A systematic literature review on nurses’ and health care support workers’ experiences of caring for people with dementia on orthopaedic wards

Moonga, Jubilee; Likupe, Gloria

doi:10.1111/jocn.13158

Cited by 33 publications

(41 citation statements)

References 28 publications

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“…ipants (Digby et al, 2017;Moonga & Likupe, 2016;. We consider perceptions of a lack of time to follow from a number of the other issues highlighted by this review, including inadequate staffing levels, ward priorities around routine tasks and physical care that occlude PCC, and a lack of structures that support staff to share information about the individual needs of Plwd, which wastes time.…”

Section: Job Satisfactionmentioning

confidence: 99%

The experiences of hospital staff who provide care for people living with dementia: A systematic review and synthesis of qualitative studies

Gwernan‐Jones

Abbott

Lourida

et al. 2020

Int J Older People Nursing

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Section: Job Satisfactionmentioning

confidence: 99%

The experiences of hospital staff who provide care for people living with dementia: A systematic review and synthesis of qualitative studies

Gwernan‐Jones

Abbott

Lourida

et al. 2020

Int J Older People Nursing

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“…In parallel to Houghton et al (), Moonga and Likupe () conducted a literature review to explore nurses’ experiences of caring for people with dementia in orthopaedic wards (Moonga & Likupe, ). They found 14 relevant articles about caring for patients with dementia in the acute setting, none of which described care on an orthopaedic ward.…”

Section: Introductionmentioning

confidence: 99%

“…Focusing more specifically on caregiver experiences in the acute setting, Moonga and Likupe () found the following dominant themes: challenging behaviour and unsuitable care environment; lack of education on dementia; strain from nursing patients with dementia; and ethical dilemmas arising from caring for people with dementia. The findings described by Moonga and Likupe () and Houghton et al () are compatible and suggest that while there is a general understanding of the challenges experienced by nurses in acute dementia care based in medical care wards. However, there remains a paucity of knowledge specifically about the experiences of nurses who care for people with dementia following orthopaedic surgery.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ experiences of delivering acute orthopaedic care to patients with dementia

Jensen

Pedersen

Wilson

et al. 2019

Int J Older People Nursing

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Background Nurses who care for acute patients with dementia in a hospital setting report a variety of challenges in regard to meeting the complex needs of their patients. In particular, known barriers to optimal care include a lack of knowledge about dementia, lack of dementia‐friendly acute clinical environments, lack of time to care for the individual patient and a prioritised focus on the medical issues that triggered the hospitalisation. Research to date has not specifically focused on nurses’ experiences of caring for people with dementia in orthopaedic wards. Aim This study investigates nurses’ experiences of caring for people with dementia, in an acute orthopaedic hospital ward setting. Design Qualitative interviews. Methods This qualitative study employs hermeneutic phenomenological research methods. Eight Danish nurses were interviewed in an orthopaedic ward about their experiences in caring for orthopaedic patients with dementia. Nurses with various levels of expertise were selected for interview so that a full range of nursing experiences could inform the research study. Results The results of the study revealed two major themes: “Nurse communication and patient information” and “Care compromise”, with three and four sub‐themes, respectively. These findings are used to illustrate how, and why, nurses’ experiences of caring for patients with dementia contribute a discontentment and negative preconceived perception by some nurses towards their acute care of patients with chronic dementia. The results are discussed in the context of Interactional Nursing Practice theory and describe the challenges experienced by acute care orthopaedic nurses who care for patients with dementia. Conclusion Orthopaedic nurses find it challenging and professionally difficult to provide person‐centred care for patients with dementia during an acute orthopaedic hospital admission. Implications for practice Orthopaedic nurses should work to adopt a positive attitude, and person‐centred approach, towards dementia care. It is also recommended that the electronic patient record should be supplemented by oral dissemination to some extent, as information, plans of action and knowledge about the care situation for patients with dementia has a tendency to drown in chronological data presentation.

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“…Their aim is to increase patient dignity and autonomy with person-centred care [ 8 ] provided by staff from both psychiatric and geriatric care backgrounds, trained in managing the behavioural and psychological symptoms of dementia (BPSD) and delirium [ 9 ]. These symptoms are often difficult to identify and manage for untrained staff, particularly within the pressured environment of acute hospitals [ 10 , 11 ]. If SIDU can reduce LOS by 1 week per patient, the NHS could save up to £80 million yearly [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of specialist inpatient dementia care services versus standard inpatient dementia care in acute hospitals

et al. 2018

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Background Specialist inpatient dementia units (SIDU) have been developed to address adverse outcomes often experienced by people living with dementia admitted to acute hospitals. However, the evidence base of their effectiveness remains limited. Aim To review the current literature to establish the comparative effectiveness of acute hospital SIDU vs. standard ward care (SWC). Methods We did an online search of 12 biomedical databases from inception to 31st October 2017. Studies of inpatients with any form of dementia in acute hospitals, published in English language peer-reviewed journals, using experimental, observational or qualitative study designs, comparing SIDU with SWC and which measured any qualitative or quantitative outcome of the patient or carer experience were included in the search criteria. We used a standardised data extraction and appraisal form. Results Three of 46 full-text studies evaluated were suitable for analysis. Due to study heterogeneity, pooled odds ratios were only possible for mortality [OR 1.06 (CI 1.0–1.4)]. Otherwise, a narrative synthesis was performed. Although quantitative measures of length of stay, mortality and behavioural and psychiatric symptoms of dementia are not significantly lower, SIDU are associated with greater patient and carer satisfaction, reduced readmission rates, more accurate and comprehensive assessment processes, documentation of resuscitation decisions, and increased rates of discharge to the patient’s own home. Conclusions Although SIDU may be associated with improved care outcomes, the current evidence of their effectiveness is markedly limited. Further research and service evaluation of SIDU as a method for providing high-quality dementia care in acute NHS Trusts is needed. PROSPERO: CRD42017078364.

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A systematic literature review on nurses’ and health care support workers’ experiences of caring for people with dementia on orthopaedic wards

Abstract: The results of this study could provide guidance on the effective care of people with dementia on orthopaedic wards.

Cited by 33 publications

References 28 publications

The experiences of hospital staff who provide care for people living with dementia: A systematic review and synthesis of qualitative studies

The experiences of hospital staff who provide care for people living with dementia: A systematic review and synthesis of qualitative studies

Nurses’ experiences of delivering acute orthopaedic care to patients with dementia

A systematic review of specialist inpatient dementia care services versus standard inpatient dementia care in acute hospitals

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