Nurses' Actions for Achieving Their Nursing Care for Older Persons with Severe Dementia of the Alzheimer's Type

2015 Fiscal Year Final Research Report

• Project/Area Number: 24660044
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Community health/Gerontological nurisng
• Research Institution: Dokkyo Medical University (2014-2015); Saitama Prefectural University (2012-2013)
• Principal Investigator: Asai Saori 獨協医科大学, 看護学部, 准教授 (20326317)
• Project Period (FY): 2012-04-01 – 2016-03-31
• Keywords: アルツハイマー型認知症 / 高齢者 / 看護師－患者関係 / 相互作用 / ケア提供行為 / 臨床判断

Outline of Final Research Achievements

The aim of this study was to explore how dementia care nurses achieve their nursing care of older persons with severe dementia of the Alzheimer's type (DAT) when they are experiencing difficulties with the care. Nine nursing interactions were qualitatively analyzed. The results showed that when older persons with DAT paid attention to nurses or they did not seem unpleasant, nurses continued caring for them and they received the nurses' care. In contrast, when the nurses clearly interpreted that the older persons with DAT did not want to receive care, they could not continue nursing despite their efforts.In addition, when the nurses observed that older persons with DAT were very unpleasant, they stopped their caring. The findings suggest that it is necessary to examine the progress of caregiving and clinical judgments to assess whether nurses engage with older persons with DAT or not.

Free Research Field

老年看護学