当老年痴呆症患者表达错误信念时,工作人员应对措施的伦理问题。

IF 2.9 1区 哲学 Q1 ETHICS
Feliciano Villar, Daniela Martínez
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引用次数: 0

摘要

背景:质疑错误信念是痴呆症患者常见的情况。它们经常意味着时空转换,即患者会重新回忆起过去的经历。研究目的:本研究旨在探讨专业人员在处理痴呆症患者出现错误信念(特别是时空转换)的情况时,对常见做法和最佳做法的看法。研究比较了技术人员和助理照护者的反应:我们对在西班牙四家长期护理机构工作的 42 名工作人员进行了访谈。研究设计:本研究采用定性设计,对参与者在半结构化访谈中的回答进行内容分析。参与者阅读了一个关于痴呆症患者进行时间轮班的小故事,并被问及:(1)通常是如何处理这种情况的;(2)应该如何处理这种情况:巴塞罗那大学伦理委员会(IRB 00003099)批准了这项研究,在整个研究过程中遵守了知情同意、保密和评估参与者后果的原则。访谈前已获得参与者的书面同意:所有参与者都提到自己经历过与小故事中描述的类似情况。在常见做法方面,撒谎是最常被提及的策略。至于最佳做法,人们提到了撒谎和说实话,以及介于两者之间的应对方法,如转移注意力或放松。然而,大多数助理护理人员表示,他们不知道应该如何处理具有挑战性的错误信念:我们的研究结果表明,在处理 PLWD 中具有挑战性的错误观念(特别是时间转换)时,组织指南和员工发展非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ethical aspects of staff responses when older people with dementia express false beliefs.

Background: Challenging false beliefs are common situations among people living with dementia. They frequently imply time-shifts, that is, situations in which the person re-lives past experiences. Since they have emotional implications and important ethical implications, they are difficult to manage by caregivers, who are faced with the decision of telling or not telling the truth.

Aims: The study aimed to explore professional staff's perceptions of common and best practices to manage a situation in which a person living with dementia is having a false belief, specifically a time-shift. The study compares technical staff's and assistant carers' responses.

Participants and research context: Forty-two staff members working in four Spanish long-term care facilities were interviewed. 21 were assistant carers and 21 were technical staff.

Research design: This study involved a qualitative design, content-analyzing participant's responses to semi-structured interviews. Participants read a vignette about a person living with dementia having a time-shift and were asked (1) how a situation like that is commonly managed and (2) how it should be managed.

Ethical considerations: The principles of informed consent, confidentiality, and assessment of consequences for participants were observed throughout the entire study, which was approved by the University of Barcelona Ethics Committee (IRB 00003099). Written participant's consent was obtained prior to interviews.

Findings: All the participants mentioned having experienced a situation similar to that described in the vignette. In the case of common practices, lying was the most frequently mentioned strategy. As for best practices, lying and telling the truth were mentioned as well as responses that lie in-between, such as distracting or relaxing. However, most assistant carers reported that they do not know how a challenging false belief should be managed.

Conclusion: Our findings stress the importance of organizational guidelines and staff development in the management of challenging false beliefs (and specifically time-shifts) in PLWD.

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来源期刊
Nursing Ethics
Nursing Ethics 医学-护理
CiteScore
7.80
自引率
11.90%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.
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