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Development of Dementia Care Standards

치매 간호 표준 개발

  • Received : 2009.09.02
  • Accepted : 2010.10.14
  • Published : 2010.10.31

Abstract

Purpose: This study was done to develop standards for dementia care as a baseline for professional nurses to provide a framework for dementia care evaluation Methods: The dementia care standards were developed through a literature review and focus group discussions. According to the Delphi method, the data analysis was conducted using the Content Validity Index (CVI). Results: The final set of 18 standards on dementia care was developed through one round of CVI. The standards included four structural standards: 'Organization of nursing system', 'Operating system', 'Management of human resources', 'Management of material resources', 13 procedural standards: 'Advanced assessment', 'Nursing diagnosis', 'Nursing plam', 'Advanced nursing implementation', 'Evaluation', 'Education', 'Research', 'Consultation', 'Counseling and cooperation', 'Development of specialty', 'Utilizing resources', 'Nursing quality assurance', 'Ethics', and one standard concerning outcome ('Evaluation of nursing tasks in care of patients with dementia'). The final set of 55 criteria on care of patients with dementia was confirmed through two rounds of CVI. The final 171 indicators were confirmed through four rounds of CVI. Conclusion: These dementia care standards provides a framework that allows registered nurses to clarify their roles and tasks in the care of patients with dementia and provides evaluation criteria.

Keywords

References

  1. Adamczyk, K., Lorencowicz, R., Flis, D., Zajko, A., & Niezbecka, J. (2001). Evaluation of nursing care standard in a neurological ward. Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina, 56, 333-338.
  2. Alzheimer's Association. (2008). 2008 Alzheimer's disease facts. Retrieved January 20, 2010, from http://www.alz.org/national/documents/topicsheet_2008_facts_figures.pdf
  3. Alzheimer's Australia. (2007). Quality Dementia Care Standards. Retrieved January 20, 2010, from http://www.alzheimers.org.au/upload/ QDC21.pdf
  4. Alzheimer Disease International. (2008). The Prevalence of dementia worldwide. Retrieved January 20, 2010, from http://www.alz.co.uk/adi/pdf/prevalence.pdf
  5. American Nurses Association. (1997). Scope and Standards of Advanced Practice Registered Nursing (3rd ed.). Washington, DC: Author.
  6. American Nurses Association. (1998). Standards of Clinical Nursing Practice (2nd ed.). Georgia: Author.
  7. American Nurses Association. (2001). Scope and standards of gerontological nursing practice (2nd ed.). Washington, DC: Author.
  8. American Nurses Association. (2005). Scope and standards of clinical nursing practice (2nd ed.). Washington, DC: Author.
  9. Burn, A. (2005). Standards in dementia care. New York, NY: Taylor & Francis Group.
  10. Donabedian, A. (1980). The definition of quality and approaches to its assessment. Michigan: Health Administration Press.
  11. Fitten, L. J. (2006). Editorial: Management of behavioral and psychiatric symptoms in dementia. Journal of Nutrition, Health & Aging, 10, 409.
  12. Hospital Nurses Association. (2006). Nursing Standard (2nd ed.). Seoul: Author.
  13. Jablonski, R. A., Reed, D., & Maas, M. L. (2005). Care intervention for older adults with alzheimer's disease and related dementia. Journal of Gerontological Nursing, 31, 39-48.
  14. Jang, B. H. (2000). A study on critical care nursing practice and development of standards for critical care nursing practice. Unpublished master's thesis, Yonsei University, Seoul.
  15. Kee, C. C., Foley, B. J., Dudley, W. N., Jennings, B. M., Minick, P., & Harvey, S. S. (2005). Nursing structure, processes, and patient outcomes in army medical centers. Western Journal of Nursing Research, 27, 1040-1058. https://doi.org/10.1177/0193945905278587
  16. Korean Nurses Association. (2003). Nursing Standard-Nursing Activities-. Seoul: Parkmungak.
  17. Kwon, J. D., Ko, H. J., Lee, S. H., Yim, S. E., Kang, W, S., & Lee, Y. S. (2002). Dementia and Family. Seoul: Hakjisa.
  18. Lee, B. S. (1998). Development of an evaluation tool for the quality of nursing care in abdominal surgery patients. Journal of Korean Nursing Administration Academic Society, 4, 107-127.
  19. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35, 382-385.
  20. Maldonado, R. W., Hanke, L. M., Neff, M. C., & Mor, V. (2004). Nurse staffing patterns and quality of care in nursing homes. Health Care Management Review, 29, 107-116. https://doi.org/10.1097/00004010-200404000-00004
  21. Ministry for Health, Welfare and Family Affairs. (2008). Current status of welfare facilities for older adults. Seoul: Author.
  22. Williams, C. L., Hyer, K., Kelly, A., Leger-Krall, S., & Tappen, R. M. (2005). Development of nurse competencies to improve dementia care. Geriatric Nursing, 26, 98-105. https://doi.org/10.1016/j.gerinurse.2005.01.005

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