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Erschienen in:

12.12.2017 | Original Contribution

Patients with dementia in acute care hospitals

A cross-sectional study of physicians’ experiences and attitudes

verfasst von: Lena Helm, Katrin Balzer, Anja Behncke, Nora Eisemann, Sascha Köpke

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 5/2018

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Abstract

Background

Patients with dementia (PwD) are a vulnerable group and caring for these patients in acute care hospitals is challenging. Structural conditions and standardized treatment procedures in hospitals often do not correspond to the needs of this patient group. Physicians may not be well prepared for caring for PwD.

Objective

This study aimed to ascertain physicians’ experiences and attitudes in caring for PwD or cognitive disorders and their subjective workload. This describes physicians’ estimation of the share of the overall workload resulting from caring for PwD on the ward. Furthermore, we identified factors that are most likely to contribute to the workload.

Material and methods

An online survey was conducted using a self-developed standardized questionnaire with 29 questions based on a systematic literature review. The questionnaire was pretested in several steps and finally sent out via e‑mail to 610 physicians in 9 hospitals in northern Germany. Aspects surveyed were: physicians’ confidence in caring for PwD and resulting workload, challenges in caring for PwD, collaboration with relatives and other professionals and educational needs. Important influencing factors were determined by multiple linear regression analyses.

Results

A total of 192 hospital physicians completed the questionnaire (response rate 32%). According to respondents the proportion of PwD in acute care hospitals increased significantly during the last 3 years. Only one third of respondents reported feeling confident in caring for PwD and 65% stated that they do not feel confident in caring for PwD especially in situations of nutrition in cases of food refusal and distinguishing between delirium and dementia. The strongest influencing factors were increased efforts in terms of time and support needs, complex medical situations, difficult collaboration with relatives and lack of patient compliance. A successful collaboration with other professionals was associated with increased confidence in caring for PwD. Legal and ethical aspects as well as drug therapies were mentioned as desirable topics for educational programs.

Conclusion

A relevant number of hospital physicians feel insecure and burdened in caring for PwD. The study provides important information for the design of educational programs and for potential changes in structural and procedural aspects. The results may be used as starting points for improving hospital care for PwD.
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Metadaten
Titel
Patients with dementia in acute care hospitals
A cross-sectional study of physicians’ experiences and attitudes
verfasst von
Lena Helm
Katrin Balzer
Anja Behncke
Nora Eisemann
Sascha Köpke
Publikationsdatum
12.12.2017
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 5/2018
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-017-1349-5