Meeting the Emotional Needs of Hospital Patients With Dementia: A Freelisting Study With Ward Staff

作者: Stephanie Petty , Tom Dening , Amanda Griffiths , Donna Maria Coleston

DOI: 10.1093/GERONT/GNY151

关键词:

摘要: Background and objectives People with dementia are vulnerable when in hospital, serious risks to their physical emotional well-being. Hospital staff expected understand respond the emotions of patient; however, it is not known how this can be achieved. We provide a concise description achievable emotion-focused care for patients dementia. Design methods Exploratory qualitative interviews were conducted whole U.K. hospital ward providing care, constituting 47 members. Staff responded four questions using ethnographic freelisting. They listed (a) all ways they notice distress dementia, (b) causes distress, (c) respond, (d) responses that seem work. Cultural consensus analysis was applied. Results A single-factor solution each question indicated approach distress. Emotional noticed from agitation (Smith's saliency score, 0.418), crying (0.350), increased mobilizing (0.238). The main unfamiliar environment (0.355) knowing what happening (0.313). most effective required person (0.299), talking (0.283), being (0.269). Discussion implications findings expand understood behavioral psychological symptoms dementia; these communicated well-understood causes. Prioritized responding described person-centered care. results offer menu options emotionally responsive hospital. Future research should evaluate described.

参考文章(42)
Anthony Scerri, Anthea Innes, Charles Scerri, Discovering what works well: exploring quality dementia care in hospital wards using an appreciative inquiry approach Journal of Clinical Nursing. ,vol. 24, pp. 1916- 1925 ,(2015) , 10.1111/JOCN.12822
Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw, Natalie Gracia, Acute care management of older people with dementia: a qualitative perspective. Journal of Clinical Nursing. ,vol. 20, pp. 420- 428 ,(2011) , 10.1111/J.1365-2702.2010.03521.X
Susan C. Weller, A. Kimball Romney, Systematic Data Collection ,(1988)
David Edvardsson, Per-Olof Sandman, Birgit Rasmussen, Forecasting the ward climate: a study from a dementia care unit. Journal of Clinical Nursing. ,vol. 21, pp. 1136- 1144 ,(2012) , 10.1111/J.1365-2702.2011.03720.X
Robin Digby, Cheryle Moss, Melissa Bloomer, Transferring from an acute hospital and settling into a subacute facility: the experience of patients with dementia International Journal of Older People Nursing. ,vol. 7, pp. 57- 64 ,(2012) , 10.1111/J.1748-3743.2011.00282.X
D. M. Hermann, S. Muck, H.-G. Nehen, Supporting dementia patients in hospital environments: health-related risks, needs and dedicated structures for patient care. European Journal of Neurology. ,vol. 22, pp. 239- ,(2015) , 10.1111/ENE.12530
Alice Street, Simon Coleman, Introduction: Real and Imagined Spaces Space and Culture. ,vol. 15, pp. 4- 17 ,(2012) , 10.1177/1206331211421852