their perceptions and experiences of working in a dementia-friendly ward environment. Four themes developed from the thematic analysis: (1) 'It doesn't look like a hospital': A changed environment, (2) 'More options to provide person-centred care': No one size fits all, (3) 'Before you could not see the patients': A constant nurse presence and (4) 'The ward remains the same': Resistance to change. Recommendations and implementations for practice are discussed.
关爱痴呆症患者的病房是近期为改善急症医院中痴呆症患者护理情况而出现的举措。这项定性研究采用焦点小组来了解关爱痴呆症患者的病房环境对护士护理急症痴呆症患者体验的影响。在英国一家国民保健服务（NHS）急性信托机构工作的注册护士和医疗保健助理讨论了他们在关爱痴呆症患者的病房环境中工作的看法和经历。主题分析形成了四个主题：（1）“这里看起来不像医院”：环境的改变；（2）“提供以人为本护理的更多选择”：没有放之四海而皆准的模式；（3）“以前看不到患者”：护士的持续在场；（4）“病房依旧如故”：对变革的抵触。文中还讨论了实践的建议和实施情况。
