Hospital Nurse Knowledge of and Approach to Dementia Care

Lin, Pei-Chao; Hsieh, Mei-Hui; Lin, Li‐Chan

doi:10.1097/jnr.0b013e318263d82e

Cited by 34 publications

(54 citation statements)

References 25 publications

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“…These results con rm ndings from previous studies in China [11,30] and may indicate that person-centered dementia care is not well known in China. Much work needs to be done throughout China to promote the person-centered care approach as the gold standard in dementia care and to integrate this into government policies, dementia care guidelines, curricula of health professional education and clinical practice [11,31]. It is recommended that person-centered care education be fostered by creative, experimental and re ective processes [32].…”

Section: Discussionsupporting

confidence: 87%

“…A maximum score of 13 is possible. The psychometric properties of the Chinese version of the ADCQ have been established [11].…”

Section: Measurementsmentioning

confidence: 99%

“…To provide best-practice dementia care, health professionals also need to engage in shared decision-making to complement their roles and foster client-centered treatment and care [8,10]. However, numerous studies have found that many health professionals lack knowledge of risk factors, symptoms, treatment, management and care approach for dementia [11][12][13]. Health professionals also demonstrate inappropriate attitudes towards dementia [12,14].…”

Section: Introductionmentioning

confidence: 99%

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A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

Wang

Xiao

2020

Preprint

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BackgroundDementia care requires inter-disciplinary collaboration starting from formal health professional education. Yet, little is known about how undergraduate medical and nursing students perceive dementia care in China. The aim of this study was to investigate undergraduate medical and nursing students’ knowledge, attitudes and care approach of dementia in China.MethodsA cross-sectional survey was conducted. Students enrolled in a 5-year Bachelor of Medicine Program and a 4-year Bachelor of Nursing Program from four universities with campuses across Eastern, Western, Southern and Northern China were recruited into the study. Three validated instruments, Alzheimer’s Disease Knowledge Scale, the Dementia Care Attitude Scale and Approach to Advanced Dementia Care Questionnaire, were used to measure students’ dementia knowledge, attitudes and perceived care approach. Data were collected using a self-administered survey.ResultsThe number of medical and nursing students completing the survey was 526 and 467 respectively. Overall dementia knowledge was poor (19.49±2.82), but attitudes were generally positive (29.92±3.35). Medical students demonstrated higher dementia knowledge scores and showed less positive attitude scores than nursing students (p<0.05). We also observed that students would not apply a person-centered care approach. Findings also revealed statistically significant differences in care approach scores between medical and nursing students.ConclusionsStudy results highlight the urgent need to implement an inter-disciplinary approach to increasing dementia education among Chinese medical and nursing students, and ensuring that students have adequate knowledge, attitudes and experience in the care of people with dementia.

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Section: Discussionsupporting

confidence: 87%

“…A maximum score of 13 is possible. The psychometric properties of the Chinese version of the ADCQ have been established [11].…”

Section: Measurementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

Wang

Xiao

2020

Preprint

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“…Building on Kitwood's theory, Brooker () developed guidelines for person‐centred care including four major elements: valuing PaWD and those who care for them; treating people as individuals; considering the world from the perspective of PaWD; and creating positive social environments (Chater & Hughes, ). Although these theories were developed for long‐term care settings, they can be applied to acute care settings and can help nurses understand dementia from several aspects such as how PaWD experience the world, the causes of their behaviours, and how nurses view dementia care (Chater & Hughes, ; Elliot & Adams, ; Fessey, ; Haak, ; Lin, Hsieh, & Lin, ; Page & Hope, ; Rushton et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Knowledge of the theoretical underpinnings of dementia allows nurses to apply and progress the competency (Chang et al, 2009;Chater & Hughes, 2012;Handley et al, 2017;Tan et al, 2017) and can help nurses obtain better information on providing appropriate dementia nursing care (Elliot & Adams, 2011). Further, as clinical specialists, the knowledge is also required to continually progress through levels of clinical expertise-from novice, through to expert-which is associated with improving the quality of dementia nursing care (Borbasi et al, 2006;Chater & Hughes, 2012;Crabtree & Mack, 2010;Elliot & Adams, 2011;Handley et al, 2017;Iliffe et al, 2010;Josefsson et al, 2008;Lin et al, 2012).…”

