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Experiences of nurses with the care of patients with dementia in acute hospitals: A secondary analysis

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  • Christiane Pinkert
  • Eva Faul
  • Susi Saxer
  • Melanie Burgstaller
  • Doris Kamleitner
  • Hanna Mayer

Abstract

Aims and objectives To describe nurses’ experiences in caring for people with dementia in acute hospital settings. Background Recent research suggests that nurses’ experience in caring for people with dementia in acute hospitals is characterised by frustration, overall job dissatisfaction and feelings of powerlessness and guilt. Despite a growing body of knowledge concerning the care of people with dementia in acute care settings, it remains unclear how nurses in acute hospitals provide care for people with dementia and what general conditions characterise the nursing care provided to these patients. Design A qualitative secondary analysis was conducted. Methods Data were collected using audio‐recorded focus group discussions with nurses in Germany and Austria. Overall, 12 focus group discussions, which were part of two larger research projects in Germany and Austria, were expanded into a qualitative secondary analysis (a content analysis). Results The findings show that nurses face great uncertainty in caring for people with dementia in acute hospital settings and that each nurse reacts in different ways to address this uncertainty. The results also underline that, even for nurses who provide some form of person‐centred care, the hospital environment imposes several contextual constraints. Conclusions Hospitals must minimise constraints to give every nurse the chance to perform person‐centred care. Furthermore, it is important to sensitise nurses and give them sufficient training and education to enable them to care for people with dementia. Relevance to clinical practice The results may contribute to a better understanding of the factors that support or constrain person‐centred nursing care for people with dementia in acute hospitals.

Suggested Citation

  • Christiane Pinkert & Eva Faul & Susi Saxer & Melanie Burgstaller & Doris Kamleitner & Hanna Mayer, 2018. "Experiences of nurses with the care of patients with dementia in acute hospitals: A secondary analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 162-172, January.
  • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:162-172
    DOI: 10.1111/jocn.13864
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    References listed on IDEAS

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    1. Philip Clissett & Davina Porock & Rowan H Harwood & John RF Gladman, 2014. "The responses of healthcare professionals to the admission of people with cognitive impairment to acute hospital settings: an observational and interview study," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(13-14), pages 1820-1829, July.
    2. Helen Ross & Angela Mary Tod & Amanda Clarke, 2015. "Understanding and achieving person‐centred care: the nurse perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(9-10), pages 1223-1233, May.
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    Cited by:

    1. Younhee Kang & Yujin Hur, 2021. "Nurses’ Experience of Nursing Workload-Related Issues during Caring Patients with Dementia: A Qualitative Meta-Synthesis," IJERPH, MDPI, vol. 18(19), pages 1-12, October.
    2. Dooley, Jemima & Barnes, Dr Rebecca, 2022. "Negotiating ‘the problem’ in GP home visits to people with dementia," Social Science & Medicine, Elsevier, vol. 298(C).

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