The dementia certified nurse process for acquiring knowledge for care of older adult patients with dementia in acute care hospitals: a qualitative descriptive study
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Introduction: This study aimed to explore DCNs’ perceived knowledge acquisition in older adult patients with dementia in acute-care hospitals.
Methods: The study used qualitative methods, with 14 Japanese DCNs involved in the snowball sampling method. Face-to-face interviews were conducted between June and December 2016 by the principal investigator. A qualitative content analysis was used in this study. The study results were divided into nine categories and 31 sub-categories.
Results: This study highlights the process through which DCNs in acute-care hospitals acquire expertise in caring for older adults with dementia. Initially, DCNs faced dilemmas between patients’ resistance to treatment and their professional priorities, leading to emotional and cognitive shifts that motivated them to seek specialized knowledge and refine their care methods. By reflecting on their experiences, integrating patient-centered approaches, and sharing insights with team members, DCNs deepened their understanding, adapted care strategies, and enhanced their clinical capacity to meet patients' needs effectively.
Conclusions: Nurses should provide appropriate training before taking care of the patients. Knowledge should be combined with patient’s problems and behavior. Thus, nurses become more flexible in adapting to patients with dementia. These findings emphasize the importance of fostering reflective practices and educational interventions to enhance DCNs’ expertise, enabling them to provide patient-centered care and improve outcomes for older adults with dementia.
Amagi, N., Momose, Y., & Matsuoka, H. (2014). 一般病院で入院治療する認知症高齢者への看護実践における認知症看護認定看護師の判断 [Judgment of certified dementia nursing nurses in nursing practice for elderly people with dementia who are hospitalized and treated in general hospitals]. 日本看護研究学会雑誌, 37(4), 4_63-64_72. https://doi.org/10.15065/jjsnr.20140415007
Araújo, D., Davids, K., & Renshaw, I. (2020). Cognition, emotion and action in sport. In Handbook of Sport Psychology (pp. 535-555). https://doi.org/10.1002/9781119568124.ch25
Aungsuroch, Y., Juanamasta, I. G., Elsherbiny, O. E., & Kabaya, S. (2024). Quality of life for adult family caregivers of patients with dementia: a Systematic review. Jurnal Ners, 19(1), 112-122. https://doi.org/10.20473/jn.v19i1.47100
Bakanic, V., Singleton, M., & Dickinson, G. E. (2016). Hospice attitudes of physicians and nurses: a pilot study. American Journal of Hospice and Palliative Medicine®, 33(1), 34-40. https://doi.org/10.1177/1049909114552124
Benner, P. E., Benner, P., Hooper-Kyriakidis, P. L., Kyriakidis, P. L. H., & Stannard, D. (2011). Clinical wisdom and interventions in acute and critical care: A thinking-in-action approach. Springer Publishing Company.
Brown, B., Gude, W. T., Blakeman, T., van der Veer, S. N., Ivers, N., Francis, J. J., Lorencatto, F., Presseau, J., Peek, N., & Daker-White, G. (2019). Clinical performance feedback intervention theory (CP-FIT): a new theory for designing, implementing, and evaluating feedback in health care based on a systematic review and meta-synthesis of qualitative research. Implementation Science, 14(1), 40. https://doi.org/10.1186/s13012-019-0883-5
Colorafi, K. J., & Evans, B. (2016). Qualitative descriptive methods in health science research. HERD, 9(4), 16-25. https://doi.org/10.1177/1937586715614171
Cope, D. G. (2014). Methods and meanings: credibility and trustworthiness of qualitative research. Oncol Nurs Forum, 41(1), 89-91. https://doi.org/10.1188/14.ONF.89-91
Cowdell, F. (2010). Care of older people with dementia in an acute hospital setting. Nursing Standard, 24(23).
Deci, E. L., & Moller, A. C. (2005). The concept of competence: a starting place for understanding intrinsic motivation and self-determined extrinsic motivation. In J. E. C. S. Dweck (Ed.), Handbook of competence and motivation (pp. 579–597). Guilford Publications.
Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2019). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25(5), 443-455. https://doi.org/10.1177/1744987119880234
Eguchi, K., Maeda, Y., Kubota, M., & Kinoshita, A. (2012). 身体合併症で入院した認知症高齢者への一般病院におけるケアのプロセス [Process of care in general hospitals for elderly people with dementia hospitalized due to physical complications].
