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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

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Forecasting the ward climate: a study from a dementia care unit.

David Edvardsson¹, Per-Olof Sandman, Birgit Rasmussen

¹Division of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia and Department of Nursing, Umeå University, Umeå, Sweden. d.edvardsson@latrobe.edu.au

Journal of Clinical Nursing

|June 4, 2011

Summary

Staff presence significantly impacts the psychosocial climate and well-being of dementia patients. Engaged staff foster an "at-homeness" feeling, enhancing well-being, while absence leads to anxiety and ill-being.

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Area of Science:

Geriatric Medicine
Psychosocial Health
Dementia Care

Background:

Limited research on the psychosocial environment's impact on dementia patient well-being.
Physical environment's influence is well-documented, but psychosocial factors are underexplored.

Purpose of the Study:

To explore the psychosocial climate in a psycho-geriatric hospital unit.
To investigate the influence of this climate on the well-being of people with dementia.

Main Methods:

Grounded theory design.
Participant observations (36 hours) in a Swedish psycho-geriatric ward.
Dialectical data collection and analysis.

Main Results:

The core category identified was 'staff presence or absence', influencing psychosocial climate and patient well-being.
Emergent categories: 'sharing place and moment', 'sharing place but not moment', and 'sharing neither place nor moment'.

Conclusions:

Staff presence and engagement are crucial for creating a positive psychosocial climate and promoting patient well-being.
Staff absence can lead to anxiety and negatively impact patient well-being.
Findings emphasize the ethical responsibility to optimize staff-patient interaction and minimize routines promoting staff absence.