18. A comparative study of population characteristics and capacity aspects of dementia care between the nursing home and hospital nurses in Hanoi, Vietnam
Nội dung chính của bài viết
Tóm tắt
Nurses play an important role in dementia care delivery in hospitals and communities. Exploring nurses’ capacity aspects in dementia care such as knowledge, attitudes, and confidence is essential for developing appropriate health professional education to achieve optimal care in different aged care facilities. This cross-sectional study aimed to describe and examine the differences in population characteristics and dementia care capacity between the nursing home and hospital nurses in Hanoi, Vietnam from January to March 2023. Data were collected using three self-administered questionnaires: The Dementia Knowledge Assessment Scale (DKAS), the Dementia Attitude Scale (DAS), and the Confidence in Dementia Scale (CODE). The number of nursing home and hospital nurses completing the survey was 111 and 158 respectively. There were no statistically significant difference in the mean of the total knowledge score and attitude score between the two nurse groups. Hospital nurses were more knowledgeable about the dementia pathology and health promotion, whereas nursing home nurses had a better understanding of communication and dealing with behavioral difficulties in patients, as well as having more confidence (p<0.05). Different professional training for different types of facilities should be developed and implemented to achieve qualified dementia care.
Chi tiết bài viết
Từ khóa
Dementia care, knowledge, attitude, confidence, nursing home, comparison.
Tài liệu tham khảo
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11. Edvardsson D, Fetherstonhaugh D, Nay R. Promoting a continuation of self and normality: person-centred care as described by people with dementia, their family members and aged care staff. J Clin Nurs. 2010; 19(17-18): 2611-2618. doi:10.1111/j.1365-2702.2009.03143.x.
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13. Griffiths P, Bridges J, Sheldon H, Thompson R. The role of the dementia specialist nurse in acute care: a scoping review. J Clin Nurs. 2015; 24(9-10): 1394-1405. doi:10.1111/jocn.12717.
14. den Ouden M, Kuk NO, Zwakhalen SMG, Bleijlevens MHC, Meijers JMM, Hamers JPH. The role of nursing staff in the activities of daily living of nursing home residents. Geriatr Nur (Lond). 2017; 38(3): 225-230. doi:10.1016/j.gerinurse.2016.11.002.
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18. Annear MJ, Toye CM, Eccleston CE, et al. Dementia Knowledge Assessment Scale: Development and Preliminary Psychometric Properties. J Am Geriatr Soc. 2015; 63(11): 2375-2381. doi:10.1111/jgs.13707.
19. Annear MJ, Toye C, Elliott KEJ, McInerney F, Eccleston C, Robinson A. Dementia knowledge assessment scale (DKAS): confirmatory factor analysis and comparative subscale scores among an international cohort. BMC Geriatr. 2017; 17(1): 168. doi:10.1186/s12877-017-0552-y.
20. O’Connor ML, McFadden SH. Development and Psychometric Validation of the Dementia Attitudes Scale. Int J Alzheimerx2019s Dis. 2010; 2010: e454218. doi:10.4061/2010/454218.
21. Elvish R, Burrow S, Cawley R, et al. ‘Getting to Know Me’: the development and evaluation of a training programme for enhancing skills in the care of people with dementia in general hospital settings. Aging Ment Health. 2014; 18(4): 481-488. doi:10.1080/13607863.2013.856860.
22. Hong S, Yu P, Chen X, Qian S. Long-term care services and care workers in Hangzhou City, China: A cross-sectional survey. J Nurs Manag. 2019; 27(7): 1546-1553. doi:10.1111/jonm.12842.
23. BỘ Y TẾ - BỘ NỘI VỤ. Thông tư liên tịch 26/2015/TTLT-BYT-BNV mã số tiêu chuẩn chức danh nghề điều dưỡng hộ sinh kỹ thuật y. Accessed October 1, 2023. https://thuvienphapluat.vn/van-ban/Lao-dong-Tien-luong/Thong-tu-lien-tich-26-2015-TTLT-BYT-BNV-ma-so-tieu-chuan-chuc-danh-nghe-dieu-duong-ho-sinh-ky-thuat-y-294587.aspx?anchor=dieu_6.
24. Bich NN, Dung NTT, Vu T, et al. Dementia and associated factors among the elderly in Vietnam: a cross-sectional study. Int J Ment Health Syst. 2019; 13:57. doi:10.1186/s13033-019-0314-7.
25. Nguyen T, Than T, McFarland P, et al. Dementia Prevalence Among Older Hospitalized Patients in Vietnam and Dementia Understanding of Their Caregivers. Aging Med Healthc. 2019; 10:128-132. doi:10.33879/AMH.2019.123-1902.003.
26. Hum S, Cohen C, Persaud M, et al. Role Expectations in Dementia Care Among Family Physicians and Specialists. Can Geriatr J. 2014; 17(3): 95-102. doi:10.5770/cgj.17.110.
27. Evripidou M, Charalambous A, Middleton N, Papastavrou E. Nurses’ knowledge and attitudes about dementia care: Systematic literature review. Perspect Psychiatr Care. 2018; 55. doi:10.1111/ppc.12291.
