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Updated: Jan 20, 2026
Documentation in Long-Term and Home Healthcare Setting
How healthcare professionals in acute settings construct identities for people with dementia
Orla Quirke1, William Evans1, Mary Brosnan1
1Department of nursing and healthcare studies, Institute of Technology Tralee, Kerry, Republic of Ireland.
Background:
Healthcare professionals working in acute settings lack education and training in dementia care, resulting in people living with dementia receiving a reduced quality of care. Discourses are ways of communicating through written and spoken language, and healthcare professionals often adopt ageist discourses when constructing the identities of people living with dementia.
Aim:
To explore how healthcare professionals working in acute settings construct the identities of people living with dementia.
Method:
Semi-structured interviews were conducted with nine participants working in acute settings in the Republic of Ireland.
Findings:
Participants adopted two main discourse areas to construct the identities of people with dementia. The first discourse area related to the act of caring and the second discourse area, described as 'identity discourses', centred on the everyday language used by healthcare professionals. While participants strived to be person-centred the culture of acute settings was often task orientated.
Conclusion:
Caring for people with dementia is challenging in the acute healthcare setting. There is a need for ongoing training and effective continuing professional development strategies.
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