Low investment non-pharmacological approaches implemented for older people experiencing responsive behaviours of dementia.
Identifieur interne : 000085 ( Main/Exploration ); précédent : 000084; suivant : 000086Low investment non-pharmacological approaches implemented for older people experiencing responsive behaviours of dementia.
Auteurs : Marie-Lee Yous [Canada] ; Lori Schindel Martin [Canada] ; Sharon Kaasalainen [Canada] ; Jenny Ploeg [Canada]Source :
- SAGE open nursing [ 2377-9608 ]
Abstract
Introduction
The acute care setting is not ideal for older people with dementia; responsive behaviours may be triggered when care is delivered within a strange environment by staff with limited knowledge of life history and personal preferences. Responsive behaviours (e.g., yelling, hitting, restlessness) are used by older people with dementia to communicate their needs and concerns. It is unknown whether non-pharmacological approaches used by nurses support the development of a meaningful interpersonal relationship between nurses and older people with dementia.
Aims
The aims of this study were to explore: (a) the types of low investment non-pharmacological approaches (e.g., music, social activities) used by nurses caring for older people experiencing responsive behaviours of dementia in acute medical settings and (b) the factors that influence the decisions of these nurses to implement these approaches.
Methods
We present a qualitative secondary analysis of data from a primary study using Thorne's interpretive description approach. Interviews were conducted with 11 nurses and four allied health professionals from acute medical settings in Canada. A qualitative secondary data analytic approach was used, specifically analytic expansion, and experiential thematic analysis.
Findings
egardless of the educational preparation of nurses, the decision to use specific types of low investment non-pharmacological approaches were influenced by the perfunctory development of the interpersonal relationships in acute care hospitals. The factors that led nurses to use limited approaches (e.g., turning on the TV and providing a newspaper) were lack of dementia care education and attending to other acutely ill clients.
Conclusions
This study revealed that nurses in acute medical settings require greater practice growth to deliver relational care which is crucial to supporting older people with dementia. Nurses need education and knowledge translation support to use creative low investment non-pharmacological approaches with the intent on upholding the quality of life older people with dementia.
DOI: 10.1177/2377960820964620
PubMed: 33415304
PubMed Central: PMC7774366
Affiliations:
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Community Services, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Kaasalainen, Sharon" sort="Kaasalainen, Sharon" uniqKey="Kaasalainen S" first="Sharon" last="Kaasalainen">Sharon Kaasalainen</name><affiliation wicri:level="4"><nlm:affiliation>School of Nursing, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>School of Nursing, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Ploeg, 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last="Yous">Marie-Lee Yous</name><affiliation wicri:level="4"><nlm:affiliation>School of Nursing, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>School of Nursing, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Martin, Lori Schindel" sort="Martin, Lori Schindel" uniqKey="Martin L" first="Lori Schindel" last="Martin">Lori Schindel Martin</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Kaasalainen, Sharon" sort="Kaasalainen, Sharon" uniqKey="Kaasalainen S" first="Sharon" last="Kaasalainen">Sharon Kaasalainen</name><affiliation wicri:level="4"><nlm:affiliation>School of Nursing, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>School of Nursing, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Ploeg, Jenny" sort="Ploeg, Jenny" uniqKey="Ploeg J" first="Jenny" last="Ploeg">Jenny Ploeg</name><affiliation wicri:level="4"><nlm:affiliation>Faculty of Health Sciences, School of Nursing, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Health Sciences, School of Nursing, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Health, Aging and Society, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health, Aging and Society, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">SAGE open nursing</title><idno type="eISSN">2377-9608</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>The acute care setting is not ideal for older people with dementia; responsive behaviours may be triggered when care is delivered within a strange environment by staff with limited knowledge of life history and personal preferences. Responsive behaviours (e.g., yelling, hitting, restlessness) are used by older people with dementia to communicate their needs and concerns. It is unknown whether non-pharmacological approaches used by nurses support the development of a meaningful interpersonal relationship between nurses and older people with dementia.</p></div><div type="abstract" xml:lang="en"><p><b>Aims</b></p><p>The aims of this study were to explore: (a) the types of low investment non-pharmacological approaches (e.g., music, social activities) used by nurses caring for older people experiencing responsive behaviours of dementia in acute medical settings and (b) the factors that influence the decisions of these nurses to implement these approaches.