Waterschoot Karien, Roelofs Tineke S M, van Dam Arno, Luijkx Katrien G
Tranzo, Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Netherlands.
Psychogeriatric Psychology, Archipel Zorggroep Care Institute, Eindhoven, Netherlands.
Front Dement. 2024 Feb 23;3:1304438. doi: 10.3389/frdem.2024.1304438. eCollection 2024.
Person-centered nursing home care recognizes the intimate and sexual needs of residents with dementia but lacks guidance for nurses to address them while effectively respecting their personal boundaries. The Including Personal Boundaries (IPB) scale was developed to complement clinical and scientific efforts to support both nurse and resident wellbeing.
Through a co-creative process, theoretical principles, day-to-day experiences, and expert knowledge were integrated into an initial nineteen-item version of the IPB scale. The pilot sample comprised 297 Dutch (vocational) nurses in dementia nursing care.
After Principal Component Analysis, nine items with strong factor loadings (>0.6) were retained. Internal reliability measures supported the item selection, such as high internal consistency (α = 0.866) and adequate corrected item-total correlations (0.532-0.781).
The presented IPB scale, a nine-item scale, is a short, robust measure to assess nurses' self-efficacy in their capabilities to include personal boundaries (physical and emotional) when confronted with the intimate and sexual behaviors of residents with dementia. Further validation is recommended. The IPB scale could provide valuable insights for research, clinical practice, and education.
以患者为中心的养老院护理承认痴呆症患者的亲密需求和性需求，但在有效尊重患者个人边界的同时，缺乏指导护士处理这些需求的方法。“纳入个人边界”（IPB）量表的开发是为了补充临床和科学方面的努力，以促进护士和患者的福祉。
通过一个共同创造的过程，将理论原则、日常经验和专业知识整合到IPB量表最初的19个条目的版本中。试点样本包括297名荷兰痴呆症护理领域的（职业）护士。
经过主成分分析，保留了9个具有强因子载荷（>0.6）的条目。内部信度测量支持了条目选择，如高内部一致性（α = 0.866）和足够的校正后的条目-总分相关性（0.532 - 0.781）。
所呈现的IPB量表是一个包含9个条目的量表，是一种简短、可靠的测量工具，用于评估护士在面对痴呆症患者的亲密行为和性行为时，在纳入个人边界（身体和情感方面）的能力上的自我效能感。建议进一步验证。IPB量表可为研究、临床实践和教育提供有价值的见解。
