Many people feel that it may be better for the patient to go home and spend time eating what he/she likes and doing what he/she pleases. (F hospital) Nurses also recognize the dilemma of their lack of time to communicate with patients, although such communication would help to maintain the patients’ cognitive function. In other cases, nurses adjust patient schedules so that they can perform their duties more smoothly, because
acute care hospitals cater for a large number of patients. Moreover, nurses adapt to such circumstances. There is always a gap between the ideal situation and reality; I know I need to stand up for the patient’s side, but for work to proceed smoothly, I sometimes get the patient to adjust to me. However, I am becoming accustomed to these situations. (A hospital) Discussion Relationships between issues faced selleck chemicals by
nurses caring for patients with dementia in acute care hospitals In this study, we identified a cycle that occurs in the care of patients with dementia in acute care hospitals. Nurses are required to deal with patients’ problematic behavior. They take measures such as hiding intravenous infusion lines and placing sensor mats to prevent problematic behavior. However, these measures may make the environment less familiar to patients with dementia, resulting in an increase in problematic behavior. Studies have found that environmental stimulation exaggerates the stress response in patients with dementia (Cunningham & Archibald, 2006; Fetzer, CAL-101 mouse 1999; King & Watt, 1995; Martin & Haynes, 2000). The present findings support this idea. Borbasi et al. (2006) recognized that the family is important in the acute care setting and reported that although family members are generally considered as beneficial assets to patients Resminostat and staff, they often require substantial support themselves. The results of this study were similar to those of previous studies. In this study, nurses could not resolve certain issues alone when patients with dementia were recovering from medical treatment; thus, the nurses turned to the patients’ families for help.
At the same time, they understood the necessity to care for the family. Their input during the FGI sessions indicated a mental struggle between asking for help from families in resolving difficult problems and the need to support the same family members. A previous study reported that nurses were frustrated by the lack of time to spend with and speak with patients (Sorlie et al., 2005). This issue is an ethical challenge in acute nursing care (Sorlie et al., 2005). Research on nursing home staff has found that nurses’ frustration, which is related to a lack of time, stems from the wide variety of diagnoses and reasons for hospitalization of the patients (Jakobsen & Sorlie, 2010). The nursing home study reported that one nurse said that they “had several patients with dementia for assessment in the short-stay unit.