Cronin Camille, Ojo Omorogieva
School of Health and Social Care, Southend Campus, University of Essex, Southend, England.
School of Health Sciences, University of Greenwich, London, England.
Nurs Older People. 2021 Aug 3;33(4):27-33. doi: 10.7748/nop.2021.e1312. Epub 2021 May 5.
An ageing population with a range of co-morbidities means the number of hospital admissions of older people with dementia is increasing. People with dementia can find acute hospital settings unsettling and they need to be cared for by a workforce skilled and knowledgeable in dementia care.
To explore nursing students' experiences of, and socialisation in, dementia care in the acute hospital setting in England through a secondary qualitative analysis of data from a phenomenological study of nursing students' cultural beliefs around, and understanding of, dementia.
Data from ten focus groups with 81 undergraduate nursing students at two universities in the south of England were subjected to content analysis. This was a secondary qualitative analysis of data retrieved from an earlier study.
Two categories emerged: 'exposure to dementia care' and 'socialisation in dementia care'. Participants often felt unprepared to care for patients with dementia and their experiences were negatively affected by staff's views of patients with dementia, who were often considered challenging to manage. Participants also encountered specialist dementia nurses who enabled them to learn more about person-centred dementia care.
Optimal dementia care knowledge and skills can contribute to enhanced patient outcomes and positive attitudes towards older people's care. To reduce deficits in dementia care education, nurses need regular continuing professional development in dementia care, higher education institutions need to commit to developing dementia care in their curricula, and students need to be socialised in dementia care earlier during undergraduate nurse education.
老龄化人口伴有一系列合并症，这意味着老年痴呆症患者的住院人数在增加。患有痴呆症的人会觉得急症医院环境令人不安，他们需要由具备痴呆症护理技能和知识的工作人员来照顾。
通过对一项关于护理专业学生对痴呆症的文化信仰及理解的现象学研究数据进行二次定性分析，探讨英国急症医院环境中护理专业学生在痴呆症护理方面的经历和社会化情况。
对英格兰南部两所大学的81名本科护理专业学生参加的10个焦点小组的数据进行内容分析。这是对从早期研究中检索到的数据进行的二次定性分析。
出现了两个类别：“接触痴呆症护理”和“痴呆症护理中的社会化”。参与者常常觉得没有做好护理痴呆症患者的准备，工作人员对痴呆症患者的看法对他们的经历产生了负面影响，这些患者常常被认为难以管理。参与者还遇到了专业的痴呆症护士，这些护士使他们能够更多地了解以患者为中心的痴呆症护理。
最佳的痴呆症护理知识和技能有助于改善患者的治疗效果，并对老年人护理形成积极态度。为了减少痴呆症护理教育方面的不足，护士需要定期接受痴呆症护理方面的持续专业发展培训，高等教育机构需要致力于在课程中开展痴呆症护理教学，并且学生需要在本科护理教育期间更早地接受痴呆症护理方面的社会化培训。
