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Social Network Analysis of Dementia Wards in Psychiatric Hospitals to Explore the Advancement of Personhood in Patients with Alzheimer's Disease.
Current Alzheimer Research ( IF 2.1 ) Pub Date : 2019-01-01 , DOI: 10.2174/1567205016666190612160955
Carlo Lazzari 1 , Yasuhiro Kotera 2 , Hywel Thomas 3
Affiliation  

BACKGROUND Little is known on investigating how healthcare teams in dementia wards act for promoting personhood in persons with Alzheimer's disease (PWA). OBJECTIVE The current research aimed to identify the social networks of dementia health carers promoting the personhood of PWA in acute or long-term dementia wards in public and private psychiatric hospitals. METHODS We used a mixed-method research approach. Ethnographic observations and two-mode Social Network Analysis (SNA) captured the role and social networks of healthcare professionals promoting PWA personhood, using SocNetv version 2.4. The social network graphs illustrated how professionals participated in PWA care by computing the degree of centrality (%DC) for each professional; higher values indicated more statistical significance of a professional role compared to others in the provision of personhood care. The categories of personhood were biological, individual, and sociologic. Nurses, doctors, ward managers, hospital managers, clinical psychologists, occupational therapists, care coordinators, physiotherapists, healthcare assistants, and family members were observed if they were promoting PWA personhood. RESULTS The highest %DC in SNA in biological personhood was held by the ward nurses (36%), followed by the ward doctors (20%) and ward managers (20%). All professional roles were involved in 16% of cases in the promotion of individual personhood, while the hospital managers had the highest %DC (33%) followed by the ward managers and nurses (27%) in the sociologic personhood. CONCLUSION All professional roles were deemed to promote PWA personhood in dementia wards, although some limitation exists according to the context of the assessment.

中文翻译:

精神病医院痴呆病房的社会网络分析,以探索阿尔茨海默氏病患者的人格发展。

背景技术在研究痴呆病区的医疗队如何促进阿尔茨海默氏病(PWA)患者的人格方面知之甚少。目的当前的研究旨在确定在公立和私立精神病医院中,急性或长期痴呆病房中促进PWA人格化的痴呆保健人员的社交网络。方法我们采用了一种混合方法研究方法。人种学观察和两模式社交网络分析(SNA)使用SocNetv 2.4版捕获了促进PWA人格化的医疗保健专业人员的角色和社交网络。社交网络图通过计算每个专业人员的中心度(%DC)来说明专业人员如何参与PWA护理;较高的值表示与提供人格护理相比,专业角色的统计意义更大。人格的类别是生物学的,个人的和社会学的。观察护士,医生,病房经理,医院经理,临床心理学家,职业治疗师,护理协调员,物理治疗师,保健助理和家庭成员是否促进了PWA人格。结果在生物学人格方面,SNA的最高DC值由病房护士(36%),其次为病房医生(20%)和病房管理员(20%)。在提升个人人格的所有案例中,所有专业角色均占16%,而在社会学方面,医院经理的%DC最高(33%),其次是病房经理和护士(27%)。
更新日期:2019-11-01
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