This study aimed to understand nurses' experiences of moral distress when caring for elderly dementia patients who reside in long-term care centers. Methods: Colaizzi's phenomenological approach was used for this study. The participants included eight nurses. Semi-structured in-depth interviews were used to collect data from February to August 2019. Results: Three categories emerged from the analysis. The nurses reported experiences of moral distress when caring for older adults with dementia. Theses experiences included "worrying about sincere care", "a sense of guilt about task-oriented care", "a feeling of helplessness because they cannot advocate care". Seven theme clusters and 17 themes emerged in this study. The participants stated feeling conflicted about the meaning of care when they know secondary problemes will occur, but inevitably choose the next-best care option. The nurses could not provide proper care to their patients due to their overburdened workloads. The participants experienced a sense of guilt for caring only about the task at hand, without empathy. They felt helpless because that could not represent human rights and felt the gap between principle and reality as a nurse. Conclusion: These results suggest nurses' moral distress must be considered to improve elderly dementia care. It is ethically and morally necessary for education programs to focus on caring for elderly dementia patients, and these findings can guide the program's content and direction.
The purpose of this study was to explore the experiences of new nurses who took care of COVID-19 patients. For this study, study subjects were conducted with a total of nine new nurses, and data were collected through individual in-depth interviews from September to November 2020. The data were analyzed using the phenomenological analysis method suggested by Colaizzi. New nurses’ experience of caring for COVID-19 patients consisted of three categories. The three categories are “The fear as a new nurse about infectious diseases that they have not experienced”, “Physical and psychological burden in an isolated environment”’, and “Building professional values”. Findings from this study presented vivid experiences of new nurses who took care of COVID-19 patients. This study is meaningful in that it grasped the physical and psychological difficulties of nurses nursing COVID-19 patients, especially the difficulties as a new nurse, and the implications for developing and growing within them. It is expected that it will serve as basic data for the establishment of strategies for infectious education programs for new nurses.
This study was done to identify the caring competence and job satisfaction of dementia care workers and to analyze contents for effective operation of dementia care centers. The study setting was Seoul and Gangwon-do. Methods: One hundred fifty workers in dementia care centers participated: 80 from Seoul and 70 from Gangwon-do. Caring competences and job satisfaction were measured using questionnaires of 18 and 22 items, respectively. Results: First, there was a difference in dementia caring competence between the locations (t=2.05, p=.042). Workers in Seoul (4.09±0.51) had higher competence than those from Gangwon-do (3.91±0.55). Second, the dementia caring competence of the workers was positively correlated with their job satisfaction (r=.19, p=.023). Finally, based on content analysis, it was expected that a dementia care system supported by the government resulted in effective and systematic control, enhanced professional service, and strengthened accessibility to medical service. Conclusion: It is important to develop better work environments to provide long-term service and to establish various strategies to improve caring competence and job satisfaction of dementia care workers. In addition, operational strategies adapted to local workers where unbalanced health care resources exist should be applied continuously in the operation of nationwide dementia centers.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.