Tags

Type your tag names separated by a space and hit enter

Experiences of nurses with the care of patients with dementia in acute hospitals: A secondary analysis.
J Clin Nurs. 2018 Jan; 27(1-2):162-172.JC

Abstract

AIMS AND OBJECTIVES

To describe nurses' experiences in caring for people with dementia in acute hospital settings.

BACKGROUND

Recent research suggests that nurses' experience in caring for people with dementia in acute hospitals is characterised by frustration, overall job dissatisfaction and feelings of powerlessness and guilt. Despite a growing body of knowledge concerning the care of people with dementia in acute care settings, it remains unclear how nurses in acute hospitals provide care for people with dementia and what general conditions characterise the nursing care provided to these patients.

DESIGN

A qualitative secondary analysis was conducted.

METHODS

Data were collected using audio-recorded focus group discussions with nurses in Germany and Austria. Overall, 12 focus group discussions, which were part of two larger research projects in Germany and Austria, were expanded into a qualitative secondary analysis (a content analysis).

RESULTS

The findings show that nurses face great uncertainty in caring for people with dementia in acute hospital settings and that each nurse reacts in different ways to address this uncertainty. The results also underline that, even for nurses who provide some form of person-centred care, the hospital environment imposes several contextual constraints.

CONCLUSIONS

Hospitals must minimise constraints to give every nurse the chance to perform person-centred care. Furthermore, it is important to sensitise nurses and give them sufficient training and education to enable them to care for people with dementia.

RELEVANCE TO CLINICAL PRACTICE

The results may contribute to a better understanding of the factors that support or constrain person-centred nursing care for people with dementia in acute hospitals.

Authors+Show Affiliations

German Center for Neurodegenerative Diseases, Witten, Germany.Department of Nursing Science, University of Vienna, Vienna, Austria.Institute for Applied Nursing Science, University of Applied Science St.Gallen, St. Gallen, Switzerland.Department of Nursing Science, University of Vienna, Vienna, Austria. Institute for Applied Nursing Science, University of Applied Science St.Gallen, St. Gallen, Switzerland.Department of Nursing Science, University of Vienna, Vienna, Austria.Department of Nursing Science, University of Vienna, Vienna, Austria.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28426891

Citation

Pinkert, Christiane, et al. "Experiences of Nurses With the Care of Patients With Dementia in Acute Hospitals: a Secondary Analysis." Journal of Clinical Nursing, vol. 27, no. 1-2, 2018, pp. 162-172.
Pinkert C, Faul E, Saxer S, et al. Experiences of nurses with the care of patients with dementia in acute hospitals: A secondary analysis. J Clin Nurs. 2018;27(1-2):162-172.
Pinkert, C., Faul, E., Saxer, S., Burgstaller, M., Kamleitner, D., & Mayer, H. (2018). Experiences of nurses with the care of patients with dementia in acute hospitals: A secondary analysis. Journal of Clinical Nursing, 27(1-2), 162-172. https://doi.org/10.1111/jocn.13864
Pinkert C, et al. Experiences of Nurses With the Care of Patients With Dementia in Acute Hospitals: a Secondary Analysis. J Clin Nurs. 2018;27(1-2):162-172. PubMed PMID: 28426891.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Experiences of nurses with the care of patients with dementia in acute hospitals: A secondary analysis. AU - Pinkert,Christiane, AU - Faul,Eva, AU - Saxer,Susi, AU - Burgstaller,Melanie, AU - Kamleitner,Doris, AU - Mayer,Hanna, Y1 - 2017/07/10/ PY - 2017/04/12/accepted PY - 2017/4/21/pubmed PY - 2018/6/2/medline PY - 2017/4/21/entrez KW - acute care KW - dementia care KW - focus groups KW - nursing care KW - qualitative study SP - 162 EP - 172 JF - Journal of clinical nursing JO - J Clin Nurs VL - 27 IS - 1-2 N2 - AIMS AND OBJECTIVES: To describe nurses' experiences in caring for people with dementia in acute hospital settings. BACKGROUND: Recent research suggests that nurses' experience in caring for people with dementia in acute hospitals is characterised by frustration, overall job dissatisfaction and feelings of powerlessness and guilt. Despite a growing body of knowledge concerning the care of people with dementia in acute care settings, it remains unclear how nurses in acute hospitals provide care for people with dementia and what general conditions characterise the nursing care provided to these patients. DESIGN: A qualitative secondary analysis was conducted. METHODS: Data were collected using audio-recorded focus group discussions with nurses in Germany and Austria. Overall, 12 focus group discussions, which were part of two larger research projects in Germany and Austria, were expanded into a qualitative secondary analysis (a content analysis). RESULTS: The findings show that nurses face great uncertainty in caring for people with dementia in acute hospital settings and that each nurse reacts in different ways to address this uncertainty. The results also underline that, even for nurses who provide some form of person-centred care, the hospital environment imposes several contextual constraints. CONCLUSIONS: Hospitals must minimise constraints to give every nurse the chance to perform person-centred care. Furthermore, it is important to sensitise nurses and give them sufficient training and education to enable them to care for people with dementia. RELEVANCE TO CLINICAL PRACTICE: The results may contribute to a better understanding of the factors that support or constrain person-centred nursing care for people with dementia in acute hospitals. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/28426891/Experiences_of_nurses_with_the_care_of_patients_with_dementia_in_acute_hospitals:_A_secondary_analysis_ L2 - https://doi.org/10.1111/jocn.13864 DB - PRIME DP - Unbound Medicine ER -