Enabling resources in people with dementia: a qualitative study about nurses' strategies that may support a sense of coherence in people with dementia. Issue 21 (9th August 2015)

• Record Type: Journal Article
• Authors: Lillekroken, Daniela; Hauge, Solveig; Slettebø, Åshild
• Is Part Of: Journal of clinical nursing. Volume 24:Issue 21/22(2015)
• Page Start: 3129
• Page End: 3137
• Publication Date: 2015-08-09
• Subjects: Nursing -- Periodicals; Clinical medicine -- Periodicals; 610.7305
• DOI: 10.1111/jocn.12945
• Languages: English
• ISSNs: 0962-1067

Abstract

<abstract abstract-type="main" id="jocn12945-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jocn12945-sec-0001" sec-type="section"> <title>Aims and objectives</title> <p>To explore nurses' strategies that may support the sense of coherence in people with dementia.</p> </sec> <sec id="jocn12945-sec-0002" sec-type="section"> <title>Background</title> <p>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.</p> </sec> <sec id="jocn12945-sec-0003" sec-type="section"> <title>Design</title> <p>The design of the study is qualitative and exploratory.</p> </sec> <sec id="jocn12945-sec-0004" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="jocn12945-sec-0005" sec-type="section"> <title>Results</title> <p>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.</p> </sec> <sec id="jocn12945-sec-0006" sec-type="section"> <title>Conclusions</title> <p>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.</p> </sec> <sec id="jocn12945-sec-0007" sec-type="section"> <title>Relevance to clinical practice</title> <p>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.</p> </sec> </abstract>