Aim
To explore the experiences of Certified Nurses in Dementia Nursing (DCNs) concerning the effective education of staff in acute hospitals.
Background
In Japan, the number of inpatients with dementia who need medical care continues to increase. DCNs play an important role in educating medical staff about dementia care in acute hospitals. However, there is a lack of a clear understanding in this regard.
Design
A qualitative design using a thematic analysis.
Methods
Data were extracted from a focus group discussion conducted with 10 DCNs working in 10 different acute hospitals in central Japan. Participants answered semi‐structured, open‐ended questions about their experiences related to effective staff education. Categories, subcategories and themes were created. This study complied with the Standards for Reporting Qualitative Research.
Results
The two themes identified were “building a foundation for dementia care education” and “continuous support based on practical processes.”
The management of the care giving of a family member with dementia is an important issues these days. In the present article, I discuss the stages families go through on their way to finding out that a family member has a cognitive disorder. Stage I is a stage of bewilderment in which negative care is given. In Stage II, the relatives find out or realize that the person has a cognitive disorder and they try to extricate themselves from the negative care. In Stage III, the family members express hope that the person will recover, whereas in Stage IV they resign themselves to the fact that their loved one has a cognitive disorder and will never recover. The last stage, Stage V, is when the family members try new types of care. The family vacillates between the different stages and, after a long period of time, they accept the fact that the person has a cognitive disorder and finally create an environment in which the patient can live peacefully. It is a long process, and perhaps a very hard one for the family. Each member of the family has his or her own history and role withing the family; this cannot be forgotten and it is very common for family members to be unable to accept the situation. Even still, the family persists. Because they persist, they sometimes become angry; they also lament and ignore the situation. It is important to thoroughly observe the stage at which the family comes to accept the situation and to be mindful of caring for the family.
This article summarizes the impact of inter-generational cooperation on the quality of life of elderly Alzheimer’s sufferers. The study is a continuing, two-year intervention and reports the results of the first year. It consists of an intervention and a control group of eight and six sufferers, respectively, who have been diagnosed with Alzheimer's disease. Both groups attend day care services. The intervention group participates in the inter-generational program with children, while the control group does not. On the Philadelphia Geriatric Center Affect Rating Scale, three items have been proved statistically significant. Pleasure, Interest, and Contentment have increased with inter-generational cooperation. The magnitude of the change was not so remarkable as to influence QOL-AD at home. However, the present results may imply a reduction on the burden of the day care service staff and family carers. Another advantage may be in the educating of the children’s parents, whose understanding of dementia was poor.
This study investigates the relationship between in-patient foot and nail condition and their falling. The purpose is to determine if a nursing intervention can reduce the risk of falling in the acute hospital setting. We found that the group of those had fallen significantly suffered from abnormalities of their feet and/or nail. It became especially clear that falling was related to tinea, excessive keratin, and excessively long nails. Also, there were few nurses who were aware that foot and nail condition are a risk factor of falling. Relatedly, their concern for the condition of patients’ feet and nails was low. We recommend that nurses and patients improve the condition of feet and nails to reduce falling by the elderly in an acute hospital setting. In addition, we conclude that foot care enhances the lower extremities’ physiological functions.
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