Knowledge, Attitudes and Confidence in Providing Dementia Care to Older Adults Among Nurses Practicing in Hanoi, Vietnam: A Cross-Sectional Study

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2024-11-11 DOI:10.1111/opn.12666

Anh Huynh Phuong Nguyen, Huy V. Nguyen, Thanh Xuan Nguyen, Huong Thi Thu Nguyen, Tam Ngoc Nguyen, Thu Thi Hoai Nguyen, Robert J. Goldberg, Yiyang Yuan, Jerry H. Gurwitz, Hoa L. Nguyen, Huyen Thi Thanh Vu

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Abstract

Background

Nurses' competencies are crucial in providing effective dementia care in healthcare settings for older people. Understanding nurses' current knowledge, attitudes and confidence in this area is essential for developing education programmes for healthcare professionals to improve patient care. The purpose of this study was to assess the knowledge, attitudes and confidence related to providing dementia care among nurses practicing in geriatric hospital wards and nursing homes in Hanoi, Vietnam.

Methods

A total of 269 out of 313 (response rate was 86%) full-time nurses working at six geriatric wards in hospitals and nursing homes in Hanoi were surveyed using three self-administered questionnaires: the Dementia Knowledge Assessment Scale (DKAS), Dementia Attitude Scale (DAS) and the Confidence in Dementia Scale (CODE). Multiple regression models were constructed to identify factors associated with dementia care knowledge, attitudes and confidence.

Results

The overall mean scores of nurse's knowledge, attitudes and confidence were 28.1 ± 8.0, 102.1 ± 13.4 and 28.3 ± 6.4, respectively. A positive correlation was reported between the knowledge and attitude scores and between the attitudes and confidence scores. Greater seniority (β: 0.29; 95% CI: 0.03–0.56) and having learned information through colleagues or experts (β: 3.02; 95% CI: 0.88–5.16) were associated with better dementia knowledge. A higher level of dementia training desirability was associated with increased knowledge (β: 0.74; 95% CI: 0.28–1.20) and favourable attitudes (β: 0.94; 95% CI: 0.15–1.74), whereas frequent exposure to dementia cases was associated with higher confidence (β: 3.56; 95% CI: 1.39–5.73) and more favourable attitudes (β: 3.96; 95% CI: 0.27–7.66).

Conclusion

Our study highlights deficits in knowledge, low levels of social comfort in nurses' attitudes towards people with dementia and a lack of confidence in providing effective care among nurses practicing in healthcare settings for older adults in Hanoi, Vietnam. With the ageing of the population and with increasing numbers of persons living with dementia, our findings suggest the importance of improving the training of nurses to specifically address these deficits.

Implications for Practice

Multidisciplinary consultation meetings need to be encouraged in the healthcare workplace setting as well as ensuring the presence of qualified counsellors for care teams working with older adults in non-hospital settings.

Training about non-cognitive symptoms of dementia and demonstrating effective verbal and non-verbal communication skills is critical and should be integrated into nurse's educational training.

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越南河内执业护士为老年人提供痴呆症护理的知识、态度和信心：一项横断面研究。

背景：护士的能力对于在医疗机构中为老年人提供有效的痴呆症护理至关重要。了解护士目前在这一领域的知识、态度和信心对于制定医护人员教育计划以改善患者护理至关重要。本研究旨在评估越南河内市老年病医院病房和疗养院护士在提供痴呆症护理方面的知识、态度和信心：在河内市 6 家医院和疗养院的老年病区工作的 313 名全职护士中，共有 269 人（回复率为 86%）接受了调查，调查使用了三种自制问卷：痴呆症知识评估量表（DKAS）、痴呆症态度量表（DAS）和痴呆症信心量表（CODE）。建立了多元回归模型，以确定与痴呆症护理知识、态度和信心相关的因素：结果：护士对痴呆症护理知识、态度和信心的总体平均得分分别为（28.1 ± 8.0）、（102.1 ± 13.4）和（28.3 ± 6.4）。知识和态度得分之间以及态度和信心得分之间呈正相关。资历越深（β：0.29；95% CI：0.03-0.56）、通过同事或专家了解信息（β：3.02；95% CI：0.88-5.16）与痴呆症知识越丰富相关。更高水平的痴呆症培训可取性与更多的知识（β：0.74；95% CI：0.28-1.20）和更积极的态度（β：0.94；95% CI：0.15-1.74）相关，而经常接触痴呆症病例与更高的信心（β：3.56；95% CI：1.39-5.73）和更积极的态度（β：3.96；95% CI：0.27-7.66）相关：我们的研究凸显了越南河内市老年人医疗机构护士在知识方面的不足、对痴呆症患者态度的社会舒适度较低，以及对提供有效护理缺乏信心。随着人口老龄化和痴呆症患者人数的不断增加，我们的研究结果表明，必须加强对护士的培训，以专门解决这些不足之处：实践启示：应鼓励在医疗工作场所召开多学科咨询会议，并确保在非医院环境中为老年人提供服务的护理团队配备合格的咨询师。有关痴呆症非认知症状的培训以及展示有效的语言和非语言沟通技巧至关重要，应纳入护士的教育培训中。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.