Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Relationship between Knowledge of Dementia Care, Attitude toward Dementia and Person-centered Care among Nurses in Geriatric Hospitals

요양병원 간호사의 치매간호지식, 치매태도 및 인간중심 돌봄과의 관계

  • Received : 2019.07.18
  • Accepted : 2019.10.28
  • Published : 2019.11.30
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Abstract

Purpose: The purpose of the study was to investigate the relationships between knowledge of dementia care, attitude toward dementia and person-centered care among nurses in geriatric hospitals. Methods: Participants were 115 nurses from the seven geriatric hospitals. Data were collected from September $5^{th}$ through $21^{st}$ in 2018 and analyzed using t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression. Results: Person-centered care was significantly different according to satisfaction with income, career of geriatric hospital, application of their opinions, and the satisfaction with hospital managers, administrators and nurse managers. Also person-centered care showed a significant positive correlation with the attitude toward dementia. Predictors of person-centered care were the satisfaction with hospital managers and the attitude toward dementia, which explained 23.0% of the variance. Conclusion: The findings of this study indicate that the attitude toward dementia and the satisfaction with the hospital organization were related to the person-centered care in geriatric hospitals. Therefore, the strategies to improve the attitude towards dementia should be carried out to enhance the person-centered care among nurses in geriatric hospital.