28. Lim CK, Ching CW, Jun LJ, Yun L. Level of knowledge and attitude on dementia care among nurses. Malays J Nurs MJN. 2021; 13(2): 3-7. doi:10.31674/mjn.2021.v13i02.001.
29. Mulyani S, David Saifullah A. Effect of Dementia Training on Knowledge and Attitude Among Long-Term Care Staff in Yogyakarta, Indonesia. Open Access Maced J Med Sci. 2021; 9(E): 592-597. doi:10.3889/oamjms.2021.6392.
30. Aljezawi M. Nurses’ knowledge and attitude toward people with Alzheimer’s disease: An exploratory study. Nurs Forum (Auckl). 2021; 56(4): 791-798. doi:10.1111/nuf.12596.
31. Surr CA, Smith SJ, Crossland J, Robins J. Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study. Int J Nurs Stud. 2016; 53: 144-151. doi:10.1016/j.ijnurstu.2015.09.009.
32. Catherine Houghton, Kathy Murphy, Dawn Brooker, Dympna Casey. Healthcare staffs’ experiences and perceptions of caring for people with dementia in the acute setting: Qualitative evidence synthesis | Elsevier Enhanced Reader. doi:10.1016/j.ijnurstu.2016.06.001
33. Scerri A, Scerri C. Outcomes in knowledge, attitudes and confidence of nursing staff working in nursing and residential care homes following a dementia training programme. Aging Ment Health. 2019; 23(8): 919-928. doi:10.1080/13607863.2017.1399342.
34. Reichelt K, James E, Thompson D, Tanney S. Improving Confidence in Dementia Care by Helping Care Staff Articulate Skills They Already Possess: The Value of the Communication and Interaction Training (CAIT) Programme. OBM Geriatr. 2023; 7(1): 1-9. doi:10.21926/obm.geriatr.2301222.
2. World Alzheimer Report 2016 - Improving healthcare for people living with dementia: Coverage, quality and costs now and in the future. :140.
3. Nguyen TA, Dang TH, Tran K, et al. Dementia in Vietnam: A situational analysis. Alzheimers Dement. 2020; 16(S10): e039252. doi:10.1002/alz.039252.
4. Nguyen H, Nguyen T, Tran D, Hinton L. “It’s extremely hard but it’s not a burden”: A qualitative study of family caregiving for people living with dementia in Vietnam. PloS One. 2021; 16(11): e0259788. doi:10.1371/journal.pone.0259788.
5. Glenn_Rees_Vietnam_2018.pdf. Accessed March 25, 2022. https://www.alzint.org/u/2020/08/Glenn_Rees_Vietnam_2018.pdf.
6. Nguyen TA, Pham T, Dang TH, et al. Toward the development of Vietnam’s national dementia plan – the first step of action. Australas J Ageing. 2020; 39(2): 137-141. doi:10.1111/ajag.12755.
7. Dang TH, Tran K, Esterman A, et al. Healthcare services for people with dementia in Vietnam: A situational analysis. Alzheimers Dement. 2021; 17(S10): e057659. doi:10.1002/alz.057659.
8. Kitwood T, Bredin K. Towards a Theory of Dementia Care: Personhood and Well-being. Ageing Soc. 1992; 12(3): 269-287. doi:10.1017/S0144686X0000502X.
9. Alzheimer’s Society. Person-centred care Alzheimer’s Society. Accessed September 30, 2023. https://www.alzheimers.org.uk/about-dementia/treatments/person-centred-care.
10. Brooker D. What is person-centred care in dementia? Rev Clin Gerontol. 2003;13(3):215-222. doi:10.1017/S095925980400108X.
11. Edvardsson D, Fetherstonhaugh D, Nay R. Promoting a continuation of self and normality: person-centred care as described by people with dementia, their family members and aged care staff. J Clin Nurs. 2010; 19(17-18): 2611-2618. doi:10.1111/j.1365-2702.2009.03143.x.
12. Jenkins C, Keenan B, Ginesi L. Dementia 4: The nurse’s role in caring for people with dementia. Nurs Times. 2016; 112(27/28): 20-23.
13. Griffiths P, Bridges J, Sheldon H, Thompson R. The role of the dementia specialist nurse in acute care: a scoping review. J Clin Nurs. 2015; 24(9-10): 1394-1405. doi:10.1111/jocn.12717.
14. den Ouden M, Kuk NO, Zwakhalen SMG, Bleijlevens MHC, Meijers JMM, Hamers JPH. The role of nursing staff in the activities of daily living of nursing home residents. Geriatr Nur (Lond). 2017; 38(3): 225-230. doi:10.1016/j.gerinurse.2016.11.002.
15. Van PH, Tuan KA, Oanh TTM. Older Persons and Long-term Care in Viet Nam. Published online July 2021. https://www.eria.org/uploads/media/Books/2021-Coping-with-Rapid-Population-Ageing-Asia/11_Part1-Ch-7-Long-term-Care-Viet-Nam.pdf.
