Ongoing challenges responding to behavioural and psychological symptoms of dementia

Ostaszkiewicz, J., Lakhan, P., O'Connell, B. and Hawkins, M. 2015, Ongoing challenges responding to behavioural and psychological symptoms of dementia, International Nursing Review, vol. 62, no. 4, pp. 506-516.

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Title Ongoing challenges responding to behavioural and psychological symptoms of dementia
Author(s) Ostaszkiewicz, J.ORCID iD for Ostaszkiewicz, J. orcid.org/0000-0003-4159-4493
Lakhan, P.
O'Connell, B.
Hawkins, M.
Journal name International Nursing Review
Volume number 62
Issue number 4
Start page 506
End page 516
Total pages 11
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-12
ISSN 1466-7657
Keyword(s) aggression management
dementia
focus groups
gerontology
older people nursing
psycho-geriatrics nursing
qualitative methods
restraint
violence in the workplace
workforce issues
Summary BACKGROUND: Mid- to late-stage dementia is often characterized by behavioural and psychological symptoms, including, but not limited to physical and verbal aggression. INTRODUCTION: Although there is a considerable research about the prevalence, aetiology, and management of behavioural and psychological symptoms of dementia, there is limited research about the experience of caring for people with such symptoms in long-term aged care facilities. AIM: The aims of the study were to describe: (i) nurses' experiences of caring for people with behavioural and psychological symptoms of dementia in long-term aged care facilities, and (ii) strategies nurses used to deal with these symptoms. METHODS: A qualitative exploratory and descriptive design, involving focus group interviews with 30 nurses from three long-term aged care units in Australia. The transcripts were analysed using inductive content analysis. RESULTS: The findings revealed five interrelated themes: (i) working under difficult conditions, (ii) behavioural and psychological symptoms of dementia: an everyday encounter, (iii) making sense of behavioural and psychological symptoms of dementia, (iv) attempting to manage behavioural and psychological symptoms of dementia, and (v) feeling undervalued. CONCLUSION: This study highlighted the difficult conditions under which nurses worked and the complexity of caring for individuals who have behavioural and psychological symptoms of dementia. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Organizational efforts to enhance the quality of care for individuals with behavioural and psychological symptoms of dementia in long-term aged care facilities should extend beyond staff education to heed nurses' concerns about organizational barriers to interpersonal care.
Language eng
Field of Research 111005 Mental Health Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, International Council of Nurses
Persistent URL http://hdl.handle.net/10536/DRO/DU:30074842

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