Ko‐Xin Chen, Min‐Chi Pai, Wei‐Pin Hong, Chi‐Jane Wang, Jing‐Jy Wang
{"title":"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","authors":"Ko‐Xin Chen, Min‐Chi Pai, Wei‐Pin Hong, Chi‐Jane Wang, Jing‐Jy Wang","doi":"10.1111/nhs.13119","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"68 1","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring nurses' difficulties and strategies when caring for patients with dementia in a neurological ward\",\"authors\":\"Ko‐Xin Chen, Min‐Chi Pai, Wei‐Pin Hong, Chi‐Jane Wang, Jing‐Jy Wang\",\"doi\":\"10.1111/nhs.13119\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":49730,\"journal\":{\"name\":\"Nursing & Health Sciences\",\"volume\":\"68 1\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-04-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing & Health Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/nhs.13119\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing & Health Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nhs.13119","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
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.
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.