Fatania, V., De Boos, D., Tickle, A., & Connelly, D. (2019). How do inpatient psychiatric nurses make sense of and respond to behaviours in dementia? An interpretative phenomenological analysis. Aging & Mental Health, 23(9), 1156-1163. https://doi.org/10.1080/13607863.2018.1479835
Fukuda, R., Shimizu, Y., & Seto, N. (2015). Issues experienced while administering care to patients with dementia in acute care hospitals: A study based on focus group interviews. International Journal of Qualitative Studies on Health and Well-being, 10(1), 25828. https://doi.org/10.3402/qhw.v10.25828
Guba, E. G. (1981). Criteria for assessing the trustworthiness of naturalistic inquiries. ECTJ, 29(2), 75. https://doi.org/10.1007/BF02766777
Harashima, R., Watanabe, M., & Ishinabe, K. (2013). 看護における模擬患者を活用したシミュレーション教育に関する文献検討 [Literature review on simulation education utilizing simulated patients in nursing]. 茨城キリスト教大学看護学部紀要.
Hebbecker, K., Förster, N., & Souvignier, E. (2019). Reciprocal effects between reading achievement and intrinsic and extrinsic reading motivation. Scientific Studies of Reading, 23(5), 419-436. https://doi.org/10.1080/10888438.2019.1598413
Jeffries, P. (2020). Simulation in nursing education: From conceptualization to evaluation. Lippincott Williams & Wilkins.
Jeong, S. H., Lee, S. J., Cho, S. M., & Cho, H. (2020). Systematic review on the influencing factors of nurses' and nursing students' attitudes toward hospice and palliative care. Journal of Hospice & Palliative Nursing, 22(2), 130-136. https://doi.org/10.1097/NJH.0000000000000627
Juanamasta, I. G., Aungsuroch, Y., & Gunawan, J. (2021). A concept analysis of quality nursing care. Journal of Korean Academy of Nursing, 51(4), 430-441. https://doi.org/10.4040/jkan.21075
Kabaya, S., Greiner, C., Juanamasta, I. G., & Aungsuroch, Y. (2023). Factors related to sleep in family caregivers of people with dementia: A systematic review. Jurnal Keperawatan Padjadjaran, 11(3), 214-222. https://doi.org/10.24198/jkp.v11i3.2356
Kanai, T., & Kusumi, T. (2012). Practical intelligence of professional experts. Yuhikaku Publishing, Tokyo (in Japanese).
Kang, S. W., & Choi, E. J. (2020). The relationship of perceptions of hospice and palliative care with emotional intelligence and cognitive empathy in nursing students. Journal of Hospice & Palliative Nursing, 22(3), 213-219. https://doi.org/10.1097/NJH.0000000000000645
Lambert, V., & Lambert, C. (2012). Editorial: Qualitative descriptive research: An acceptable design. Pacific Rim International Journal of Nursing Research, 16 (4), 255-256. In.
Lin, P.-C., Hsieh, M.-H., & Lin, L.-C. (2012). Hospital nurse knowledge of and approach to dementia care. Journal of Nursing Research, 20(3), 197-207. https://doi.org/10.1097/jnr.0b013e318263d82e
Lobchuk, M., Halas, G., West, C., Harder, N., Tursunova, Z., & Ramraj, C. (2016). Development of a novel empathy-related video-feedback intervention to improve empathic accuracy of nursing students: a pilot study. Nurse Education Today, 46, 86-93. https://doi.org/10.1016/j.nedt.2016.08.034
Ministry of Health, L. a. W. o. J. (2015). 認知症施策推進総合戦略 (新オレンジプラン) [Comprehensive strategy for promotion of dementia measures (New Orange Plan)]. 認知症地域支援推進員 (概要). http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000064084.html,(参照日 2017 年 12 月 12 日).
