The provision of dementia care in general practice: practice nurse perceptions of their role.
The provision of dementia care in general practice: practice nurse perceptions of their role.
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DOI：
10.1186/s12875-021-01467-z
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发表时间：
2021-06-09
影响因子：
2.9
通讯作者：
Pond D
中科院分区：
文献类型：
--
作者：
Gibson C;Goeman D;Hutchinson A;Yates M;Pond D
初级保健护士可以帮助全科医生识别认知问题，并支持那些经历认知障碍或痴呆症的患者的健康自我管理。这种支持可能会为这一群体带来更适当的护理和更好的健康结果。因此，有必要确定初级保健护士在痴呆护理提供中的作用，护士对这一角色的认知，并了解可能影响目前或潜在的初级保健护士在痴呆护理提供中的任何角色的障碍和促进因素。共有36名初级保健护士参加了8个焦点小组。数据逐字转录，并进行主题分析。初级保健护士之间高度一致认为，她们在提供痴呆症护理方面发挥了作用。这一角色在很大程度上归因于护士和患者之间牢固的治疗关系。然而，提供痴呆症护理并不是没有挑战，包括人们认为缺乏知识、资源有限和一般做法的层级性。确定了三个主要主题：初级保健护士的个人属性；初级保健护士角色的专业属性和实践背景。确定了六个分主题：了解此人；克服耻辱；提供全面护理；知道该做什么；团队文化和在系统中工作。这项研究的结果表明，初级保健护士在提供痴呆症护理方面有一定的作用，因此有必要在认知障碍的情况下为护士提供以人为中心的保健服务提供支持。随着痴呆症患者对高质量初级保健的需求增加，初级保健护士的作用应该在初级保健政策讨论中得到考虑。从这项研究中获得的知识可能有助于为痴呆症培训内容提供信息，为初级保健护士使用的健康评估和护理计划模板提供更好的提示，以更好地识别认知障碍患者的护理需求，并为初级保健护士制定痴呆症护理指南。
Primary care nurses can assist General Practitioner’s to identify cognition concerns and support patient health self-management for those experiencing cognitive impairment or dementia. This support may lead to more appropriate care and better health outcomes for this group. Consequently, there is a need to identify the role of the primary care nurse in dementia care provision, nurse perceptions of this role and to also understand the barriers and enablers that may influence any current or potential primary care nurse role in dementia care provision. Eight focus groups were conducted with a total of 36 primary care nurses. Data was transcribed verbatim and thematically analysed. There was a high level of agreement between primary care nurses that they had a role in provision of dementia care. This role was largely attributed to the strong therapeutic relationship between nurses and patients. However, dementia care provision was not without its challenges, including a perceived lack of knowledge, limited resources and the hierarchical nature of general practice. Three main themes were identified: personal attributes of the primary care nurse; professional attributes of the primary care nurse role and the context of practice. Six sub-themes were identified: knowing the person; overcoming stigma; providing holistic care; knowing what to do; team culture and working in the system. The findings of this study suggest primary care nurses have a role in dementia care provision and, there is a need to provide support for the nurse to deliver person-centred health care in the context of cognitive impairment. As the demand for good quality primary care for people living with dementia increases, the role of the primary care nurse should be considered in primary care policy discussions. The knowledge gained from this study could be useful in informing dementia training content, to provide better prompts in the health assessment and care planning templates used by primary care nurses to better identify the care needs of people with a cognitive impairment and to develop dementia care guidelines for primary care nurses.
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影响因子：
2.9
作者：
Bunn F;Burn AM;Robinson L;Poole M;Rait G;Brayne C;Schoeman J;Norton S;Goodman C
通讯作者：
Goodman C
DOI：
10.7748/ns.2017.e10735
发表时间：
2017-03-08
影响因子：
--
作者：
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通讯作者：
Kitson, Alison
影响因子：
4.3
作者：
Jayasekara, Rasika S.
通讯作者：
Jayasekara, Rasika S.
在临床环境中，对患有痴呆症患者的慢性疾病自我管理支持。
影响因子：
3.3
作者：
Ibrahim JE;Anderson LJ;MacPhail A;Lovell JJ;Davis MC;Winbolt M
通讯作者：
Winbolt M
影响因子：
1.3
作者：
Ghorob, Amireh;Bodenheimer, Thomas
通讯作者：
Bodenheimer, Thomas