title: Strain in nursing care of people with dementia: nurses' experience in Australia, Sweden and United Kingdom.
abstract: OBJECTIVE
  The aim of this study was to explore nurses' experience of strain in dementia care.
  
  
  METHODS
  Focus groups were held with 35 nurses in Sweden, Australia and UK, who care for people with dementia. The discussions were tape-recorded and analysed using qualitative content analysis.
  
  
  RESULTS
  The nurses described the complexity of their situation and referred to environmental factors such as 'the system', community attitudes, other staff, residents' family members and also their own family. With regard to caring for people with dementia, three main sources of strain could be identified: Being unable to reach; Trying to protect; and Having to balance competing needs.
  
  
  CONCLUSIONS
  The nurses' experience could be understood as a desire to do the best for the people in their care by trying to alleviate their suffering and enhance their quality of life. When they did not have the resources, opportunity or ability to do this, it caused strain.
authors.affiliation: Department of Health Sciences, Vårdal Institute, Lund University, Sweden. anna-karin.edberg@med.lu.se
authors.forename: Anna-Karin
authors.initials: AK
authors.lastname: Edberg
authors.forename: Mike
authors.initials: M
authors.lastname: Bird
authors.forename: David A
authors.initials: DA
authors.lastname: Richards
authors.forename: Robert
authors.initials: R
authors.lastname: Woods
authors.forename: Philip
authors.initials: P
authors.lastname: Keeley
authors.forename: Vivienne
authors.initials: V
authors.lastname: Davis-Quarrell
mesh_terms: D000328:Adult; D001315:Australia; D002055:Burnout, Professional; D003469:Culture; D003704:Dementia / Q000451:nursing* / Q000523:psychology*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009726:Nurses / Q000523:psychology*; D009732:Nursing Care / Q000379:methods*; D012931:Social Environment; D013548:Sweden; D006113:United Kingdom