Nurses’ knowledge and attitudes about dementia care: Systematic literature review

Evripidou, Melina; Charalambous, Andreas; Middleton, Nicos; Papastavrou, Evridiki

doi:10.1111/ppc.12291

Cited by 89 publications

(133 citation statements)

References 43 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…Demographic change continuously leads to an increase in the number of patients with dementia in nursing homes for the elderly [ 12 ]. Dementia care can be very challenging due to the cognitive and functional decline of patients; however, it may be suggested that nurses’ low level of knowledge of patients’ needs and an unfavorable attitude towards dementia care can have a negative impact on care, patient safety, and symptom management [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany—A Survey

Schablon

Wendeler²,

Kozak

et al. 2018

IJERPH

117

109

View full text Add to dashboard Cite

Acts of aggression by patients or clients are a part of the average working day for many Health care employees. The objective of the survey was to study the frequency and nature of violence and the handling of aggressive behavior by facility management. The cross-sectional study was conducted in 2017, 81 different healthcare facilities and 1984 employees participated. The questionnaire encompassed socio-demographic details, the frequency of physical violence and verbal abuse, consequences of violence and the stress of employees. In the previous twelve months, 94.1% of the employees in the survey had experienced verbal abuse and 69.8% had experienced physical aggression. Acts of aggression were most commonly encountered in hospitals and residential facilities for the disabled. One third of the employees felt under high levels of stress as a result of the incidents. If the workplace prepares effectively, however, this reduces the perceived stress odds ratio (OR) 0.6, 95% CI 0.4–0.8). Violence and aggression are very common. Healthcare facilities are increasingly dealing with this topic. Awareness raising is likely to lead to higher incident reporting rates. Good preparation and an open approach to the topic in the facilities have a positive effect on the feeling of stress and work ability.

show abstract

Section: Introductionmentioning

confidence: 99%

Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany—A Survey

Schablon

Wendeler²,

Kozak

et al. 2018

IJERPH

117

109

View full text Add to dashboard Cite

show abstract

“…Surr et al [ 7 ] highlighted stigmatization or negative staff attitudes and limited staff skills or knowledge regarding dementia, besides negative culture in wards and institutions and unsupportive physical environments, as key causes behind poor outcomes in PwD admitted to hospitals. In their recent review, Evripidou et al [ 8 ] supported the assumption that acute care nurses’ attitude toward PwD is rather negative. It was also found that hospital staff might not be aware of the needs that older people have, because they lack specialized education and understanding [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…It was also found that hospital staff might not be aware of the needs that older people have, because they lack specialized education and understanding [ 4 ]. However, a higher dementia knowledge level is supposed to correlate positively with positive attitudes [ 8 ] and, vice versa, there is evidence that shows a correlation between lack of knowledge and negative attitudes toward older people [ 9 ]. The latest World Alzheimer Report [ 10 ] titled “Attitudes to dementia”, highlights the importance of this topic in general.…”

Section: Introductionmentioning

confidence: 99%

Hospital Staff’s Attitudes Toward and Knowledge About Dementia Before and After a Two-Day Dementia Training Program

Schneider

Schönstein

Teschauer³

et al. 2020

JAD

View full text Add to dashboard Cite

Background: The outcomes of hospitalized People with Dementia (PwD) are likely to be negative due to, among other key causes, negative staff attitudes and limited staff knowledge regarding dementia. Targeted interventions have been shown to positively change the attitudes of the hospital staff while also increasing their overall knowledge of dementia. However, training effects are often short-lived and frequently long-term effects are not examined in studies. Objective: To examine whether attending a dementia training program changes the attitudes of hospital staff toward PwD and/or increases their knowledge levels about dementia, and whether or not these changes are stable. Methods: The training program lasted two days and N = 60 attending hospital staff members agreed to participate in the study. Data were assessed with questionnaires prior to the training, 3 months, and 6 months after the training. German versions of the Dementia Attitude Scale (DAS-D) and the Knowledge in Dementia (KIDE) scale were used. Additionally, data about perception of PwD and confidence in dealing with challenging behavior were collected and analyzed. Results: After the training program, participants showed a significantly better attitude toward PwD as measured by DAS-D. These time-effects occurred in both DAS-D subscales (“dementia knowledge” and “social comfort”). Although a positive trend could be seen in the KIDE scale, no statistically significant increase occurred over time. Conclusion: Specialist training programs seem to be promising in positively changing attitudes toward and increasing knowledge about PwD with long-term effects. Further research should address the effects of attitude change in patient care.

show abstract

“…Older adults with dementia were excluded although they are able to send and receive nonverbal information [39]. Dementia care combines comorbidities, cognitive and functional decline; leading to complex needs and ever-increasing difficulty for the patient in articulating them (36). It is viewed as a challenging form of care.…”

Section: Conceptmentioning

confidence: 99%

Evidence of nonverbal communication between nurses and older adults: a scoping review

Keutchafo

Kerr

Jarvis

2019

Preprint

View full text Add to dashboard Cite

Background : Communication is an integral part of life and of nurse-patient relationships. Effective communication with patients can improve the quality of care. However, due to specific communication needs in older adults, the communication between them and nurses is not always effective. Additionally, though research has focused on communication, there is scant evidence on nonverbal communication between nurses and older adults with no communication impairment nor mental illness. Methods : This scoping review describes the type of nonverbal communication used by nurses to communicate with older adults. It also describes the older adults’ perceptions of nurses’ nonverbal communication cues. It followed Arksey and O’Malley’s framework. Relevant studies and grey literature were identified by searches in Pubmed, Science Direct, Sabinet, Academic search complete, CINAHL with Full Text, Education Source, Health Source- Consumer Edition, Health Source: Nursing/Academic Edition, and MEDLINE. Google Scholar, and World Health Organization library. The studies and grey literature were then filtered by two reviewers independently. Eligibility criteria for inclusion were: (i) studies focused on nurses’ nonverbal communication with older adults; (ii) studies focused on older adults’ interpretation of nurses’ communication behaviors; (iii) any existing literature from 2000 to 2019 and (iv) literature in English and French. Results : Twenty-two studies were included in this review. The results demonstrate limited published research addressing nonverbal communication between older adults and nurses. The review also revealed that haptics, kinesics, proxemics, and vocalics were most frequently used by nurses when communicating with older adults; while there was limited use of artefacts and chronemics. There was no mention of silence as a nonverbal communication cue used by nurses. Additionally, older adults had both positive and negative perceptions about nurses’ nonverbal communication behaviors. Conclusion : Nurses should be self-aware of their nonverbal communication behaviors as well as the way in which the meanings of the messages might be misinterpreted. In addition, nurses should identify their own style of nonverbal communication and understand its modification as necessary in accordance with patient’s needs.

show abstract

Nurses’ knowledge and attitudes about dementia care: Systematic literature review

Abstract: This review contributes to care advancement and practice development through the reinforcement of organizational support and educational opportunities for nurses.

Cited by 89 publications

References 43 publications

Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany—A Survey

Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany—A Survey

Hospital Staff’s Attitudes Toward and Knowledge About Dementia Before and After a Two-Day Dementia Training Program

Evidence of nonverbal communication between nurses and older adults: a scoping review

Contact Info

Product

Resources

About