IDEA Lab, The University of British Columbia, Canada.
Community Engagement Advisory Network, Vancouver Coastal Health, Canada.
Can J Nurs Res. 2024 Mar;56(1):49-60. doi: 10.1177/08445621231208220. Epub 2023 Oct 16.
Nurses and healthcare providers need practical tools to deliver person-centred care in hospitals and long-term care homes. Few non-pharmacological interventions are designed to meet the needs of people with moderate to severe dementia. Dementia-friendly television videos (TV videos) offer a familiar stimulation with the potential for meaningful engagement in the relational space of technology. TV videos refer to moving visuals with audio that can be shown on TV and other devices. They can be used for different purposes for people with dementia, such as stimulating memories and facilitating expressions.
This study aims to understand the perspectives of nurses and healthcare providers on the potential function and practice considerations of using TV videos for people with moderate to severe dementia.
We conducted five focus groups with 23 nurses and healthcare providers in a long-term care home and a geriatric hospital unit. Data were analyzed using reflexive thematic analysis and guided by Kitwood's person-centred care model.
Our analysis identified five themes about the use of TV videos: (1) calm the person with dementia who is in emotional distress, (2) form connections with the person with dementia, (3) bring people with dementia together, (4) facilitate the Person's Activities of Daily Living (ADLs), (5) help the person connect with their past.
TV videos should be designed to match the person's cognitive abilities, interests, and cultural and linguistic backgrounds. Our findings supplemented Kitwood's model by identifying the person's cultural and language needs.
护士和医疗保健提供者需要实用工具，以便在医院和长期护理院提供以患者为中心的护理。很少有非药物干预措施旨在满足中重度痴呆患者的需求。以患者为中心的电视视频（TV 视频）提供了熟悉的刺激，具有在技术的关系空间中进行有意义互动的潜力。TV 视频是指带有音频的移动图像，可以在电视和其他设备上播放。它们可以用于痴呆症患者的不同目的，例如刺激记忆和促进表达。
本研究旨在了解护士和医疗保健提供者对使用 TV 视频为中重度痴呆患者提供潜在功能和实践注意事项的看法。
我们在一家长期护理院和一家老年医院病房进行了五次焦点小组讨论，共有 23 名护士和医疗保健提供者参加。数据分析采用反思性主题分析，并以基特伍德的以患者为中心的护理模式为指导。
我们的分析确定了五个关于使用 TV 视频的主题：（1）使处于情绪困扰中的痴呆症患者平静下来，（2）与痴呆症患者建立联系，（3）使痴呆症患者聚集在一起，（4）促进患者的日常生活活动（ADL），（5）帮助患者与过去建立联系。
TV 视频的设计应符合患者的认知能力、兴趣以及文化和语言背景。我们的发现通过确定患者的文化和语言需求，补充了基特伍德的模型。
