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dc.contributor.authorMoyle, Wendyen_US
dc.contributor.authorBorbasi, Sallyen_US
dc.contributor.authorWallis, Marianneen_US
dc.contributor.authorOlorenshaw, Rachelen_US
dc.contributor.authorGracia, Natalieen_US
dc.date.accessioned2017-04-24T09:44:03Z
dc.date.available2017-04-24T09:44:03Z
dc.date.issued2011en_US
dc.date.modified2011-08-03T06:52:07Z
dc.identifier.issn13652702en_US
dc.identifier.doi10.1111/j.1365-2702.2010.03521.xen_AU
dc.identifier.urihttp://hdl.handle.net/10072/39697
dc.description.abstractAim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach. Staff education and environmental resources may improve the current situation so that people with dementia receive care that takes into account their individual needs and human dignity. Relevance to clinical practice. Nurses can assist older people with dementia by encouraging evidence-based care practices to become the part of hospital policy.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishingen_US
dc.publisher.placeUnited kingdomen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom420en_US
dc.relation.ispartofpageto428en_US
dc.relation.ispartofissue3-4en_US
dc.relation.ispartofjournalJournal of Clinical Nursingen_US
dc.relation.ispartofvolume20en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchAged Care Nursingen_US
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchcode111001en_US
dc.subject.fieldofresearchcode111003en_US
dc.titleAcute care management of older people with dementia: a qualitative perspectiveen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.date.issued2011
gro.hasfulltextNo Full Text


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