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A qualitative study of nurses' attitudes towards' and accommodations of patients' expressions of religiosity and faith in dementia care.
J Adv Nurs. 2015 Feb; 71(2):359-69.JA

Abstract

AIMS

To investigate nurses' attitudes towards and accommodations of patients' expressions of religiosity and faith in dementia care.

BACKGROUND

Holistic care for people with dementia addresses patients' religiosity and faith. Nurses' accommodations of patients' religiosity have not been studied extensively even though nurses report a lack of experience and knowledge regarding religious care.

DESIGN

This study has a qualitative research design.

METHODS

Eight focus group interviews with 16 nurses and 15 care workers in four Norwegian nursing homes were conducted from June 2011-January 2012. The interview text was analysed using van Manen's hermeneutic-phenomenological approach and Lindseth and Nordberg's structural analysis.

FINDINGS

The following three main themes reflected the nurses' and care workers' attitudes towards and accommodations of patients' expressions of religiosity and faith: (i) embarrassment vs. comfort, described in the sub-themes 'feelings of embarrassment' and 'religiosity as a private matter'; (ii) unknown religious practice vs. known religious practice, described as 'religious practice that was scary' or 'religious practice that was recognizable'; and (iii) death vs. life, described as 'difficulty talking about death 'or 'focusing on life and the quality of life'.

CONCLUSION

Nurses and care workers were uncertain and lacked knowledge of the patients' expressions of religiosity and faith in terms of both their substance and their function. Nurses struggled with ambivalent feelings about patients' religious expressions and with unclear understanding of the significance of religiosity. These challenges compromised person-centred and holistic care on several occasions.

Authors+Show Affiliations

Department of Nursing and Mental Health, Faculty of Public Health, Hedmark University College, Elverum, Norway; Department of Nursing Science, Institute of Health and Society, University of Oslo, Norway.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25092229

Citation

Skomakerstuen Ødbehr, Liv, et al. "A Qualitative Study of Nurses' Attitudes Towards' and Accommodations of Patients' Expressions of Religiosity and Faith in Dementia Care." Journal of Advanced Nursing, vol. 71, no. 2, 2015, pp. 359-69.
Skomakerstuen Ødbehr L, Kvigne K, Hauge S, et al. A qualitative study of nurses' attitudes towards' and accommodations of patients' expressions of religiosity and faith in dementia care. J Adv Nurs. 2015;71(2):359-69.
Skomakerstuen Ødbehr, L., Kvigne, K., Hauge, S., & Danbolt, L. J. (2015). A qualitative study of nurses' attitudes towards' and accommodations of patients' expressions of religiosity and faith in dementia care. Journal of Advanced Nursing, 71(2), 359-69. https://doi.org/10.1111/jan.12500
Skomakerstuen Ødbehr L, et al. A Qualitative Study of Nurses' Attitudes Towards' and Accommodations of Patients' Expressions of Religiosity and Faith in Dementia Care. J Adv Nurs. 2015;71(2):359-69. PubMed PMID: 25092229.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A qualitative study of nurses' attitudes towards' and accommodations of patients' expressions of religiosity and faith in dementia care. AU - Skomakerstuen Ødbehr,Liv, AU - Kvigne,Kari, AU - Hauge,Solveig, AU - Danbolt,Lars Johan, Y1 - 2014/08/04/ PY - 2014/07/12/accepted PY - 2014/8/6/entrez PY - 2014/8/6/pubmed PY - 2015/9/22/medline KW - care KW - culture KW - dementia KW - faith KW - nurses' attitudes KW - nursing homes KW - religiosity KW - spirituality SP - 359 EP - 69 JF - Journal of advanced nursing JO - J Adv Nurs VL - 71 IS - 2 N2 - AIMS: To investigate nurses' attitudes towards and accommodations of patients' expressions of religiosity and faith in dementia care. BACKGROUND: Holistic care for people with dementia addresses patients' religiosity and faith. Nurses' accommodations of patients' religiosity have not been studied extensively even though nurses report a lack of experience and knowledge regarding religious care. DESIGN: This study has a qualitative research design. METHODS: Eight focus group interviews with 16 nurses and 15 care workers in four Norwegian nursing homes were conducted from June 2011-January 2012. The interview text was analysed using van Manen's hermeneutic-phenomenological approach and Lindseth and Nordberg's structural analysis. FINDINGS: The following three main themes reflected the nurses' and care workers' attitudes towards and accommodations of patients' expressions of religiosity and faith: (i) embarrassment vs. comfort, described in the sub-themes 'feelings of embarrassment' and 'religiosity as a private matter'; (ii) unknown religious practice vs. known religious practice, described as 'religious practice that was scary' or 'religious practice that was recognizable'; and (iii) death vs. life, described as 'difficulty talking about death 'or 'focusing on life and the quality of life'. CONCLUSION: Nurses and care workers were uncertain and lacked knowledge of the patients' expressions of religiosity and faith in terms of both their substance and their function. Nurses struggled with ambivalent feelings about patients' religious expressions and with unclear understanding of the significance of religiosity. These challenges compromised person-centred and holistic care on several occasions. SN - 1365-2648 UR - https://www.unboundmedicine.com/medline/citation/25092229/A_qualitative_study_of_nurses'_attitudes_towards'_and_accommodations_of_patients'_expressions_of_religiosity_and_faith_in_dementia_care_ L2 - https://doi.org/10.1111/jan.12500 DB - PRIME DP - Unbound Medicine ER -