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References

  1. National Institute of Dementia. Annual report of National Institute of Dementia. 2018; 1-58. https://www.nid.or.kr/info/dataroom_view.aspx?bid=183
  2. Choi YH, Shin KR, Kim OS, KO SH, Gong SJ, Kong ES, et al. The elderly and health. Seoul: Hyunmoon Pub. Co; 2014.
  3. An MS, Lee KJ. Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. The Korean Journal of Hospice and Palliative Care. 2017;17(3):122-33. https://doi.org/10.14475/kjhpc.2014.17.3.122
  4. Manthorpe J, Samsi K. Person-centered dementia care: Current perspectives. Clinical Interventions in Aging. 2016;11:1733-40. http://doi.org/10.2147/CIA.S104618
  5. Koren MJ. Person-centered care for nursing home residents: The culturechange movement. Health Affairs. 2010;29(2):312-7. http://doi.org/10.1377/hlthaff.2009.0966
  6. Edvardsson D. Notes on person-centred care: What it is and What it is not. Nordic Journal of Nursing Research. 2015;35(2):65-6. http://doi.org/10.1177/0107408315582296
  7. Morgan S, Yoder LH. A concept analysis of person-centered care. Journal of Holistic Nursing. 2012;30(1):6-15. http://doi.org/10.1177/0898010111412189
  8. Brownie S, Nancarrow S. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clinical Intervention in Aging. 2013;8:1-10. http://doi.org/10.2147/cia.s38589
  9. Li J, Porock D. Person-centered care in long-term care: a narrative review of interventional research. International Journal of Nursing Studies. 2014;51(10):1395-1415. http://doi.org/10.1016/j.ijnurstu.2014.04.003
  10. Hayajneh FA, Shehadeh A. The impact of adopting person-centred care approach for people with Alzheimer' s on professional caregivers' burden: An interventional study. Interventional Journal of Nursing Practice. 2014;20(4):438-45. http://doi.org/10.1111/ijn.12251
  11. Jang YJ. A comparative study on the factors that determine the attitude toward dementia in Korea and Japan: Focusing on the care workers who work in nursing homes. Journal of the Korean Gerontological Society. 2014;34(2):333-48.
  12. Song JA, Park JW, Kim HJ. Impact of behavioral and psychological symptoms of dementia on caregiver burden in nursing homes. Journal of Korean Gerontological Nursing. 2013;15(1):62-74.
  13. Evripidou M, Charalambous A, Middleton N, Papastavrou E. Nurses' knowledge and attitudes about dementia care: Systematic literature review. Perspectives in Psychiatric Care. 2019;55:48-60. http://doi.org/10.1111/ppc.12291
  14. Edvardsson D, Fetherstonhaugh D, Nay R, Gibson S. Development and initial testing of the person-centered care assessment tool (PCAT). International Psychogeriatrics. 2010;22(1):101-8. https://doi.org/10.1017/S1041610209990688
  15. Rokstad AM, Engedal K, Edvardsson D, Selbaek G. Evaluation of the Norwegian version of the person-centred care assessment tool. International Journal of Nursing Practice. 2012;18(1):99-105. http://doi.org/10.1111/j.1440-172x.2011.01998.x
  16. McCance T, McCmack B, Dewing J. An exploration of person-centredness in practice. The Online Journal of Issues in Nursing. 2011;16(2):1.
  17. Sagong H, Lee GE. Person-centered care and nursing service quality of nurses in long-term care hospitals. Journal of Korean Academy Community Health Nursing. 2016;27(4):309-18. https://doi.org/10.12799/jkachn.2016.27.4.309
  18. Kim S. A study on the factors associated with nursing home staff's person centered care. Health & Nursing 2017;29(2):59-71.
  19. Kim JH. Geriatric hospital nurses' dementia attitudes, and knowledge and attitudes towards palliative care for advanced dementia. [master's thesis]. Daejeon: Chungnam National University; 2018.
  20. Lin PC, Hsieh MH, Lin LC. Hospital nurse knowledge of and approach to dementia care. The Journal of Nursing Research. 2012;20(3):197-207. https://doi.org/10.1097/jnr.0b013e318263d82e
  21. Baek KM. Empathy for dementia patients and knowledge to dementia care in nursing geriatric hospital nurses. [master's thesis]. Gong ju: Kongju National University; 2017.
  22. O'Connor ML, McFadden SH. Development and psychometric validation of dementia attitudes scale. International Journal of Alzheimer' Disease. 2010;2010:1-10. http://doi.org/10.4061/2010/454218
  23. Choi JY, Jeong H, Park JY, Kim TH, Lee DY, Lee DW, et al. Factors associated with the attitudes toward dementia in community caregivers: Results from the nationwide survey on dementia care in Korea. Journal of Korean Geriatric Psychiatry. 2015;19(1):24-31.
  24. Tak YR, Woo HY, You SY, Kim JH. Validity and reliability of the person-centered care assessment tool in long-term care facilities in Korea. Journal of Korean Academy of Nursing. 2015;45(3):412-9. http://doi.org/10.4040/jkan.2015.45.3.412
  25. Kim SH. Awareness of dementia care knowledge and person-centered approach in general hospital nurses. [master's thesis]. Seoul: Seoul National University; 2015.
  26. Ko IS, Han E-K, Kim DR. Relationship among dementia knowledge, attitude, and care burden of nurses in center for dementia. Journal of the Korea Convergence Society. 2017;8(9):67-75. http://doi.org/10.15207/JKCS.2017.8.9.067
  27. Martinez T, Suarez-Alvarez J, Yanguas J, Muniz J. Spanish validation of the person-centered care assessment tool (P-CAT). Aging & Mental Health. 2015;26:1-9. http://doi.org/10.1080/13607863.2015.1023768
  28. Sjogren K, Lindkvist M, Sandman PO, Zingmark K, Edvardsson D. Evaluation of the Swedish version of the person-centered care assessment tool (P-CAT). International Psychogeriatrics. 2012;24(3):406-15. http://doi.org/10.1017/s104161021100202x
  29. Flesner MK. Person-centered care and organizational culture in long-term care. Journal of Nursing Care Quality. 2009;24(4):273-6, https://doi.org/10.1097/NCQ.0b013e3181b3e669
  30. Kwon KJ, Park TJ, Lee SY. How does the long-term care hospital work? -content analysis to conceptualize patient's family and personnel's experience. Korean Journal of Care Management. 2015;16:101-22.