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要旨
目的:急性期病院で必要とされる認知症看護実践能力を明らかにすることを目的とした.
方法:急性期病院で認知症看護を実践している看護師15名を対象に,半構成的インタビューを行い,質的記述的研究を行った.
結果:認知症看護実践能力は「認知症患者に対する基本的なケア姿勢」,「認知症患者が入院中安全安楽に過ごすための対策の実施」,「認知症患者の入院前後の生活や周囲の環境に目を向けた,継続的なケアの展開」,「認知症患者に適切なケアを提供するための組織人としての行動」により構成されていた.
結論:本研究により,基本的な認知症患者に対する姿勢だけではなく,急性期病院で必要とされている包括的な認知症看護実践能力が明らかとなった.今後認知症高齢者の入院が急増する背景からも,こういった視点で効果的に能力が向上されることが望まれる.
Purpose: This study aimed to elucidate nurses' capacity to provide good dementia care in acute hospitals.
Methods: A qualitative descriptive study, along with semi-structured interviews, was conducted with 15 nurses practicing dementia care at acute hospitals.
Results: Nursing practice competencies included “Nurses' basic attitudes toward dementia patients”, “Implementation of safety and comfort measures for dementia patients during hospital stays”, “Expansion of sustainable dementia care with consideration for patients' lifestyle before and after hospitalization and environment around patients”, and “Behavior as a team member to provide appropriate care for dementia patients.”
Conclusion: This study revealed not only the nurses' basic attitudes towards dementia patients, but also their comprehensive competency in providing good dementia care in acute hospitals. Because the number of elderly people with dementia admitted to hospitals is expected to rise rapidly in the future, nurses should effectively improve their competency in providing dementia care from this perspective.
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