title: Enabling resources in people with dementia: a qualitative study about nurses' strategies that may support a sense of coherence in people with dementia.
abstract: OBJECTIVE
  To explore nurses' strategies that may support the sense of coherence in people with dementia.
  
  
  BACKGROUND
  People with dementia are often described as people with no resources, people who need support from family or from healthcare personnel to function in everyday life. Despite the disease, some people still have the resources needed to cope well with parts of their lives and experience coherence. To date, no research has explored any nurses' strategies that may support the sense of coherence in people with dementia.
  
  
  METHODS
  The design of the study is qualitative and exploratory.
  
  
  METHODS
  Data were collected by participant observation and focus group interviews. Sixteen registered nurses from two different Norwegian nursing homes were recruited and participated in the study. Qualitative content analysis was used to analyse the data.
  
  
  RESULTS
  The empirical material consisted of field notes from participant observation and transcripts from focus group interviews. Three generic categories were identified as strategies that may support sense of coherence in people with dementia: 'Finding and nurturing the individual's resources', 'Customising meaningful activities' and 'Finding creative solutions'. These categories were identified as strategies that may support and possibly enhance the sense of coherence in people with dementia.
  
  
  CONCLUSIONS
  The findings provide an empirical base for assuming that with support and help from nurses, people with dementia may experience and strengthen their sense of coherence, therefore, the nurses need to be aware of the activities that may support and possibly enhance the sense of coherence in people with dementia.
  
  
  CONCLUSIONS
  Despite the contextual limitations, this study highlights the need to identify and nurture resources in people with dementia, thus supporting their sense of coherence. The findings may contribute in enhancing the quality of care for people with dementia.
authors.affiliation: Department of Nursing and Health Promotion, Oslo & Akershus University College, Oslo, Norway.|Department of Health and Nursing Science, University of Agder, Grimstad, Norway.
authors.forename: Daniela
authors.initials: D
authors.lastname: Lillekroken
authors.affiliation: Department of Health Studies, Telemark University College, Porsgrunn, Norway.
authors.forename: Solveig
authors.initials: S
authors.lastname: Hauge
authors.affiliation: Department of Health and Nursing Science, University of Agder, Grimstad, Norway.
authors.forename: Åshild
authors.initials: Å
authors.lastname: Slettebø
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003704:Dementia / Q000451:nursing* / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009664:Norway; D009735:Nursing Homes; D057184:Practice Patterns, Nurses'; D036301:Qualitative Research; D060685:Sense of Coherence
keywords: dementia; focus group; nursing home; observation; qualitative research; sense of coherence