Nagoshi, E., & Kakehashi, C. (2005). 終末期がん患者にかかわる看護師の体験の意味づけ一般病院に焦点を当てて―[Meaning of the experience of nurses involved in end-of-life cancer patients-Focusing on general hospitals-]. 日本がん看護学会誌, 19(1), 43-49. https://doi.org/10.18906/jjscn.2005-19-1-43
Nopita Wati, N. M., Juanamasta, I. G., Thongsalab, J., & Yunibhand, J. (2023). Strategies and challenges in addressing ethical issues in the hospital context: A phenomenological study of nurse team leaders. Belitung Nursing Journal, 9(2). https://doi.org/10.33546/bnj.2446
Pennbrant, S., Hjorton, C., Nilsson, C., & Karlsson, M. (2020). "The challenge of joining all the pieces together" - Nurses' experience of palliative care for older people with advanced dementia living in residential aged care units. Journal of Clinical Nursing, 29(19-20), 3835-3846. https://doi.org/10.1111/jocn.15415
Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334-340. https://doi.org/10.1002/1098-240x(200008)23:4<334::Aid-nur9>3.0.Co;2-g
Sandelowski, M. (2010). What's in a name? Qualitative description revisited. Research in Nursing & Health, 33(1), 77-84. https://doi.org/10.1002/nur.20362
Senda, M., & Mizuno, T. (2014). 認知症高齢者を看護する看護師が感じる困難の分析 [Analysis of difficulties felt by nurses caring for the elderly with dementia]. 岩手県立大学看護学部紀要, 16, 11-17.
Shin, S., Park, J. H., & Kim, J. H. (2015). Effectiveness of patient simulation in nursing education: meta-analysis. Nurse Educ Today, 35(1), 176-182. https://doi.org/10.1016/j.nedt.2014.09.009
Steward, T., Davey, C. G., Jamieson, A. J., Stephanou, K., Soriano-Mas, C., Felmingham, K. L., & Harrison, B. J. (2020). Dynamic neural interactions supporting the cognitive reappraisal of emotion. Cerebral Cortex. https://doi.org/10.1093/cercor/bhaa268
Suzuki, H. (2015). 2I08 自己評価項目における「内省」プロセスの応用可能性に関する基礎的研究 : 顕在的メタ認知の誘導と「自己」が未自覚な潜在的メタ認知のデータ収集(分析と評価(2),一般講演) [2I08 Basic research on the applicability of the "introspection" process in self-assessment items: Induction of overt metacognition and data collection of latent metacognition in which "self" is unaware (analysis and evaluation (2), general lecture )]. 年次大会講演要旨集, 30, 992-999. https://doi.org/10.20801/randi.30.0_992
Tamaki, T., Inumaru, A., Yokoi, Y., Fujii, M., Tomita, M., Inoue, Y., Kido, M., Ohno, Y., & Tsujikawa, M. (2019). The effectiveness of end-of-life care simulation in undergraduate nursing education: a randomized controlled trial. Nurse Education Today, 76, 1-7. https://doi.org/10.1016/j.nedt.2019.01.005
Tamura, Y. (2014). 日々のふり返りを積み重ね,リフレクションを深化させよう (特集 さまざまなアプローチによるリフレクション) [Let's accumulate daily reflections and deepen reflection (Special feature: Reflection by various approaches)]. 看護教育, 55(3), 190-196. https://ci.nii.ac.jp/naid/40019989480/en/
Taneichi, H., & Rokkaku, R. (2020). A qualitative focus group discussion study on the experiences of Certified Nurses in Dementia Nursing related to effective staff education. Nurs Open, 7(2), 547-555. https://doi.org/10.1002/nop2.419
Ueno, Y., & Suzuki, K. (2016). 急性期病院における認知症看護の定着 : 院内研修とチーム活動の実際 (特集 急性期病院における「認知症ケア」のためのスペシャリストの活用) -- (認知症看護認定看護師による認知症ケアの実際) [Establishment of dementia nursing in acute care hospitals: In-hospital training and actual team activities (Special feature: Utilization of specialists for "dementia care" in acute care hospitals)-(Practice of dementia care by certified dementia nursing nurses)]. 看護展望, 41(8), 709-713. https://ci.nii.ac.jp/naid/40020889849/en/
Yada, H., Abe, H., Lu, X., Wakizaki, Y., Omori, H., Matsuo, H., Ishida, Y., & Katoh, T. (2014). Job-related stress in psychiatric nurses in Japan caring for elderly patients with dementia. Environ Health Prev Med, 19(6), 436-443. https://doi.org/10.1007/s12199-014-0414-6
Yamamoto-Mitani, N., Saito, Y., Takaoka, M., Takai, Y., & Igarashi, A. (2018). Nurses' and care workers' perception of care quality in japanese long-term care wards: a qualitative descriptive Study. Global Qualitative Nursing Research, 5, 2333393618812189. https://doi.org/10.1177/2333393618812189
Yous, M. L., Ploeg, J., Kaasalainen, S., & Martin, L. S. (2019). Nurses' experiences in caring for older adults with responsive behaviors of dementia in acute care. SAGE Open Nursing, 5, 2377960819834127. https://doi.org/10.1177/2377960819834127
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