Care of older people with dementia in an acute hospital setting.
Care of older people with dementia in an acute hospital setting.
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在急症医院环境中护理患有痴呆症的老年人。
DOI：
10.7748/ns2010.02.24.23.42.c7551
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发表时间：
2010
影响因子：
--
通讯作者：
F. Cowdell
中科院分区：
文献类型：
--
作者：
F. Cowdell
目的 调查患者和护理人员在急性医院环境中向患有痴呆症的老年人提供和接受护理的相关经历。方法 采用民族志方法。通过对患者和护理人员进行彻底观察和访谈来收集数据。研究结果 在急症医院环境中对患有痴呆症的老年人的护理并不总是令人满意。一般来说，痴呆症患者觉得护理的提供和住院的经历令人痛苦。护士努力提供最佳护理，但这并不总是可以实现。次优护理可以通过考虑同理心的影响和布迪厄的实践理论来解释。结论 需要改进目前护理老年痴呆症患者的做法。教育和实践发展的方法需要让护士参与认知和情感领域，以便护士获得知识并了解患者的感受和经历。
Aim To investigate the experiences of patients and nursing staff in relation to the care delivered to, and received by, older people with dementia in an acute hospital setting. Method An ethnographic approach was used. Data were collected thorough observation and interviews involving patients and nursing staff. Findings Care for older people with dementia in acute hospital settings is not always satisfactory. Generally, people with dementia find the delivery of care and the experience of being in hospital distressing. Nurses strive to provide optimum care, but this is not always achievable. Sub-optimal care can be explained by considering the effect of empathy and Bourdieu's theory of practice. Conclusion There is a need to improve current practice when caring for older people with dementia. Approaches to education and practice development need to engage nurses in both cognitive and affective domains, so that nurses gain knowledge and an understanding of patients' feelings and experiences.