Suzuki Mizue, Kanamori Takuya, Naito Tomoyoshi, Inagaki Keigo, Yoshimura Hiromi, Mimuro Soichiro, Sakai Ikuko, Sawaki Keisuke, Matsushita Kimiyo, Sasaki Nanayo, Ishihara Tetsuro, Ohba Fumiko, Ishigaki Kaori, Kawashima Chieko, Yagi Jun, Terada Chihiro, Ikeda Chieko, Tatsuka Yoshimi, Sugimura Masumi, Yamanashi Misuzu, Uchida Satomi, Shimoyama Miho, Miyagishima Tomohiro, Suzuki Mika
Hamamatsu University School of Medicine Faculty of Nursing.
Japanese Nursing Association Institute for Graduate Nurses.
Nihon Ronen Igakkai Zasshi. 2024;61(2):204-217. doi: 10.3143/geriatrics.61.204.
The present multicenter randomized controlled trial explored the effectiveness of a person-centered care program (intervention group) and a dementia-type-specific program (control group) for nurses in acute-care hospitals.
Seven hospitals in Prefecture A were randomly allocated to two groups (an intervention group and a control group), and a study of these groups was conducted from July 2021 to January 2022.
A total of 158 participants were included in the study: 58 in the control group and 100 in the intervention group. In a comparison of assessment values immediately after the course, three months later, and six months later for both the intervention and control groups, "expertise in dementia nursing," "medical expertise in dementia, " and "confidence in nursing older people with dementia" were all significantly higher than before the course. Significant improvements in the intervention group's "knowledge of dementia" and "sense of dignity" on the ethical sensitivity scale were found immediately after the course compared to baseline, three months later, and six months later and were also significantly greater than the control group in terms of the amount of change. In the control group's "unique care tailored to cognitive function and the person," there were significant improvements in the ratings immediately after the course and three and six months after the course compared to baseline, with significantly greater amounts of change than in the intervention group.
The person-centered care program for nurses led to improvements in the knowledge about dementia and awareness of the dignity of ethical sensitivity. In addition, the type of dementia program had a significant influence on medical knowledge and unique care tailored to the cognitive function and the individual patient. Further outcome evaluations of physical restraint rates as a quality of care in nursing practice are needed.
