Nurses' Practical Wisdom for the Support of Dementia Patients Among Hospital Outpatients

Purpose: To establish and understand nurses' practical wisdom and interventions of support for dementia and possible dementia patients at hospital outpatient wards. Methods: A qualitative design was used to collect data through semi-structured focus group interviews. The participants were 13 female nurses working at hospital outpatient wards.Data were analyzed using the KJ Method. Results: Seven themes symbolizing the properties of the final label were extracted as follows:‘Observation of patients with focused awareness, and are continuously engaged with their patients',‘Approach to the problems of the patients, and sensitively work to understand the worries of patients based on past cases of problems',‘Looking out for simple ways patients can look after themselves, implicitly and thoroughly, making the best use of the ways that patients are familiar with and which they are able to understand',‘Preparations for scheduled consultations by developing a network to assist with problem prevention and recording episodes about problems involving the patients',‘Requests for cooperation to continue treatment by choosing intermediaries/resources appropriately as based on the importance of the medical treatment',‘Responses that do not conflict with the feelings of the family by considering the possible reluctance of accepting that a family member has dementia', and‘Attitude not to blame matters on dementia by reflecting on how the environment and care ought to be'.’ Conclusion:Nurses' practical wisdom is a type of support provided for patients in a natural manner without being noticed as special or particular by the patients

Nurses\u27 Practical Wisdom for the Support of Dementia Patients Among Hospital Outpatients

Purpose: To establish and understand nurses\u27 practical wisdom and interventions of support for dementia and possible dementia patients at hospital outpatient wards.\nMethods: A qualitative design was used to collect data through semi-structured focus group interviews. The participants were 13 female nurses working at hospital outpatient wards.Data were analyzed using the KJ Method.\nResults: Seven themes symbolizing the properties of the final label were extracted as follows:‘Observation of patients with focused awareness, and are continuously engaged with their patients\u27,‘Approach to the problems of the patients, and sensitively work to understand the worries of patients based on past cases of problems\u27,‘Looking out for simple ways patients can look after themselves, implicitly and thoroughly, making the best use of the ways that patients are familiar with and which they are able to understand\u27,‘Preparations for scheduled consultations by developing a network to assist with problem prevention and recording episodes about problems involving the patients\u27,‘Requests for cooperation to continue treatment by choosing intermediaries/resources appropriately as based on the importance of the medical treatment\u27,‘Responses that do not conflict with the feelings of the family by considering the possible reluctance of accepting that a family member has dementia\u27, and‘Attitude not to blame matters on dementia by reflecting on how the environment and care ought to be\u27.’\nConclusion:Nurses\u27 practical wisdom is a type of support provided for patients in a natural manner without being noticed as special or particular by the patients

2型糖尿病患者の民間療法および運動器具利用の実態

調査報告Report2型糖尿病患者の民間療法および運動器具の利用状況と食事・運動療法の実施との関連をみる目的で、静岡県の農村地域の外来患者59名を対象に調査した。結果、過去の利用も含め民間療法の利用者は45.8%で先行研究と比べ少なく、利用目的は血糖値改善が多かった。運動器具の利用は32.2%で、利用目的は運動の継続が多かった。民間療法および運動器具の利用の有無は食事・運動療法の実施状況と関連がなく、自己管理に影響していなかった