The experiences of hospital staff who provide care for people living with dementia: A systematic review and synthesis of qualitative studies.

摘要: Aims and objectives To systematically review synthesise qualitative data from studies exploring the experiences of hospital staff who care for people living with dementia (Plwd). Background In hospital, number Plwd continues to rise; however, their remain problematic. Negative are likely contribute poorer mental physical health outcomes while in after discharge. Experiences can also be poor or unrewarding. It is important understand order improve well-being ultimately experience hospital. Design Systematic evidence synthesis research. Data sources We searched 16 electronic databases March 2018 completed forward backward citation chasing. Methods Eligible explored paid unpaid providing Plwd. Study selection was undertaken independently by two reviewers, quality appraisal conducted. prioritised included according richness text, methodological rigour conceptual contribution. adopted approaches meta-ethnography analyse study findings, creating a model represent line argument. Findings Forty-five reported 58 papers met inclusion criteria, these, we 19 24 papers. The argument that Institutions fostering person-centred (PCC). PCC aligned perceptions 'good care'; often felt prevented because cultures tasks, routines health. Staff experienced conflict over they wanted give versus were able give, this caused moral distress. When provide PCC, increased job satisfaction emotional well-being. Conclusions Person-centred not only has potential carers, but caring However, without institutional-level changes, unable even when have knowledge do so. Implications practice Institutional-level areas change include following: training; performance indicators ward prioritise psychological needs alongside needs; adequate staffing levels; inclusive carers; environments promote familiarisation, social interaction occupation; systems documentation about individual Plwd; sharing across hierarchies.