Department of Nursing, Faculty of Health Sciences, University of Malta, Msida, Malta.
Gilbrea Chair Aging and Mental Health (Health, Aging and Society), McMaster University, Hamilton, Ontario, Canada.
J Clin Nurs. 2023 Sep;32(17-18):5493-5513. doi: 10.1111/jocn.16635. Epub 2023 Jan 29.
This review aimed to map studies related to healthcare professionals' perceptions and attitudes towards the rehabilitation for persons living with dementia and extract what they perceive are the barriers and solutions.
Rehabilitation can improve the quality of life and integration of persons living with dementia into society. However, there are several barriers to accessing rehabilitation services. Healthcare professionals are a source of information to understand the challenges and provide solutions to improve these services.
Arksey and O' Malley (International Journal of Social Research Methodology, 8, 2005 and 19) five-step framework for scoping reviews and the PRISMA-ScR checklist was used. The PAGER (Patterns, Advances, Gaps, Evidence for practice and Research recommendations) framework was used to identify research and practice recommendations.
Seven databases including Medline Complete, Academic Search Ultimate, Ageline, CINAHL, PsycInfo, Pubmed and Google Scholar were searched. The healthcare professionals' perceived challenges and solutions were categorised using Braun & Clarke (Qualitative Research in Psychology, 3, 2006 and 77) thematic analysis.
Fifteen articles were selected for review. The challenges and solutions were organised according to their association with three stakeholders; the persons living with dementia/informal caregivers, healthcare professionals and the organisation providing the service. Nine of the studies focused on persons living with dementia following a fall or a hip fracture. Most of the studies focused on the perceptions of allied healthcare professionals, with nurses working in rehabilitation settings being underrepresented.
Healthcare professionals have to consider the complexity of rehabilitating persons living with dementia irrespective of the rehabilitation speciality. Moreover, more studies are needed that focus on the views of rehabilitation nurses.
This review provides further evidence of the healthcare professionals' misconceptions about the rehabilitation potential of persons living with dementia. There is a need to educate healthcare professionals about the societal, attitudinal and environmental barriers faced by persons living with dementia and their caregivers.
No Patient or Public Contribution-scoping review.
本综述旨在绘制与医疗保健专业人员对痴呆症患者康复的看法和态度相关的研究，并从中提取他们认为的障碍和解决方案。
康复可以提高痴呆症患者的生活质量并促进他们融入社会。然而，获得康复服务存在一些障碍。医疗保健专业人员是了解挑战并提供解决方案以改善这些服务的信息来源。
采用阿特金和奥马利（2005 年和 19 年的《国际社会研究方法杂志》）的五步综述框架和 PRISMA-ScR 清单。使用 PAGER（模式、进展、差距、实践证据和研究建议）框架来确定研究和实践建议。
共检索了 7 个数据库，包括 Medline Complete、Academic Search Ultimate、Ageline、CINAHL、PsycInfo、Pubmed 和 Google Scholar。使用 Braun 和 Clarke（2006 年和 77 年的《心理学中的定性研究》）主题分析对医疗保健专业人员感知到的挑战和解决方案进行分类。
选择了 15 篇文章进行综述。根据与三个利益相关者的关联，对挑战和解决方案进行了组织；痴呆症患者/非正式照顾者、医疗保健专业人员和提供服务的组织。其中 9 项研究侧重于跌倒或髋部骨折后接受康复治疗的痴呆症患者。大多数研究侧重于医疗保健专业人员的看法，而在康复环境中工作的护士则代表性不足。
医疗保健专业人员必须考虑到无论康复专业如何，康复痴呆症患者的复杂性。此外，需要进行更多研究，重点关注康复护士的观点。
本综述进一步证明了医疗保健专业人员对痴呆症患者康复潜力的误解。有必要向医疗保健专业人员传授痴呆症患者及其照顾者所面临的社会、态度和环境障碍。
无患者或公众贡献-范围综述。