16. The United Nations Population Fund. Market outlook for elderly care services in Vietnam. UNFPA Vietnam. Published November 12, 2021. Accessed December 1, 2022. https://vietnam.unfpa.org/en/publications/market-outlook-elderly-care-services-vietnam.
17. Wyse M, Walker W. Long-Term Care for Older People in Viet Nam: The Current Scenario and Next Steps Toward a Healthy, Aging Population. 0 ed. Asian Development Bank; 2022. doi:10.22617/BRF220311-2.
18. Annear MJ, Toye CM, Eccleston CE, et al. Dementia Knowledge Assessment Scale: Development and Preliminary Psychometric Properties. J Am Geriatr Soc. 2015; 63(11): 2375-2381. doi:10.1111/jgs.13707.
19. Annear MJ, Toye C, Elliott KEJ, McInerney F, Eccleston C, Robinson A. Dementia knowledge assessment scale (DKAS): confirmatory factor analysis and comparative subscale scores among an international cohort. BMC Geriatr. 2017; 17(1): 168. doi:10.1186/s12877-017-0552-y.
20. O’Connor ML, McFadden SH. Development and Psychometric Validation of the Dementia Attitudes Scale. Int J Alzheimerx2019s Dis. 2010; 2010: e454218. doi:10.4061/2010/454218.
21. Elvish R, Burrow S, Cawley R, et al. ‘Getting to Know Me’: the development and evaluation of a training programme for enhancing skills in the care of people with dementia in general hospital settings. Aging Ment Health. 2014; 18(4): 481-488. doi:10.1080/13607863.2013.856860.
22. Hong S, Yu P, Chen X, Qian S. Long-term care services and care workers in Hangzhou City, China: A cross-sectional survey. J Nurs Manag. 2019; 27(7): 1546-1553. doi:10.1111/jonm.12842.
23. BỘ Y TẾ - BỘ NỘI VỤ. Thông tư liên tịch 26/2015/TTLT-BYT-BNV mã số tiêu chuẩn chức danh nghề điều dưỡng hộ sinh kỹ thuật y. Accessed October 1, 2023. https://thuvienphapluat.vn/van-ban/Lao-dong-Tien-luong/Thong-tu-lien-tich-26-2015-TTLT-BYT-BNV-ma-so-tieu-chuan-chuc-danh-nghe-dieu-duong-ho-sinh-ky-thuat-y-294587.aspx?anchor=dieu_6.
24. Bich NN, Dung NTT, Vu T, et al. Dementia and associated factors among the elderly in Vietnam: a cross-sectional study. Int J Ment Health Syst. 2019; 13:57. doi:10.1186/s13033-019-0314-7.
25. Nguyen T, Than T, McFarland P, et al. Dementia Prevalence Among Older Hospitalized Patients in Vietnam and Dementia Understanding of Their Caregivers. Aging Med Healthc. 2019; 10:128-132. doi:10.33879/AMH.2019.123-1902.003.
26. Hum S, Cohen C, Persaud M, et al. Role Expectations in Dementia Care Among Family Physicians and Specialists. Can Geriatr J. 2014; 17(3): 95-102. doi:10.5770/cgj.17.110.
27. Evripidou M, Charalambous A, Middleton N, Papastavrou E. Nurses’ knowledge and attitudes about dementia care: Systematic literature review. Perspect Psychiatr Care. 2018; 55. doi:10.1111/ppc.12291.
28. Lim CK, Ching CW, Jun LJ, Yun L. Level of knowledge and attitude on dementia care among nurses. Malays J Nurs MJN. 2021; 13(2): 3-7. doi:10.31674/mjn.2021.v13i02.001.
29. Mulyani S, David Saifullah A. Effect of Dementia Training on Knowledge and Attitude Among Long-Term Care Staff in Yogyakarta, Indonesia. Open Access Maced J Med Sci. 2021; 9(E): 592-597. doi:10.3889/oamjms.2021.6392.
30. Aljezawi M. Nurses’ knowledge and attitude toward people with Alzheimer’s disease: An exploratory study. Nurs Forum (Auckl). 2021; 56(4): 791-798. doi:10.1111/nuf.12596.
31. Surr CA, Smith SJ, Crossland J, Robins J. Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study. Int J Nurs Stud. 2016; 53: 144-151. doi:10.1016/j.ijnurstu.2015.09.009.
32. Catherine Houghton, Kathy Murphy, Dawn Brooker, Dympna Casey. Healthcare staffs’ experiences and perceptions of caring for people with dementia in the acute setting: Qualitative evidence synthesis | Elsevier Enhanced Reader. doi:10.1016/j.ijnurstu.2016.06.001
33. Scerri A, Scerri C. Outcomes in knowledge, attitudes and confidence of nursing staff working in nursing and residential care homes following a dementia training programme. Aging Ment Health. 2019; 23(8): 919-928. doi:10.1080/13607863.2017.1399342.
34. Reichelt K, James E, Thompson D, Tanney S. Improving Confidence in Dementia Care by Helping Care Staff Articulate Skills They Already Possess: The Value of the Communication and Interaction Training (CAIT) Programme. OBM Geriatr. 2023; 7(1): 1-9. doi:10.21926/obm.geriatr.2301222.