An Innovative Continuing Nursing Education Program Targeting Key Geriatric Conditions for Hospitalized Older People in China

Xiao, Lily Dongxia; Shen, Jun; Wu, Haifeng; Fu, Ding; He, Xizhen; Zhu, Yueping

doi:10.1080/03601277.2012.704233

Cited by 5 publications

(2 citation statements)

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“…Effective dementia management relies on a solid knowledge base about the pathophysiology, psychology, pharmacotherapeutics and caregiving of dementia among health professionals. Studies report that pre-registration education programmes for health professional students do not have stand-alone dementia topics in their curricula and there are limited dementia-specific continuing education programmes available for health professionals in China [ 42 , 43 ]. Managing the health of people with dementia in the community requires ongoing education and specialized knowledge in dementia care for health professionals involved in primary care [ 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

Community health professionals’ dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China

et al. 2018

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BackgroundCommunity health professionals play a significant role in dementia care. However, little is known about community health professionals’ capacity in dementia care, especially in low and middle-income countries. The aim of the present study was to assess community health professionals’ dementia knowledge, attitudes and care approach in China, a country with the largest population of people with dementia in the world and where community based dementia care services are much needed.MethodsA cross-sectional survey was conducted. 450 health professionals were recruited into the study using random sampling from community health service centres in Changsha, China. Their knowledge, attitudes and care approach were assessed utilising the Chinese version of the Alzheimer’s Disease Knowledge Scale, Dementia Care Attitude Scale and Approach to Advanced Dementia Care Questionnaire respectively.ResultsA total of 390 participants returned the questionnaire (response rate 87%). Age, education, professional group and care experience were associated with knowledge scores, and overall dementia knowledge was poor. Attitudes were generally positive and influenced by age, professional group, gender and care experience. The experience of caring for people with dementia was positively associated with a person-centred care approach, although the participants tended not to use a person-centred care approach. A statistically significant association was found between knowledge and attitudes (r = 0.379, P < 0.001), and between attitudes and care approach (r = 0.143, P < 0.001). However, dementia knowledge has no relationship with a person-centred approach.ConclusionsCommunity health professionals showed generally positive attitudes towards people with dementia. However, they demonstrated poor dementia knowledge and tended not to use a person-centred care approach. The results suggest that a multifaceted approach consisting of educational interventions for community health professionals, and policy and resource development to meet the demand for community dementia care services, is urgently needed in China.

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Section: Discussionmentioning

confidence: 99%

Community health professionals’ dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China

et al. 2018

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“…By 2020, over 23 percent of China's citizenry is expected to be over age 65, resulting in a major challenge to China's medical and social insurance system (9). In China, 30.4% of hospitalized patients are elderly (10). Significant portion of them never return alive despite intensified medical management.…”

Section: Introductionmentioning

confidence: 99%

Cause of Death among Young-old, Old-old and Oldest-old Patients in a Single Center During 15 Years

Zhang¹,

Zhou²,

Zhang³

et al. 2015

West Indian Med J

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Objective: The purpose of this study is to identify the cause of death in elderly patients stratified by age in a general hospital during 15 years. Methods:The authors retrospectively analyzed the cause of death in a cohort of deceased patients aged 65 years and over, who were divided into three groups as young-old (65-74 yrs, n=1050), old-old (75-84 yrs, n=944), and oldest-old (≥85 yrs, n=344), and who were admitted to a general hospital in Beijing from May 1996 till May 2011.Results: There are totally 2338 patients (1409 male, 929 female) aged 65 years and older admitted to and eventually died in our hospital in this period. The 5 major cause of death by the order were neoplasm (777, 33.2%), circulatory (648, 27.7%), respiratory (541, 23.1%), digestive (163, 7.0%) diseases and injuries (70, 3.0%). However, in the oldest old group, they were respiratory (126, 36.6%), circulatory (95, 27.6%), neoplasm (61, 17.7%), digestive (28, 8.1%) diseases and injuries (26, 7.6%). The proportion of patients died by neoplasm is significantly lower, while that of respiratory system diseases and injuries significantly higher in the older groups than in the younger groups (P<0.01). The proportion of patients died by neoplasm is negatively correlated with age (r=-0.938, P=0.000), while that by respiratory diseases was positively correlated with age (r=0.785, P=0.000). Conclusion:More attention should be paid to the prevention and management of neoplasm for younger group, while of respiratory system diseases for older group of elderly to fulfill their longevity.

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A comprehensive approach to psychometric assessment of instruments used in dementia educational interventions for health professionals: A cross-sectional study

Wang¹,

Xiao²,

He³

2015

International Journal of Nursing Studies

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An Innovative Continuing Nursing Education Program Targeting Key Geriatric Conditions for Hospitalized Older People in China

Cited by 5 publications

References 31 publications

Community health professionals’ dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China

Community health professionals’ dementia knowledge, attitudes and care approach: a cross-sectional survey in Changsha, China

Cause of Death among Young-old, Old-old and Oldest-old Patients in a Single Center During 15 Years

A comprehensive approach to psychometric assessment of instruments used in dementia educational interventions for health professionals: A cross-sectional study

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