Manietta Christina, Purwins Daniel, Pinkert Christiane, Fink Lisa, Rommerskirch-Manietta Mike, Feige Melanie, Knecht Christiane, Roes Martina
German Center for Neurodegenerative Diseases (DZNE), Witten, Germany.
Faculty of Health, School of Nursing Science, Witten/Herdecke University, Witten, Germany.
J Clin Nurs. 2024 Sep 17. doi: 10.1111/jocn.17422.
To investigate the professional dementia experts' understanding of a dementia-friendly hospital to identify its characteristics.
We used a qualitative design embedded in a case study. A total of 16 semi-structured expert interviews were conducted with 17 professional dementia experts. Using inductive content analysis, the interviews were analysed in a participatory manner involving a group of researchers and dementia experts.
We identified six characteristics of dementia-friendly hospitals: Proud to be dementia-friendly-That's what we want; Seeing the human being-Taking care of everyone; Having everyone on board-It's a collective task; Being professional-It takes more than being nice and kind; Rethinking the 'running' system-We have to change, not them; and Being part of the community-Thinking beyond the hospital.
The concept of a dementia-friendly hospital seems complex and requires a rethinking of the traditional hospital. For a conceptualisation, the involvement of people with dementia and their relatives is important to gain a comprehensive understanding.
A dementia-friendly hospital is characterised by professional care that comprises a safe, familiar and supportive environment, is prepared but also flexible, has everyone on board, and sees the human being. To become dementia-friendly, individual interventions such as training courses can be a starting point. However, an overall concept is required that also includes components that contribute to successful implementation and a welcoming culture of people with dementia.
Our findings on the perspective of professional dementia experts contribute to the conceptualisation of dementia-friendly hospitals.
We reported our study according to the COREQ checklist.
The investigation of the perspective of professional dementia experts is one part of a larger study. In this overall DEMfriendlyHospital study, we interviewed professional dementia experts, people with dementia and their relatives and also involved them in a participatory manner in various stages of the research process.
调查专业痴呆症专家对痴呆友好型医院的理解,以确定其特征。
我们采用了嵌入案例研究的定性设计。对17名专业痴呆症专家进行了总共16次半结构化专家访谈。采用归纳式内容分析法,由一组研究人员和痴呆症专家以参与式方式对访谈进行分析。
我们确定了痴呆友好型医院的六个特征:以成为痴呆友好型医院为荣——这就是我们想要的;关注人本身——照顾每一个人;让每个人都参与进来——这是一项集体任务;具备专业性——这不仅仅是友好和善;重新思考“运营”系统——我们必须改变,而不是他们;成为社区的一部分——超越医院进行思考。
痴呆友好型医院的概念似乎很复杂,需要对传统医院进行重新思考。对于概念化而言,痴呆症患者及其亲属的参与对于获得全面理解很重要。
痴呆友好型医院的特点是提供专业护理,包括安全、熟悉和支持性的环境,有准备但也灵活,让每个人都参与进来,并关注人本身。要成为痴呆友好型医院,诸如培训课程等个别干预措施可以作为起点。然而,需要一个整体概念,其中还应包括有助于成功实施的要素以及对痴呆症患者友好的文化。
我们关于专业痴呆症专家观点的研究结果有助于痴呆友好型医院的概念化。
我们根据COREQ清单报告了我们的研究。
对专业痴呆症专家观点的调查是一项更大研究的一部分。在整个DEMfriendlyHospital研究中,我们采访了专业痴呆症专家、痴呆症患者及其亲属,并在研究过程的各个阶段以参与式方式让他们参与进来。