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Kabaya, Sonoko
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The dementia certified nurse process for acquiring knowledge for care of older adult patients with dementia in acute care hospitals: a qualitative descriptive study Kabaya, Sonoko; Nagahata, Tayo; Juanamasta, I Gede
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.62204

Abstract

Introduction:  This study aimed to explore DCNs’ perceived knowledge acquisition in older adult patients with dementia in acute-care hospitals. Methods: The study used qualitative methods, with 14 Japanese DCNs involved in the snowball sampling method. Face-to-face interviews were conducted between June and December 2016 by the principal investigator. A qualitative content analysis was used in this study. The study results were divided into nine categories and 31 sub-categories. Results: This study highlights the process through which DCNs in acute-care hospitals acquire expertise in caring for older adults with dementia. Initially, DCNs faced dilemmas between patients’ resistance to treatment and their professional priorities, leading to emotional and cognitive shifts that motivated them to seek specialized knowledge and refine their care methods. By reflecting on their experiences, integrating patient-centered approaches, and sharing insights with team members, DCNs deepened their understanding, adapted care strategies, and enhanced their clinical capacity to meet patients' needs effectively. Conclusions: Nurses should provide appropriate training before taking care of the patients. Knowledge should be combined with patient’s problems and behavior. Thus, nurses become more flexible in adapting to patients with dementia. These findings emphasize the importance of fostering reflective practices and educational interventions to enhance DCNs’ expertise, enabling them to provide patient-centered care and improve outcomes for older adults with dementia.
Quality of life for adult family caregivers of patients with dementia: a Systematic review Aungsuroch, Yupin; Juanamasta, I Gede; Elsherbiny, Ola Ebrahim; Kabaya, Sonoko
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.47100

Abstract

Introduction: to evaluate problems and factors related to quality of life (QoL) for adult family caregivers (FCGs) of patients with dementia. Methods: The study used a systematic review method with the guidelines of PRISMA 2020 and registered in PROSPERO CRD42023464726. The review focused on adult FCGs for people with dementia in the home setting. The literature was searched from four databases, including Scopus, Web of Science, CINAHL, and PubMed. This systematic review examined a subset of fifty-two out of a total of 2,263.  The study used a narrative synthesis method to analyze the study. Results: The result showed that the severity of a patient with dementia's condition had an essential role in the patient's state. It impacted the caregiver's condition indirectly. Personal strategies (coping, resilience, sense of coherence, and expressed emotion) had an essential role in the caregiver situation. A maladaptive strategy would increase the stress of the caregivers and lead to a burden and depression. Those conditions of the caregiver would affect their QoL. Conclusions: Caring for patients with dementia is a huge psychological distress and burden on FCGs, which may negatively affect their quality of life in many aspects. Therefore, FCGs need education and support programs to maintain their overall aspect of quality of life and enable them to produce care for loved people.