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养老院工作人员对实施以痴呆患者为中心的护理的障碍和需求的看法:一项定性研究。

Nursing home staff's perceptions of barriers and needs in implementing person-centred care for people living with dementia: A qualitative study.

机构信息

College of Nursing, Gachon University, Seongnam-si, Korea.

College of Nursing, Seoul National University, Seoul, Korea.

出版信息

J Clin Nurs. 2022 Jul;31(13-14):1896-1906. doi: 10.1111/jocn.15729. Epub 2021 Mar 8.


DOI:10.1111/jocn.15729
PMID:33624338
Abstract

AIMS AND OBJECTIVES: This study explored nursing home staff's barriers and needs in implementing person-centred care for people with dementia. BACKGROUND: Person-centred care is an imperative international policy and the best-practice standard for dementia care. However, a gap exists between policy and practice. Moreover, there is a lack of qualitative studies that explored nursing home staff's barriers and needs in implementing person-centred care for people living with dementia. DESIGN: A qualitative descriptive approach was adopted. METHODS: Using convenience sampling method, a total of 24 staff members (nurses, nurse's aides, or care workers) were recruited from six nursing homes in Korea. Two in-depth, face-to-face, one-to-one interviews were conducted with all participants (a total of 48 interviews). A semi-structured interview guide was used and field notes were written after each interview. Data were collected until data saturation was reached. Qualitative content analysis was used. This study followed the COREQ guidelines. RESULTS: Four themes emerged from data analysis: insufficient resources, lack of education, negative mindset and poor relationships. This study showed that nursing home staff experienced many barriers and unmet needs in implementing person-centred care for people with dementia. CONCLUSION: The findings indicated that nursing home staff faced many barriers and needs in implementing person-centred care for people with dementia. Nursing home staff need more legitimate, financial, educational and emotional support. RELEVANCE TO CLINICAL PRACTICE: The study indicates more national and organisational support are needed for nursing home staff to successfully implement person-centred care for people living with dementia. Nursing home leaders need to recognise the importance of their role in overcoming the barriers and provide effective support for staff in implementing person-centred dementia care.

摘要

目的和目标:本研究探讨了养老院工作人员在实施以痴呆症患者为中心的护理方面的障碍和需求。

背景:以患者为中心的护理是一项强制性的国际政策,也是痴呆症护理的最佳实践标准。然而,政策与实践之间存在差距。此外,缺乏定性研究来探讨养老院工作人员在为患有痴呆症的人实施以患者为中心的护理方面的障碍和需求。

设计:采用定性描述方法。

方法:使用便利抽样法,从韩国的六家养老院共招募了 24 名工作人员(护士、护士助理或护理人员)。对所有参与者(共 48 次访谈)进行了两次深入的面对面一对一访谈。使用半结构化访谈指南,并在每次访谈后记录现场笔记。收集数据直到达到数据饱和。使用定性内容分析。本研究遵循 COREQ 指南。

结果:数据分析得出了四个主题:资源不足、缺乏教育、消极心态和不良关系。本研究表明,养老院工作人员在为痴呆症患者实施以患者为中心的护理方面面临许多障碍和未满足的需求。

结论:研究结果表明,养老院工作人员在为痴呆症患者实施以患者为中心的护理方面面临许多障碍和需求。养老院工作人员需要更多的合法、财务、教育和情感支持。

临床意义:研究表明,需要为养老院工作人员提供更多的国家和组织支持,以成功为痴呆症患者实施以患者为中心的护理。养老院的领导需要认识到他们在克服障碍和为工作人员实施以患者为中心的痴呆症护理提供有效支持方面的作用的重要性。

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引用本文的文献

[1]
Person-centred care of people living with dementia and its regulation in German-speaking nursing homes: A qualitative focus group study.

Int J Nurs Stud Adv. 2025-8-5

[2]
Person-centred leadership in residential care for older people from the perspective of registered nurses: A qualitative study.

Int J Nurs Stud Adv. 2025-7-7

[3]
A Complex Intervention to Strengthen Person-Centered Care and Leadership in Residential Care Facilities (the PERLE Study): Protocol for a Development and Implementation Study.

JMIR Res Protoc. 2025-7-21

[4]
Factors Influencing the Implementation of Non-Pharmacological Interventions for Behavioural and Psychological Symptoms of Dementia in Residential Aged-Care Homes: A Systematic Review and Qualitative Evidence Synthesis: A systematic review.

Campbell Syst Rev. 2025-3-25

[5]
Barriers and facilitators to implementing person-centred dementia care in long-term care facilities in Western and Asian countries: a scoping review.

Front Psychiatry. 2025-1-14

[6]
Exploring self-experience practices in dementia care: A scoping review.

PLoS One. 2024

[7]
Implementation of the Dementia Isolation Toolkit in long-term care improves awareness but does not reduce moral distress amongst healthcare providers.

BMC Health Serv Res. 2024-4-18

[8]
Difficulties and challenges experienced by nurses in eldercare institutions in Albania: A qualitative content analysis.

PLoS One. 2024

[9]
Health Provider Experiences in Supporting Social Connectedness Between Families and Older Adults Living in Long-Term Care Homes.

SAGE Open Nurs. 2024-3-21

[10]
Barriers and facilitators to dementia care in long-term care facilities: protocol for a qualitative systematic review and meta-synthesis.

BMJ Open. 2023-11-1

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