Downes Megan Nicola, Hemingway Steve, Simkhada Bibha, King Nigel, Caress Ann-Louise
Department of Psychology, School of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.
Department of Nursing, School of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.
Nurs Rep. 2025 May 23;15(6):183. doi: 10.3390/nursrep15060183.
: Understanding environmental experiences in residential dementia care is crucial for enhancing care practices, training, and policy. The environment's role in dementia care is complex. Allied health and nursing professionals must consider environmental aspects concerning care for individuals with dementia. This study investigates how employed caregivers experience and perceive environmental influences in residential dementia care. : In September 2024, we systematically searched PubMed, CINAHL, and PsycINFO for qualitative studies, adhering to SRQR guidelines. The CASP tool was used to assess study quality, ensuring rigor and reliability in selection. The meta-synthesis is registered with Prospero: CRD42024598962. A template analysis was conducted to structure emerging themes. : Fifteen studies met the inclusion criteria. Key themes included: 1. Working Environment: Informed understandings-capturing caregivers' perceptions of organisational structures and support. 2. Lived Environment: Stability and Clarity-highlighting the impact of relational and social dynamics on caregiving; and 3. Physical and Built Environment: Impact on Overall Care Experience-looking at the role of space and design in facilitating effective dementia care. Following this, more subthemes emerged, resulting in the final template. : The key gaps included understanding the existing strengths of practice, differences in job roles, funding, the role of Employed Caregivers, and Employed Caregivers' personhood. Emphasising evidence-based practice and clearly defining job roles may improve decision-making and collaboration. It is essential to identify funding gaps and provide clear guidelines and training to ensure equitable care and maximise the contributions of Employed Caregivers working with nurses and allied health professionals. Recognising Employed Caregivers' personhood could enhance job satisfaction and reduce burnout. Policies should address these gaps by providing training to clarify roles and enhance skills. A supportive, person-centred workplace may improve satisfaction and care outcomes. Future research should evaluate these aspects and continue to identify the best practices.
了解住院痴呆症护理中的环境体验对于改善护理实践、培训和政策至关重要。环境在痴呆症护理中的作用很复杂。健康与护理相关专业人员必须考虑与痴呆症患者护理相关的环境因素。本研究调查了受雇护理人员在住院痴呆症护理中如何体验和感知环境影响。
2024年9月，我们按照SRQR指南，系统地在PubMed、CINAHL和PsycINFO中搜索定性研究。使用CASP工具评估研究质量，确保选择过程的严谨性和可靠性。该元综合研究已在Prospero注册：CRD42024598962。进行了模板分析以构建新出现的主题。
十五项研究符合纳入标准。关键主题包括：1. 工作环境：深入理解——捕捉护理人员对组织结构和支持的看法；2. 生活环境：稳定性与清晰度——强调人际关系和社会动态对护理的影响；3. 物理与建筑环境：对整体护理体验的影响——审视空间和设计在促进有效痴呆症护理中的作用。在此之后，出现了更多子主题，形成了最终模板。
关键差距包括了解现有实践优势、工作角色差异、资金、受雇护理人员的角色以及受雇护理人员个体特性。强调循证实践并明确界定工作角色可能会改善决策和协作。识别资金缺口并提供明确的指导方针和培训以确保公平护理并最大限度地发挥受雇护理人员与护士及健康与护理相关专业人员合作的贡献至关重要。认识到受雇护理人员的个体特性可以提高工作满意度并减少倦怠。政策应通过提供培训以明确角色和提高技能来解决这些差距。一个支持性的、以人为本的工作场所可能会提高满意度和护理效果。未来的研究应评估这些方面并继续确定最佳实践。
