Implementation of a training program to increase knowledge, improve attitudes and reduce nursing care omissions towards patients with dementia in hospital settings: a mixed-method study protocol (original) (raw)
Related papers
2019
Background-The older population (>65 years) is increasing in number. There is a concomitant rise in the numbers of older persons living with dementia, as there is a distinct correlation between ageing and dementia. Dementia is frequently accompanied by three or more multi-morbidities. Older persons with dementia accompanied by multi-morbidities are amongst the highest consumers of health care services. Due to these facts, nurses are encountering an increasing number of older persons with a coincidental dementia in their daily practice. This includes nurses practicing in non-dementia specific wards/units that include acute, rehabilitation and residential, contained in dedicated health care services for the older person linked to acute hospitals. This is the area of interest in the current study. Due to the demographic changes in our population and, the increasing prevalence of dementia along with the dearth of nursing research conducted in this unique research setting, provided justification for the current study. Research Aim-The aim of this two phase mixed methods sequential explanatory study was to explore nurses' views and opinions about dementia care nursing based on their experiences of caring for the older person with dementia in non-dementia specific wards/units that include acute, rehabilitation and residential, contained in dedicated health care services for the older person linked to acute hospital services in the Irish context. Methodology-A mixed methods sequential explanatory design was used. Phase one involved a quantitative survey approach with nurses (n=129) from non-dementia specific wards/units that include acute, rehabilitation and residential, contained in dedicated health care services for the older person linked to three acute general hospitals. Three questionnaires along with a demographic questionnaire were used to gather data relative to the nurses' views and opinions about various aspects of dementia care nursing to include nurses' attitudes towards dementia and nurses' beliefs about the environment of care. Phase two involved, running five focus groups within the same non-dementia specific setting. Altogether 25 registered general nurses participated in the focus group interviews. The purpose of the focus groups interviews was to elaborate on the quantitative responses from phase one. Findings-Nurses were found to be generally positive about dementia care nursing and positive attitudes correlated significantly with specialist qualifications, management grades and > 11 years of nursing experience, 37.2% of the respondents had specialist qualifications. Key findings highlighted the need for organisational support to place an emphasis on access to specialist training and education to ensure that all nurses are adequately equipped to provide dementia care nursing. A significant finding was that in light of the many ethical dilemmas encountered in dementia care nursing, nurses would welcome the opportunity to participate in clinical supervision and education specific to ethics to enhance their competencies in ethical decision making. The participants represented a culturally diverse group of nurses. A unique finding related to cultural understandings of dementia and dementia care nursing and the impact on dementia care nursing and the importance of recognising and addressing this at the point of integration into the nursing role. While many nurses expressed satisfaction with the physical environment of care, others voiced concern, particularly in relation to the challenges of maintaining persons with dementia safety and security within the ward environment. In relation to staffing levels, many nurses perceived that insufficient staffing levels resulted in challenges in providing the quality of dementia care nursing that they wanted to deliver and that they knew the person with dementia deserved. Conclusion-Results of the study, contribute an overview of the experiences of nurses within the unique setting of non-dementia specific wards/units as identified. An array of complexities experienced by nurses in their practice of dementia care nursing, were identified. Specialist dementia education is critical to ensure that all nurses are providing dementia care nursing according to the person-centred philosophies of the organisation.
The Effect of Training on Dementia Care among Nurses: A Systematic Review
Open Access Macedonian Journal of Medical Sciences, 2021
Background: Dementia has become a global concern in ageing societies nowadays. Nurses have major roles in caring for dementia patients in various settings. There have been many trainings on dementia conducted for nurses and other health staff. However, reviews of the effect of the trainings on nurses are still scarce. This paper aims to review the impact of training on dementia care among nurses in differents settings. Method: systematic search from Medline, Pubmed and Scopus was conducted until February 2019. Additional references were collected using Google Scholar. The inclusion criteria were: primary papers, written in English, involving nurses, and related to dementia. Results: There were 20 papers included in this review. In terms of methodology, most of the articles employ quantitative method (90%). Only one article uses qualitative method (5%) and another one employs mixed methods design (5%). Pretest and posttest design is the mostly used design and four articles use Random...
