College of Nursing, Korea University, Seoul 02841, Korea.
BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul 02841, Korea.
Int J Environ Res Public Health. 2022 Aug 23;19(17):10493. doi: 10.3390/ijerph191710493.
Behavioral and psychological symptoms of dementia (BPSD) are common in residents of long-term care facilities (LTCFs). In LTCFs, nursing staff, including nurses and care workers, play a crucial role in managing BPSD as those most in contact with the residents. However, it is ambiguous where their focus should be for effective BPSD care. Thus, this paper aims to reveal BPSD care competencies for nursing staff in LTCFs and to outline an initial frame of education. A multiphase mixed-methods approach, which was conducted through topic modeling, qualitative interviews, and a Delphi survey, was used. From the results, a preliminary educational framework for nursing staff with categories of BPSD care competence was outlined with the four categories of BPSD care competence: using knowledge for assessment and monitoring the status of residents, individualizing approaches on how to understand residents and address BPSD, building relationships for shared decision-making, and securing a safe environment for residents and staff in LTCFs. This preliminary framework illuminates specific domains that need to be developed for competent BPSD care in LTCFs that are centered on nursing staff who directly assess and monitor the changing and deteriorating state of residents in LTCFs.
痴呆症患者的行为和心理症状（BPSD）在长期护理机构（LTCF）的居民中很常见。在 LTCF 中，护理人员，包括护士和护理人员，在管理 BPSD 方面发挥着至关重要的作用，因为他们与居民接触最多。然而，他们的注意力应该集中在哪些方面以进行有效的 BPSD 护理还不清楚。因此，本文旨在揭示 LTCF 护理人员的 BPSD 护理能力，并概述初步的教育框架。本研究采用多阶段混合方法，通过主题建模、定性访谈和德尔菲调查进行。结果表明，护理人员初步的教育框架包括 BPSD 护理能力的四个类别：利用知识进行评估和监测居民的状况，个性化了解居民和处理 BPSD 的方法，建立共同决策的关系，以及确保 LTCF 中居民和工作人员的安全环境。这个初步框架阐明了在以直接评估和监测 LTCF 中居民不断变化和恶化状况的护理人员为中心的情况下，需要在 LTCF 中进行有能力的 BPSD 护理的具体领域。
