探讨护士在神经科病房护理痴呆症患者时遇到的困难和采取的策略

IF 2.1 3区 医学 Q2 NURSING Nursing & Health Sciences Pub Date : 2024-04-17 DOI:10.1111/nhs.13119
Ko‐Xin Chen, Min‐Chi Pai, Wei‐Pin Hong, Chi‐Jane Wang, Jing‐Jy Wang
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引用次数: 0

摘要

神经科病房的护士在护理痴呆症患者,尤其是同时患有其他急性疾病的患者时面临着诸多挑战。然而,针对这一领域的研究却十分有限。本研究旨在探讨在神经科病房工作的护士在护理痴呆症患者时遇到的困难和采取的策略。研究采用了定性描述设计。来自神经科病房的 12 名护士参加了个人半结构化访谈。通过访谈收集的数据进行了定性内容分析。分析得出两大主题:(i) 各种缺点和顾虑,包括副主题:支持不足、担心患者安全、护理人员护理能力不足、自我能力不足;(ii) 独特的临床策略,包括副主题:与护理人员合作、提高痴呆症护理的自我能力、采用细致的度假胜地。研究结果表明,护士们致力于将患者风险降至最低,并利用现有资源和利益相关者提供最佳护理。为了提高患者护理质量,有必要通过解决护理相关障碍、提供持续教育和建立护理路径来支持护士。
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Exploring nurses' difficulties and strategies when caring for patients with dementia in a neurological ward
Nurses in neurological wards face numerous challenges when caring for patients with dementia, particularly those who also present other acute illnesses. However, studies focusing on this area are limited. This study aimed to explore the difficulties and strategies in caring for patients with dementia among nurses working in a neurological ward. A qualitative descriptive design was adopted. Twelve nurses from a neurology ward participated in individual semi‐structured interviews. The data collected through these interviews were subjected to qualitative content analysis. Two main themes emerged from the analysis: (i) various shortcomings and concerns, which include subthemes: insufficient support, worry about patient safety, inadequate care ability of the caregiver, and insufficient self‐competence, and (ii) unique clinical strategies, which include subthemes: cooperate with the caregiver, improve self‐competence in dementia care, and employ meticulous resorts. The findings highlighted the nurses' dedication to minimizing patient risks and utilizing available resources as well as stakeholders to provide optimal care. To enhance patient care quality, it is essential to support nurses by addressing care‐related barriers, offering continuous education, and establishing care pathways.
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来源期刊
CiteScore
4.80
自引率
3.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: NHS has a multidisciplinary focus and broad scope and a particular focus on the translation of research into clinical practice, inter-disciplinary and multidisciplinary work, primary health care, health promotion, health education, management of communicable and non-communicable diseases, implementation of technological innovations and inclusive multicultural approaches to health services and care.
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