The dementia certified nurse process for acquiring knowledge for care of older adult patients with dementia in acute care hospitals: a qualitative descriptive study
Dublin Core
Title
The dementia certified nurse process for acquiring knowledge for care of older adult patients with dementia in acute care hospitals: a qualitative descriptive study
Subject
dementia, descriptive qualitative, learning, older adults, stress
Description
Introduction: Older adult patients with dementia experience unique physical and psychological problems. These
conditions pose a challenge for nurses. Training and education have been developed to help DCNs face problems
related to older adult patients with dementia. However, even with training and education, some DCNs may still
struggle to effectively care for older adult patients with dementia because of the unpredictable nature of the disease
and the individualized needs of each patient. This study aimed to explore DCNs’ perceived knowledge acquisition in
older adult patients with dementia in acute-care hospitals.
Methods: The study used qualitative methods, with 14 Japanese DCNs involved in the snowball sampling method.
Face-to-face interviews were conducted between June and December 2016 by the principal investigator. A qualitative
content analysis was used in this study. The study results were divided into nine categories and 31 sub-categories.
Results: This study highlights the process through which DCNs in acute-care hospitals acquire expertise in caring for
older adults with dementia. Initially, DCNs faced dilemmas between patients’ resistance to treatment and their
professional priorities, leading to emotional and cognitive shifts that motivated them to seek specialized knowledge
and refine their care methods. By reflecting on their experiences, integrating patient-centered approaches, and
sharing insights with team members, DCNs deepened their understanding, adapted care strategies, and enhanced
their clinical capacity to meet patients' needs effectively.
Conclusions: Nurses should provide appropriate training before taking care of the patients. Knowledge should be
combined with patient’s problems and behavior. Thus, nurses become more flexible in adapting to patients with
dementia. These findings emphasize the importance of fostering reflective practices and educational interventions to
enhance DCNs’ expertise, enabling them to provide patient-centered care and improve outcomes for older adults
with dementia.
conditions pose a challenge for nurses. Training and education have been developed to help DCNs face problems
related to older adult patients with dementia. However, even with training and education, some DCNs may still
struggle to effectively care for older adult patients with dementia because of the unpredictable nature of the disease
and the individualized needs of each patient. This study aimed to explore DCNs’ perceived knowledge acquisition in
older adult patients with dementia in acute-care hospitals.
Methods: The study used qualitative methods, with 14 Japanese DCNs involved in the snowball sampling method.
Face-to-face interviews were conducted between June and December 2016 by the principal investigator. A qualitative
content analysis was used in this study. The study results were divided into nine categories and 31 sub-categories.
Results: This study highlights the process through which DCNs in acute-care hospitals acquire expertise in caring for
older adults with dementia. Initially, DCNs faced dilemmas between patients’ resistance to treatment and their
professional priorities, leading to emotional and cognitive shifts that motivated them to seek specialized knowledge
and refine their care methods. By reflecting on their experiences, integrating patient-centered approaches, and
sharing insights with team members, DCNs deepened their understanding, adapted care strategies, and enhanced
their clinical capacity to meet patients' needs effectively.
Conclusions: Nurses should provide appropriate training before taking care of the patients. Knowledge should be
combined with patient’s problems and behavior. Thus, nurses become more flexible in adapting to patients with
dementia. These findings emphasize the importance of fostering reflective practices and educational interventions to
enhance DCNs’ expertise, enabling them to provide patient-centered care and improve outcomes for older adults
with dementia.
Creator
Sonoko Kabaya1,2* , Nagahata Tayo3
, and I Gede Juanamasta4
, and I Gede Juanamasta4
Source
http://dx.doi.org/10.20473/jn.v19i4.62204
Date
22 November 2024
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Sonoko Kabaya1,2* , Nagahata Tayo3
, and I Gede Juanamasta4, “The dementia certified nurse process for acquiring knowledge for care of older adult patients with dementia in acute care hospitals: a qualitative descriptive study,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11083.