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Type: Journal article
Title: Health professionals' perspectives of providing care to people with dementia in the acute setting: toward better practice
Author: Borbasi, S.
Jones, J.
Lockwood, C.
Emden, C.
Citation: Geriatric Nursing, 2006; 27(5):300-308
Publisher: Mosby Inc
Issue Date: 2006
ISSN: 0197-4572
Statement of
Borbasi, Sally; Jones, Jacqueline; Lockwood, Craig; Emden, Carolyn
Abstract: This article reports an interpretative research project about the care of patients with dementia admitted to the acute setting with a non-dementia-related illness. Open-ended interviews were conducted with 25 medical, nursing, and other health care professionals drawn from 3 metropolitan teaching hospitals in Australia. Qualitative data analysis generated 5 major themes relating to the built environment and organizational "system" as determinants of practice, the influence of key players, current dementia care management, and ideal dementia care management. Results showed acute care hospitals are not the best place for people with dementia and can negatively influence health outcomes such as functional independence and quality of life. Participants reported attempts to provide best practice but experienced major constraints stemming largely from environmental, sociocultural, and economic issues. Recommendations include the delivery of acute services in tandem with dementia services and a whole organization shift in thinking away from what conveniently suits the institution to thinking that is person-centered and dementia-friendly. With support from executive-level management, nurses can play a leading role in the implementation of practice change.
Keywords: Humans
Acute Disease
Activities of Daily Living
Attitude of Health Personnel
Time Management
Nursing Methodology Research
Geriatric Nursing
Qualitative Research
Quality of Life
Personnel, Hospital
Hospitals, Teaching
Health Facility Environment
Hospitals, Public
Health Promotion
Patient Participation
Health Services Needs and Demand
Organizational Innovation
Patient-Centered Care
Quality of Health Care
South Australia
Surveys and Questionnaires
DOI: 10.1016/j.gerinurse.2006.08.013
Appears in Collections:Aurora harvest
Nursing publications

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