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Dementia nursing competency in acute care settings: A concept analysis
Author(s) -
Yamaguchi Yuko,
Greiner Chieko,
Ryuno Hirochika,
Fukuda Atsuko
Publication year - 2019
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12732
Subject(s) - dementia , cinahl , psycinfo , nursing , medline , psychological intervention , medicine , acute care , nursing outcomes classification , nursing care , nursing interventions classification , psychology , nursing research , team nursing , health care , disease , pathology , political science , law , economics , economic growth
Aim To critically analyse the concept of dementia nursing competency in acute care settings. Backgrounds The nursing care needs of patients with dementia are increasing in acute care settings. However, a framework for the dementia nursing competency has not been explicitly outlined. Design Rodgers' evolutionary method for concept analysis. Data Sources Competenc* AND dementia AND nurs* AND acute OR hospital OR clinical were selected from the MEDLINE, CINAHL, PsycINFO, CiNii, and Google Scholar for publication from 2006 to 2017. Review Methods All 29 articles were identified. Data were analysed with a particular focus on the attributes, antecedents, and consequences of the concept. Results Six attributes were identified: respecting patient individuality, applying ethical considerations, providing person‐centred care, possessing responsibility, coordinating external environments, and possessing care coordination and facilitation skills. Identified antecedents included building theoretical and clinical knowledge, developing an awareness of dementia and its risk behaviours, performing assessments of dementia nursing practice, developing relationships with patients with dementia, and applying a team approach. Applying the competency led to positive consequences for patients, nurses, and patient‐nurse and nursing team relationships. Conclusion Developing the dementia nursing competency results in stronger emotional interventions and adds a human‐to‐human connection.