Jensen Anders Møller, Pedersen Birthe D, Wilson Rhonda L, Bang Olsen Rolf, Hounsgaard Lise
Department of Clinical Research, OPEN, Odense Patient data Explorative Network, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Faculty of Health Sciences, VIA Ageing & Dementia - Center for Research, VIA University College, Holstebro, Denmark.
Int J Older People Nurs. 2019 Dec;14(4):e12271. doi: 10.1111/opn.12271. Epub 2019 Sep 24.
Nurses who care for acute patients with dementia in a hospital setting report a variety of challenges in regard to meeting the complex needs of their patients. In particular, known barriers to optimal care include a lack of knowledge about dementia, lack of dementia-friendly acute clinical environments, lack of time to care for the individual patient and a prioritised focus on the medical issues that triggered the hospitalisation. Research to date has not specifically focused on nurses' experiences of caring for people with dementia in orthopaedic wards.
This study investigates nurses' experiences of caring for people with dementia, in an acute orthopaedic hospital ward setting.
Qualitative interviews.
This qualitative study employs hermeneutic phenomenological research methods. Eight Danish nurses were interviewed in an orthopaedic ward about their experiences in caring for orthopaedic patients with dementia. Nurses with various levels of expertise were selected for interview so that a full range of nursing experiences could inform the research study.
The results of the study revealed two major themes: "Nurse communication and patient information" and "Care compromise", with three and four sub-themes, respectively. These findings are used to illustrate how, and why, nurses' experiences of caring for patients with dementia contribute a discontentment and negative preconceived perception by some nurses towards their acute care of patients with chronic dementia. The results are discussed in the context of Interactional Nursing Practice theory and describe the challenges experienced by acute care orthopaedic nurses who care for patients with dementia.
Orthopaedic nurses find it challenging and professionally difficult to provide person-centred care for patients with dementia during an acute orthopaedic hospital admission.
Orthopaedic nurses should work to adopt a positive attitude, and person-centred approach, towards dementia care. It is also recommended that the electronic patient record should be supplemented by oral dissemination to some extent, as information, plans of action and knowledge about the care situation for patients with dementia has a tendency to drown in chronological data presentation.
在医院环境中护理急性痴呆患者的护士报告称，在满足患者复杂需求方面面临各种挑战。特别是，最佳护理的已知障碍包括对痴呆症缺乏了解、缺乏对痴呆症患者友好的急性临床环境、缺乏照顾个体患者的时间以及优先关注引发住院的医疗问题。迄今为止的研究尚未专门关注骨科病房护士护理痴呆患者的经验。
本研究调查在急性骨科医院病房环境中护士护理痴呆患者的经验。
定性访谈。
本定性研究采用诠释现象学研究方法。在一个骨科病房对八名丹麦护士进行了访谈，了解她们护理骨科痴呆患者的经验。选择了具有不同专业水平的护士进行访谈，以便全方位的护理经验能为该研究提供信息。
研究结果揭示了两个主要主题：“护士沟通与患者信息”和“护理妥协”，分别有三个和四个子主题。这些发现用于说明护士护理痴呆患者的经验如何以及为何导致一些护士对慢性痴呆患者的急性护理感到不满和产生负面的先入之见。研究结果在互动护理实践理论的背景下进行了讨论，并描述了护理痴呆患者的急性骨科护士所面临的挑战。
在急性骨科医院住院期间，骨科护士发现为痴呆患者提供以患者为中心的护理具有挑战性且在专业上存在困难。
骨科护士应努力对痴呆护理采取积极态度和以患者为中心的方法。还建议在一定程度上通过口头传播来补充电子病历，因为关于痴呆患者护理情况的信息、行动计划和知识往往会淹没在按时间顺序呈现的数据中。
