A Mixed Methods Study to Explore the Views and Opinions of Nurses who provide Nursing Care for the Older Person within Hospitals which provide Health Care Services for the Older Person
Anna Christina Ayton
School of Nursing and Midwifery Trinity College Dublin
My name is Anna C Ayton. I am presently employed as a lecturer/practitioner in gerontological nursing. This is a joint appointment between TCD and St James's Hospital, Dublin. I also co-ordinate the MSc in Gerontological Nursing. I have fifteen years experience working in care of the older person in St James's Hospital. Prior to this I worked in several areas in Scotland to include community nursing and different areas within the the acute hospital setting. I am presently completing my PhD with TCD and my area of research is dementia nursing care.
Abstract
Background Our older population is increasing, the figures for people aged over 65 years in Ireland for 2001 was 430,000, this is estimated to rise to 1.1 million by 2036. There is a distinct correlation between ageing and... [ view full abstract ]
Background
Our older population is increasing, the figures for people aged over 65 years in Ireland for 2001 was 430,000, this is estimated to rise to 1.1 million by 2036. There is a distinct correlation between ageing and dementia. Nurses are encountering an escalation in the number of both acutely and chronically ill older people with coincidental dementia. The complex nature of dementia means that a hospital admission can be challenging for both the person with dementia and the nurse.
Aim
The aim of this two phase sequential explanatory mixed methods study is to explore the views and opinions of nurses about nursing care for the older person with dementia
Method
Two phase sequential mixed methods study. Phase one (reported here) involved a quantitative survey approach. Data was collected using (1) Satisfaction with Nursing Care and Work Assessment Scale (2) Approaches to Dementia Questionnaire (3) Ward Organisational Features Scales. Descriptive and inferential statistics were used to analyse the data.
Preliminary Key Findings
(1) SNCW: 95% (122/129) completed all 32 questions. Total scores were skewed towards the lower end of the scale (m=73) (range 40-115) indicating generally positive views and opinions about dementia nursing care
(2) ADQ: results showed that whilst overall the participants (n=127) believed in a person centred approach to care (m=46; SD=4.3) (range 38-55), this did not extend to feelings of hope for the person with dementia (n=124) (m=26; SD=5) (range 14-38)
(3) WOFS: 68% (86/126) believed that ward facilities had a good influence on patient care. 45% (55/123) agreed that staff organisation was satisfactory. 40% (48/121) stated that the ward layout was satisfactory. 70% (87/125) indicated that the quality of ward service was adequate
Discussion
An exploration of nurses' views and opinions about dementia nursing care is crucial to provision of quality nursing care
Authors
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Anna Christina Ayton
(School of Nursing and Midwifery Trinity College Dublin )
Topic Area
Lifecourse, older people or dementia
Session
OS-1B » OS 1 life course (10:20 - Monday, 30th March, Classroom 2)
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