Challenges of Providing Nursing Care to Patients with Dementia: A Qualitative Study
European Journal of Geriatrics and Gerontology
Objective: The aim of this study was to identify the challenges faced by nurses while providing care to patients with dementia. Materials and Methods: This study was a descriptive and qualitative study conducted between 10 December 2017 and 1 March 2018. In-depth interviews were conducted with ten nurses. Data were analyzed using the inductive content analysis method. Results: Four themes and eight subthemes were identified. The themes were: the perception of dementia, the meaning attributed to caring for patients with dementia, challenges of nursing care in dementia, and empowerment in care practices. Conclusion: Nurses must understand the complex needs of people with dementia in hospitals and clinics. Because these patients need personcentered care that requires special communication and behavior. Nurses should be supported to provide this care to patients with dementia and manage the symptoms of patients with dementia. It contributes to providing individual and institutional support to nurses who care for patients with dementia, improving their communication skills, and coping with the difficulties and difficulties faced by nurses.
Expectations of nursing personnel and physicians on dementia training
Zeitschrift für Gerontologie und Geriatrie
Background The number of dementia training programs in hospital settings is steadily increasing. The way training sessions are designed influences the way the learning content is implemented in practice. To develop a successful training it is important to meet the needs of the target group; however, not much is known about staff preferences and expectations relevant to future dementia training programs in hospitals in Germany and Greece. Objective The aim of this survey was to explore staff training needs relevant to the topic of dementia, in general hospitals in Germany and Greece. This study analyzed the interests of staff members, preferences and expectations with respect to dementia training. Material and methods This was a descriptive survey based on a 54-item questionnaire conducted with 61 nursing staff, head nurses and physicians (Germany: n = 25, Greece: n = 36) recruited from 5 hospitals (Germany: n = 3, Greece: n = 2). Parts of the questionnaire explored participants’ pre...
Adequacy of training in dementia care for acute hospital staff
Nursing Older People, 2012
People with dementia are frequently admitted to general wards where their dementia is often unrecognised and related healthcare needs are unaddressed. This article examines how staff view the training they have received in assessing and caring for people with dementia who are admitted to hospital. It reports on the results of the National Audit of Dementia (Care in General Hospitals); staff completed questionnaires reporting the sufficiency of their training in 13 main areas related to dementia care. Responses were obtained from 270 doctors, 968 qualified nurses and 541 healthcare assistants (HCAs); 690 worked on medical wards, 677 on surgical/orthopaedic wards and 412 on care of older people wards. Doctors felt more adequately trained than nurses or HCAs. Nurses on medical and surgical/orthopaedic wards thought their training was less sufficient than their colleagues working on care of older people wards. The authors conclude that nurses and HCAs working on wards not specialising in the care of older people should receive increased training in dementia care.
Nursing older people, 2020
People with dementia are often admitted to acute hospital settings and it is essential that nurses recognise their complex needs. However, research shows that this patient group often experiences suboptimal care in acute hospital settings as well as increased mortality rates. This article reports the findings of a literature review into the attitudes of nurses who care for patients with dementia in acute hospital settings. It sets out the findings under four themes: the unworthy patient, safety before care, breaking routines and knowledge in dementia care. These themes detail nurses' negative attitudes towards these patients, but also identify that a person-centred approach can support more positive attitudes. The review concludes that acute hospital nurses require education about caring for people with dementia to foster more positive attitudes. Also, there is a need for further research into why nurses hold various attitudes to people with dementia and the association between ...
Development of a Self-Report Checklist to Assess Dementia Care by Nurses in Hospital Settings
Research in Gerontological Nursing, 2018
Nurses working at general hospitals face diffi culties in providing dementia care. The current study examined aged care nurses' dementia care practices in the hospital setting and developed a dementia care checklist that nurses can use to review their own care practice. A self-administered questionnaire was given to 676 participants; responses were collected from 595 participants. Exploratory factor analysis identifi ed six factors (e.g., patient understanding prompted by concern and interest for the patient, respect for patients' voluntary behavior, early detection of abnormalities) among the questionnaire's 28 items. This analysis provided a framework for the checklist and verifi ed that it had satisfactory internal consistency and construct validity. The frequency of care practices varied with participants' knowledge of dementia care requirements, satisfaction with their own dementia care practice, confi dence in their ability to judge patients' physical condition, and cooperation with colleagues. This checklist might improve dementia care in hospital settings.
Nurse education today, 2018
Educational initiatives can improve care delivery and the experience of living in residential aged care for people with dementia. This review aimed to determine the impact of nurse and care staff education on measures of functional ability and quality of life for older people with dementia living in care homes. Systematic review. Search of on-line databases in English between January 2000 and January 2017. Three reviewers used data extraction and critical appraisal tools of the Joanna Briggs Institute to determine methodological quality of research. Thirty-two studies met the initial inclusion criteria and 13 were retrieved for full appraisal. There was limited impact of nurse and care staff education on residents' agitation, anxiety, mood and quality of life. The most consistent improvement in functional ability due to education may be in the execution of activities of daily living. More successful programs included multi-faceted components (e.g. hands on support, clinical audi...