Hospital Nurse Knowledge of and Approach to Dementia Care
Hospital Nurse Knowledge of and Approach to Dementia Care
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DOI：
10.1097/jnr.0b013e318263d82e
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发表时间：
2012-09-01
影响因子：
2.7
通讯作者：
Lin, Li-Chan
中科院分区：
文献类型：
--
作者：
Lin, Pei-Chao;Hsieh, Mei-Hui;Lin, Li-Chan
背景：英国卫生部最近提出了一项国际痴呆症战略，以提高急性医院护理环境中痴呆症护理的质量。为实施这项策略，首先要评估护士是否具备提升以医院为基础的痴呆症护理品质所必需的知识和以人为本的态度。目的：本研究旨在评估医院护士对痴呆症护理的知识和态度，并探讨护士人口统计特征与这两个问题的关系。方法：以台湾南部一家教学医院的124名护士为对象，发放包含16个项目的痴呆症护理知识问卷。结果：受试者痴呆症护理知识总分为10.8分(SD=2.0)。结果显示，大多数护士将痴呆与精神错乱混为一谈。高级痴呆症护理问卷显示，护理倾向于现实导向。工作经验越丰富的注册护士痴呆护理知识得分越高。年龄和工作经验都与现实导向的护理方法负相关。结论/实践启示：大多数参与者拥有准确的痴呆症护理知识，并倾向于使用现实导向的方法。应提高护士在区分精神错乱和痴呆症方面的能力。本研究初步了解台湾南部一家医院的痴呆症护理情况。未来的研究应进一步探讨痴呆症护理质量与医院护士的知识和方法的关系。
Background: The U.K. Department of Health recently proposed an international dementia strategy to enhance the quality of dementia care in acute hospital care settings. To implement such a strategy, it is necessary to first assess whether nurses have the knowledge and person-centered approach essential to enhancing hospital-based dementia care quality.Purpose: The purpose of this study was to evaluate hospital nurse knowledge of and approach toward dementia care and to explore the relationship between nurse demographic characteristics and these two issues.Methods: We distributed a 16-item questionnaire on dementia care knowledge to 124 nurses at a teaching hospital in southern Taiwan. We also distributed to the same participants a 13-item questionnaire designed to assess the approach, either reality oriented or person centered, of participants in providing care to advanced dementia patients.Results: The total mean score for participant dementia care knowledge was 10.8 (SD = 2.0). Results indicated that most nurses confused dementia with delirium. The advanced dementia care questionnaire suggested care tended to be reality oriented. Licensed registered nurses with more working experience had higher dementia care knowledge scores. Age and working experience both negatively correlated with a reality-oriented approach toward care.Conclusions/Implications for Practice: Most participants had accurate dementia care knowledge and tended to use a reality-oriented approach. Nurse competency in differentiating delirium from dementia should be enhanced. This study provided initial insight into the dementia care situation at a single hospital in southern Taiwan. Future studies should further explore the relationship between dementia care quality and hospital nurses' knowledge and approaches, respectively.