Korean nurses' attitudes towards older people with dementia in acute care settings
Korean nurses' attitudes towards older people with dementia in acute care settings
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DOI：
10.1111/j.1748-3743.2010.00254.x
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发表时间：
2011-06-01
影响因子：
2.2
通讯作者：
Venturato, Lorraine
中科院分区：
文献类型：
--
作者：
Kang, Yun;Moyle, Wendy;Venturato, Lorraine
的目标。识别和描述韩国护士在急症护理环境中对老年痴呆症患者的态度，并检查选定的社会人口统计学和护理工作特征对态度的影响。在韩国，老年人在急症护理机构接受保健服务，因为长期护理机构不是常态。在文化上，把父母或亲戚放在长期护理机构里被认为是可耻的。一种描述性调查设计。对2009年在韩国南部两家医院急症护理部门工作的韩国注册护士（n = 100）对老年痴呆症患者的态度进行了测量。对参与者进行老年痴呆态度调查（AED）和痴呆问卷调查（ADQ）。在急性护理环境中，对老年痴呆症患者的态度较为积极。三分之二在内科病房工作的护士（n = 65, 65.7%）比在外科病房工作的护士（n = 34, 34.3%）表现出更积极的态度。人口统计数据，包括在当前单位和服务的经验年限，以及护士的职位，与他们的态度没有显着相关。环境、工作常规和技术可能会影响对痴呆症患者持消极态度的可能性。对实践的启示。在急症护理环境中，护士的文化价值观和护理实践之间可能存在冲突。因此，有必要对护士进行痴呆症护理方面的持续教育，以减少此类冲突的可能性。
Aim. To identify and describe Korean nurses' attitudes towards older people with dementia in acute care settings and to examine the effect of selected socio-demographics and nursing work characteristics on attitudes.Background. In Korea, older people receive health care services in acute care settings because long-term care settings are not the norm. Culturally, it is considered shameful to place parents or relatives in a long-term care facility.Design. A descriptive survey design.Method. Attitudes towards older people with dementia were measured in Korean registered nurses (n = 100) working in acute care settings of two hospitals in southern Korea in 2009. The Attitudes toward the Elderly with Dementia (AED) and the Approaches to Dementia Questionnaire (ADQ) were administered to participants.Results. Moderately positive attitudes towards older people with dementia in the acute care setting were found. Two-thirds of the urse participants (n = 65, 65.7%) working in medical wards demonstrated significantly more positive attitudes than those working in surgical wards (n = 34, 34.3%). Demographics including years of experience in the current unit and in the service, and nurses' position did not correlate significantly with their attitudes.Conclusion. The environment, work routine and technology may influence the likelihood of negative attitude towards people with dementia.Implications for practice. There may be conflict between nurses' cultural values and care practices in acute care settings. Therefore, there is a need for ongoing education of nurses in dementia care that may reduce the potential of such conflicts.