Hospital nurse knowledge of and approach to dementia care.
BACKGROUND
: The U.K. Department of Health recently proposed an international dementia strategy to enhance the quality of dementia care in acute hospital care settings. To implement such a strategy, it is necessary to first assess whether nurses have the knowledge and person-centered approach essential to enhancing hospital-based dementia care quality.


OBJECTIVE
: The purpose of this study was to evaluate hospital nurse knowledge of and approach toward dementia care and to explore the relationship between nurse demographic characteristics and these two issues.


METHODS
: We distributed a 16-item questionnaire on dementia care knowledge to 124 nurses at a teaching hospital in southern Taiwan. We also distributed to the same participants a 13-item questionnaire designed to assess the approach, either reality oriented or person centered, of participants in providing care to advanced dementia patients.


RESULTS
: The total mean score for participant dementia care knowledge was 10.8 (SD = 2.0). Results indicated that most nurses confused dementia with delirium. The advanced dementia care questionnaire suggested care tended to be reality oriented. Licensed registered nurses with more working experience had higher dementia care knowledge scores. Age and working experience both negatively correlated with a reality-oriented approach toward care.


CONCLUSIONS
: Most participants had accurate dementia care knowledge and tended to use a reality-oriented approach. Nurse competency in differentiating delirium from dementia should be enhanced. This study provided initial insight into the dementia care situation at a single hospital in southern Taiwan. Future studies should further explore the relationship between dementia care quality and hospital nurses' knowledge and approaches, respectively.
Department of Nursing, Yun-Ing Junior College of Health Care and Management, and Doctoral Candidate, College of Nursing, Kaohsiung Medical University
Pei-Chao
PC
Lin
Mei-Hui
MH
Hsieh
Li-Chan
LC
Lin
D000328:Adult; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003693:Delirium / Q000628:therapy; D003704:Dementia / Q000628:therapy*; D004509:Education, Nursing, Continuing / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006784:Hospitals, Teaching; D006801:Humans; D008008:Licensure, Nursing; D008297:Male; D008875:Middle Aged; D009462:Neurology / Q000193:education; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology*; D018802:Patient-Centered Care; D011568:Psychiatric Nursing / Q000193:education; D011795:Surveys and Questionnaires; D013624:Taiwan