护士在荷兰急性医院照顾痴呆症患者的认知。
Nurses' perceptions in caring for people with dementia in Dutch acute hospitals.
机构信息
NHL Stenden University of Applied Science, Leeuwarden, The Netherlands.
Health Science-Nursing Science and Education, University of Groningen, Groningen, The Netherlands.
出版信息
J Clin Nurs. 2022 Jul;31(13-14):1800-1816. doi: 10.1111/jocn.15458. Epub 2020 Sep 9.
AIMS AND OBJECTIVES
Overall, this study aimed to describe nursing care for patients with dementia in acute hospitals, with the objectives of describing the provided nursing care (a), nurses' attitudes and perceptions in caring for patients with dementia (b), and exploring how nurses deal with challenging behaviour (c). Additionally, we determined background variables associated with caring for people with dementia.
BACKGROUND
Due to comorbidities, people with dementia are frequently admitted to acute care hospitals. Here, they are at high risk of complications. Nurses strive for good care but regularly experience insufficient knowledge and skills regarding caring for people with dementia.
DESIGN
A cross-sectional survey study design.
METHODS
Data were collected in seven Dutch acute hospitals and through social media. In total, 229 hospital nurses completed the questionnaire. We used the Geriatric In-Hospital Nursing Care Questionnaire and two subscales of Hynninen on managing challenging behaviour. This report followed the STROBE checklist.
RESULTS
Nurses express that they often apply general preventive interventions not explicitly related to dementia care. In general, nurses have mixed feelings about the nursing care provided in their department. For challenging behaviour, a variety of approaches, including restrictive measures and medication, is applied. The nurses' attitudes and perceptions are influenced by the type of hospital where the nurses work, the level of education, the number of hours nurses work, and if the nurses completed a course on dementia in the last year.
CONCLUSIONS
Despite a positive attitude, nurses do not have the specific knowledge and skills needed to provide proper care. Nurses who recently completed a course on dementia had more positive attitudes and perceptions towards caring for patients with dementia.
RELEVANCE TO CLINICAL PRACTICE
The results of this research can be used to improve the quality of nursing care for patients with dementia in acute hospitals.
目的和目标
总的来说，本研究旨在描述急性医院中痴呆患者的护理情况，具体目标包括描述提供的护理（a）、护士在照顾痴呆患者方面的态度和看法（b）以及探索护士如何应对挑战性行为（c）。此外，我们还确定了与照顾痴呆患者相关的背景变量。
背景
由于合并症，痴呆患者经常被收入急性护理医院。在这些医院，他们面临着较高的并发症风险。护士努力提供优质护理，但经常在照顾痴呆患者方面缺乏足够的知识和技能。
设计
这是一项横断面调查研究设计。
方法
数据收集在七家荷兰急性医院进行，并通过社交媒体进行。共有 229 名医院护士完成了问卷。我们使用了老年住院护理护理问卷和 Hynninen 管理挑战性行为的两个子量表。本报告遵循 STROBE 清单。
结果
护士表示，他们经常应用与痴呆护理无关的一般性预防干预措施。总的来说，护士对所在部门提供的护理服务有复杂的感受。对于挑战性行为，护士会采用多种方法，包括限制措施和药物治疗。护士的态度和看法受到他们所在医院的类型、教育程度、工作时间长短以及是否在过去一年中参加过痴呆课程的影响。
结论
尽管态度积极，但护士缺乏提供适当护理所需的特定知识和技能。最近参加过痴呆课程的护士对照顾痴呆患者的态度和看法更为积极。
临床实践的相关性
本研究结果可用于提高急性医院痴呆患者的护理质量。
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