Section: Building Theoretical and Clinical Knowledgementioning

confidence: 99%

Dementia nursing competency in acute care settings: A concept analysis

Yamaguchi

Greiner

Ryuno

et al. 2019

Int J of Nursing Practice

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Aim To critically analyse the concept of dementia nursing competency in acute care settings. Backgrounds The nursing care needs of patients with dementia are increasing in acute care settings. However, a framework for the dementia nursing competency has not been explicitly outlined. Design Rodgers' evolutionary method for concept analysis. Data Sources Competenc* AND dementia AND nurs* AND acute OR hospital OR clinical were selected from the MEDLINE, CINAHL, PsycINFO, CiNii, and Google Scholar for publication from 2006 to 2017. Review Methods All 29 articles were identified. Data were analysed with a particular focus on the attributes, antecedents, and consequences of the concept. Results Six attributes were identified: respecting patient individuality, applying ethical considerations, providing person‐centred care, possessing responsibility, coordinating external environments, and possessing care coordination and facilitation skills. Identified antecedents included building theoretical and clinical knowledge, developing an awareness of dementia and its risk behaviours, performing assessments of dementia nursing practice, developing relationships with patients with dementia, and applying a team approach. Applying the competency led to positive consequences for patients, nurses, and patient‐nurse and nursing team relationships. Conclusion Developing the dementia nursing competency results in stronger emotional interventions and adds a human‐to‐human connection.

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Knowledge and attitudes of community pharmacists regarding dementia: A nationwide cross‐sectional study in Vietnam

Nguyen

Dinh

2023

Int J Geriat Psychiatry

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ObjectiveTo investigate Vietnamese community pharmacists' knowledge and attitudes towards dementia.Methods1066 community pharmacists in eight provinces/centrally‐governed cities were recruited using a non‐probability convenience sampling technique. Their dementia knowledge was measured using a set of 14 questions developed through a literature review. The Approaches to Dementia Questionnaire was used to assess pharmacists' attitudes towards dementia. Cronbach's alpha was 0.88 for the overall questionnaire (0.70 for the knowledge part and 0.81 for the attitude part).ResultsParticipants were mostly female (74.2%), 20–39 years old (79.1%), and had work experience in pharmacies of less than 10 years (77.0%). Medicines for dementia were available in only 40 community pharmacies (3.8%), including galantamine (3.0%) and donepezil (0.8%). Pharmacists' average knowledge and attitude scores were 8.03 ± 2.61 and 64.81 ± 7.34, respectively. There were considerable differences in pharmacists' knowledge and attitudes between rural and urban areas and among eight provinces (p < 0.001). Higher knowledge and attitude scores were found among those with higher education levels and longer work experience (p < 0.001). Using reliable sources to seek information on dementia, such as books and scientific articles, also helped pharmacists to have better knowledge and more positive attitudes (p < 0.001). There was a positive relationship between knowledge and attitude scores (r = 0.326, p < 0.001).ConclusionCommunity pharmacists demonstrated moderate levels of knowledge and attitudes towards dementia. Their knowledge about the symptoms of dementia was inadequate. Educational interventions and training programs are urgently needed to enhance their dementia knowledge and attitudes.

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Hospital Nurse Knowledge of and Approach to Dementia Care

Cited by 34 publications

References 25 publications

A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

A comparative study of dementia knowledge, attitudes and care approach among Chinese nursing and medical students

Dementia nursing competency in acute care settings: A concept analysis

Knowledge and attitudes of community pharmacists regarding dementia: A nationwide cross‐sectional study in Vietnam

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