An Interpretive Ethnography: Nursing Culture for People with Dementia and Behavioral and Psychological Symptoms of Dementia in the Acute Care Environment

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dc.contributor.advisorVenturato, Lorraine
dc.contributor.authorHannaford, Sara Anne Dellarie
dc.contributor.committeememberFox, Loralee
dc.contributor.committeememberHolroyd-Leduc, Jayna M.
dc.contributor.committeememberRaffin Bouchal, Shelley
dc.date2018-11
dc.date.accessioned2018-09-18T14:49:01Z
dc.date.available2018-09-18T14:49:01Z
dc.date.issued2018-09-12
dc.description.abstractObjectives: Acute care nurses care for people with dementia (PWD) who suffer from behavioral and psychological symptoms of dementia (BPSD) in care environments that may worsen BPSD. The purpose of this study is to understand the nursing culture of care that exists for PWD with BPSD, and align this culture of care with the theory of person-centered dementia care (PCC). Methods: An interpretive ethnography approach was used, and data was collected on a general medicine unit at one acute hospital through 75 hours of participant observation and five semi-structured interviews with registered nurses and licensed practical nurses. Data was thematically analyzed. Results: A number of facilitators (teamwork, creativity, knowing the person, care plans, flexibility) and barriers (time constraints, safety, restraint use) for prevision of PCC to PWD and BPSD were identified. The culture of care for PWD with BPSD is shaped by formal protocols, informal protocols or unwritten rules, and beliefs about PWD and the nurses’ role in acute care. Nurses’ ability to provide PCC is limited by the incompatibility between the needs of the PWD and the acute care environment, and risk-averse safety culture that promotes physical safety over the needs and wants of the PWD. Conclusion: PWD with BPSD should be supported outside of the acute care environment when possible. The acute care environment needs to become more dementia friendly, and nurses need support and permission on a systems and individual level to re-conceptualize the meaning of risk for PWD with BPSD.en_US
dc.identifier.citationHannaford, S. A. D. (2018). An interpretive ethnography: Nursing culture for people with dementia and behavioral and psychological symptoms of dementia in the acute care environment (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/32928en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/32928
dc.identifier.urihttp://hdl.handle.net/1880/107752
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.facultyNursing
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectNursing
dc.subjectDementia
dc.subjectEthnography
dc.subjectQualitative
dc.subjectAcute Care
dc.subjectBehavioral and Psychological Symptoms of Dementia
dc.subject.classificationNursingen_US
dc.titleAn Interpretive Ethnography: Nursing Culture for People with Dementia and Behavioral and Psychological Symptoms of Dementia in the Acute Care Environment
dc.typemaster thesis
thesis.degree.disciplineNursing
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Nursing (MN)
ucalgary.item.requestcopytrue
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