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Issues experienced while administering care to patients with dementia in acute care hospitals: a study based on focus group interviews.

Fukuda R, Shimizu Y, Seto N - Int J Qual Stud Health Well-being (2015)

Bottom Line: Three of these groups, that is, problematic patient behaviors, recurrent problem, and problems affecting many people equally, interact to result in a burdensome cycle.This cycle is exacerbated by lack of nursing experience and lack of organization in hospitals.In coping with this cycle, the nurses develop protection plans for themselves and for the hospital.

View Article: PubMed Central - PubMed

Affiliation: Nursing and Health Science, Graduate School of Medicine, Ehime University, Ehime, Japan; r-fukuda@umin.ac.jp.

ABSTRACT

Objective: Dementia is a major public health problem. More and more patients with dementia are being admitted to acute care hospitals for treatment of comorbidities. Issues associated with care of patients with dementia in acute care hospitals have not been adequately clarified. This study aimed to explore the challenges nurses face in providing care to patients with dementia in acute care hospitals in Japan.

Methods: This was a qualitative study using focus group interviews (FGIs). The setting was six acute hospitals with surgical and medical wards in the western region of Japan. Participants were nurses in surgical and internal medicine wards, excluding intensive care units. Nurses with less than 3 years working experience, those without experience in dementia patient care in their currently assigned ward, and head nurses were excluded from participation. FGIs were used to collect data from February to December 2008. Interviews were scheduled for 1-1.5 h. The qualitative synthesis method was used for data analysis.

Results: In total, 50 nurses with an average experience of 9.8 years participated. Eight focus groups were formed. Issues in administering care to patients with dementia at acute care hospitals were divided into seven groups. Three of these groups, that is, problematic patient behaviors, recurrent problem, and problems affecting many people equally, interact to result in a burdensome cycle. This cycle is exacerbated by lack of nursing experience and lack of organization in hospitals. In coping with this cycle, the nurses develop protection plans for themselves and for the hospital.

Conclusions: The two main issues experienced by nurses while administering care to patients with dementia in acute care hospitals were as follows: (a) the various problems and difficulties faced by nurses were interactive and caused a burdensome cycle, and (b) nurses do their best to adapt to these conditions despite feeling conflicted.

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Related in: MedlinePlus

Analytical methods.
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Figure 0001: Analytical methods.

Mentions: The codes were formed into groups based on similarities between the main themes under each code. After the initial grouping, a short summary was made to describe the essence of all codes belonging to each group. This short summary was used as the label to symbolize the group in the next step; this was the first step in the process of grouping. The same process was repeated with these labels (Figure 1). The grouping process was repeated until approximately six labels were formed, which were arranged spatially into a chart. The logical relationships between the labels in the final grouping were identified. The content of the labels in the final grouping were expressed in a short phrase, which became the descriptive theme assigned to the short summaries. This process is called chart making. The analyses described above were performed for each hospital. Thereafter, the results of these analyses were unified.


Issues experienced while administering care to patients with dementia in acute care hospitals: a study based on focus group interviews.

Fukuda R, Shimizu Y, Seto N - Int J Qual Stud Health Well-being (2015)

Analytical methods.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4340824&req=5

Figure 0001: Analytical methods.
Mentions: The codes were formed into groups based on similarities between the main themes under each code. After the initial grouping, a short summary was made to describe the essence of all codes belonging to each group. This short summary was used as the label to symbolize the group in the next step; this was the first step in the process of grouping. The same process was repeated with these labels (Figure 1). The grouping process was repeated until approximately six labels were formed, which were arranged spatially into a chart. The logical relationships between the labels in the final grouping were identified. The content of the labels in the final grouping were expressed in a short phrase, which became the descriptive theme assigned to the short summaries. This process is called chart making. The analyses described above were performed for each hospital. Thereafter, the results of these analyses were unified.

Bottom Line: Three of these groups, that is, problematic patient behaviors, recurrent problem, and problems affecting many people equally, interact to result in a burdensome cycle.This cycle is exacerbated by lack of nursing experience and lack of organization in hospitals.In coping with this cycle, the nurses develop protection plans for themselves and for the hospital.

View Article: PubMed Central - PubMed

Affiliation: Nursing and Health Science, Graduate School of Medicine, Ehime University, Ehime, Japan; r-fukuda@umin.ac.jp.

ABSTRACT

Objective: Dementia is a major public health problem. More and more patients with dementia are being admitted to acute care hospitals for treatment of comorbidities. Issues associated with care of patients with dementia in acute care hospitals have not been adequately clarified. This study aimed to explore the challenges nurses face in providing care to patients with dementia in acute care hospitals in Japan.

Methods: This was a qualitative study using focus group interviews (FGIs). The setting was six acute hospitals with surgical and medical wards in the western region of Japan. Participants were nurses in surgical and internal medicine wards, excluding intensive care units. Nurses with less than 3 years working experience, those without experience in dementia patient care in their currently assigned ward, and head nurses were excluded from participation. FGIs were used to collect data from February to December 2008. Interviews were scheduled for 1-1.5 h. The qualitative synthesis method was used for data analysis.

Results: In total, 50 nurses with an average experience of 9.8 years participated. Eight focus groups were formed. Issues in administering care to patients with dementia at acute care hospitals were divided into seven groups. Three of these groups, that is, problematic patient behaviors, recurrent problem, and problems affecting many people equally, interact to result in a burdensome cycle. This cycle is exacerbated by lack of nursing experience and lack of organization in hospitals. In coping with this cycle, the nurses develop protection plans for themselves and for the hospital.

Conclusions: The two main issues experienced by nurses while administering care to patients with dementia in acute care hospitals were as follows: (a) the various problems and difficulties faced by nurses were interactive and caused a burdensome cycle, and (b) nurses do their best to adapt to these conditions despite feeling conflicted.

Show MeSH
Related in: MedlinePlus