Background: Person-centred care (PCC) is synonymous with best practice in the care of persons with dementia. However, the research focus has been in long-term care settings with less attention in acute hospitals. We aimed to study the perspectives and experiences of nurses implementing PCC in an acute hospital dementia unit (Care for Acute Mentally Infirm Elders [CAMIE]). Method: This was an exploratory qualitative study involving individual, face-to-face, semi-structured in-depth interviews. A purposive sample of 10 nurses participated in the interview. We employed an inductive thematic analysis approach to analyse the qualitative data. Results: The findings highlighted the positive experiences, for example, meaningful connection with patients and the challenges, for example, managing challenging behaviour in providing PCC. The initial challenges were due to a lack of prior knowledge and experience. Through formal and informal learning, the nurses built confidence and competence, and also provided support to one other. They emphasized the importance of teamwork and camaraderie in the CAMIE team but raised concerns about the negative perceptions of non-CAMIE nurses on the value of their work. Conclusion: Despite the challenges, adequate knowledge and robust organizational level support are the key support for nurses to embrace PCC as their care ethos in the acute care setting.
Dement Geriatr Cogn Disord

中文翻译：

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急症医院以人为本的痴呆症护理：在痴呆症专业病房工作的护士的经验

背景：以人为本的护理（PCC）是痴呆症患者护理最佳实践的代名词。然而，研究重点是长期护理机构，而对急症医院的关注较少。我们的目的是研究在急性痴呆病房（护理急性精神衰弱老年人 [CAMIE]）中实施 PCC 的护士的观点和经验。方法：这是一项探索性定性研究，涉及个人、面对面、半结构化的深入访谈。有目的的 10 名护士参与了访谈。我们采用归纳主题分析方法来分析定性数据。结果：研究结果强调了积极的经历，例如与患者的有意义的联系和挑战，例如在提供 PCC 时管理具有挑战性的行为。最初的挑战是由于缺乏先验知识和经验。通过正式和非正式的学习，护士们建立了信心和能力，并互相提供支持。他们强调 CAMIE 团队中团队合作和友情的重要性，但对非 CAMIE 护士对其工作价值的负面看法表示担忧。结论：尽管面临挑战，但充足的知识和强有力的组织层面的支持是护士在急症护理环境中采用 PCC 作为护理理念的关键支持。
老年痴呆症认知障碍