IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i11-12p1957-1967.html
   My bibliography  Save this article

Fundamental care for people with cognitive impairment in the hospital setting: A study combining positive organisational scholarship and video‐reflexive ethnography

Author

Listed:
  • Aileen Collier
  • Anita De Bellis
  • Annmarie Hosie
  • Ann Dadich
  • Tamsin Symonds
  • Justin Prendergast
  • Jade Rodrigues
  • Alan Bevan

Abstract

Aims and objectives To clarify how high‐quality fundamentals of care for people with dementia and/or delirium were practised in a specialist geriatric evaluation and management unit. Background Older people with cognitive impairment represent a significant number of people who are admitted to hospital. They are at increased risk of dying, readmission and long hospital stays, relative to those without cognitive impairment. There is an urgent need to elucidate the conditions that underpin safe and high‐quality fundamental care for these patients and their families. Methods Using the innovative methodologies of positive organisational scholarship in healthcare and video‐reflexive ethnography, this 18‐month study was conducted within an inpatient geriatric evaluation and management unit for people with dementia and/or delirium in South Australia. Patients, family members and staff members (managerial, clinical and nonclinical) participated by allowing researchers to document ethnographic fieldwork notes and film their practices and/or accounts thereof; and/or interpreting digital recordings with researchers in order to make sense of data in a process of co‐analysis. This study is reported using Standards for Reporting Qualitative Research reporting guidelines. Results High‐quality fundamental care for people with dementia and/or delirium in hospital and their families was associated with the special space of the hospital unit; an aptitude for people with dementia; a capacity to translate person‐centred fundamentals of care from rhetoric to reality; and an appreciation for teamwork. Conclusion This study clarified how teams working in hospital can practise high‐quality fundamentals of care for older people with dementia and/or delirium. Delivery of high‐quality fundamental care in this setting was dependent, not only on nurses, but the entire ward team working cohesively in a “weave of commitment.” Relevance to clinical practice Efforts to improve fundamental care for people with cognitive impairment need to encompass values and philosophy of person‐centred care, including the contributions by all staff to care delivery.

Suggested Citation

  • Aileen Collier & Anita De Bellis & Annmarie Hosie & Ann Dadich & Tamsin Symonds & Justin Prendergast & Jade Rodrigues & Alan Bevan, 2020. "Fundamental care for people with cognitive impairment in the hospital setting: A study combining positive organisational scholarship and video‐reflexive ethnography," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1957-1967, June.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:11-12:p:1957-1967
    DOI: 10.1111/jocn.15056
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15056
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.15056?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ann Dadich & Katherine M. Boydell & Stephanie Habak & Chloe Watfern, 2021. "Positive Organisational Arts-Based Youth Scholarship: Redressing Discourse on Danger, Disquiet, and Distress during COVID-19," IJERPH, MDPI, vol. 18(11), pages 1-13, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:29:y:2020:i:11-12:p:1957-1967. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.