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>We present a qualitative secondary analysis of data from a primary study using Thorne's interpretive description approach. Interviews were conducted with 11 nurses and four allied health professionals from acute medical settings in Canada. A qualitative secondary data analytic approach was used, specifically analytic expansion, and experiential thematic analysis.</p></div><div type="abstract" xml:lang="en"><p><b>Findings</b></p><p>egardless of the educational preparation of nurses, the decision to use specific types of low investment non-pharmacological approaches were influenced by the perfunctory development of the interpersonal relationships in acute care hospitals. The factors that led nurses to use limited approaches (e.g., turning on the TV and providing a newspaper) were lack of dementia care education and attending to other acutely ill clients.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>This study revealed that nurses in acute medical settings require greater practice growth to deliver relational care which is crucial to supporting older people with dementia. Nurses need education and knowledge translation support to use creative low investment non-pharmacological approaches with the intent on upholding the quality of life older people with dementia.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33415304</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>11</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2377-9608</ISSN><JournalIssue CitedMedium="Internet"><Volume>6</Volume><PubDate><MedlineDate>2020 Jan-Dec</MedlineDate></PubDate></JournalIssue><Title>SAGE open nursing</Title><ISOAbbreviation>SAGE Open Nurs</ISOAbbreviation></Journal><ArticleTitle>Low investment non-pharmacological approaches implemented for older people experiencing responsive behaviours of dementia.</ArticleTitle><Pagination><MedlinePgn>2377960820964620</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/2377960820964620</ELocationID><Abstract><AbstractText Label="Introduction" NlmCategory="UNASSIGNED">The acute care setting is not ideal for older people with dementia; responsive behaviours may be triggered when care is delivered within a strange environment by staff with limited knowledge of life history and personal preferences. Responsive behaviours (e.g., yelling, hitting, restlessness) are used by older people with dementia to communicate their needs and concerns. It is unknown whether non-pharmacological approaches used by nurses support the development of a meaningful interpersonal relationship between nurses and older people with dementia.</AbstractText><AbstractText Label="Aims" NlmCategory="UNASSIGNED">The aims of this study were to explore: (a) the types of low investment non-pharmacological approaches (e.g., music, social activities) used by nurses caring for older people experiencing responsive behaviours of dementia in acute medical settings and (b) the factors that influence the decisions of these nurses to implement these approaches.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">We present a qualitative secondary analysis of data from a primary study using Thorne's interpretive description approach. Interviews were conducted with 11 nurses and four allied health professionals from acute medical settings in Canada. A qualitative secondary data analytic approach was used, specifically analytic expansion, and experiential thematic analysis.</AbstractText><AbstractText Label="Findings" NlmCategory="UNASSIGNED">egardless of the educational preparation of nurses, the decision to use specific types of low investment non-pharmacological approaches were influenced by the perfunctory development of the interpersonal relationships in acute care hospitals. The factors that led nurses to use limited approaches (e.g., turning on the TV and providing a newspaper) were lack of dementia care education and attending to other acutely ill clients.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">This study revealed that nurses in acute medical settings require greater practice growth to deliver relational care which is crucial to supporting older people with dementia. Nurses need education and knowledge translation support to use creative low investment non-pharmacological approaches with the intent on upholding the quality of life older people with dementia.</AbstractText><CopyrightInformation>© The Author(s) 2020.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yous</LastName><ForeName>Marie-Lee</ForeName><Initials>ML</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-4271-0401</Identifier><AffiliationInfo><Affiliation>School of Nursing, McMaster University, Hamilton, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martin</LastName><ForeName>Lori Schindel</ForeName><Initials>LS</Initials><AffiliationInfo><Affiliation>Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author 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sort="Kaasalainen, Sharon" uniqKey="Kaasalainen S" first="Sharon" last="Kaasalainen">Sharon Kaasalainen</name><name sortKey="Martin, Lori Schindel" sort="Martin, Lori Schindel" uniqKey="Martin L" first="Lori Schindel" last="Martin">Lori Schindel Martin</name><name sortKey="Ploeg, Jenny" sort="Ploeg, Jenny" uniqKey="Ploeg J" first="Jenny" last="Ploeg">Jenny Ploeg</name><name sortKey="Ploeg, Jenny" sort="Ploeg, Jenny" uniqKey="Ploeg J" first="Jenny" last="Ploeg">Jenny Ploeg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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