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Nurses´ experiences of strain and their reactions in the care of severely demented patients.

Rahm Hallberg, Ingalill LU and Norberg, Astrid (1995) In International Journal of Geriatric Psychiatry 10(9). p.757-766
Abstract
All nurses (N = 132) on the wards specializing in the care of the demented within a municipality were given two scales to assess their view of common patient actions and how easy they thought those actions were to deal with in the care situation, and to assess their emotional reactions during the provision of care. Also the Maslach burnout Inventory (MBI) and the Work Related Strain Inventory (WRSI) were used to test concurrent validity. Based on principal component analysis, the nurses' view of patient actions resulted in being agitated, unruly, living empty lives, being peaceful, dependent, non-responsive and cooperative, and the nurses' view of difficulties in dealing with patient actions revealed ability to manage deprivation,... (More)
All nurses (N = 132) on the wards specializing in the care of the demented within a municipality were given two scales to assess their view of common patient actions and how easy they thought those actions were to deal with in the care situation, and to assess their emotional reactions during the provision of care. Also the Maslach burnout Inventory (MBI) and the Work Related Strain Inventory (WRSI) were used to test concurrent validity. Based on principal component analysis, the nurses' view of patient actions resulted in being agitated, unruly, living empty lives, being peaceful, dependent, non-responsive and cooperative, and the nurses' view of difficulties in dealing with patient actions revealed ability to manage deprivation, agitation, desertedness, wilfulness, peacefulness and cooperation. A three-factor solution was chosen for the emotional reactions: feelings of devotion - rejection, association - dissociation and usefulness - uselessness. Agitated and dependent patient actions were found to be most common while agitation and desertedness were regarded as most difficult. Patient seen as agitated and living empty lives related to the provision of care being difficult while dependence related to care as being easy to provide. Thus the findings gave further support to the belief that viewing the patient's life as meaningful as well as being able to develop a cooperative nurse-patient relationship is crucial for nurses' experience of strain. Thus support should be directed towards achieving this kind of relationship. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
dementia care, nurses, strain feelings, measures, difficult behaviour, patient actions
in
International Journal of Geriatric Psychiatry
volume
10
issue
9
pages
757 - 766
publisher
John Wiley and Sons Ltd
external identifiers
  • scopus:0029052641
ISSN
1099-1166
DOI
10.1002/gps.930100906
language
English
LU publication?
yes
id
49b9386c-ed83-448c-97d6-3fa7cf998096 (old id 1109578)
date added to LUP
2008-07-29 10:13:23
date last changed
2017-08-13 03:34:03
@article{49b9386c-ed83-448c-97d6-3fa7cf998096,
  abstract     = {All nurses (N = 132) on the wards specializing in the care of the demented within a municipality were given two scales to assess their view of common patient actions and how easy they thought those actions were to deal with in the care situation, and to assess their emotional reactions during the provision of care. Also the Maslach burnout Inventory (MBI) and the Work Related Strain Inventory (WRSI) were used to test concurrent validity. Based on principal component analysis, the nurses' view of patient actions resulted in being agitated, unruly, living empty lives, being peaceful, dependent, non-responsive and cooperative, and the nurses' view of difficulties in dealing with patient actions revealed ability to manage deprivation, agitation, desertedness, wilfulness, peacefulness and cooperation. A three-factor solution was chosen for the emotional reactions: feelings of devotion - rejection, association - dissociation and usefulness - uselessness. Agitated and dependent patient actions were found to be most common while agitation and desertedness were regarded as most difficult. Patient seen as agitated and living empty lives related to the provision of care being difficult while dependence related to care as being easy to provide. Thus the findings gave further support to the belief that viewing the patient's life as meaningful as well as being able to develop a cooperative nurse-patient relationship is crucial for nurses' experience of strain. Thus support should be directed towards achieving this kind of relationship.},
  author       = {Rahm Hallberg, Ingalill and Norberg, Astrid},
  issn         = {1099-1166},
  keyword      = {dementia care,nurses,strain feelings,measures,difficult behaviour,patient actions},
  language     = {eng},
  number       = {9},
  pages        = {757--766},
  publisher    = {John Wiley and Sons Ltd},
  series       = {International Journal of Geriatric Psychiatry},
  title        = {Nurses´ experiences of strain and their reactions in the care of severely demented patients.},
  url          = {http://dx.doi.org/10.1002/gps.930100906},
  volume       = {10},
  year         = {1995},
}