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Published on: September 30, 2020
Perioperative Nurses' Experience of Working With Persons Living With Dementia
Purpose:
To explore the experiences of nurses working with persons living with dementia (PLWD) in perioperative settings.
Method:
A study using qualitative description methodology was conducted. We interviewed 20 nurses working on four units in an academic medical center. Conventional content analysis was used to analyze the data.
Results:
Five themes were discovered: (1) Nurses' Descriptions of PLWD Perioperative Experience; (2) Nurses' Descriptions of Caregivers' Perioperative Experience; (3) Nurses' Work; (4) Unit Setup and Patient Flow; and (5) Recommendations for Improving Perioperative Care for PLWD. Aspects that complicated care provision included: neuropsychiatric symptoms, cognitive impairment, routine disruption, pain, and insufficient staffing.
Conclusion:
Working with PLWD is time-consuming for nurses and they frequently lack knowledge and skills to provide high-quality care. Ways to improve perioperative care for PLWD and their caregivers are summarized, including through nurses' baccalaureate and continuing education.
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